Chamberlain NR 302 Exam 2 | 2026/2027 | Health Assessment Q&A
| Graded A+
1. When examining the eye, the nurse notices that the patient's eyelid
margins approximate completely. The nurse recognizes that this assessment
finding is:
A) An indication of ptosis
B) A sign of ectropion
C) An expected normal finding
D) A symptom of entropion
Correct Answer: An expected normal finding
Rationale: The palpebral fissure is the elliptical open space between the
eyelids, and when closed, the lid margins approximate completely, which is a
normal finding. Ptosis is drooping of the eyelid, ectropion is outward turning
of the eyelid, and entropion is inward turning of the eyelid.
2. A nurse is performing an external eye examination. Which of the following
statements regarding the outer layer of the eye is true?
A) The outer layer of the eye is insensitive to touch
B) The outer layer is very sensitive to touch
C) The outer layer has dark pigmentation to prevent light reflection
D) The outer layer contains the retina
Correct Answer: The outer layer is very sensitive to touch
Rationale: The cornea and the sclera make up the outer layer of the eye. The
cornea is very sensitive to touch. The middle layer, the choroid, has dark
pigmentation to prevent light from reflecting internally, and the inner layer
contains the retina where light waves are changed into nerve impulses.
,3. During ocular examinations, the nurse keeps in mind that movement of
the extraocular muscles is stimulated by which cranial nerves?
A) Cranial nerves I, II, and III
B) Cranial nerves III, IV, and VI
C) Cranial nerves II, IV, and V
D) Cranial nerves IV, V, and VI
Correct Answer: Cranial nerves III, IV, and VI
Rationale: Movement of the extraocular muscles is stimulated by three
cranial nerves: the oculomotor (CN III), trochlear (CN IV), and abducens (CN
VI).
4. The nurse is reviewing causes of increased intraocular pressure. Which of
these factors determines intraocular pressure?
A) Amount of aqueous produced and resistance to its outflow
B) Thickness of the cornea and lens
C) Size of the pupil and iris
D) Blood pressure and heart rate
Correct Answer: Amount of aqueous produced and resistance to its outflow
Rationale: Intraocular pressure is determined by the amount of aqueous
humor produced and the resistance to its outflow at the angle of the anterior
chamber.
5. The nurse is conducting a visual examination. Which of the following
statements regarding visual pathways and visual fields is true?
,A) The image formed on the retina is upright and exactly as it appears
B) The image formed on the retina is upside down and reversed from its
actual appearance
C) The image is formed on the cornea
D) The image is transmitted directly to the occipital lobe without any
changes
Correct Answer: The image formed on the retina is upside down and reversed
from its actual appearance
Rationale: The image formed on the retina is upside down and reversed from
its actual appearance in the outside world. This inversion is corrected by the
brain's visual processing centers.
6. The nurse is testing a patient's visual accommodation, which refers to
which action?
A) Pupillary constriction when looking at a near object
B) Pupillary dilation when looking at a distant object
C) The ability to see in the dark
D) The ability to distinguish colors
Correct Answer: Pupillary constriction when looking at a near object
Rationale: Visual accommodation refers to the process by which the eye
adjusts to focus on near objects. This involves pupillary constriction,
convergence of the eyes, and an increase in the curvature of the lens.
7. A patient has a normal pupillary light reflex. The nurse recognizes that this
reflex indicates that:
A) Both pupils constrict in response to bright light
, B) Only the pupil exposed to light constricts
C) The pupils dilate in response to light
D) The pupils are fixed and dilated
Correct Answer: Both pupils constrict in response to bright light
Rationale: A normal pupillary light reflex indicates that constriction of both
pupils occurs in response to bright light. This is a consensual response
mediated by the optic and oculomotor nerves.
8. During an eye assessment on an 80-year-old patient, which of these
findings is considered abnormal and should be reported?
A) Decreased tear production
B) Loss of elasticity of the lens
C) Pupil constriction
D) Presbyopia
Correct Answer: Pupil constriction
Rationale: In older adults, pupils tend to become smaller (senile miosis) due
to atrophy of the iris muscles. However, pupillary constriction should still be
reactive; a fixed or non-reactive pupil is abnormal. Presbyopia (loss of near
vision) and decreased tear production are normal age-related changes.
9. The nurse can best evaluate the strength of the sternocleidomastoid
muscle by:
A) Asking the patient to shrug their shoulders against resistance
B) Having the patient turn their head against resistance
C) Asking the patient to lift their head against resistance
| Graded A+
1. When examining the eye, the nurse notices that the patient's eyelid
margins approximate completely. The nurse recognizes that this assessment
finding is:
A) An indication of ptosis
B) A sign of ectropion
C) An expected normal finding
D) A symptom of entropion
Correct Answer: An expected normal finding
Rationale: The palpebral fissure is the elliptical open space between the
eyelids, and when closed, the lid margins approximate completely, which is a
normal finding. Ptosis is drooping of the eyelid, ectropion is outward turning
of the eyelid, and entropion is inward turning of the eyelid.
2. A nurse is performing an external eye examination. Which of the following
statements regarding the outer layer of the eye is true?
A) The outer layer of the eye is insensitive to touch
B) The outer layer is very sensitive to touch
C) The outer layer has dark pigmentation to prevent light reflection
D) The outer layer contains the retina
Correct Answer: The outer layer is very sensitive to touch
Rationale: The cornea and the sclera make up the outer layer of the eye. The
cornea is very sensitive to touch. The middle layer, the choroid, has dark
pigmentation to prevent light from reflecting internally, and the inner layer
contains the retina where light waves are changed into nerve impulses.
,3. During ocular examinations, the nurse keeps in mind that movement of
the extraocular muscles is stimulated by which cranial nerves?
A) Cranial nerves I, II, and III
B) Cranial nerves III, IV, and VI
C) Cranial nerves II, IV, and V
D) Cranial nerves IV, V, and VI
Correct Answer: Cranial nerves III, IV, and VI
Rationale: Movement of the extraocular muscles is stimulated by three
cranial nerves: the oculomotor (CN III), trochlear (CN IV), and abducens (CN
VI).
4. The nurse is reviewing causes of increased intraocular pressure. Which of
these factors determines intraocular pressure?
A) Amount of aqueous produced and resistance to its outflow
B) Thickness of the cornea and lens
C) Size of the pupil and iris
D) Blood pressure and heart rate
Correct Answer: Amount of aqueous produced and resistance to its outflow
Rationale: Intraocular pressure is determined by the amount of aqueous
humor produced and the resistance to its outflow at the angle of the anterior
chamber.
5. The nurse is conducting a visual examination. Which of the following
statements regarding visual pathways and visual fields is true?
,A) The image formed on the retina is upright and exactly as it appears
B) The image formed on the retina is upside down and reversed from its
actual appearance
C) The image is formed on the cornea
D) The image is transmitted directly to the occipital lobe without any
changes
Correct Answer: The image formed on the retina is upside down and reversed
from its actual appearance
Rationale: The image formed on the retina is upside down and reversed from
its actual appearance in the outside world. This inversion is corrected by the
brain's visual processing centers.
6. The nurse is testing a patient's visual accommodation, which refers to
which action?
A) Pupillary constriction when looking at a near object
B) Pupillary dilation when looking at a distant object
C) The ability to see in the dark
D) The ability to distinguish colors
Correct Answer: Pupillary constriction when looking at a near object
Rationale: Visual accommodation refers to the process by which the eye
adjusts to focus on near objects. This involves pupillary constriction,
convergence of the eyes, and an increase in the curvature of the lens.
7. A patient has a normal pupillary light reflex. The nurse recognizes that this
reflex indicates that:
A) Both pupils constrict in response to bright light
, B) Only the pupil exposed to light constricts
C) The pupils dilate in response to light
D) The pupils are fixed and dilated
Correct Answer: Both pupils constrict in response to bright light
Rationale: A normal pupillary light reflex indicates that constriction of both
pupils occurs in response to bright light. This is a consensual response
mediated by the optic and oculomotor nerves.
8. During an eye assessment on an 80-year-old patient, which of these
findings is considered abnormal and should be reported?
A) Decreased tear production
B) Loss of elasticity of the lens
C) Pupil constriction
D) Presbyopia
Correct Answer: Pupil constriction
Rationale: In older adults, pupils tend to become smaller (senile miosis) due
to atrophy of the iris muscles. However, pupillary constriction should still be
reactive; a fixed or non-reactive pupil is abnormal. Presbyopia (loss of near
vision) and decreased tear production are normal age-related changes.
9. The nurse can best evaluate the strength of the sternocleidomastoid
muscle by:
A) Asking the patient to shrug their shoulders against resistance
B) Having the patient turn their head against resistance
C) Asking the patient to lift their head against resistance
