NCLE CERTIFICATION EXAM |ACTUAL QUESTIONS
AND VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
Hydrogen peroxide care systems:
A. Should not be used to disinfect FDA group IV lenses.
B. Is more effective against viruses and fungi than most chemical disinfection systems.
C. Does not require a red tip on its container, since it does not cause permanent damage if
accidental.
D. Takes a minimum of 2 hours to be decomposed into water and oxygen.
CORRECT ANSWER
B. Is more effective against viruses and fungi than most chemical disinfection systems.
Question 2
In against the rule astigmatism, the steepest corneal meridian:
A. Is at or near 45 degrees
B. Is at or near 90 degrees
C. Is at or near 135 degrees
D. Is at or near 180 degrees
CORRECT ANSWER
D. Is at or near 180 degrees.
Question 3
The following RX represents:
1
,OD: +2.00 PSH= 20/20
OS: -3.00-2.00x180 = 20/20
A. Amblyopia
B. Anisometropia
C. Aniseikona
D. Emmetropia
CORRECT ANSWER
C. Anisometropia
Question 4
Tom's spectacles with a power of -12.00+0.50 x 090, sit 10 mm in front of his cornea. The
likely soft Contact lens prescription for Tom would be?
A. -12.50 D
B. -12.00 D
C. -11.75 D
D. -10.50 D
CORRECT ANSWER
D. -10.50 D
Question 5
Given the following refraction and K readings, select the correct base curve and power
recordings-
K's 44.00 @.00 @ 90
RX: -1.00-3.00X090
A. 41..00 | -1.00 / -3.00
B. 41..00 | -1.00 / -4.00
2
, C. 41..00 | -4.00 / -1.00
D. 44..00 | -1.00 / -3.00
CORRECT ANSWER
B. 41..00 | -1.00 / -4.00
Question 6
What is the average pH value of a human tear?
CORRECT ANSWER
7.4
Question 7
Upon removal of the crystalline lens, the patient is:
a. aphakic
b. myopic
c. hyperopic
d. astigmatic
CORRECT ANSWER
C. Hyperopic
Question 8
If fluorescein evaluation reveals apical staining, it could be due to:
A. A lens that is too steep and loose.
B. A lens that is too flat and tight.
C. Corneal edema
3
AND VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
Hydrogen peroxide care systems:
A. Should not be used to disinfect FDA group IV lenses.
B. Is more effective against viruses and fungi than most chemical disinfection systems.
C. Does not require a red tip on its container, since it does not cause permanent damage if
accidental.
D. Takes a minimum of 2 hours to be decomposed into water and oxygen.
CORRECT ANSWER
B. Is more effective against viruses and fungi than most chemical disinfection systems.
Question 2
In against the rule astigmatism, the steepest corneal meridian:
A. Is at or near 45 degrees
B. Is at or near 90 degrees
C. Is at or near 135 degrees
D. Is at or near 180 degrees
CORRECT ANSWER
D. Is at or near 180 degrees.
Question 3
The following RX represents:
1
,OD: +2.00 PSH= 20/20
OS: -3.00-2.00x180 = 20/20
A. Amblyopia
B. Anisometropia
C. Aniseikona
D. Emmetropia
CORRECT ANSWER
C. Anisometropia
Question 4
Tom's spectacles with a power of -12.00+0.50 x 090, sit 10 mm in front of his cornea. The
likely soft Contact lens prescription for Tom would be?
A. -12.50 D
B. -12.00 D
C. -11.75 D
D. -10.50 D
CORRECT ANSWER
D. -10.50 D
Question 5
Given the following refraction and K readings, select the correct base curve and power
recordings-
K's 44.00 @.00 @ 90
RX: -1.00-3.00X090
A. 41..00 | -1.00 / -3.00
B. 41..00 | -1.00 / -4.00
2
, C. 41..00 | -4.00 / -1.00
D. 44..00 | -1.00 / -3.00
CORRECT ANSWER
B. 41..00 | -1.00 / -4.00
Question 6
What is the average pH value of a human tear?
CORRECT ANSWER
7.4
Question 7
Upon removal of the crystalline lens, the patient is:
a. aphakic
b. myopic
c. hyperopic
d. astigmatic
CORRECT ANSWER
C. Hyperopic
Question 8
If fluorescein evaluation reveals apical staining, it could be due to:
A. A lens that is too steep and loose.
B. A lens that is too flat and tight.
C. Corneal edema
3
