NCLE CERTIFICATION EXAM PREP |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
Which of the following medications may affect successful contact lens wear?
A. Antacids
B. Antihistamines
C. Aspirin
D. Laxatives
CORRECT ANSWER
B. Antihistamines
Question 2
Which term refers to a sensitivity to light?
A. Presbyopia
B. Photophobia
C. Pannus
D. Ptosis
CORRECT ANSWER
B. Photophobia
Question 3
The following is an example of what type of astigmatism?
K's 42.50 @ .50 @ 090
1
,A. With-the-rule
B. Lenticular
C. Against-the-rule
D. Irregular
CORRECT ANSWER
C. Against-the-rule
Question 4
The cornea receives nutrients from:
1. Aqueous humor
2. Tears
3. Limbal blood vessels
4. Orbicularis occuli
A. 1, 3, 4
B. 2, 3
C. 1, 2, 3
D. 3, 4
CORRECT ANSWER
C. 1,2,3
Question 5
The increased loss of ability of the crystalline lens to accommodate is called
A. Presbyopia
B. Myopia
2
,C. Hyperopia
D. Aphakia
CORRECT ANSWER
A. Presbyopia
Question 6
Which instrument can provide simultaneous information about the cornea, lids,
conjunctiva, lashes, contact lens surface and fit?
A. Radiuscope
B. Corneascope
C. Slit lamp
D. Keratometer
CORRECT ANSWER
C. Slit lamp
Question 7
The classic model of the pre-corneal tear film is composed of three layers which are
A. Lysozyme, oil, lacrimal
B. Sebaceous, mucoid, BAK
C. Lipid, aqueous, mucin
D. Water, mucoid, lysozyme
CORRECT ANSWER
C. Lipid, aqueous, mucin
Question 8
3
, Transpose the following RX into minus cylinder form
RX -4.50 +1.25 x 094
A. -3.25 -1.25 x 004
B. -3.25 -1.25 x 094
C. -4.50 -1.25 x 004
D. -5.75 -1.25 x 004
CORRECT ANSWER
A. -3.25 -1.25 x 004
Question 9
The average pH value of the human tear is
A. 6.6
B. 7.4
C. 7.8
D. 10.0
CORRECT ANSWER
B. 7.4
Question 10
If the manufacturer's guidelines suggest a minimum of 4 hours of disinfection, what would
you suggest to the patient?
A. Never leave lenses in disinfectant overnight
B. 2-3 hours is probably enough
C. Use surfactant cleaner and preserved saline
D. A minimum of 4 hours is required
CORRECT ANSWER
4
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
Which of the following medications may affect successful contact lens wear?
A. Antacids
B. Antihistamines
C. Aspirin
D. Laxatives
CORRECT ANSWER
B. Antihistamines
Question 2
Which term refers to a sensitivity to light?
A. Presbyopia
B. Photophobia
C. Pannus
D. Ptosis
CORRECT ANSWER
B. Photophobia
Question 3
The following is an example of what type of astigmatism?
K's 42.50 @ .50 @ 090
1
,A. With-the-rule
B. Lenticular
C. Against-the-rule
D. Irregular
CORRECT ANSWER
C. Against-the-rule
Question 4
The cornea receives nutrients from:
1. Aqueous humor
2. Tears
3. Limbal blood vessels
4. Orbicularis occuli
A. 1, 3, 4
B. 2, 3
C. 1, 2, 3
D. 3, 4
CORRECT ANSWER
C. 1,2,3
Question 5
The increased loss of ability of the crystalline lens to accommodate is called
A. Presbyopia
B. Myopia
2
,C. Hyperopia
D. Aphakia
CORRECT ANSWER
A. Presbyopia
Question 6
Which instrument can provide simultaneous information about the cornea, lids,
conjunctiva, lashes, contact lens surface and fit?
A. Radiuscope
B. Corneascope
C. Slit lamp
D. Keratometer
CORRECT ANSWER
C. Slit lamp
Question 7
The classic model of the pre-corneal tear film is composed of three layers which are
A. Lysozyme, oil, lacrimal
B. Sebaceous, mucoid, BAK
C. Lipid, aqueous, mucin
D. Water, mucoid, lysozyme
CORRECT ANSWER
C. Lipid, aqueous, mucin
Question 8
3
, Transpose the following RX into minus cylinder form
RX -4.50 +1.25 x 094
A. -3.25 -1.25 x 004
B. -3.25 -1.25 x 094
C. -4.50 -1.25 x 004
D. -5.75 -1.25 x 004
CORRECT ANSWER
A. -3.25 -1.25 x 004
Question 9
The average pH value of the human tear is
A. 6.6
B. 7.4
C. 7.8
D. 10.0
CORRECT ANSWER
B. 7.4
Question 10
If the manufacturer's guidelines suggest a minimum of 4 hours of disinfection, what would
you suggest to the patient?
A. Never leave lenses in disinfectant overnight
B. 2-3 hours is probably enough
C. Use surfactant cleaner and preserved saline
D. A minimum of 4 hours is required
CORRECT ANSWER
4
