NCLE EXAM PREP |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A Correct Statement regarding epithelial cells is that they:
a)Comprise the posterior layer of the cornea
b)Are unable to regenerate
c)Comprise the thickest layer of the cornea
d) Have the ability to reproduce
CORRECT ANSWER
d) have the ability to reproduce
Question 2
Which of the following prescriptions indicates against-the-rule astigmatism?
a)-4.50 +1.00 x75
b)-4.50 +1.00 x 180
c)-4.50 -1.00 x 165
d)4.50 -1.00 x 180
CORRECT ANSWER
a)-4.50 +1.00 x75
Question 3
1
,When a keratometer is being calibrated, which of the following targets will provide the
most reliable result?
a)the single-cut anterior surface of a high-plus lens
b)a perfectly flat highly polished mirror
c) a set of steell balls of known radii
d)the unfinished posterior surface of a low-minus lens
CORRECT ANSWER
c) a set of steel balls of known radii
Question 4
Inadequate movement of a soft lens can be corrected by using a lens that
a) has a steeper base curve
b) has a smaller diameter
c) has a larger diameter
d) has a higher water content
CORRECT ANSWER
b)has a smaller diameter
Question 5
A long-term, successful, hydrogel contact lens wearer suddenly develops dry eyes. Which
of the following is most likely to cause this problem?
a) Use of oxidative solution
b) use of rewetting drops
2
,c) use of anti-histamines
d) Wearing of lenses in the wrong eyes
CORRECT ANSWER
c) use of anti-histamines
Question 6
During slit-lamp evaluation, on upward gaze, a patient's soft contact lenses move 0.5 to
1mm when the patient blinks. These lenses are:
a) a good fit
b) too loose
c) too tight
d) too large
CORRECT ANSWER
a) a good fit
Question 7
A new daily wearer of soft lenses returns for the first follow up visit with itching, burning,
injected eyes. The most likely cause of these problems is:
a) solution reaction
b) giant-cell papillary conjunctivitis
c) a lens fit that is too loose
d) inability to wear soft lenses
CORRECT ANSWER
a) solution reaction
3
, Question 8
Which of the following is the mode of slit-lamp illumination used to view the early stages
of microcystic edema?
a) Retroillumination
b) Direct illumination
c) Parrallelpiped
d) Oscillation
CORRECT ANSWER
a) Retroillumination
Question 9
Which of the following changes is best able to improve oxygen transmissibility to a
patient's cornea?
a) Increasing tear exchange
b) Increasing Dk
c) Increasing optical zone diameter
d) Increasing CN bevel
CORRECT ANSWER
b) Increasing Dk
Question 10
4
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A Correct Statement regarding epithelial cells is that they:
a)Comprise the posterior layer of the cornea
b)Are unable to regenerate
c)Comprise the thickest layer of the cornea
d) Have the ability to reproduce
CORRECT ANSWER
d) have the ability to reproduce
Question 2
Which of the following prescriptions indicates against-the-rule astigmatism?
a)-4.50 +1.00 x75
b)-4.50 +1.00 x 180
c)-4.50 -1.00 x 165
d)4.50 -1.00 x 180
CORRECT ANSWER
a)-4.50 +1.00 x75
Question 3
1
,When a keratometer is being calibrated, which of the following targets will provide the
most reliable result?
a)the single-cut anterior surface of a high-plus lens
b)a perfectly flat highly polished mirror
c) a set of steell balls of known radii
d)the unfinished posterior surface of a low-minus lens
CORRECT ANSWER
c) a set of steel balls of known radii
Question 4
Inadequate movement of a soft lens can be corrected by using a lens that
a) has a steeper base curve
b) has a smaller diameter
c) has a larger diameter
d) has a higher water content
CORRECT ANSWER
b)has a smaller diameter
Question 5
A long-term, successful, hydrogel contact lens wearer suddenly develops dry eyes. Which
of the following is most likely to cause this problem?
a) Use of oxidative solution
b) use of rewetting drops
2
,c) use of anti-histamines
d) Wearing of lenses in the wrong eyes
CORRECT ANSWER
c) use of anti-histamines
Question 6
During slit-lamp evaluation, on upward gaze, a patient's soft contact lenses move 0.5 to
1mm when the patient blinks. These lenses are:
a) a good fit
b) too loose
c) too tight
d) too large
CORRECT ANSWER
a) a good fit
Question 7
A new daily wearer of soft lenses returns for the first follow up visit with itching, burning,
injected eyes. The most likely cause of these problems is:
a) solution reaction
b) giant-cell papillary conjunctivitis
c) a lens fit that is too loose
d) inability to wear soft lenses
CORRECT ANSWER
a) solution reaction
3
, Question 8
Which of the following is the mode of slit-lamp illumination used to view the early stages
of microcystic edema?
a) Retroillumination
b) Direct illumination
c) Parrallelpiped
d) Oscillation
CORRECT ANSWER
a) Retroillumination
Question 9
Which of the following changes is best able to improve oxygen transmissibility to a
patient's cornea?
a) Increasing tear exchange
b) Increasing Dk
c) Increasing optical zone diameter
d) Increasing CN bevel
CORRECT ANSWER
b) Increasing Dk
Question 10
4
