NU 518 EXAM 2 - COMPLETE QUESTIONS
AND DETAILED SOLUTIONS LATEST UPDATE JUST
RELEASED
Question 1: A 52-year-old patient describes the presence of
occasional floaters or spots moving in front of his eyes. The nurse
should
A. Examine the retina to determine the number of floaters
B. Presume the patient has glaucoma and refer him for further testing
C. Consider these to be abnormal findings and refer him to an
ophthalmologist
D. Know that floaters are usually insignificant and are caused by
condensed vitreous fibers
Answer:
D. Know that floaters are usually insignificant and are caused by
condensed vitreous fibers
Question 2: The nurse is preparing to assess the visual acuity of a
16-year-old patient. How should the nurse proceed?
A. Perform the confrontation test
B. Aske the patient to read the print on a handheld Jaeger card
C. Use the Snellen chart positioned 20 feet away from the patient
D. Determine the patient's ability to read newsprint at a distance of 12
to 14 inches
Answer:
C. Use the Snellen chart positioned 20 feet away from the patient
Question 3: A patient's vision is recorded as 20/30 when the
Snellen eye chart is used. The nurse interprets these results to
,indicate that:
A. At 30 feet the patient can read the entire chart
B. The patient can read at 20 feet what a person with normal vision
can read at 30 feet
C. The patient can read the chart from 20 feet in the left eye and 30
feet in the right eye
D. The patient can read from 30 feet what a person with normal vision
can read at 20 feet
Answer:
B. The patient can read at 20 feet what a person with normal vision can
read at 30 feet
Question 4: A patient is unable to read even the largest letters on
the Snellen chart. The nurse should take which action next?
A. Refer the patient to an ophthalmologist or optometrist for further
evaluation
B. Assess whether the patient can count the nurse's fingers when
they are placed in front of his or her eyes
C. Ask the patient to put on his or her reading glasses and attempt to
read the Snellen chart again
D. Shorten the distance between the patient and the chart until the
letters are seen and recor
Answer:
D. Shorten the distance between the patient and the chart until the letters
are seen and record that distance
Question 5: A patient's vision is recorded as 20/80 in each eye. The
nurse interprets this finding to mean that the patient:
A. Has poor vision
B. Has acute vision
, C. Has normal vision
D. Is presbyopic
Answer:
A. Has poor vision
Question 6: When performing the corneal light reflex assessment,
the nurse noted that the light is reflected at 2 o'clock in each eye.
The nurse should:
A. Consider this a normal finding
B. Refer the individual for further evaluation
C. Document this finding as an asymmetric light reflex
D. Perform the confrontation test to validate the findings
Answer:
A. Consider this a normal finding
Question 7: The nurse is performing the diagnostic positions test.
Normal findings would be which of these results?
A. Convergence of the eyes
B. Parallel movement of both eyes
C. Nystagmus in extreme superior gaze
D. Slight amount of lid lag when moving the eyes from a superior to
an inferior position
Answer:
B. Parallel movement of both eyes
Question 8: During an assessment of the sclera of a black patient,
the nurse would consider which of these an expected finding?
A. Yellow fatty deposits over the cornea
B. Pallor near the outer canthus of the lower lid
, C. Yellow color of the sclera that extends up to the iris
D. Presence of small brown macules on the sclera
Answer:
D. Presence of small brown macules on the sclera
Question 9: A 60-year-old man is at the clinic for an eye
examination. The nurse suspects that he has ptosis of one eye.
How should the nurse check for this?
A. Perform the confrontation test
B. Assess the individuals near vision
C. Observe the distance between the palpebral fissures
D. Perform the corneal light test, and look for symmetry of the light
reflex
Answer:
C. Observe the distance between the palpebral fissures
Question 10: During an examination of the eye, the nurse would
expect what normal finding when assessing the lacrimal
apparatus?
A. Presence of tears along the inner canthus
B. Blocked nasolacrimal duct in a newborn infant
C. Slight swelling over the upper lid and along the bony orbit if the
patient has a cold
D. Absence of drainage from the puncta when pressing against the
inner orbital rim
Answer:
D. Absence of drainage from the puncta when pressing against the inner
orbital rim
AND DETAILED SOLUTIONS LATEST UPDATE JUST
RELEASED
Question 1: A 52-year-old patient describes the presence of
occasional floaters or spots moving in front of his eyes. The nurse
should
A. Examine the retina to determine the number of floaters
B. Presume the patient has glaucoma and refer him for further testing
C. Consider these to be abnormal findings and refer him to an
ophthalmologist
D. Know that floaters are usually insignificant and are caused by
condensed vitreous fibers
Answer:
D. Know that floaters are usually insignificant and are caused by
condensed vitreous fibers
Question 2: The nurse is preparing to assess the visual acuity of a
16-year-old patient. How should the nurse proceed?
A. Perform the confrontation test
B. Aske the patient to read the print on a handheld Jaeger card
C. Use the Snellen chart positioned 20 feet away from the patient
D. Determine the patient's ability to read newsprint at a distance of 12
to 14 inches
Answer:
C. Use the Snellen chart positioned 20 feet away from the patient
Question 3: A patient's vision is recorded as 20/30 when the
Snellen eye chart is used. The nurse interprets these results to
,indicate that:
A. At 30 feet the patient can read the entire chart
B. The patient can read at 20 feet what a person with normal vision
can read at 30 feet
C. The patient can read the chart from 20 feet in the left eye and 30
feet in the right eye
D. The patient can read from 30 feet what a person with normal vision
can read at 20 feet
Answer:
B. The patient can read at 20 feet what a person with normal vision can
read at 30 feet
Question 4: A patient is unable to read even the largest letters on
the Snellen chart. The nurse should take which action next?
A. Refer the patient to an ophthalmologist or optometrist for further
evaluation
B. Assess whether the patient can count the nurse's fingers when
they are placed in front of his or her eyes
C. Ask the patient to put on his or her reading glasses and attempt to
read the Snellen chart again
D. Shorten the distance between the patient and the chart until the
letters are seen and recor
Answer:
D. Shorten the distance between the patient and the chart until the letters
are seen and record that distance
Question 5: A patient's vision is recorded as 20/80 in each eye. The
nurse interprets this finding to mean that the patient:
A. Has poor vision
B. Has acute vision
, C. Has normal vision
D. Is presbyopic
Answer:
A. Has poor vision
Question 6: When performing the corneal light reflex assessment,
the nurse noted that the light is reflected at 2 o'clock in each eye.
The nurse should:
A. Consider this a normal finding
B. Refer the individual for further evaluation
C. Document this finding as an asymmetric light reflex
D. Perform the confrontation test to validate the findings
Answer:
A. Consider this a normal finding
Question 7: The nurse is performing the diagnostic positions test.
Normal findings would be which of these results?
A. Convergence of the eyes
B. Parallel movement of both eyes
C. Nystagmus in extreme superior gaze
D. Slight amount of lid lag when moving the eyes from a superior to
an inferior position
Answer:
B. Parallel movement of both eyes
Question 8: During an assessment of the sclera of a black patient,
the nurse would consider which of these an expected finding?
A. Yellow fatty deposits over the cornea
B. Pallor near the outer canthus of the lower lid
, C. Yellow color of the sclera that extends up to the iris
D. Presence of small brown macules on the sclera
Answer:
D. Presence of small brown macules on the sclera
Question 9: A 60-year-old man is at the clinic for an eye
examination. The nurse suspects that he has ptosis of one eye.
How should the nurse check for this?
A. Perform the confrontation test
B. Assess the individuals near vision
C. Observe the distance between the palpebral fissures
D. Perform the corneal light test, and look for symmetry of the light
reflex
Answer:
C. Observe the distance between the palpebral fissures
Question 10: During an examination of the eye, the nurse would
expect what normal finding when assessing the lacrimal
apparatus?
A. Presence of tears along the inner canthus
B. Blocked nasolacrimal duct in a newborn infant
C. Slight swelling over the upper lid and along the bony orbit if the
patient has a cold
D. Absence of drainage from the puncta when pressing against the
inner orbital rim
Answer:
D. Absence of drainage from the puncta when pressing against the inner
orbital rim
