FEBRUARY QUESTIONS WITH ORRECT ND VERIFIED ANSWERS
Assessment and Management: Visual Problems 2025-2026
ASSEMENT 1
1. The nurse is providing health promotion teaching to a group of older adults. Which information will the
nurse include when teaching about routine glaucoma testing?
a. A Tono-pen will be applied to the surface of the eye.
b. The test involves reading a Snellen chart from 20 feet.
c. Medications will be used to dilate the pupils for the test.
d. The examination involves checking the pupils reaction to light.
ANS: A
2. The nurse is performing an eye examination on a 76-year-old patient. The nurse should refer the patient for a
more extensive assessment based on which finding?
a. The patients sclerae are light yellow.
b. The patient reports persistent photophobia.
c. The pupil recovers slowly after responding to a bright light.
d. There is a whitish gray ring encircling the periphery of the iris.
ANS: B
3. The nurse performing an eye examination will document normal findings for accommodation when
a. Shining a light into the patient’s eye causes pupil constriction in the opposite eye.
b. A blink reaction follows touching the patients pupil with a piece of sterile cotton.
,c. Covering one eye for 1 minute and noting pupil constriction as the cover is removed.
d. The pupils constrict while fixating on an object being moved closer to the patients eyes.
ANS: D
4. Which assessment finding alerts the nurse to provide patient teaching about cataract development?
a. History of hyperthyroidism
b. Unequal pupil size and shape
c. Blurred vision and light sensitivity
d. Loss of peripheral vision in both eyes
ANS: C
5. Assessment of a patients visual acuity reveals that the left eye can see at 20 feet what a person with normal
vision can see at 50 feet and the right eye can see at 20 feet what a person with normal vision can see at 40
feet. The nurse records which finding?
a. OS 20/50; OD 20/40
b. OU 20/40; OS 50/20
c. OD 20/40; OS 20/50
d. OU 40/20; OD 50/20
ANS: A
6. When assessing a patients consensual pupil response, the nurse should
a. Have the patient cover one eye while facing the nurse.
b. Observe for a light reflection in the center of both corneas.
c. Instruct the patient to follow a moving object using only the eyes.
d. Shine a light into one pupil and observe the response of both pupils.
ANS: D
7. When obtaining a health history from a 49-year-old patient, which patient statement is most important to
communicate to the primary health care provider?
, a. My eyes are dry now.
b. It is hard for me to see at night.
c. My vision is blurry when I read.
d. I can’t see as far over to the side.
ANS: D
8. A 65-year-old patient is being evaluated for glaucoma. Which information given by the patient has
implications for the patients treatment?
a. I use aspirin when I have a sinus headache.
b. I have had frequent episodes of conjunctivitis.
c. I take metoprolol (Lopressor) daily for angina.
d. I have not had an eye examination for 10 years.
ANS: C
9. The nurse is testing the visual acuity of a patient in the outpatient clinic. The nurses instructions for this test
include asking the patient to
a. Stand 20 feet from the wall chart.
b. Follow the examiners finger with the eyes only.
c. Look at an object far away and then near to the eyes.
d. Look straight ahead while a light is shone into the eyes.
ANS: A
10. A patient who underwent eye surgery is required to wear an eye patch until the scheduled postoperative
clinic visit. Which nursing diagnosis will the nurse include in the plan of care?
a. Disturbed body image related to eye trauma and eye patch
b. Risk for falls related to temporary decrease in stereoscopic vision
Assessment and Management: Visual Problems 2025-2026
ASSEMENT 1
1. The nurse is providing health promotion teaching to a group of older adults. Which information will the
nurse include when teaching about routine glaucoma testing?
a. A Tono-pen will be applied to the surface of the eye.
b. The test involves reading a Snellen chart from 20 feet.
c. Medications will be used to dilate the pupils for the test.
d. The examination involves checking the pupils reaction to light.
ANS: A
2. The nurse is performing an eye examination on a 76-year-old patient. The nurse should refer the patient for a
more extensive assessment based on which finding?
a. The patients sclerae are light yellow.
b. The patient reports persistent photophobia.
c. The pupil recovers slowly after responding to a bright light.
d. There is a whitish gray ring encircling the periphery of the iris.
ANS: B
3. The nurse performing an eye examination will document normal findings for accommodation when
a. Shining a light into the patient’s eye causes pupil constriction in the opposite eye.
b. A blink reaction follows touching the patients pupil with a piece of sterile cotton.
,c. Covering one eye for 1 minute and noting pupil constriction as the cover is removed.
d. The pupils constrict while fixating on an object being moved closer to the patients eyes.
ANS: D
4. Which assessment finding alerts the nurse to provide patient teaching about cataract development?
a. History of hyperthyroidism
b. Unequal pupil size and shape
c. Blurred vision and light sensitivity
d. Loss of peripheral vision in both eyes
ANS: C
5. Assessment of a patients visual acuity reveals that the left eye can see at 20 feet what a person with normal
vision can see at 50 feet and the right eye can see at 20 feet what a person with normal vision can see at 40
feet. The nurse records which finding?
a. OS 20/50; OD 20/40
b. OU 20/40; OS 50/20
c. OD 20/40; OS 20/50
d. OU 40/20; OD 50/20
ANS: A
6. When assessing a patients consensual pupil response, the nurse should
a. Have the patient cover one eye while facing the nurse.
b. Observe for a light reflection in the center of both corneas.
c. Instruct the patient to follow a moving object using only the eyes.
d. Shine a light into one pupil and observe the response of both pupils.
ANS: D
7. When obtaining a health history from a 49-year-old patient, which patient statement is most important to
communicate to the primary health care provider?
, a. My eyes are dry now.
b. It is hard for me to see at night.
c. My vision is blurry when I read.
d. I can’t see as far over to the side.
ANS: D
8. A 65-year-old patient is being evaluated for glaucoma. Which information given by the patient has
implications for the patients treatment?
a. I use aspirin when I have a sinus headache.
b. I have had frequent episodes of conjunctivitis.
c. I take metoprolol (Lopressor) daily for angina.
d. I have not had an eye examination for 10 years.
ANS: C
9. The nurse is testing the visual acuity of a patient in the outpatient clinic. The nurses instructions for this test
include asking the patient to
a. Stand 20 feet from the wall chart.
b. Follow the examiners finger with the eyes only.
c. Look at an object far away and then near to the eyes.
d. Look straight ahead while a light is shone into the eyes.
ANS: A
10. A patient who underwent eye surgery is required to wear an eye patch until the scheduled postoperative
clinic visit. Which nursing diagnosis will the nurse include in the plan of care?
a. Disturbed body image related to eye trauma and eye patch
b. Risk for falls related to temporary decrease in stereoscopic vision
