NCLEX REVIEW EYE & EAR
DISORDERS EXAM 2025 QUESTIONS
AND ANSWERS
A spry 77-year-old female patient has been diagnosed with simple glaucoma. She lives alone,
takes medications for asthma, is on a fixed income, and walks to Catholic Mass on Sunday
mornings. The nurse must be certain that the ophthalmologist is aware of which of the
aforementioned facts about the patient?
Lives alone.
Takes medications for asthma.
Lives on a fixed income.
Walks to Catholic Mass on Sundays. - ANS Takes medications for asthma.
Rationale: Living alone and a fixed income should be concerns addressed through a Social
Services consultation. The patient could be listed on a clergy visit list if hospitalized. Most
importantly, the nurse wants to be certain that the patient takes medications for asthma
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 1
,because beta-adrenergic blockers are used topically to treat glaucoma. In asthmatic patients,
beta-adrenergic blockers can cause bronchospasm, and are contraindicated
The patient is in the preoperative holding area, having been brought to surgery from the
Emergency Department because of a detached retina. The tear has occurred in the right
posterior aspect of the retina. The nurse places the patient in which of the following positions?
At a 45-degree angle (semi-Fowler's position)
At a 90-degree angle (high Fowler's position)
Prone
Supine - ANS Supine
Rationale: The patient's head is positioned so that gravity pulls the detached portion of the
retina into closer contact with the choroid. In this example, the patient's head should be flat
and turned slightly to the right.
Which of the following aspects for health teaching regarding acute and chronic conjunctivitis is
the most important information to be emphasized to a group of preschool parents?
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 2
, Preventable cause of blindness
Importance of early medical diagnosis
Mode of transmission
Pain management - ANS Mode of transmission
Rationale: The nurse should emphasize to the group ways to prevent the transmission of the
infection. Conjunctivitis is highly contagious, and can be transmitted by direct contact with
contaminated fomites (e.g., hands, tissues, towels, pillow cases), and some forms can be
transmitted to an infant during vaginal delivery. Prevention is the most important aspect of
conjunctivitis to be communicated to the group. Pain with acute conjunctivitis is not common.
Which of the following statements by a patient with newly prescribed contact lenses indicates a
need for additional teaching?
"I think it is so cool that my best friend, Taylor, and I have the same prescription. She has blue
lenses and I have brown lenses, so we'll be able to trade to see what we would look like with
different eyes."
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 3
DISORDERS EXAM 2025 QUESTIONS
AND ANSWERS
A spry 77-year-old female patient has been diagnosed with simple glaucoma. She lives alone,
takes medications for asthma, is on a fixed income, and walks to Catholic Mass on Sunday
mornings. The nurse must be certain that the ophthalmologist is aware of which of the
aforementioned facts about the patient?
Lives alone.
Takes medications for asthma.
Lives on a fixed income.
Walks to Catholic Mass on Sundays. - ANS Takes medications for asthma.
Rationale: Living alone and a fixed income should be concerns addressed through a Social
Services consultation. The patient could be listed on a clergy visit list if hospitalized. Most
importantly, the nurse wants to be certain that the patient takes medications for asthma
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 1
,because beta-adrenergic blockers are used topically to treat glaucoma. In asthmatic patients,
beta-adrenergic blockers can cause bronchospasm, and are contraindicated
The patient is in the preoperative holding area, having been brought to surgery from the
Emergency Department because of a detached retina. The tear has occurred in the right
posterior aspect of the retina. The nurse places the patient in which of the following positions?
At a 45-degree angle (semi-Fowler's position)
At a 90-degree angle (high Fowler's position)
Prone
Supine - ANS Supine
Rationale: The patient's head is positioned so that gravity pulls the detached portion of the
retina into closer contact with the choroid. In this example, the patient's head should be flat
and turned slightly to the right.
Which of the following aspects for health teaching regarding acute and chronic conjunctivitis is
the most important information to be emphasized to a group of preschool parents?
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 2
, Preventable cause of blindness
Importance of early medical diagnosis
Mode of transmission
Pain management - ANS Mode of transmission
Rationale: The nurse should emphasize to the group ways to prevent the transmission of the
infection. Conjunctivitis is highly contagious, and can be transmitted by direct contact with
contaminated fomites (e.g., hands, tissues, towels, pillow cases), and some forms can be
transmitted to an infant during vaginal delivery. Prevention is the most important aspect of
conjunctivitis to be communicated to the group. Pain with acute conjunctivitis is not common.
Which of the following statements by a patient with newly prescribed contact lenses indicates a
need for additional teaching?
"I think it is so cool that my best friend, Taylor, and I have the same prescription. She has blue
lenses and I have brown lenses, so we'll be able to trade to see what we would look like with
different eyes."
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 3
