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NSG 211 Exam 1 Unit 1 - Sensory Perception Prep Questions and All Correct Answers Edition.

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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 pupil's reaction to light - Answer a. A Tono-Pen will be applied to the surface of the eye Glaucoma is caused by an increase in intraocular pressure, which would be measured using the Tono-Pen. The other techniques are used in testing for other eye disorders. The nurse is performing an eye examination on a 76-yr-old patient. The nurse should refer the patient for a more extensive assessment based on which finding? a. The patient's 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 - Answer b. The patient reports persistent photophobia. Photophobia is not a normally occurring change with aging and would require further assessment. The other assessment data are common gerontologic differences in assessment and would not be unusual in a 76-yr-old patient 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 patient's 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 toward the patient's eyes. - Answer d. the pupils constrict while fixating on an object being moved toward the patient's eyes.

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NSG 211 Exam 1 Unit 1 - Sensory
Perception Prep Questions and All
Correct Answers 2025-2026 Edition.

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 pupil's reaction to light - Answer a. A Tono-Pen will
be applied to the surface of the eye



Glaucoma is caused by an increase in intraocular pressure, which would be measured using the
Tono-Pen. The other techniques are used in testing for other eye disorders.



The nurse is performing an eye examination on a 76-yr-old patient. The nurse should refer the
patient for a more extensive assessment based on which finding?

a. The patient's 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 - Answer b. The patient
reports persistent photophobia.



Photophobia is not a normally occurring change with aging and would require further
assessment. The other assessment data are common gerontologic differences in assessment
and would not be unusual in a 76-yr-old patient



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 patient's 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 toward the patient's eyes. -

,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 - Answer c. Blurred vision and light sensitivity



Classic signs of cataracts include blurred vision and light sensitivity. Thyroid problems are a
major cause of exophthalmos. Unequal pupil is not indicative of cataracts. Loss of peripheral
vision is a sign of glaucoma.



Assessment of a patient's 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. OD 20/40; OS 20/50

c. OU 20/40; OS 50/20

d. OU 40/20; OD 50/20 - Answer a. OS 20/50; OD 20/40



When assessing a patient's 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 pupils.

c. shine a light into one eye and observe responses of both pupils.

d. instruct the patient to follow a moving object using only the eyes. - Answer c. shine a light
into one eye and observe responses of both pupils.



The nurse is observing a student who is preparing to perform an ear examination for a 30-yr-old
patient. The nurse will need to intervene if the student

a. pulls the auricle of the ear up and posterior.

b. chooses a speculum larger than the ear canal.

c. stabilizes the hand holding the otoscope on the patient's head.

d. stops inserting the otoscope after observing impacted cerumen. - Answer b. chooses a
speculum larger than the ear canal.

, When obtaining a health history from a 49-yr-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." - Answer d. "I can't see as far over to the side."



The decrease in peripheral vision may indicate glaucoma, which is not a normal visual change
associated with aging and requires rapid treatment.



A 65-yr-old patient is being evaluated for glaucoma. Which information given by the patient has
implications for the patient's treatment plan?

a. "I take metoprolol (Lopressor) for angina."

b. "I take aspirin when I have a sinus headache."

c. "I have had frequent episodes of conjunctivitis."

d. "I have not had an eye examination for 10 years." - Answer a. "I take metoprolol (Lopressor)
for angina."



It is important to note whether the patient takes any beta-adrenergic blockers because this
classification of medications is also used to treat glaucoma, and there may be an increase in
adverse effects. The use of aspirin does not increase intraocular pressure and is safe for patients
with glaucoma. Although older patients should have yearly eye examinations, the treatment for
this patient will not be affected by the 10-year gap in eye care. Conjunctivitis does not increase
the risk for glaucoma.



The nurse is testing the visual acuity of a patient in the outpatient clinic. The nurse's instructions
for this test include asking the patient to

a. stand 20 feet away from the wall chart.

b. follow the examiner's 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. - Answer a. stand 20 feet away from
the wall chart.



Visual acuity is tested using a snellen chart and should be performed with the patient standing
20 feet away. Following the examiner's finger with the eyes only test for ocular muscle

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