NCLEX Cataract & Glaucoma Test Questions And Answers
Graded A+
The client who had cataract surgery with a lens systemically absorbed, do not affect body blood
implant 1 week ago remarks to the home care pressure or heart rate and rhythm.
nurse that after his daughter left to go to her
home in another state yesterday, he combined
all of his prescribed eyedrops together in one Which precaution is most important for the nurse
container so he had fewer drops to administer. to teach a 62-year-old client newly diagnosed
What is the nurse's best response? with early-stage dry age-related macular
A. "This is not a good idea because not all of the degeneration?
drugs are on the same schedule." A. Quit smoking
B. "That is a good idea; just remember to not B. Quit drinking alcoholic beverages
touch the dropper to your eye when giving C. Eat more dark green, red, and yellow
yourself the drops." vegetables
C. "Call your surgeon immediately and get new D. Wear dark glasses whenever he or she is
prescriptions because together these drugs can outside or in bright interior lighting environments -
lower your blood pressure." -Answer: A
D. "Call your surgeon immediately and get new
prescriptions to use one at a time because these Rationale: Dry AMD is more common and
drugs cannot be mixed together." - - progresses at a faster rate among smokers than
Answer: D among nonsmokers. Thus, quitting smoking can
slow the rate of AMD progression. Avoiding
Rationale: These drugs are not to be mixed alcohol and bright light (even ultraviolet light) is
together. Not only is the chance for not related to AMD development or progression.
contamination high, but the drug concentrations Although increasing long-term dietary intake of
and effectiveness are also reduced when mixed antioxidants, vitamin B12, and the carotenoids
together. Even when the drugs are administered lutein and zeaxanthin that are found in green,
separately, they should be given 5 to 10 minutes red, and yellow vegetables is thought to help
apart. slow the progression of AMD, the effects are not
as profound as quitting smoking.
Which assessment is most important for the
nurse to perform before instilling travoprost A client with glaucoma is being assessed for new
(Travatan) into the client's eye? symptoms. Which symptom indicates a high
A. Measuring the client's blood pressure priority need for reassessment of intraocular
B. Measuring the client's intraocular pressure pressure?
C. Checking the cornea for abrasions or open A. Burning in the eye
areas B. Inability to differentiate colors
D. Assessing heart rate and rhythm for 1 full C. Increased sensitivity to light
minute - -Answer: C D. Gradual vision changes - -Answer: D
Rationale: Travoprost is a prostaglandins Rationale: Gradual vision changes are an
agonist. Drugs from this class should not be indication of increased intraocular pressure. A
applied unless the cornea is completely intact. burning sensation in the eye usually indicates
Measuring intraocular pressure is not necessary inflammation and/or infection. An inability to
when a diagnosis of glaucoma has been differentiate colors is an early sign of cataracts.
established. Prostaglandins agonists, even if An increased sensitivity to light might be a sign of
1/3
Graded A+
The client who had cataract surgery with a lens systemically absorbed, do not affect body blood
implant 1 week ago remarks to the home care pressure or heart rate and rhythm.
nurse that after his daughter left to go to her
home in another state yesterday, he combined
all of his prescribed eyedrops together in one Which precaution is most important for the nurse
container so he had fewer drops to administer. to teach a 62-year-old client newly diagnosed
What is the nurse's best response? with early-stage dry age-related macular
A. "This is not a good idea because not all of the degeneration?
drugs are on the same schedule." A. Quit smoking
B. "That is a good idea; just remember to not B. Quit drinking alcoholic beverages
touch the dropper to your eye when giving C. Eat more dark green, red, and yellow
yourself the drops." vegetables
C. "Call your surgeon immediately and get new D. Wear dark glasses whenever he or she is
prescriptions because together these drugs can outside or in bright interior lighting environments -
lower your blood pressure." -Answer: A
D. "Call your surgeon immediately and get new
prescriptions to use one at a time because these Rationale: Dry AMD is more common and
drugs cannot be mixed together." - - progresses at a faster rate among smokers than
Answer: D among nonsmokers. Thus, quitting smoking can
slow the rate of AMD progression. Avoiding
Rationale: These drugs are not to be mixed alcohol and bright light (even ultraviolet light) is
together. Not only is the chance for not related to AMD development or progression.
contamination high, but the drug concentrations Although increasing long-term dietary intake of
and effectiveness are also reduced when mixed antioxidants, vitamin B12, and the carotenoids
together. Even when the drugs are administered lutein and zeaxanthin that are found in green,
separately, they should be given 5 to 10 minutes red, and yellow vegetables is thought to help
apart. slow the progression of AMD, the effects are not
as profound as quitting smoking.
Which assessment is most important for the
nurse to perform before instilling travoprost A client with glaucoma is being assessed for new
(Travatan) into the client's eye? symptoms. Which symptom indicates a high
A. Measuring the client's blood pressure priority need for reassessment of intraocular
B. Measuring the client's intraocular pressure pressure?
C. Checking the cornea for abrasions or open A. Burning in the eye
areas B. Inability to differentiate colors
D. Assessing heart rate and rhythm for 1 full C. Increased sensitivity to light
minute - -Answer: C D. Gradual vision changes - -Answer: D
Rationale: Travoprost is a prostaglandins Rationale: Gradual vision changes are an
agonist. Drugs from this class should not be indication of increased intraocular pressure. A
applied unless the cornea is completely intact. burning sensation in the eye usually indicates
Measuring intraocular pressure is not necessary inflammation and/or infection. An inability to
when a diagnosis of glaucoma has been differentiate colors is an early sign of cataracts.
established. Prostaglandins agonists, even if An increased sensitivity to light might be a sign of
1/3
