NR 1520 EXAM1|Visual And Auditory Systems
TEST BANK QUESTIONS WITH ANSWERS
A+2023/2024
Lewis 9th
MULTIPLE CHOICE
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 pupil’s reaction to light.
ANS: A
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.
DIF: Cognitive Level: Apply (application) REF: 369 | 375
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
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 patient’s sclerae are light yellow.
b. The patient reports persistent photophobia.
,NR 1520 EXAM1|Visual And Auditory Systems
TEST BANK QUESTIONS WITH ANSWERS
A+2023/2024
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
Photophobia is not a normally occurring change with aging, and would require further
assessment. The other assessment data are common gerontologic differences and would not be
unusual in a 76-year-old patient.
DIF: Cognitive Level: Apply (application) REF: 371
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
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 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 closer to the patient’s eyes.
ANS: D
Accommodation is defined as the ability of the lens to adjust to various distances. The pupils
constrict while fixating on an object being moved far away to near the eyes. The other responses
may also be elicited as part of the eye examination, but they do not indicate accommodation.
DIF: Cognitive Level: Apply (application) REF: 375
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
,NR 1520 EXAM1|Visual And Auditory Systems
TEST BANK QUESTIONS WITH ANSWERS
A+2023/2024
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
Classic signs of cataracts include blurred vision and light sensitivity. Thyroid problems are a
major cause of exophthalmos. Unequal pupil is indicative of anisocoria, not cataracts. Loss of
peripheral vision is a sign of glaucoma.
DIF: Cognitive Level: Apply (application) REF: 373 | 376
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
5. 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. OU 20/40; OS 50/20
c. OD 20/40; OS 20/50
, NR 1520 EXAM1|Visual And Auditory Systems
TEST BANK QUESTIONS WITH ANSWERS
A+2023/2024
d. OU 40/20; OD 50/20
TEST BANK QUESTIONS WITH ANSWERS
A+2023/2024
Lewis 9th
MULTIPLE CHOICE
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 pupil’s reaction to light.
ANS: A
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.
DIF: Cognitive Level: Apply (application) REF: 369 | 375
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
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 patient’s sclerae are light yellow.
b. The patient reports persistent photophobia.
,NR 1520 EXAM1|Visual And Auditory Systems
TEST BANK QUESTIONS WITH ANSWERS
A+2023/2024
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
Photophobia is not a normally occurring change with aging, and would require further
assessment. The other assessment data are common gerontologic differences and would not be
unusual in a 76-year-old patient.
DIF: Cognitive Level: Apply (application) REF: 371
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
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 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 closer to the patient’s eyes.
ANS: D
Accommodation is defined as the ability of the lens to adjust to various distances. The pupils
constrict while fixating on an object being moved far away to near the eyes. The other responses
may also be elicited as part of the eye examination, but they do not indicate accommodation.
DIF: Cognitive Level: Apply (application) REF: 375
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
,NR 1520 EXAM1|Visual And Auditory Systems
TEST BANK QUESTIONS WITH ANSWERS
A+2023/2024
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
Classic signs of cataracts include blurred vision and light sensitivity. Thyroid problems are a
major cause of exophthalmos. Unequal pupil is indicative of anisocoria, not cataracts. Loss of
peripheral vision is a sign of glaucoma.
DIF: Cognitive Level: Apply (application) REF: 373 | 376
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
5. 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. OU 20/40; OS 50/20
c. OD 20/40; OS 20/50
, NR 1520 EXAM1|Visual And Auditory Systems
TEST BANK QUESTIONS WITH ANSWERS
A+2023/2024
d. OU 40/20; OD 50/20
