NURS 5463: Eye and Vision
Assessment Review – Chapter 12
Exam Questions on Pediatric and
Adult Ophthalmic Evaluation
Complete Verified Questions
Provided with A+ Graded
Rationales Latest Updated 2026
Mrs. Howell brings her 13-year-old daughter for a routine well visit. Which of the following is
relevant information for a history and examination of a child's eyes and vision?
A. Immunization history
B. Growth milestones
C. Birth weight
D. Academic performance
D. Academic performance
History of school-age children related to eyes and vision should include information regarding
the necessity of sitting near the front of the classroom to see the teacher's work and poor
school performance not explained by intellectual ability.
Before instilling a mydriatic eyedrop into a patient's eye for examination, the examiner should:
A. assess the corneal reflex.
B. check for a shallow anterior chamber.
C. assess intraocular pressure.
D. observe the eye for vascular changes.
B. check for a shallow anterior chamber.
Before instillation of a mydriatic, inspect the patient's anterior chamber by shining a focused
light tangentially at the limbus (the union of the conjunctiva and the sclera). Note the
illumination of the iris nasally. This portion of the iris is not lighted when the patient has a
, shallow anterior chamber, indicating a risk of acute-angle glaucoma. Mydriatics should be
avoided in these patients.
Mr. Black is a 66-year-old patient with a history of herpes simplex. He presents to your office
with a concern of visual disturbances. Which of the following would explain why this individual
may be unaware of an infection or injury to an eye?
A. Decreased corneal sensitivity
B. Diminished tearing
C. Reduced visual acuity
D. Increased density of the lens
A. Decreased corneal sensitivity
Decreased corneal sensation is often associated with diabetes and herpes simplex and herpes
zoster viral infections and after trigeminal neuralgia surgery.
Mrs. Jones brings her 5-year-old son in for a well visit. As part of the child's examination you
check for nystagmus. How do you do this?
A. Assess visual acuity.
B. Inspect the macula of the eye with an ophthalmoscope.
C. Inspect movement of the eyes to the six cardinal fields of gaze.
D. Palpate the globe while the child holds eyelids closed.
C. Inspect movement of the eyes to the six cardinal fields of gaze.
Nystagmus refers to horizonatal, vertical or circular eye movements which are rapid, rhythmic,
repetitious, and involuntary. Full movement of the eyes is controlled by the integrated function
of the cranial nerves (CNs) III (oculomotor), IV (trochlear), and VI (abducens) and the six
extraocular muscles. Do not be surprised to observe a few horizontal rhythmic movements
(nystagmic beats) when checking eye movement.
Mrs. Harold is a 36-year-old patient who presents to your office with a complaint of visual
disturbances. As part of her eye examination, you assess for pupillary response to
accommodation. Which method would you use?
A. Shine a light into the pupil; note constriction.
B. Ask the patient to shift her gaze from across the room to an object 6 inches away; note
pupillary constriction.
C. Ask the patient to follow an object through the six cardinal fields of gaze; note ocular
movement.
Assessment Review – Chapter 12
Exam Questions on Pediatric and
Adult Ophthalmic Evaluation
Complete Verified Questions
Provided with A+ Graded
Rationales Latest Updated 2026
Mrs. Howell brings her 13-year-old daughter for a routine well visit. Which of the following is
relevant information for a history and examination of a child's eyes and vision?
A. Immunization history
B. Growth milestones
C. Birth weight
D. Academic performance
D. Academic performance
History of school-age children related to eyes and vision should include information regarding
the necessity of sitting near the front of the classroom to see the teacher's work and poor
school performance not explained by intellectual ability.
Before instilling a mydriatic eyedrop into a patient's eye for examination, the examiner should:
A. assess the corneal reflex.
B. check for a shallow anterior chamber.
C. assess intraocular pressure.
D. observe the eye for vascular changes.
B. check for a shallow anterior chamber.
Before instillation of a mydriatic, inspect the patient's anterior chamber by shining a focused
light tangentially at the limbus (the union of the conjunctiva and the sclera). Note the
illumination of the iris nasally. This portion of the iris is not lighted when the patient has a
, shallow anterior chamber, indicating a risk of acute-angle glaucoma. Mydriatics should be
avoided in these patients.
Mr. Black is a 66-year-old patient with a history of herpes simplex. He presents to your office
with a concern of visual disturbances. Which of the following would explain why this individual
may be unaware of an infection or injury to an eye?
A. Decreased corneal sensitivity
B. Diminished tearing
C. Reduced visual acuity
D. Increased density of the lens
A. Decreased corneal sensitivity
Decreased corneal sensation is often associated with diabetes and herpes simplex and herpes
zoster viral infections and after trigeminal neuralgia surgery.
Mrs. Jones brings her 5-year-old son in for a well visit. As part of the child's examination you
check for nystagmus. How do you do this?
A. Assess visual acuity.
B. Inspect the macula of the eye with an ophthalmoscope.
C. Inspect movement of the eyes to the six cardinal fields of gaze.
D. Palpate the globe while the child holds eyelids closed.
C. Inspect movement of the eyes to the six cardinal fields of gaze.
Nystagmus refers to horizonatal, vertical or circular eye movements which are rapid, rhythmic,
repetitious, and involuntary. Full movement of the eyes is controlled by the integrated function
of the cranial nerves (CNs) III (oculomotor), IV (trochlear), and VI (abducens) and the six
extraocular muscles. Do not be surprised to observe a few horizontal rhythmic movements
(nystagmic beats) when checking eye movement.
Mrs. Harold is a 36-year-old patient who presents to your office with a complaint of visual
disturbances. As part of her eye examination, you assess for pupillary response to
accommodation. Which method would you use?
A. Shine a light into the pupil; note constriction.
B. Ask the patient to shift her gaze from across the room to an object 6 inches away; note
pupillary constriction.
C. Ask the patient to follow an object through the six cardinal fields of gaze; note ocular
movement.
