GALEN COLLEGE OF NURSING
NUR210 / NUR 210 Principles of Pharmacology
Academic Year: 2026/2027 Exam 2 · Latest 2026 · Verified Q-Bank
Question 1
The nurse is testing a patient's visual accommodation, which refers to which action?
A. Pupillary constriction when looking at a near object
B. Pupillary dilation when looking at a far object
C. Changes in peripheral vision in response to light
D. Involuntary blinking in the presence of bright light
CORRECT ANSWER: A. Pupillary constriction when looking at a near object
RATIONALE:
Accommodation is the adaptation of the eye for near vision, which includes pupillary constriction and
convergence of the axes of the eyes.
Question 2
A patient has a normal pupillary light reflex. The nurse recognizes that this reflex indicates
that:
A. The eyes converge to focus on the light.
B. Light is reflected at the same spot in both eyes.
C. The eye focuses the image in the center of the pupil.
D. Constriction of both pupils occurs in response to bright light.
CORRECT ANSWER: D. Constriction of both pupils occurs in response to bright light.
RATIONALE:
The pupillary light reflex is the constriction of both pupils when a bright light is shone on one retina.
, Question 3
The nurse is conducting a visual examination. Which statement regarding visual pathways and
visual fields is true?
A. The right side of the brain interprets the vision for the right eye.
B. The image formed on the retina is upside down and reversed from its actual appearance.
C. Light rays are refracted through the transparent media of the eye before striking the pupil.
D. Light impulses are conducted through the optic nerve to the temporal lobes of the brain.
CORRECT ANSWER:
B. The image formed on the retina is upside down and reversed from its actual appearance.
RATIONALE:
The image formed on the retina is upside down and reversed; the brain corrects this orientation.
Question 4
A mother asks when her newborn infant's eyesight will be developed. The nurse should reply:
A. Vision is not totally developed until 2 years of age.
B. Infants develop the ability to focus on an object at approximately 8 months of age.
C. By approximately 3 months of age, infants develop more coordinated eye movements and can
fixate on an object.
D. Most infants have uncoordinated eye movements for the first year of life.
CORRECT ANSWER:
C. By approximately 3 months of age, infants develop more coordinated eye movements and can
fixate on an object.
RATIONALE:
At 3 months, infants can fixate on an object; by 6–12 months, binocular vision and depth perception
develop.
, Question 5
The nurse is reviewing age-related changes in the eye. Which physiologic change is
responsible for presbyopia?
A. Degeneration of the cornea
B. Loss of lens elasticity
C. Decreased adaptation to darkness
D. Decreased distance vision abilities
CORRECT ANSWER: B. Loss of lens elasticity
RATIONALE:
Presbyopia is caused by loss of lens elasticity, making it difficult to focus on near objects.
Question 6
Which assessment finding would the nurse expect when examining the eyes of a Black patient?
A. Increased night vision
B. Dark retinal background
C. Increased photosensitivity
D. Narrowed palpebral fissures
CORRECT ANSWER: B. Dark retinal background
RATIONALE:
Darker irides have darker retinas; this is a normal ethnic variation.
Question 7
A 52-year-old patient describes the presence of occasional floaters or spots moving in front of
his eyes. The nurse should:
A. Examine the retina to determine the number of floaters.
B. Presume the patient has glaucoma and refer him for further testing.
C. Consider these to be abnormal findings, and refer him to an ophthalmologist.
D. Know that floaters are usually insignificant and are caused by condensed vitreous fibers.
CORRECT ANSWER:
D. Know that floaters are usually insignificant and are caused by condensed vitreous fibers.
RATIONALE:
Occasional floaters are common and caused by condensed vitreous fibers; they are usually benign.
, Question 8
A patient's vision is recorded as 20/30 when the Snellen eye chart is used. The nurse interprets
these results to indicate that:
A. At 30 feet the patient can read the entire chart.
B. The patient can read at 20 feet what a person with normal vision can read at 30 feet.
C. The patient can read the chart from 20 feet in the left eye and 30 feet in the right eye.
D. The patient can read from 30 feet what a person with normal vision can read from 20 feet.
CORRECT ANSWER:
B. The patient can read at 20 feet what a person with normal vision can read at 30 feet.
RATIONALE:
20/30 means the patient sees at 20 feet what a normal eye sees at 30 feet; visual acuity is slightly below
normal.
Question 9
The nurse is preparing to assess the visual acuity of a 16-year-old patient. How should the
nurse proceed?
A. Perform the confrontation test.
B. Ask the patient to read the print on a handheld Jaeger card.
C. Use the Snellen chart positioned 20 feet away from the patient.
D. Determine the patient's ability to read newsprint at a distance of 12 to 14 inches.
CORRECT ANSWER: C. Use the Snellen chart positioned 20 feet away from the patient.
RATIONALE:
The Snellen chart is used to test distance vision; it should be positioned 20 feet from the patient.
NUR210 / NUR 210 Principles of Pharmacology
Academic Year: 2026/2027 Exam 2 · Latest 2026 · Verified Q-Bank
Question 1
The nurse is testing a patient's visual accommodation, which refers to which action?
A. Pupillary constriction when looking at a near object
B. Pupillary dilation when looking at a far object
C. Changes in peripheral vision in response to light
D. Involuntary blinking in the presence of bright light
CORRECT ANSWER: A. Pupillary constriction when looking at a near object
RATIONALE:
Accommodation is the adaptation of the eye for near vision, which includes pupillary constriction and
convergence of the axes of the eyes.
Question 2
A patient has a normal pupillary light reflex. The nurse recognizes that this reflex indicates
that:
A. The eyes converge to focus on the light.
B. Light is reflected at the same spot in both eyes.
C. The eye focuses the image in the center of the pupil.
D. Constriction of both pupils occurs in response to bright light.
CORRECT ANSWER: D. Constriction of both pupils occurs in response to bright light.
RATIONALE:
The pupillary light reflex is the constriction of both pupils when a bright light is shone on one retina.
, Question 3
The nurse is conducting a visual examination. Which statement regarding visual pathways and
visual fields is true?
A. The right side of the brain interprets the vision for the right eye.
B. The image formed on the retina is upside down and reversed from its actual appearance.
C. Light rays are refracted through the transparent media of the eye before striking the pupil.
D. Light impulses are conducted through the optic nerve to the temporal lobes of the brain.
CORRECT ANSWER:
B. The image formed on the retina is upside down and reversed from its actual appearance.
RATIONALE:
The image formed on the retina is upside down and reversed; the brain corrects this orientation.
Question 4
A mother asks when her newborn infant's eyesight will be developed. The nurse should reply:
A. Vision is not totally developed until 2 years of age.
B. Infants develop the ability to focus on an object at approximately 8 months of age.
C. By approximately 3 months of age, infants develop more coordinated eye movements and can
fixate on an object.
D. Most infants have uncoordinated eye movements for the first year of life.
CORRECT ANSWER:
C. By approximately 3 months of age, infants develop more coordinated eye movements and can
fixate on an object.
RATIONALE:
At 3 months, infants can fixate on an object; by 6–12 months, binocular vision and depth perception
develop.
, Question 5
The nurse is reviewing age-related changes in the eye. Which physiologic change is
responsible for presbyopia?
A. Degeneration of the cornea
B. Loss of lens elasticity
C. Decreased adaptation to darkness
D. Decreased distance vision abilities
CORRECT ANSWER: B. Loss of lens elasticity
RATIONALE:
Presbyopia is caused by loss of lens elasticity, making it difficult to focus on near objects.
Question 6
Which assessment finding would the nurse expect when examining the eyes of a Black patient?
A. Increased night vision
B. Dark retinal background
C. Increased photosensitivity
D. Narrowed palpebral fissures
CORRECT ANSWER: B. Dark retinal background
RATIONALE:
Darker irides have darker retinas; this is a normal ethnic variation.
Question 7
A 52-year-old patient describes the presence of occasional floaters or spots moving in front of
his eyes. The nurse should:
A. Examine the retina to determine the number of floaters.
B. Presume the patient has glaucoma and refer him for further testing.
C. Consider these to be abnormal findings, and refer him to an ophthalmologist.
D. Know that floaters are usually insignificant and are caused by condensed vitreous fibers.
CORRECT ANSWER:
D. Know that floaters are usually insignificant and are caused by condensed vitreous fibers.
RATIONALE:
Occasional floaters are common and caused by condensed vitreous fibers; they are usually benign.
, Question 8
A patient's vision is recorded as 20/30 when the Snellen eye chart is used. The nurse interprets
these results to indicate that:
A. At 30 feet the patient can read the entire chart.
B. The patient can read at 20 feet what a person with normal vision can read at 30 feet.
C. The patient can read the chart from 20 feet in the left eye and 30 feet in the right eye.
D. The patient can read from 30 feet what a person with normal vision can read from 20 feet.
CORRECT ANSWER:
B. The patient can read at 20 feet what a person with normal vision can read at 30 feet.
RATIONALE:
20/30 means the patient sees at 20 feet what a normal eye sees at 30 feet; visual acuity is slightly below
normal.
Question 9
The nurse is preparing to assess the visual acuity of a 16-year-old patient. How should the
nurse proceed?
A. Perform the confrontation test.
B. Ask the patient to read the print on a handheld Jaeger card.
C. Use the Snellen chart positioned 20 feet away from the patient.
D. Determine the patient's ability to read newsprint at a distance of 12 to 14 inches.
CORRECT ANSWER: C. Use the Snellen chart positioned 20 feet away from the patient.
RATIONALE:
The Snellen chart is used to test distance vision; it should be positioned 20 feet from the patient.
