NR302 / NR 302 Exam 2 (New Update)
Health Assessment I | Questions and accurate Answers
| 100% Correct | Grade A - Chamberlain
When examining the eye, the nurse notices that the patients eyelid margins approximate
completely. The nurse recognizes that this assessment finding:
Is expected
- The palpebral fissure is the elliptical open space between the eyelids, and, when closed, the lid
margins approximate completely, which is a normal finding.
During ocular examinations, the nurse keeps in mind that movement of the extraocular muscles
is:
Stimulated by CNs III, IV, and VI
- Movement of the extraocular muscles is stimulated by three CNs: III, IV, and VI.
The nurse is performing an external eye examination. Which statement regarding the outer layer
of the eye is true?
The outer layer of the eye is very sensitive to touch.
- The cornea and the sclera make up the outer layer of the eye. The cornea is very sensitive to
touch. The middle layer, the choroid, has dark pigmentation to prevent light from reflecting
internally. The trigeminal nerve (CN V) and the facial nerve (CN VII) are stimulated when the
outer surface of the eye is stimulated. The retina, in the inner layer of the eye, is where light
waves are changed into nerve impulses.
, NR302 / NR 302 Exam 2 (New Update)
Health Assessment I | Questions and accurate Answers
| 100% Correct | Grade A - Chamberlain
When examining a patients eyes, the nurse recalls that stimulation of the sympathetic branch of
the autonomic nervous system:
Elevates the eyelid and dilates pupil
The nurse is reviewing causes of increased intraocular pressure. Which of these factors
determines intraocular pressure?
Amount of aqueous produced resistance to its outflow at the angle of the anterior chamber
The nurse is conducting a visual examination. Which of these statements regarding visual
pathways and visual fields is true?
The image formed on the retina is upside down and reversed from its actual appearance in the
outside world.
The nurse is testing a patients visual accommodation, which refers to which action?
Pupillary constriction when looking at a near object
A patient has a normal pupillary light reflex. The nurse recognizes that this reflex indicates that:
Constriction of both pupils occurs in response to bright light.
A mother asks when her newborn infants eyesight will be developed. The nurse should reply:
, NR302 / NR 302 Exam 2 (New Update)
Health Assessment I | Questions and accurate Answers
| 100% Correct | Grade A - Chamberlain
By approximately 3 months of age, infants develop more coordinated eye movements and can
fixate on an object.
The nurse is reviewing in age-related changes in the eye for a class. Which of these physiologic
changes is responsible for presbyopia?
Loss of lens elasticity
- The lens loses elasticity and decreases its ability to change shape to accommodate for near
vision. This condition is called presbyopia
Which of these assessment findings would the nurse expect to see when examining the eyes of a
black patient?
Dark retinal background
A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his
eyes. The nurse should:
Know that floaters are usually insignificant and are caused by condensed vitreous fibers.
The nurse is preparing to assess the visual acuity of a 16-year-old patient. How should the nurse
proceed?
Use the Snellen chart positioned 20 feet away from the patient.
, NR302 / NR 302 Exam 2 (New Update)
Health Assessment I | Questions and accurate Answers
| 100% Correct | Grade A - Chamberlain
A mpatients mvision mis mrecorded mas m20/30 mwhen mthe mSnellen meye mchart mis mused. mThe mnurse
minterprets mthese mresults mto mindicate mthat:
The mpatient mcan mread mat m20 mfeet mwhat ma mperson mwith mnormal mvision mcan mread mat m30 mfeet.
A mpatient mis munable mto mread meven mthe mlargest mletters mon mthe mSnellen mchart. mThe mnurse mshould
mtake mwhich maction mnext?
Shorten mthe mdistance mbetween mthe mpatient mand mthe mchart muntil mthe mletters mare mseen, mand mrecord
mthat mdistance
A mpatients mvision mis mrecorded mas m20/80 min meach meye. mThe mnurse minterprets mthis mfinding mto
mmean mthat mthe mpatient:
Has mpoor mvision
When mperforming mthe mcorneal mlight mreflex massessment, mthe mnurse mnotes mthat mthe mlight mis
mreflected mat m2 mo'clock min meach meye. mThe mnurse mshould:
Consider mthis ma mnormal mfinding
Health Assessment I | Questions and accurate Answers
| 100% Correct | Grade A - Chamberlain
When examining the eye, the nurse notices that the patients eyelid margins approximate
completely. The nurse recognizes that this assessment finding:
Is expected
- The palpebral fissure is the elliptical open space between the eyelids, and, when closed, the lid
margins approximate completely, which is a normal finding.
During ocular examinations, the nurse keeps in mind that movement of the extraocular muscles
is:
Stimulated by CNs III, IV, and VI
- Movement of the extraocular muscles is stimulated by three CNs: III, IV, and VI.
The nurse is performing an external eye examination. Which statement regarding the outer layer
of the eye is true?
The outer layer of the eye is very sensitive to touch.
- The cornea and the sclera make up the outer layer of the eye. The cornea is very sensitive to
touch. The middle layer, the choroid, has dark pigmentation to prevent light from reflecting
internally. The trigeminal nerve (CN V) and the facial nerve (CN VII) are stimulated when the
outer surface of the eye is stimulated. The retina, in the inner layer of the eye, is where light
waves are changed into nerve impulses.
, NR302 / NR 302 Exam 2 (New Update)
Health Assessment I | Questions and accurate Answers
| 100% Correct | Grade A - Chamberlain
When examining a patients eyes, the nurse recalls that stimulation of the sympathetic branch of
the autonomic nervous system:
Elevates the eyelid and dilates pupil
The nurse is reviewing causes of increased intraocular pressure. Which of these factors
determines intraocular pressure?
Amount of aqueous produced resistance to its outflow at the angle of the anterior chamber
The nurse is conducting a visual examination. Which of these statements regarding visual
pathways and visual fields is true?
The image formed on the retina is upside down and reversed from its actual appearance in the
outside world.
The nurse is testing a patients visual accommodation, which refers to which action?
Pupillary constriction when looking at a near object
A patient has a normal pupillary light reflex. The nurse recognizes that this reflex indicates that:
Constriction of both pupils occurs in response to bright light.
A mother asks when her newborn infants eyesight will be developed. The nurse should reply:
, NR302 / NR 302 Exam 2 (New Update)
Health Assessment I | Questions and accurate Answers
| 100% Correct | Grade A - Chamberlain
By approximately 3 months of age, infants develop more coordinated eye movements and can
fixate on an object.
The nurse is reviewing in age-related changes in the eye for a class. Which of these physiologic
changes is responsible for presbyopia?
Loss of lens elasticity
- The lens loses elasticity and decreases its ability to change shape to accommodate for near
vision. This condition is called presbyopia
Which of these assessment findings would the nurse expect to see when examining the eyes of a
black patient?
Dark retinal background
A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his
eyes. The nurse should:
Know that floaters are usually insignificant and are caused by condensed vitreous fibers.
The nurse is preparing to assess the visual acuity of a 16-year-old patient. How should the nurse
proceed?
Use the Snellen chart positioned 20 feet away from the patient.
, NR302 / NR 302 Exam 2 (New Update)
Health Assessment I | Questions and accurate Answers
| 100% Correct | Grade A - Chamberlain
A mpatients mvision mis mrecorded mas m20/30 mwhen mthe mSnellen meye mchart mis mused. mThe mnurse
minterprets mthese mresults mto mindicate mthat:
The mpatient mcan mread mat m20 mfeet mwhat ma mperson mwith mnormal mvision mcan mread mat m30 mfeet.
A mpatient mis munable mto mread meven mthe mlargest mletters mon mthe mSnellen mchart. mThe mnurse mshould
mtake mwhich maction mnext?
Shorten mthe mdistance mbetween mthe mpatient mand mthe mchart muntil mthe mletters mare mseen, mand mrecord
mthat mdistance
A mpatients mvision mis mrecorded mas m20/80 min meach meye. mThe mnurse minterprets mthis mfinding mto
mmean mthat mthe mpatient:
Has mpoor mvision
When mperforming mthe mcorneal mlight mreflex massessment, mthe mnurse mnotes mthat mthe mlight mis
mreflected mat m2 mo'clock min meach meye. mThe mnurse mshould:
Consider mthis ma mnormal mfinding
