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Exam (elaborations)

NCLE Contact Lens Registry Exam | Practice Test Questions & Answers PDF | New Edition | Grade A+ | 2026/2027

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Ace your National Contact Lens Examiners (NCLE) certification exam preparation with this NCLE Practice Test PDF. This practice resource is intended to help candidates review contact lens fitting and evaluation, lens dispensing, patient education, follow-up care, and related professional procedures, depending on the document’s actual coverage. Use it alongside the current official ABO-NCLE candidate handbook and exam content specifications. Please check whether the material is intended for the Basic Contact Lens Registry Examination (CLRE), Advanced Certification, or Practical Examination (NCLEP), as these are distinct exam pathways. This is an independent study resource and is not an official ABO-NCLE publication. The filename does not specify whether answers are included or independently verified.

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NCLE Practice Test




Updated
(Verified Questions & Answers)

A+ Grade Guaranteed

,A Correct Statement regarding epithelial cells is that they: d) have the ability to reproduce

a)Comprise the posterior layer of the cornea
b)Are unable to regenerate
c)Comprise the thickest layer of the cornea
d) Have the ability to reproduce


Which of the following prescriptions indicates against-the- a)-4.50 +1.00 x75
rule astigmatism?

a)-4.50 +1.00 x75
b)-4.50 +1.00 x 180
c)-4.50 -1.00 x 165
d)4.50 -1.00 x 180


When a keratometer is being calibrated, which of the c) a set of steel balls of known radii
following targets will provide the most reliable result?

a)the single-cut anterior surface of a high-plus lens
b)a perfectly flat highly polished mirror
c) a set of steell balls of known radii
d)the unfinished posterior surface of a low-minus lens


Inadequate movement of a soft lens can be corrected by b)has a smaller diameter
using a lens that

a) has a steeper base curve
b) has a smaller diameter
c) has a larger diameter
d) has a higher water content


A long-term, successful, hydrogel contact lens wearer c) use of anti-histamines
suddenly develops dry eyes. Which of the following is most
likely to cause this problem?

a) Use of oxidative solution
b) use of rewetting drops
c) use of anti-histamines
d) Wearing of lenses in the wrong eyes


During slit-lamp evaluation, on upward gaze, a patient's a) a good fit
soft contact lenses move 0.5 to 1mm when the patient
blinks. These lenses are:

a) a good fit
b) too loose
c) too tight
d) too large


A new daily wearer of soft lenses returns for the first follow a) solution reaction
up visit with itching, burning, injected eyes. The most likely
cause of these problems is:

a) solution reaction
b) giant-cell papillary conjunctivitis
c) a lens fit that is too loose
d) inability to wear soft lenses


Which of the following is the mode of slit-lamp illumination a) Retroillumination
used to view the early stages of microcystic edema?

a) Retroillumination
b) Direct illumination
c) Parrallelpiped
d) Oscillation

, Which of the following changes is best able to improve b) Increasing Dk
oxygen transmissibility to a patient's cornea?

a) Increasing tear exchange
b) Increasing Dk
c) Increasing optical zone diameter
d) Increasing CN bevel


In using fluorescein to evaluate the fit of a rigid lens of d) apical area, mid-peripheral area, and the lens edges should be assessed
9.0mm diameter on a typical eye, a correct statement is
that:

a) apical touch with pooling in the PPC curve area is
preferred
b) apical toxicity may not be obvious
c) apical pooling with edge touch is recommended
d) apical area, mid-peripheral area, and the lens edges
should be assessed


Which of the following changes would improve a rigid b) Reduce overall diameter
contact lens fit that shows sluggish movement after 1 hour
of wear?

a) Add hyperflange edge treatment
b) Reduce overall diameter
c) Decrease center thickness
d) Increase overall diameter


Moving a +7.50 RX from the spectacle plane to the corneal c) more plus power
plane will require:

a) no change in power
b) more minus power
c) more plus power
d) less plus power


A fluorescein pattern that has a black area over the a) flat fit
corneal apex and a diffuse green area in the periphery
normally indicates:

a) flat fit
b) steep fit
c) normal fit
d) tight fit


IPC's are used to: a) provide a transition between the peripheral and base curves

a) provide a transition between the peripheral and base
curves
b) reduce edge thickness and lens mass
c) increase the optical zone
d) smooth the lens edge


A toric soft lens with an RX of -2.00 -1.25 x 120 has the a) 90 degrees
axis resting at the 5 o' clock position. What should the new
axis be when the lens is ordered?

a) 90 degrees
b) 105 degrees
c) 135 degrees
d) 150 degrees


Upon initial insertion of a GP lens, the patient complains b) increased optical zone
about flare. To correct this problem, the fitter should
choose a lens with a/an:

a) increased base curve
b) increased optical zone
c) decreased optical zone
d) flattened base curve

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