NR 302 Exam 2
When examining the eye, the nurse notices that the patients eyelid margins approximate completely.
The nurse recognizes that this assessment finding: - correct answer ✔✔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: -
correct answer ✔✔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? - correct answer ✔✔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.
When examining a patients eyes, the nurse recalls that stimulation of the sympathetic branch of the
autonomic nervous system: - correct answer ✔✔Elevates the eyelid and dilates pupil
The nurse is reviewing causes of increased intraocular pressure. Which of these factors determines
intraocular pressure? - correct answer ✔✔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? - correct answer ✔✔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? - correct answer
✔✔Pupillary constriction when looking at a near object
,A patient has a normal pupillary light reflex. The nurse recognizes that this reflex indicates that: - correct
answer ✔✔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: - correct
answer ✔✔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? - correct answer ✔✔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? - correct answer ✔✔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: - correct answer ✔✔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? - correct answer ✔✔Use the Snellen chart positioned 20 feet away from the patient.
A patients vision is recorded as 20/30 when the Snellen eye chart is used. The nurse interprets these
results to indicate that: - correct answer ✔✔The patient can read at 20 feet what a person with normal
vision can read at 30 feet.
A patient is unable to read even the largest letters on the Snellen chart. The nurse should take which
action next? - correct answer ✔✔Shorten the distance between the patient and the chart until the
letters are seen, and record that distance
A patients vision is recorded as 20/80 in each eye. The nurse interprets this finding to mean that the
patient: - correct answer ✔✔Has poor vision
, When performing the corneal light reflex assessment, the nurse notes that the light is reflected at 2
o'clock in each eye. The nurse should: - correct answer ✔✔Consider this a normal finding
The nurse is performing the diagnostic positions test. Normal findings would be which of these results? -
correct answer ✔✔Parallel movement of both eyes
During an assessment of the sclera of a black patient, the nurse would consider which of these an
expected finding? - correct answer ✔✔Presence of small brown macules on the sclera
A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he has ptosis of one
eye. How should the nurse check for this? - correct answer ✔✔Observe the distance between the
palpebral fissures.
During an examination of the eye, the nurse would expect what normal finding when assessing the
lacrimal apparatus? - correct answer ✔✔Absence of drainage from the puncta when pressing against the
inner orbital rim
When assessing the pupillary light reflex, the nurse should use which technique? - correct answer
✔✔Shine a light across the pupil from the side, and observe for direct and consensual pupillary
constriction.
The nurse is assessing a patients eyes for the accommodation response and would expect to see which
normal finding? - correct answer ✔✔Convergence of the axes of the eyes
In using the ophthalmoscope to assess a patients eyes, the nurse notices a red glow in the patients
pupils. On the basis of this finding, the nurse would: - correct answer ✔✔Consider the red glow a normal
reflection of the ophthalmoscope light off the inner retina.
The nurse is examining a patients retina with an ophthalmoscope. Which finding is considered normal? -
correct answer ✔✔Optic disc that is a yellow-orange color
A 2-week-old infant can fixate on an object but cannot follow a light or bright toy. The nurse would: -
correct answer ✔✔Consider this a normal finding
When examining the eye, the nurse notices that the patients eyelid margins approximate completely.
The nurse recognizes that this assessment finding: - correct answer ✔✔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: -
correct answer ✔✔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? - correct answer ✔✔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.
When examining a patients eyes, the nurse recalls that stimulation of the sympathetic branch of the
autonomic nervous system: - correct answer ✔✔Elevates the eyelid and dilates pupil
The nurse is reviewing causes of increased intraocular pressure. Which of these factors determines
intraocular pressure? - correct answer ✔✔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? - correct answer ✔✔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? - correct answer
✔✔Pupillary constriction when looking at a near object
,A patient has a normal pupillary light reflex. The nurse recognizes that this reflex indicates that: - correct
answer ✔✔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: - correct
answer ✔✔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? - correct answer ✔✔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? - correct answer ✔✔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: - correct answer ✔✔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? - correct answer ✔✔Use the Snellen chart positioned 20 feet away from the patient.
A patients vision is recorded as 20/30 when the Snellen eye chart is used. The nurse interprets these
results to indicate that: - correct answer ✔✔The patient can read at 20 feet what a person with normal
vision can read at 30 feet.
A patient is unable to read even the largest letters on the Snellen chart. The nurse should take which
action next? - correct answer ✔✔Shorten the distance between the patient and the chart until the
letters are seen, and record that distance
A patients vision is recorded as 20/80 in each eye. The nurse interprets this finding to mean that the
patient: - correct answer ✔✔Has poor vision
, When performing the corneal light reflex assessment, the nurse notes that the light is reflected at 2
o'clock in each eye. The nurse should: - correct answer ✔✔Consider this a normal finding
The nurse is performing the diagnostic positions test. Normal findings would be which of these results? -
correct answer ✔✔Parallel movement of both eyes
During an assessment of the sclera of a black patient, the nurse would consider which of these an
expected finding? - correct answer ✔✔Presence of small brown macules on the sclera
A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he has ptosis of one
eye. How should the nurse check for this? - correct answer ✔✔Observe the distance between the
palpebral fissures.
During an examination of the eye, the nurse would expect what normal finding when assessing the
lacrimal apparatus? - correct answer ✔✔Absence of drainage from the puncta when pressing against the
inner orbital rim
When assessing the pupillary light reflex, the nurse should use which technique? - correct answer
✔✔Shine a light across the pupil from the side, and observe for direct and consensual pupillary
constriction.
The nurse is assessing a patients eyes for the accommodation response and would expect to see which
normal finding? - correct answer ✔✔Convergence of the axes of the eyes
In using the ophthalmoscope to assess a patients eyes, the nurse notices a red glow in the patients
pupils. On the basis of this finding, the nurse would: - correct answer ✔✔Consider the red glow a normal
reflection of the ophthalmoscope light off the inner retina.
The nurse is examining a patients retina with an ophthalmoscope. Which finding is considered normal? -
correct answer ✔✔Optic disc that is a yellow-orange color
A 2-week-old infant can fixate on an object but cannot follow a light or bright toy. The nurse would: -
correct answer ✔✔Consider this a normal finding
