NUR 304 Assessment: Eyes Ch. 16 Test
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A client has sought care because she states that she has begun to see halos around headlights and
streetlights when she is out at night. The nurse should recognize the need to refer the client for further
assessment related to what health problem? - Answer -Glaucoma
A client tells the clinic nurse that she has sought care because she has been experiencing excessive
tearing of her eyes. Which assessment should the nurse next perform? - Answer -Assess the
nasolacrimal sac
A client's history suggests a need to assess eye muscle strength and cranial nerve function. What
assessment should the nurse consequently perform? - Answer -Eye positions test
A factory worker has presented to the occupational health nurse with a small wood splinter in his left
eye. The nurse has assessed the affected eye and irrigated with warm tap water, but the splinter remains
in place. What should the nurse do next? - Answer -Arrange for worker to be promptly assessed by
an eye specialist
A nurse has completed the assessment of a client's direct pupillary response and is now assessing
consensual response. This aspect of assessment should include which of the following actions? -
Answer -Observing the eye's reaction when a light is shone into the opposite eye
A nurse has performed the corneal light reflex test during a client's eye examination. During this test, the
nurse held a penlight 1 foot from the client's eyes and appraised the client's eye alignment in which of
the following ways? - Answer -By comparing the reflection of the light on the client's eye surface
A nurse has taught a group of older adults about the high incidence and prevalence of macular
degeneration. What health promotion and prevention activity should the nurse encourage these clients
to perform? - Answer -Post an Amsler grid in their home and perform the test on a regular basis
A nurse in the emergency department assesses a client's pupillary reaction and observes pinpoint pupils.
The nurse interprets this finding as suggesting which of the following? - Answer -Narcotic use
A nurse is assessing a client who is suspected to have optic atrophy. Which of the following assessment
findings is most consistent with this diagnosis? - Answer -A white appearance of the optic disc
A nurse is assessing an adult client's eyes and vision. When performing the cover test, the nurse would
cover one of the client's eyes and then do which of the following? - Answer -Ask the client to focus
on a distant object, looking for movement in the other eye
A nurse is assessing the eyes of a 3-year-old child. Which finding would the nurse document as normal? -
Answer -Pseudostrabismus
Bank Questions with Verified Answers
Guaranteed Pass Download!!
A client has sought care because she states that she has begun to see halos around headlights and
streetlights when she is out at night. The nurse should recognize the need to refer the client for further
assessment related to what health problem? - Answer -Glaucoma
A client tells the clinic nurse that she has sought care because she has been experiencing excessive
tearing of her eyes. Which assessment should the nurse next perform? - Answer -Assess the
nasolacrimal sac
A client's history suggests a need to assess eye muscle strength and cranial nerve function. What
assessment should the nurse consequently perform? - Answer -Eye positions test
A factory worker has presented to the occupational health nurse with a small wood splinter in his left
eye. The nurse has assessed the affected eye and irrigated with warm tap water, but the splinter remains
in place. What should the nurse do next? - Answer -Arrange for worker to be promptly assessed by
an eye specialist
A nurse has completed the assessment of a client's direct pupillary response and is now assessing
consensual response. This aspect of assessment should include which of the following actions? -
Answer -Observing the eye's reaction when a light is shone into the opposite eye
A nurse has performed the corneal light reflex test during a client's eye examination. During this test, the
nurse held a penlight 1 foot from the client's eyes and appraised the client's eye alignment in which of
the following ways? - Answer -By comparing the reflection of the light on the client's eye surface
A nurse has taught a group of older adults about the high incidence and prevalence of macular
degeneration. What health promotion and prevention activity should the nurse encourage these clients
to perform? - Answer -Post an Amsler grid in their home and perform the test on a regular basis
A nurse in the emergency department assesses a client's pupillary reaction and observes pinpoint pupils.
The nurse interprets this finding as suggesting which of the following? - Answer -Narcotic use
A nurse is assessing a client who is suspected to have optic atrophy. Which of the following assessment
findings is most consistent with this diagnosis? - Answer -A white appearance of the optic disc
A nurse is assessing an adult client's eyes and vision. When performing the cover test, the nurse would
cover one of the client's eyes and then do which of the following? - Answer -Ask the client to focus
on a distant object, looking for movement in the other eye
A nurse is assessing the eyes of a 3-year-old child. Which finding would the nurse document as normal? -
Answer -Pseudostrabismus
