NUR 243- exam 3 study set UPDATED
ACTUAL Exam Questions and CORRECT
Answers
A nurse is administering brimonidine eye drops to a client who has glaucoma. Which of the
following ocular effects should the nurse expect?
A. Decreased intraocular pressure
B. Blocked growth of new blood vessels
C. Paralysis of accommodation
D. Mydriasis - CORRECT ANSWER - A. Decreased intraocular pressure
Rationale: Brimonidine is an alpha-2 adrenergic agonist used for the long-term treatment of
open-angle glaucoma. It decreases intraocular pressure by reducing aqueous humor production.
A nurse is preparing to administer eye drops for a client who has glaucoma. When instilling the
medication, which of the following actions
should the nurse take?
A. Instruct the client to blink several times after instilling the
medication
B. Ask the client to look straight ahead during instillation of the
medication
C. Apply pressure to the puncta after instilling the medication
D. Place each drop of the medication directly onto the client's cornea - CORRECT
ANSWER - C. Apply pressure to the puncta after instilling the medication
Rationale: The nurse should instill the medication into the conjunctival sac and apply pressure to
the puncta for 1 to 2
minutes afterward to prevent systemic absorption of the medication.
, A nurse is assessing a client who has cataracts. Which of the following findings should the nurse
expect?
A. Pupils nonreactive to light
B. Opacity visible behind the pupil
C. White circle around the outside border of the iris
D. Increased intraocular pressure - CORRECT ANSWER - B. Opacity visible behind the
pupil
Rationale: With a cataract, the lens of the eye becomes thick and opaque with age and appears as
opacity behind the pupil
when the nurse shines a light on the area.
A nurse is assessing a client who reports vision loss. The client describes the loss as beginning
with a "flash" of light followed by a "curtain" across the field of vision. The nurse should
identify that these manifestations indicate which of the following eye disorders?
A. Glaucoma
B. Retinal detachment
C. Macular degeneration
D. Cataracts - CORRECT ANSWER - B. Retinal detachment
Rationale: A flash of light and a sudden loss of vision are manifestations of retinal detachment.
Clients report the event of vision loss as sudden and painless.
A nurse at an ophthalmology clinic is assessing a client referred by the provider for a potential
cataract. Which of the following client reports is consistent with cataracts?
A. Halos when looking at lights
B. Loss of peripheral vision
C. Bright flashes of light and floaters
D. Eyestrain and headaches with close work - CORRECT ANSWER - A. Halos when
looking at lights
ACTUAL Exam Questions and CORRECT
Answers
A nurse is administering brimonidine eye drops to a client who has glaucoma. Which of the
following ocular effects should the nurse expect?
A. Decreased intraocular pressure
B. Blocked growth of new blood vessels
C. Paralysis of accommodation
D. Mydriasis - CORRECT ANSWER - A. Decreased intraocular pressure
Rationale: Brimonidine is an alpha-2 adrenergic agonist used for the long-term treatment of
open-angle glaucoma. It decreases intraocular pressure by reducing aqueous humor production.
A nurse is preparing to administer eye drops for a client who has glaucoma. When instilling the
medication, which of the following actions
should the nurse take?
A. Instruct the client to blink several times after instilling the
medication
B. Ask the client to look straight ahead during instillation of the
medication
C. Apply pressure to the puncta after instilling the medication
D. Place each drop of the medication directly onto the client's cornea - CORRECT
ANSWER - C. Apply pressure to the puncta after instilling the medication
Rationale: The nurse should instill the medication into the conjunctival sac and apply pressure to
the puncta for 1 to 2
minutes afterward to prevent systemic absorption of the medication.
, A nurse is assessing a client who has cataracts. Which of the following findings should the nurse
expect?
A. Pupils nonreactive to light
B. Opacity visible behind the pupil
C. White circle around the outside border of the iris
D. Increased intraocular pressure - CORRECT ANSWER - B. Opacity visible behind the
pupil
Rationale: With a cataract, the lens of the eye becomes thick and opaque with age and appears as
opacity behind the pupil
when the nurse shines a light on the area.
A nurse is assessing a client who reports vision loss. The client describes the loss as beginning
with a "flash" of light followed by a "curtain" across the field of vision. The nurse should
identify that these manifestations indicate which of the following eye disorders?
A. Glaucoma
B. Retinal detachment
C. Macular degeneration
D. Cataracts - CORRECT ANSWER - B. Retinal detachment
Rationale: A flash of light and a sudden loss of vision are manifestations of retinal detachment.
Clients report the event of vision loss as sudden and painless.
A nurse at an ophthalmology clinic is assessing a client referred by the provider for a potential
cataract. Which of the following client reports is consistent with cataracts?
A. Halos when looking at lights
B. Loss of peripheral vision
C. Bright flashes of light and floaters
D. Eyestrain and headaches with close work - CORRECT ANSWER - A. Halos when
looking at lights
