Eye Practice Questions Proctored Exam With Complete SOLUTION
TESTED AND VERIFIED EXAM 2025
Which information will the nurse include when teaching a patient about routine glaucoma testing?
a. The test involves reading a Snellen chart at a distance of 20 feet.
b. Application of a Tono-pen to the surface of the eye will be needed.
c. The examination includes checking the pupil's reaction to a bright light.
d. Medications to dilate the pupil will be used before testing for glaucoma. - ✔✔✔b. Glaucoma is caused
by an increase in intraocular pressure, which would be measured using the Tono-pen. The other
techniques are used in testing for other eye disorders.
Which assessment information obtained by the nurse when performing an eye examination for a 78-
year-old patient indicates that more extensive examination of the eyes is needed?
a. The patient's sclerae are light yellow in color.
b. The patient complains of persistent photophobia.
c. The pupil recovers slowly after being stimulated by a penlight.
d. There is a whitish gray ring encircling the periphery of the iris. - ✔✔✔b. Photophobia is not a normally
occurring change with aging and would require further assessment. The other assessment data are
common gerontologic differences and would not be unusual in a 78-year-old patient.
When performing an eye examination, the nurse will assess for accommodation by
a. covering one eye for 1 minute and noting the pupil reaction when the cover is removed.
b. shining a light into the patient's eye and watching the pupil response in the opposite eye.
c. observing the pupils when the patient focuses on a close object and then on a distant object.
d. touching the patient's pupil with a small piece of sterile cotton and watching for a blink reaction. -
✔✔✔C
Accommodation is defined as the ability of the lens to adjust to various distances. The other nursing
actions also may be part of the eye examination, but they do not test for accommodation.
,The nurse at the eye clinic advises all patients to wear sunglasses that protect the eyes from ultraviolet
light because ultraviolet sunlight exposure is associated with the development of
a. cataracts.
b. glaucoma.
c. anisocoria.
d. exophthalmos. - ✔✔✔A
Ultraviolet light exposure is associated with the accelerated development of cataracts. Glaucoma is
caused by increased intraocular pressure, exophthalmos is associated with hyperthyroidism, and
anisocoria can occur normally in a small percentage of the population or may be caused by injury or
central nervous system disorders.
Assessment of a patient's visual acuity reveals that the left eye can see at 20 feet what a person with
normal vision can see at 40 feet and the right eye can see at 20 feet what a person with normal vision
can see at 50 feet. The nurse records which of the following findings as visual acuity?
a. OS 20/40; OD 20/50
b. OU 20/40; OS 50/20
c. OD 20/40; OS 20/50
d. OU 40/20; OD 50/20 - ✔✔✔A
When documenting visual acuity, the first number indicates the standard (for normal vision) of 20 feet
and the second number indicates the line that the patient is able to read when standing 20 feet from the
Snellen chart. OS is the abbreviation for left eye and OD is the abbreviation for right eye. The remaining
three answers do not correctly describe the patient's visual acuity.
Which nursing action is included when assessing a patient's visual field?
a. Position the patient 20 feet from the Snellen chart.
b. Have the patient cover one eye while facing the nurse.
c. Instruct the patient to follow a moving object using only the eyes.
d. Shine a light into one pupil and observe the response for both pupils. - ✔✔✔B
,To perform confrontation visual field testing, the patient faces the examiner and covers one eye, then
counts the number of fingers that the examiner brings into the visual field. The other actions are needed
to test for visual acuity, extraocular movements, and consensual pupil response
The nurse is observing a student who is preparing to perform an ear examination of a 24-year-old
patient. The nurse will need to intervene if the student
a. chooses a speculum smaller than the ear canal.
b. pulls the auricle of the ear down and backward.
c. stabilizes the hand holding the otoscope on the patient's head.
d. stops inserting the otoscope after observing impacted cerumen. - ✔✔✔B
The auricle should be pulled up and back when assessing an adult. The other actions are appropriate
when performing an ear examination.
When obtaining a health history from a 52-year-old patient, which patient statement is most important
to communicate to the health care provider?
a. "My vision seems blurry now when I read."
b. "I have noticed that my eyes are drier now."
c. "It is hard for me to see when I drive at night."
d. "The peripheral part of my vision is decreased." - ✔✔✔D
The decrease in peripheral vision may indicate glaucoma, which is not a normal visual change associated
with aging and requires rapid treatment. The other patient statements indicate visual problems
(presbyopia, dryness, and lens opacity) that are considered a normal part of aging.
The nurse is obtaining a health history for a 64-year-old patient with glaucoma who is a new patient at
the eye clinic. Which information given by the patient will have the most implications for the patient's
treatment?
a. "I use aspirin when I have a sinus headache."
b. "I have had frequent episodes of conjunctivitis."
c. "I take metoprolol (Lopressor) daily for angina."
, d. "I have not had an eye examination for 10 years." - ✔✔✔C
It is important to note whether the patient takes any β-adrenergic blockers because this category of
medications also is used to treat glaucoma, and there may be an increase in adverse effects. The use of
aspirin does not increase intraocular pressure and is safe for patients with glaucoma. Although older
patients should have yearly eye examinations, the treatment for this patient will not be affected by the
10-year gap in eye care. Conjunctivitis does not increase the risk for glaucoma.
In order to assess the visual acuity for a patient in the outpatient clinic, the nurse will need to obtain a
(an)
a. penlight.
b. Amsler grid.
c. Snellen chart.
d. ophthalmoscope. - ✔✔✔C
The Snellen chart is used to check visual acuity. An ophthalmoscope, penlight, and Amsler grid also may
be used during an eye examination, but they are not helpful in assessing visual acuity.
A patient being admitted to the hospital has an eye patch in place and tells the nurse "I had a recent eye
injury, so I need to wear this patch for a few weeks." Which nursing diagnosis will the nurse include in
the plan of care?
a. Risk for falls related to current decrease in stereoscopic vision
b. Ineffective health maintenance related to inability to see surroundings
c. Disturbed body image related to eye trauma and need to wear eye patch
d. Ineffective denial related to inability to admit the impact of the eye injury - ✔✔✔A
The loss of stereoscopic vision created by the eye patch impairs the patient's ability to see in three
dimensions and to judge distances. It also increases the risk for falls. There is no evidence in the
assessment data for ineffective denial, disturbed body image, or ineffective health maintenance.
A patient in the eye clinic is scheduled for refractometry. Which information will the nurse include in
patient teaching?
TESTED AND VERIFIED EXAM 2025
Which information will the nurse include when teaching a patient about routine glaucoma testing?
a. The test involves reading a Snellen chart at a distance of 20 feet.
b. Application of a Tono-pen to the surface of the eye will be needed.
c. The examination includes checking the pupil's reaction to a bright light.
d. Medications to dilate the pupil will be used before testing for glaucoma. - ✔✔✔b. Glaucoma is caused
by an increase in intraocular pressure, which would be measured using the Tono-pen. The other
techniques are used in testing for other eye disorders.
Which assessment information obtained by the nurse when performing an eye examination for a 78-
year-old patient indicates that more extensive examination of the eyes is needed?
a. The patient's sclerae are light yellow in color.
b. The patient complains of persistent photophobia.
c. The pupil recovers slowly after being stimulated by a penlight.
d. There is a whitish gray ring encircling the periphery of the iris. - ✔✔✔b. Photophobia is not a normally
occurring change with aging and would require further assessment. The other assessment data are
common gerontologic differences and would not be unusual in a 78-year-old patient.
When performing an eye examination, the nurse will assess for accommodation by
a. covering one eye for 1 minute and noting the pupil reaction when the cover is removed.
b. shining a light into the patient's eye and watching the pupil response in the opposite eye.
c. observing the pupils when the patient focuses on a close object and then on a distant object.
d. touching the patient's pupil with a small piece of sterile cotton and watching for a blink reaction. -
✔✔✔C
Accommodation is defined as the ability of the lens to adjust to various distances. The other nursing
actions also may be part of the eye examination, but they do not test for accommodation.
,The nurse at the eye clinic advises all patients to wear sunglasses that protect the eyes from ultraviolet
light because ultraviolet sunlight exposure is associated with the development of
a. cataracts.
b. glaucoma.
c. anisocoria.
d. exophthalmos. - ✔✔✔A
Ultraviolet light exposure is associated with the accelerated development of cataracts. Glaucoma is
caused by increased intraocular pressure, exophthalmos is associated with hyperthyroidism, and
anisocoria can occur normally in a small percentage of the population or may be caused by injury or
central nervous system disorders.
Assessment of a patient's visual acuity reveals that the left eye can see at 20 feet what a person with
normal vision can see at 40 feet and the right eye can see at 20 feet what a person with normal vision
can see at 50 feet. The nurse records which of the following findings as visual acuity?
a. OS 20/40; OD 20/50
b. OU 20/40; OS 50/20
c. OD 20/40; OS 20/50
d. OU 40/20; OD 50/20 - ✔✔✔A
When documenting visual acuity, the first number indicates the standard (for normal vision) of 20 feet
and the second number indicates the line that the patient is able to read when standing 20 feet from the
Snellen chart. OS is the abbreviation for left eye and OD is the abbreviation for right eye. The remaining
three answers do not correctly describe the patient's visual acuity.
Which nursing action is included when assessing a patient's visual field?
a. Position the patient 20 feet from the Snellen chart.
b. Have the patient cover one eye while facing the nurse.
c. Instruct the patient to follow a moving object using only the eyes.
d. Shine a light into one pupil and observe the response for both pupils. - ✔✔✔B
,To perform confrontation visual field testing, the patient faces the examiner and covers one eye, then
counts the number of fingers that the examiner brings into the visual field. The other actions are needed
to test for visual acuity, extraocular movements, and consensual pupil response
The nurse is observing a student who is preparing to perform an ear examination of a 24-year-old
patient. The nurse will need to intervene if the student
a. chooses a speculum smaller than the ear canal.
b. pulls the auricle of the ear down and backward.
c. stabilizes the hand holding the otoscope on the patient's head.
d. stops inserting the otoscope after observing impacted cerumen. - ✔✔✔B
The auricle should be pulled up and back when assessing an adult. The other actions are appropriate
when performing an ear examination.
When obtaining a health history from a 52-year-old patient, which patient statement is most important
to communicate to the health care provider?
a. "My vision seems blurry now when I read."
b. "I have noticed that my eyes are drier now."
c. "It is hard for me to see when I drive at night."
d. "The peripheral part of my vision is decreased." - ✔✔✔D
The decrease in peripheral vision may indicate glaucoma, which is not a normal visual change associated
with aging and requires rapid treatment. The other patient statements indicate visual problems
(presbyopia, dryness, and lens opacity) that are considered a normal part of aging.
The nurse is obtaining a health history for a 64-year-old patient with glaucoma who is a new patient at
the eye clinic. Which information given by the patient will have the most implications for the patient's
treatment?
a. "I use aspirin when I have a sinus headache."
b. "I have had frequent episodes of conjunctivitis."
c. "I take metoprolol (Lopressor) daily for angina."
, d. "I have not had an eye examination for 10 years." - ✔✔✔C
It is important to note whether the patient takes any β-adrenergic blockers because this category of
medications also is used to treat glaucoma, and there may be an increase in adverse effects. The use of
aspirin does not increase intraocular pressure and is safe for patients with glaucoma. Although older
patients should have yearly eye examinations, the treatment for this patient will not be affected by the
10-year gap in eye care. Conjunctivitis does not increase the risk for glaucoma.
In order to assess the visual acuity for a patient in the outpatient clinic, the nurse will need to obtain a
(an)
a. penlight.
b. Amsler grid.
c. Snellen chart.
d. ophthalmoscope. - ✔✔✔C
The Snellen chart is used to check visual acuity. An ophthalmoscope, penlight, and Amsler grid also may
be used during an eye examination, but they are not helpful in assessing visual acuity.
A patient being admitted to the hospital has an eye patch in place and tells the nurse "I had a recent eye
injury, so I need to wear this patch for a few weeks." Which nursing diagnosis will the nurse include in
the plan of care?
a. Risk for falls related to current decrease in stereoscopic vision
b. Ineffective health maintenance related to inability to see surroundings
c. Disturbed body image related to eye trauma and need to wear eye patch
d. Ineffective denial related to inability to admit the impact of the eye injury - ✔✔✔A
The loss of stereoscopic vision created by the eye patch impairs the patient's ability to see in three
dimensions and to judge distances. It also increases the risk for falls. There is no evidence in the
assessment data for ineffective denial, disturbed body image, or ineffective health maintenance.
A patient in the eye clinic is scheduled for refractometry. Which information will the nurse include in
patient teaching?
