1
Actual Exam for Medical Surgical Nursing II: Exam 3
2025| COMPLETE EXAM SET (questions and verified
answers) frequently most tested questions | already
passed!!
Hordeolum (stye) - (ANSWER)Ø Infection (usually staphylococcal) of the sweat
glands or the eyelid sebaceous gland; internal or external stye.
Ø Red, swollen, tender area on the skin surface of eyelid.
Ø Management: applying warm compresses & antibacterial
ointments.
Chalazion - (ANSWER)Inflammation of sebaceous gland in the eyelid
Being with redness, tenderness, followed by a gradual painless swelling.
Management: applying warm compresses & local corticosteroid injection.
Surgical removal if vision is affected or cosmetically displeasing.
Conjunctival Disorders: Hemorrhage - (ANSWER)bright red eye, no pain, no visual
impairment. Resolve spontaneously.
Conjunctivitis (pink eye) - (ANSWER)inflammation or infection of the conjunctiva.
Ø Edema, "blood shot" eye appearance, tears & discharge. Foreign body,
scratching or burning sensation, itching, photophobia.
Ø Caused by bacteria, viruses, fungus and parasites.
Ø Topical antibiotics required for bacterial conjunctivitis.
, 2
Ø Viral conjunctivitis is not responsive to any treatment. Very contagious.
Education about frequent hand hygiene is essential.
Trachoma - (ANSWER)Chronic conjunctivitis caused by Chlamydia trachomatis,
leading cause of preventable blindness. Almost always BOTH eyes. Mild itching
and irritation of the eyes and eyelids. Oral or topical antibiotics required.
Nursing Care for Conjunctival Disorders - (ANSWER)Focus on infection control
Education about good hand hygiene
Avoid touching face/eyes
Avoid sharing washcloths and towels with others.
Complete the entire course of antibiotic eyedrops or ointments.
Educate on above and aseptic technique
Myopia - (ANSWER)Nearsightedness
Light rays refract in front of the retina
Hyperopia - (ANSWER)Farsightedness
Light rays refract behind the retina
Presbyopia - (ANSWER)Age related farsightedness
, 3
Loss of accommodative power in the lens interferes with the ability to adequately
focus
Astigmatism - (ANSWER)uneven curvature of cornea causing blurring of vision
Emmetropia - (ANSWER)normal vision
LASIK - (ANSWER)refractive surgical correction
Laser assisted in situ keratomileusis
Reshaping of cornea
Keratoconus and corneal opacities - (ANSWER)Degeneration of
the corneal tissue resulting in
abnormal corneal shape
blurred vision is a
prominent symptom.
Phototherapeutic keratectomy (PTK) - (ANSWER)(laser procedure used to treat
diseased corneal tissue by removing or reducing corneal opacities)
, 4
Post-operative care for Phototherapeutic keratectomy (PTK) - (ANSWER)Ø Oral
analgesics
Ø Apply a pressure patch or therapeutic soft contact lens.
Ø Antibiotic, corticosteroids ointments, NSAIDs
Penetrating keratoplasty (PKP) - (ANSWER)cadaver corneal
transplantation/grafting
Post-operative care for Penetrating keratoplasty (PKP) - (ANSWER)Ø Apply
pressure eye patch (during the day for the first 3-5 days) and eye shield (at night
for the first month).
Ø Antibiotic ointment, corticosteroid drops as prescribed.
Nursing priorities and education for corneal disorders - (ANSWER)Ø Nursing
priority: instill anti-infective therapy eye drops every hour for the first 24 hours.
Ø Do Not to use an ice pack on the eye.
Ø Avoid jogging, running and dancing.
Ø Avoid activities that may raise intraocular pressure (IOP).
Ø Report early symptoms of graft failure (blurred vision, discomfort, tearing, or
redness of the eye), excessive bleeding, purulent discharge or continuous leakage
of clear fluid from the graft site.
Actual Exam for Medical Surgical Nursing II: Exam 3
2025| COMPLETE EXAM SET (questions and verified
answers) frequently most tested questions | already
passed!!
Hordeolum (stye) - (ANSWER)Ø Infection (usually staphylococcal) of the sweat
glands or the eyelid sebaceous gland; internal or external stye.
Ø Red, swollen, tender area on the skin surface of eyelid.
Ø Management: applying warm compresses & antibacterial
ointments.
Chalazion - (ANSWER)Inflammation of sebaceous gland in the eyelid
Being with redness, tenderness, followed by a gradual painless swelling.
Management: applying warm compresses & local corticosteroid injection.
Surgical removal if vision is affected or cosmetically displeasing.
Conjunctival Disorders: Hemorrhage - (ANSWER)bright red eye, no pain, no visual
impairment. Resolve spontaneously.
Conjunctivitis (pink eye) - (ANSWER)inflammation or infection of the conjunctiva.
Ø Edema, "blood shot" eye appearance, tears & discharge. Foreign body,
scratching or burning sensation, itching, photophobia.
Ø Caused by bacteria, viruses, fungus and parasites.
Ø Topical antibiotics required for bacterial conjunctivitis.
, 2
Ø Viral conjunctivitis is not responsive to any treatment. Very contagious.
Education about frequent hand hygiene is essential.
Trachoma - (ANSWER)Chronic conjunctivitis caused by Chlamydia trachomatis,
leading cause of preventable blindness. Almost always BOTH eyes. Mild itching
and irritation of the eyes and eyelids. Oral or topical antibiotics required.
Nursing Care for Conjunctival Disorders - (ANSWER)Focus on infection control
Education about good hand hygiene
Avoid touching face/eyes
Avoid sharing washcloths and towels with others.
Complete the entire course of antibiotic eyedrops or ointments.
Educate on above and aseptic technique
Myopia - (ANSWER)Nearsightedness
Light rays refract in front of the retina
Hyperopia - (ANSWER)Farsightedness
Light rays refract behind the retina
Presbyopia - (ANSWER)Age related farsightedness
, 3
Loss of accommodative power in the lens interferes with the ability to adequately
focus
Astigmatism - (ANSWER)uneven curvature of cornea causing blurring of vision
Emmetropia - (ANSWER)normal vision
LASIK - (ANSWER)refractive surgical correction
Laser assisted in situ keratomileusis
Reshaping of cornea
Keratoconus and corneal opacities - (ANSWER)Degeneration of
the corneal tissue resulting in
abnormal corneal shape
blurred vision is a
prominent symptom.
Phototherapeutic keratectomy (PTK) - (ANSWER)(laser procedure used to treat
diseased corneal tissue by removing or reducing corneal opacities)
, 4
Post-operative care for Phototherapeutic keratectomy (PTK) - (ANSWER)Ø Oral
analgesics
Ø Apply a pressure patch or therapeutic soft contact lens.
Ø Antibiotic, corticosteroids ointments, NSAIDs
Penetrating keratoplasty (PKP) - (ANSWER)cadaver corneal
transplantation/grafting
Post-operative care for Penetrating keratoplasty (PKP) - (ANSWER)Ø Apply
pressure eye patch (during the day for the first 3-5 days) and eye shield (at night
for the first month).
Ø Antibiotic ointment, corticosteroid drops as prescribed.
Nursing priorities and education for corneal disorders - (ANSWER)Ø Nursing
priority: instill anti-infective therapy eye drops every hour for the first 24 hours.
Ø Do Not to use an ice pack on the eye.
Ø Avoid jogging, running and dancing.
Ø Avoid activities that may raise intraocular pressure (IOP).
Ø Report early symptoms of graft failure (blurred vision, discomfort, tearing, or
redness of the eye), excessive bleeding, purulent discharge or continuous leakage
of clear fluid from the graft site.
