NSG 323 Vision Section [ACTUAL EXAM ]
LATEST VERSION [QUESTIONS AND
ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025
GRADED A (BRAND NEW!!)
On ophthalmic examination, the physician noted the major objective
finding seen with cataracts:
A. Tunnel vision.
B. Glare.
C. Opaque lens.
D. Eye pain. - CORRECT ANSWER ✔✔✔✔✔ 4. Answer: C. Opaque
lens.
C: The lens of the eye turns milky white in cataracts, and this is the
major objective finding seen.
A & D: Tunnel vision and eye pain are common in patients with
glaucoma.
B: Patients with cataracts experience glare, but this is not a major
finding in cataract
5. The nurse is right when she instructs the patient to avoid:
A. Getting up from bed for 2 weeks after surgery.
B. Chewing on the same side of the operated area.
C. Taking anticoagulants.
D. Using eyeglasses when going outside. - CORRECT ANSWER
✔✔✔✔✔ 5. Answer: C. Taking anticoagulants.
C: Taking anticoagulants predisposes the patient to hemorrhage
A & B: Complete bed rest for 2 weeks and chewing on the side of the
operated area unnecessary for a post cataract surgery patient
D: The sunglasses protect the eyes from potential infectious agents
such as dust and smoke.
Tonometry is performed on the client with a suspected diagnosis of
glaucoma. The nurse analyzes the test results as documented in the
client's chart and understands that normal intraocular pressure is:
1. 2-7 mmHg
2. 10-21 mmHg
,3. 22-30 mmHg
4. 31-35 mmHg - CORRECT ANSWER ✔✔✔✔✔ Answer: 2. 10-21
mmHg
Tonometry is the method of measuring intraocular fluid pressure
using a calibrated instrument that indents or flattens the corneal
apex. Pressures between 10 and 21 mmHg are considered within
normal range.
The client with glaucoma asks the nurse is complete vision will
return. The most appropriate response is:
1. "Although some vision as been lost and cannot be restored, further
loss may be prevented by adhering to the treatment plan."
2. "Your vision will return as soon as the medications begin to work."
3. "Your vision will never return to normal."
4. "Your vision loss is temporary and will return in about 3-4 weeks." -
CORRECT ANSWER ✔✔✔✔✔ Answer: 1. "Although some vision as
been lost and cannot be restored, further loss may be prevented by
adhering to the treatment plan."
Vision loss to glaucoma is irreparable. The client should be reassured
that although some vision has been lost and cannot be restored,
further loss may be prevented by adhering to the treatment plan.
Option C does not provide reassurance to the client.
The nurse is developing a teaching plan for the client with glaucoma.
Which of the following instructions would the nurse include in the
plan of care?
1. Decrease fluid intake to control the intraocular pressure
2. Avoid overuse of the eyes
3. Decrease the amount of salt in the diet
4. Eye medications will need to be administered lifelong. - CORRECT
ANSWER ✔✔✔✔✔ Answer: 4. Eye medications will need to be
administered lifelong.
The administration of eye drops is a critical component of the
treatment plan for the client with glaucoma. The client needs to be
instructed that medications will need to be taken for the rest of his or
her life.
Which of the following instruments is used to record intraocular
pressure?
,1. Goniometer
2. Ophthalmoscope
3. Slit lamp
4. Tonometer - CORRECT ANSWER ✔✔✔✔✔ Tonometer
A tonometer is a device used in glaucoma screening to record
intraocular pressure. A goniometer measures joint movement and
angles. An ophthalmoscope examines the interior of the eye,
especially the retina. A slit lamp evaluates structures in the anterior
chamber in the eye.
When developing a teaching session on glaucoma for the community,
which of the following statements would the nurse stress?
1. Glaucoma is easily corrected with eyeglasses
2. White and Asian individuals are at the highest risk for glaucoma.
3. Yearly screening for people ages 20-40 years is recommended.
4. Glaucoma can be painless and vision may be lost before the person
is aware of a problem. - CORRECT ANSWER ✔✔✔✔✔ 23. Answer: 4.
Glaucoma can be painless and vision may be lost before the person is
aware of a problem.
Open-angle glaucoma causes a painless increase in intraocular
pressure (IOP) with loss of peripheral vision. A variety of miotics and
agents to decrease IOP and occasional surgery are used to treat
glaucoma. Blacks have a threefold greater chance of developing with
an increased chance of blindness than other groups. Individuals older
than 40 should be screened.
For a client having an episode of acute narrow-angle glaucoma, a
nurse expects to give which of the following medications?
1. Acetazolamide (Diamox)
2. Atropine
3. Furosemide (Lasix)
4. Urokinase (Abbokinase) - CORRECT ANSWER ✔✔✔✔✔ Answer:
1. Acetazolamide (Diamox)
Acetazolamide, a carbonic anhydrase inhibitor, decreases intraocular
pressure (IOP) by decreasing the secretion of aqueous humor.
Atropine dilates the pupil and decreases outflow of aqueous humor,
causing further increase in IOP. Lasix is a loop diuretic, and
, Urokinase is a thrombolytic agent; they aren't used for the treatment
of glaucoma.
The nurse is developing a plan of care for the client scheduled for
cataractsurgery. The nurse documents which more appropriate
nursing diagnosis in the plan of care?
1. Self-care deficit
2. Imbalanced nutrition
3. Disturbed sensory perception
4. Anxiety - CORRECT ANSWER ✔✔✔✔✔ Answer: 3. Disturbed
sensory perception
The most appropriate nursing diagnosis for the client scheduled for
cataract surgery is Disturbed sensory perception (visual) related to
lens extraction and replacement. Although the other options identify
nursing diagnoses that may be appropriate, they are not related
specifically to cataract surgery.
The nurse is performing an assessment in a client with a suspected
diagnosis of cataract. The chief clinical manifestation that the nurse
would expect to note in the early stages of cataract formation is:
1. Eye pain
2. Floating spots
3. Blurred vision
4. Diplopia - CORRECT ANSWER ✔✔✔✔✔ Answer: 3. Blurred vision
A gradual, painless blurring of central vision is the chief clinical
manifestation of a cataract. Early symptoms include slightly blurred
vision and a decrease in color perception.
In preparation for cataract surgery, the nurse is to administer
prescribed eye drops. The nurse reviews the physicians orders,
expecting which type of eye drops to be instilled?
1. An osmotic diuretic
2. A miotic agent
3. A mydriatic medication
4. A thiazide diuretic - CORRECT ANSWER ✔✔✔✔✔ Answer: 3. A
mydriatic medication
A mydriatic medication produces mydriasis or dilation of the pupil.
Mydriatic medications are used preoperatively in the cataract client.
These medication act by dilating the pupils. They also constrict blood
LATEST VERSION [QUESTIONS AND
ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025
GRADED A (BRAND NEW!!)
On ophthalmic examination, the physician noted the major objective
finding seen with cataracts:
A. Tunnel vision.
B. Glare.
C. Opaque lens.
D. Eye pain. - CORRECT ANSWER ✔✔✔✔✔ 4. Answer: C. Opaque
lens.
C: The lens of the eye turns milky white in cataracts, and this is the
major objective finding seen.
A & D: Tunnel vision and eye pain are common in patients with
glaucoma.
B: Patients with cataracts experience glare, but this is not a major
finding in cataract
5. The nurse is right when she instructs the patient to avoid:
A. Getting up from bed for 2 weeks after surgery.
B. Chewing on the same side of the operated area.
C. Taking anticoagulants.
D. Using eyeglasses when going outside. - CORRECT ANSWER
✔✔✔✔✔ 5. Answer: C. Taking anticoagulants.
C: Taking anticoagulants predisposes the patient to hemorrhage
A & B: Complete bed rest for 2 weeks and chewing on the side of the
operated area unnecessary for a post cataract surgery patient
D: The sunglasses protect the eyes from potential infectious agents
such as dust and smoke.
Tonometry is performed on the client with a suspected diagnosis of
glaucoma. The nurse analyzes the test results as documented in the
client's chart and understands that normal intraocular pressure is:
1. 2-7 mmHg
2. 10-21 mmHg
,3. 22-30 mmHg
4. 31-35 mmHg - CORRECT ANSWER ✔✔✔✔✔ Answer: 2. 10-21
mmHg
Tonometry is the method of measuring intraocular fluid pressure
using a calibrated instrument that indents or flattens the corneal
apex. Pressures between 10 and 21 mmHg are considered within
normal range.
The client with glaucoma asks the nurse is complete vision will
return. The most appropriate response is:
1. "Although some vision as been lost and cannot be restored, further
loss may be prevented by adhering to the treatment plan."
2. "Your vision will return as soon as the medications begin to work."
3. "Your vision will never return to normal."
4. "Your vision loss is temporary and will return in about 3-4 weeks." -
CORRECT ANSWER ✔✔✔✔✔ Answer: 1. "Although some vision as
been lost and cannot be restored, further loss may be prevented by
adhering to the treatment plan."
Vision loss to glaucoma is irreparable. The client should be reassured
that although some vision has been lost and cannot be restored,
further loss may be prevented by adhering to the treatment plan.
Option C does not provide reassurance to the client.
The nurse is developing a teaching plan for the client with glaucoma.
Which of the following instructions would the nurse include in the
plan of care?
1. Decrease fluid intake to control the intraocular pressure
2. Avoid overuse of the eyes
3. Decrease the amount of salt in the diet
4. Eye medications will need to be administered lifelong. - CORRECT
ANSWER ✔✔✔✔✔ Answer: 4. Eye medications will need to be
administered lifelong.
The administration of eye drops is a critical component of the
treatment plan for the client with glaucoma. The client needs to be
instructed that medications will need to be taken for the rest of his or
her life.
Which of the following instruments is used to record intraocular
pressure?
,1. Goniometer
2. Ophthalmoscope
3. Slit lamp
4. Tonometer - CORRECT ANSWER ✔✔✔✔✔ Tonometer
A tonometer is a device used in glaucoma screening to record
intraocular pressure. A goniometer measures joint movement and
angles. An ophthalmoscope examines the interior of the eye,
especially the retina. A slit lamp evaluates structures in the anterior
chamber in the eye.
When developing a teaching session on glaucoma for the community,
which of the following statements would the nurse stress?
1. Glaucoma is easily corrected with eyeglasses
2. White and Asian individuals are at the highest risk for glaucoma.
3. Yearly screening for people ages 20-40 years is recommended.
4. Glaucoma can be painless and vision may be lost before the person
is aware of a problem. - CORRECT ANSWER ✔✔✔✔✔ 23. Answer: 4.
Glaucoma can be painless and vision may be lost before the person is
aware of a problem.
Open-angle glaucoma causes a painless increase in intraocular
pressure (IOP) with loss of peripheral vision. A variety of miotics and
agents to decrease IOP and occasional surgery are used to treat
glaucoma. Blacks have a threefold greater chance of developing with
an increased chance of blindness than other groups. Individuals older
than 40 should be screened.
For a client having an episode of acute narrow-angle glaucoma, a
nurse expects to give which of the following medications?
1. Acetazolamide (Diamox)
2. Atropine
3. Furosemide (Lasix)
4. Urokinase (Abbokinase) - CORRECT ANSWER ✔✔✔✔✔ Answer:
1. Acetazolamide (Diamox)
Acetazolamide, a carbonic anhydrase inhibitor, decreases intraocular
pressure (IOP) by decreasing the secretion of aqueous humor.
Atropine dilates the pupil and decreases outflow of aqueous humor,
causing further increase in IOP. Lasix is a loop diuretic, and
, Urokinase is a thrombolytic agent; they aren't used for the treatment
of glaucoma.
The nurse is developing a plan of care for the client scheduled for
cataractsurgery. The nurse documents which more appropriate
nursing diagnosis in the plan of care?
1. Self-care deficit
2. Imbalanced nutrition
3. Disturbed sensory perception
4. Anxiety - CORRECT ANSWER ✔✔✔✔✔ Answer: 3. Disturbed
sensory perception
The most appropriate nursing diagnosis for the client scheduled for
cataract surgery is Disturbed sensory perception (visual) related to
lens extraction and replacement. Although the other options identify
nursing diagnoses that may be appropriate, they are not related
specifically to cataract surgery.
The nurse is performing an assessment in a client with a suspected
diagnosis of cataract. The chief clinical manifestation that the nurse
would expect to note in the early stages of cataract formation is:
1. Eye pain
2. Floating spots
3. Blurred vision
4. Diplopia - CORRECT ANSWER ✔✔✔✔✔ Answer: 3. Blurred vision
A gradual, painless blurring of central vision is the chief clinical
manifestation of a cataract. Early symptoms include slightly blurred
vision and a decrease in color perception.
In preparation for cataract surgery, the nurse is to administer
prescribed eye drops. The nurse reviews the physicians orders,
expecting which type of eye drops to be instilled?
1. An osmotic diuretic
2. A miotic agent
3. A mydriatic medication
4. A thiazide diuretic - CORRECT ANSWER ✔✔✔✔✔ Answer: 3. A
mydriatic medication
A mydriatic medication produces mydriasis or dilation of the pupil.
Mydriatic medications are used preoperatively in the cataract client.
These medication act by dilating the pupils. They also constrict blood
