NR302 Exam 2 (Latest Update )
Health Assessment I Questions with 100%
Correct Answers [Grade A]– Chamberlain
Which of these assessment findings would the nurse expect to see when examining
the eyes of a black patient? - correct answer Dark retinal background
A 52-year-old patient describes the presence of occasional floaters or spots moving in
front of his eyes. The nurse should: - correct answer Know that floaters are usually
insignificant and are caused by condensed vitreous fibers.
The nurse is preparing to assess the visual acuity of a 16-year-old patient. How should
the nurse proceed? - correct answer Use the Snellen chart positioned 20 feet away
from the patient.
A patients vision is recorded as 20/30 when the Snellen eye chart is used. The nurse
interprets these results to indicate that: - correct answer The patient can read at 20
feet what a person with normal vision can read at 30 feet.
A patient is unable to read even the largest letters on the Snellen chart. The nurse
should take which action next? - correct answer Shorten the distance between the
patient and the chart until the letters are seen, and record that distance
A patients vision is recorded as 20/80 in each eye. The nurse interprets this finding to
mean that the patient: - correct answer Has poor vision
When performing the corneal light reflex assessment, the nurse notes that the light is
reflected at 2 o'clock in each eye. The nurse should: - correct answer Consider this a
normal finding
The nurse is performing the diagnostic positions test. Normal findings would be which
of these results? - correct answer Parallel movement of both eyes
During an assessment of the sclera of a black patient, the nurse would consider which
of these an expected finding? - correct answer Presence of small brown macules on
the sclera
A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he
has ptosis of one eye. How should the nurse check for this? - correct answer Observe
the distance between the palpebral fissures.
,NR302 Exam 2 (Latest Update )
Health Assessment I Questions with 100%
Correct Answers [Grade A]– Chamberlain
During an examination of the eye, the nurse would expect what normal finding when
assessing the lacrimal apparatus? - correct answer Absence of drainage from the
puncta when pressing against the inner orbital rim
When assessing the pupillary light reflex, the nurse should use which technique? -
correct answer Shine a light across the pupil from the side, and observe for direct and
consensual pupillary constriction.
The nurse is assessing a patients eyes for the accommodation response and would
expect to see which normal finding? - correct answer Convergence of the axes of the
eyes
In using the ophthalmoscope to assess a patients eyes, the nurse notices a red glow in
the patients pupils. On the basis of this finding, the nurse would: - correct answer
Consider the red glow a normal reflection of the ophthalmoscope light off the inner
retina.
The nurse is examining a patients retina with an ophthalmoscope. Which finding is
considered normal? - correct answer Optic disc that is a yellow-orange color
A 2-week-old infant can fixate on an object but cannot follow a light or bright toy. The
nurse would: - correct answer Consider this a normal finding
The nurse is assessing color vision of a male child. Which statement is correct? The
nurse should: - correct answer Test for color vision screening at the Childs 2-year
checkup
The nurse is performing an eye-screening clinic at a daycare center. When examining
a 2-year-old child, the nurse suspects that the child has a lazy eye and should: -
correct answer Test for strabismus by performing the corneal light reflex test
The nurse is performing an eye assessment on an 80-year-old patient. Which of these
findings is considered abnormal? - correct answer Unequal pupillary constriction in
response to light
The nurse notices the presence of periorbital edema when performing an eye
assessment on a 70-year-old patient. The nurse should: - correct answer Ask the
patient if he or she has a history of heart failure.
, NR302 Exam 2 (Latest Update )
Health Assessment I Questions with 100%
Correct Answers [Grade A]– Chamberlain
When a light is directed across the iris of a patients eye from the temporal side, the
nurse is assessing for: - correct answer Presence of shadows, which may indicate
glaucoma.
In a patient who has anisocoria, the nurse would expect to observe: - correct answer
Pupils of unequal size.
A patient comes to the emergency department after a boxing match, and his left eye is
swollen almost shut. He has bruises on his face and neck. He says he is worried
because he cant see well from his left eye. The physician suspects retinal damage. The
nurse recognizes that signs of retinal detachment include: - correct answer Shadow or
diminished vision in one quadrant or one half of the visual field.
A patient comes into the clinic complaining of pain in her right eye. On examination, the
nurse sees a pustule at the lid margin that is painful to touch, red, and swollen. The
nurse recognizes that this is a - correct answer Hordeolum (stye)
A 68-year-old woman is in the eye clinic for a checkup. She tells the nurse that she
has been having trouble reading the paper, sewing, and even seeing the faces of her
grandchildren. On examination, the nurse notes that she has some loss of central
vision but her peripheral vision is normal. These findings suggest that she may have: -
correct answer Macular degeneration
A patient comes into the emergency department after an accident at work. A machine
blew dust into his eyes, and he was not wearing safety glasses. The nurse examines
his corneas by shining a light from the side across the cornea. What findings would
suggest that he has suffered a corneal abrasion? - correct answer Shattered look to
the light rays reflecting off the cornea.
An ophthalmic examination reveals papilledema. The nurse is aware that this finding
indicates: - correct answer Increased intracranial pressure
During a physical education class, a student is hit in the eye with the end of a baseball
bat. When examined in the emergency department, the nurse notices the presence of
blood in the anterior chamber of the eye. This finding indicates the presence of: -
correct answer Hyphema
During an assessment, the nurse notices that an older adult patient has tears rolling
down his face from his left eye. Closer examination shows that the lower lid is loose
Health Assessment I Questions with 100%
Correct Answers [Grade A]– Chamberlain
Which of these assessment findings would the nurse expect to see when examining
the eyes of a black patient? - correct answer Dark retinal background
A 52-year-old patient describes the presence of occasional floaters or spots moving in
front of his eyes. The nurse should: - correct answer Know that floaters are usually
insignificant and are caused by condensed vitreous fibers.
The nurse is preparing to assess the visual acuity of a 16-year-old patient. How should
the nurse proceed? - correct answer Use the Snellen chart positioned 20 feet away
from the patient.
A patients vision is recorded as 20/30 when the Snellen eye chart is used. The nurse
interprets these results to indicate that: - correct answer The patient can read at 20
feet what a person with normal vision can read at 30 feet.
A patient is unable to read even the largest letters on the Snellen chart. The nurse
should take which action next? - correct answer Shorten the distance between the
patient and the chart until the letters are seen, and record that distance
A patients vision is recorded as 20/80 in each eye. The nurse interprets this finding to
mean that the patient: - correct answer Has poor vision
When performing the corneal light reflex assessment, the nurse notes that the light is
reflected at 2 o'clock in each eye. The nurse should: - correct answer Consider this a
normal finding
The nurse is performing the diagnostic positions test. Normal findings would be which
of these results? - correct answer Parallel movement of both eyes
During an assessment of the sclera of a black patient, the nurse would consider which
of these an expected finding? - correct answer Presence of small brown macules on
the sclera
A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he
has ptosis of one eye. How should the nurse check for this? - correct answer Observe
the distance between the palpebral fissures.
,NR302 Exam 2 (Latest Update )
Health Assessment I Questions with 100%
Correct Answers [Grade A]– Chamberlain
During an examination of the eye, the nurse would expect what normal finding when
assessing the lacrimal apparatus? - correct answer Absence of drainage from the
puncta when pressing against the inner orbital rim
When assessing the pupillary light reflex, the nurse should use which technique? -
correct answer Shine a light across the pupil from the side, and observe for direct and
consensual pupillary constriction.
The nurse is assessing a patients eyes for the accommodation response and would
expect to see which normal finding? - correct answer Convergence of the axes of the
eyes
In using the ophthalmoscope to assess a patients eyes, the nurse notices a red glow in
the patients pupils. On the basis of this finding, the nurse would: - correct answer
Consider the red glow a normal reflection of the ophthalmoscope light off the inner
retina.
The nurse is examining a patients retina with an ophthalmoscope. Which finding is
considered normal? - correct answer Optic disc that is a yellow-orange color
A 2-week-old infant can fixate on an object but cannot follow a light or bright toy. The
nurse would: - correct answer Consider this a normal finding
The nurse is assessing color vision of a male child. Which statement is correct? The
nurse should: - correct answer Test for color vision screening at the Childs 2-year
checkup
The nurse is performing an eye-screening clinic at a daycare center. When examining
a 2-year-old child, the nurse suspects that the child has a lazy eye and should: -
correct answer Test for strabismus by performing the corneal light reflex test
The nurse is performing an eye assessment on an 80-year-old patient. Which of these
findings is considered abnormal? - correct answer Unequal pupillary constriction in
response to light
The nurse notices the presence of periorbital edema when performing an eye
assessment on a 70-year-old patient. The nurse should: - correct answer Ask the
patient if he or she has a history of heart failure.
, NR302 Exam 2 (Latest Update )
Health Assessment I Questions with 100%
Correct Answers [Grade A]– Chamberlain
When a light is directed across the iris of a patients eye from the temporal side, the
nurse is assessing for: - correct answer Presence of shadows, which may indicate
glaucoma.
In a patient who has anisocoria, the nurse would expect to observe: - correct answer
Pupils of unequal size.
A patient comes to the emergency department after a boxing match, and his left eye is
swollen almost shut. He has bruises on his face and neck. He says he is worried
because he cant see well from his left eye. The physician suspects retinal damage. The
nurse recognizes that signs of retinal detachment include: - correct answer Shadow or
diminished vision in one quadrant or one half of the visual field.
A patient comes into the clinic complaining of pain in her right eye. On examination, the
nurse sees a pustule at the lid margin that is painful to touch, red, and swollen. The
nurse recognizes that this is a - correct answer Hordeolum (stye)
A 68-year-old woman is in the eye clinic for a checkup. She tells the nurse that she
has been having trouble reading the paper, sewing, and even seeing the faces of her
grandchildren. On examination, the nurse notes that she has some loss of central
vision but her peripheral vision is normal. These findings suggest that she may have: -
correct answer Macular degeneration
A patient comes into the emergency department after an accident at work. A machine
blew dust into his eyes, and he was not wearing safety glasses. The nurse examines
his corneas by shining a light from the side across the cornea. What findings would
suggest that he has suffered a corneal abrasion? - correct answer Shattered look to
the light rays reflecting off the cornea.
An ophthalmic examination reveals papilledema. The nurse is aware that this finding
indicates: - correct answer Increased intracranial pressure
During a physical education class, a student is hit in the eye with the end of a baseball
bat. When examined in the emergency department, the nurse notices the presence of
blood in the anterior chamber of the eye. This finding indicates the presence of: -
correct answer Hyphema
During an assessment, the nurse notices that an older adult patient has tears rolling
down his face from his left eye. Closer examination shows that the lower lid is loose
