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Exam (elaborations)

N3320 Test #3 Exam Review, N3320: Test #2 Review, N3320 Test #1 Review – Questions With A+ Solutions

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N3320 Test #3 Exam Review, N3320: Test #2 Review, N3320 Test #1 Review – Questions With A+ Solutions

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N3320 Test #3 Exam Review, N3320: Test #2
Review, N3320 Test #1 Review – Questions With A+
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Terms in this set (373)


Have patient stand 20 ft away
How do you assess distant from Snellen or E chart and ask
visual acuity? to read each line aloud



it means that a client can
What does 20/20 vision distinguish what a person with
mean? normal vision can distinguish
from 20 ft away

Myopia -- impaired far vision
What is an abnormal
finding associated with 2nd number will be higher
visual acuity?
20/200 indicates legally blind

Have patient hold vision chart 14" from eyes and cover
How do you assess near
one eye with an opaque card before reading top to
visual acuity?
bottom

Presbyopia (impaired near vision)

What is an abnormal
patient has to move chart away
finding associated with
form eyes to focus on the print
near visual acuity?

Normal vision is 14/14

, Confrontation Test


Have patient cover one eye and stand 2 feet away
How do you assess for HCP covers opposite eye and extends same arm as the
gross peripheral vision? eyes that is covered by the patient


Patient should see the examiner's finger at the same
time the examiner sees it

Tests muscle strength & cranial nerve function


Hold an object 12 in from patient's face

How do you perform the
Move the object through all 6 cardinal positions in a
POSITIONS TEST?
clockwise direction


observe eye movement -- should be smooth and
symmetric in all directions

Failure of the eyes to move in all
directions indicates a muscle
weakness or cranial nerve
What is an abnormal
dysfunction
finding associated with the
positions test?
Nystagmus -- associated with an
inner ear disorder, MS, brain
lesions or narcotic use

result of weakness or paralysis of one or more
extraocular muscles


Nerve affected with be on the same side as they eye
affected
What is paralytic
strabismus?
6th nerve paralysis (Abducens): eye cannot look to
outer side
4th nerve paralysis (Trochlear): eyes cannot look down
when turned inward
3rd nerve paralysis (Oculomotor): looks straight ahead

, Ptosis (drooping eyelid)


Myasthenia gravis
What is an abnormal
finding associated with the Weakened muscles or tissue
eyelids?
Congenital disorder


Retracted lid margins

Failure of lids to close
Describe an abnormal
finding associated with the Entropion - inverted lower lid
eyelashes
Ectropion -- everted lower lid

What is considered a symmetrically aligned without protruding or sinking
normal position and
alignment for the eyeball in
the eye socket?

Protrusion -- indication of Grave's Disease
Describe an abnormal
finding with the position of
Sunken appearance -- indication of severe dehydration
the eyeball.
or wasting illnesses

Have the patient look in all
directions and observe for
CLARITY, COLOR, & TEXTURE
Explain how to inspect the
bulbar conjunctiva and Should be clear, moist, and
sclera smooth


Underlying structures are visible;
sclera is white.

, Generalized redness --
conjunctivitis


Areas of dryness -- allergies or
What is an abnormal
trauma
finding of the bulbar
conjunctiva and sclera?
Episcleritis -- noninfectious
inflammation; nodular in
appearance OR redness and
dilated vessels

Inspect for swelling or redness
How do you assess the
lacrimal apparatus? Palpate for a blockage



Swelling caused by infection, blockage, or inflammatory
condition
What is an abnormal
finding associated with the
Excessive tearing may be caused by an obstruction
lacrimal apparatus?

Drainage upon palpation

Shine a light from the side of the eye for an OBLIQUE
Explain how to inspect the view
cornea and lens
Look through the pupil to inspect the lens

What are abnormal findings Areas of roughness or dryness
associated with the cornea
and lens? Opacities

Nuclear cataracts -- appear grey
when seen with a flashlight
Describe the difference
between Nuclear cataracts
Peripheral cataracts -- look like
and Peripheral cataracts.
gray spokes that point inward
when seen with a flashlight

Measure pupils against a gauge (normal 3-5mm)

Explain how to inspect the
Iris is typically round, flat, and even colors
iris and pupil

Pupil is round with regular borders & centered in the iris

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