NUR 676 Exam 2 Questions with Verified Solutions Rated A+
A provider performs an eye examination during a health maintenance visit and notes a difference of 0.5
mm in size between the patient's pupils. What does this finding indicate? - Answers Probable benign,
physiologic anisocoria
A patient comes to clinic with diffuse erythema in one eye without pain or history of trauma. The
examination reveals a deep red, confluent hemorrhage in the conjunctiva of that eye. What is the most
likely treatment for this condition? - Answers Reassure the patient that this will resolve
During an eye examination, the provider notes a red-light reflex in one eye but not the other. What is
the significance of this finding? - Answers Ocular disease requiring referral
A primary care provider may suspect cataract formation in a patient with which finding? - Answers
Asymmetric red reflex
Which are risk factors for development of cataracts? (Select all that apply.) - Answers Advancing age,
smoking ,UV light
A patient has a gradually enlarging nodule on one upper eyelid and reports that the lesion is painful. On
examination, the lesion appears warm and erythematous. The provider knows that this is likely to be
which type of lesion? - Answers Hordeolum
A patient reports using artificial tears for comfort because of burning and itching in both eyes but
reports worsening symptoms. The provider notes redness and discharge along the eyelid margins with
clear conjunctivae. What is the recommended treatment? - Answers Warm compresses, lid scrubs, and
antibiotic ointment
A child has a localized nodule on one eyelid which is warm, tender, and erythematous. On examination,
the provider notes clear conjunctivae and no discharge. What is the recommended treatment? -
Answers Warm compresses and massage of the lesion
A patient reports bilateral burning and itching eyes for several days. The provider notes a boggy
appearance to the conjunctivae, along with clear, watery discharge. The patient's eyelids are thickened
and discolored. There are no other symptoms. Which type of conjunctivitis is most likely. - Answers
Allergic
A patient who has symptoms of a cold develops conjunctivitis. The provider notes erythema of one eye
with profuse, watery discharge and enlarged anterior cervical lymph nodes, along with a fever. Which
treatment is indicated? - Answers Artificial tears and cool compresses
A patient diagnosed with allergic conjunctivitis and prescribed a topical anti-histamine vasoconstrictor
medication reported worsening symptoms. What is the provider's next step in managing this patient's
symptoms? - Answers Determine the duration of treatment with this medication
, A patient who works in a furniture manufacturing shop reports a sudden onset of severe eye pain while
sanding a piece of wood and now has copious tearing, redness, and light sensitivity in the affected eye.
On examination, the conjunctiva appears injected, but no foreign body is visualized. What is the
practitioner's next step? - Answers Application of a topical fluorescein dye
Which patients should be referred immediately to an ophthalmologist after eye injury and initial
treatment? (Select all that apply.) - Answers A patient who was sprayed by lawn chemicals, a patient
who works in a metal fabrication shop, and a patient with full-thickness corneal laceration
A patient experiencing chronically dry eyes reports having a foreign body sensation, burning, and
itching. A Schirmer test is abnormal. What is the suspected cause of this patient's symptoms based on
this test finding. - Answers Aqueous deficiency
A patient has evaporative dry eye syndrome with eyelid inflammation. What are some pharmacologic
and nonpharmacologic measures the provider can recommend? (Select all that apply.) - Answers Apply
over the counter artificial tears PRN, avoid direct exposure to air conditioning, and use non-tear baby
shampoo to gently scrub the eyelids.
An adult patient with a history of recurrent sinusitis and allergic rhinitis reports chronic tearing in one
eye, ocular discharge, and eyelid crusting. The provider suspects nasolacrimal duct obstruction. Which
initial treatment will the provider recommend? - Answers Warm compresses
A patient is diagnosed with dacryocystitis. The provider notes a painful lacrimal sac abscess that appears
to be coming to a head. Which treatment will be useful initially? - Answers Incision and drainage
Which is the most common cause of orbital cellulitis in all age groups? - Answers Local spread from the
ethmoid sinuses
A child's optic assessment data include unilateral eyelid edema, warmth, and erythema but no pain with
ocular movement is reported. Which characteristic is most likely true about this child's infection? -
Answers The eye is typically spared without conjunctivitis
A patient is experiencing eyelid swelling with erythema and warmth and reports pain with eye
movement. Which diagnostic tests will be performed to confirm a diagnosis of orbital cellulitis? (Select
all that apply.) - Answers Complete blood count and CT of orbits
A patient has an elevated, yellowish-white lesion adjacent to the cornea at the 3 o'clock position of the
right eye. The provider notes pinkish inflammation with dilated blood vessels surrounding the lesion.
What information will the provider provide the patient about this lesion? - Answers UVB eye protection
is especially important
A patient experiencing an inflamed pterygia lesion has been prescribed loteprednol topical steroid drops
for 7 days. The patient shows no improvement in symptoms. What is the next course of action? -
Answers Consult with an ophthalmologist
A provider performs an eye examination during a health maintenance visit and notes a difference of 0.5
mm in size between the patient's pupils. What does this finding indicate? - Answers Probable benign,
physiologic anisocoria
A patient comes to clinic with diffuse erythema in one eye without pain or history of trauma. The
examination reveals a deep red, confluent hemorrhage in the conjunctiva of that eye. What is the most
likely treatment for this condition? - Answers Reassure the patient that this will resolve
During an eye examination, the provider notes a red-light reflex in one eye but not the other. What is
the significance of this finding? - Answers Ocular disease requiring referral
A primary care provider may suspect cataract formation in a patient with which finding? - Answers
Asymmetric red reflex
Which are risk factors for development of cataracts? (Select all that apply.) - Answers Advancing age,
smoking ,UV light
A patient has a gradually enlarging nodule on one upper eyelid and reports that the lesion is painful. On
examination, the lesion appears warm and erythematous. The provider knows that this is likely to be
which type of lesion? - Answers Hordeolum
A patient reports using artificial tears for comfort because of burning and itching in both eyes but
reports worsening symptoms. The provider notes redness and discharge along the eyelid margins with
clear conjunctivae. What is the recommended treatment? - Answers Warm compresses, lid scrubs, and
antibiotic ointment
A child has a localized nodule on one eyelid which is warm, tender, and erythematous. On examination,
the provider notes clear conjunctivae and no discharge. What is the recommended treatment? -
Answers Warm compresses and massage of the lesion
A patient reports bilateral burning and itching eyes for several days. The provider notes a boggy
appearance to the conjunctivae, along with clear, watery discharge. The patient's eyelids are thickened
and discolored. There are no other symptoms. Which type of conjunctivitis is most likely. - Answers
Allergic
A patient who has symptoms of a cold develops conjunctivitis. The provider notes erythema of one eye
with profuse, watery discharge and enlarged anterior cervical lymph nodes, along with a fever. Which
treatment is indicated? - Answers Artificial tears and cool compresses
A patient diagnosed with allergic conjunctivitis and prescribed a topical anti-histamine vasoconstrictor
medication reported worsening symptoms. What is the provider's next step in managing this patient's
symptoms? - Answers Determine the duration of treatment with this medication
, A patient who works in a furniture manufacturing shop reports a sudden onset of severe eye pain while
sanding a piece of wood and now has copious tearing, redness, and light sensitivity in the affected eye.
On examination, the conjunctiva appears injected, but no foreign body is visualized. What is the
practitioner's next step? - Answers Application of a topical fluorescein dye
Which patients should be referred immediately to an ophthalmologist after eye injury and initial
treatment? (Select all that apply.) - Answers A patient who was sprayed by lawn chemicals, a patient
who works in a metal fabrication shop, and a patient with full-thickness corneal laceration
A patient experiencing chronically dry eyes reports having a foreign body sensation, burning, and
itching. A Schirmer test is abnormal. What is the suspected cause of this patient's symptoms based on
this test finding. - Answers Aqueous deficiency
A patient has evaporative dry eye syndrome with eyelid inflammation. What are some pharmacologic
and nonpharmacologic measures the provider can recommend? (Select all that apply.) - Answers Apply
over the counter artificial tears PRN, avoid direct exposure to air conditioning, and use non-tear baby
shampoo to gently scrub the eyelids.
An adult patient with a history of recurrent sinusitis and allergic rhinitis reports chronic tearing in one
eye, ocular discharge, and eyelid crusting. The provider suspects nasolacrimal duct obstruction. Which
initial treatment will the provider recommend? - Answers Warm compresses
A patient is diagnosed with dacryocystitis. The provider notes a painful lacrimal sac abscess that appears
to be coming to a head. Which treatment will be useful initially? - Answers Incision and drainage
Which is the most common cause of orbital cellulitis in all age groups? - Answers Local spread from the
ethmoid sinuses
A child's optic assessment data include unilateral eyelid edema, warmth, and erythema but no pain with
ocular movement is reported. Which characteristic is most likely true about this child's infection? -
Answers The eye is typically spared without conjunctivitis
A patient is experiencing eyelid swelling with erythema and warmth and reports pain with eye
movement. Which diagnostic tests will be performed to confirm a diagnosis of orbital cellulitis? (Select
all that apply.) - Answers Complete blood count and CT of orbits
A patient has an elevated, yellowish-white lesion adjacent to the cornea at the 3 o'clock position of the
right eye. The provider notes pinkish inflammation with dilated blood vessels surrounding the lesion.
What information will the provider provide the patient about this lesion? - Answers UVB eye protection
is especially important
A patient experiencing an inflamed pterygia lesion has been prescribed loteprednol topical steroid drops
for 7 days. The patient shows no improvement in symptoms. What is the next course of action? -
Answers Consult with an ophthalmologist
