NSG 223 EXAM FOUR BLUEPRINT
NSG 223 Exam Four Blueprint 2026 Latest
Updated Questions With Answers Success
Guide.
Glaucoma nursing assessment -
Correct Answer --establish the diagnostic category
-assess the optic nerve damage
-formulate a treatment plan.
-The patient's ocular and medical history must be detailed
to investigate the history of predisposing factors.
Exams: tonometry to measure the IOP, ophthalmoscopy
to inspect the optic nerve, and central visual field testing
Changes in optic nerve are pallor (lack of blood supply)
and cupping (exaggerated bending of the blood vessel as
they cross the optic disk) progression caused by the
gradual loss of retinal nerve fibers and loss of blood
supply
As optic nerve damage increases, visual perception
decreases
Glaucoma medical treatment -
Correct Answer -Treatment is prevention of optic nerve
damage
Lifelong treatment-no cure
Treatment aimed at pharmacology (systemic and topical
ocular medications), laser, surgery, and a combination to
control further damage
Initial target is 30% lower than current pressure
1
,NSG 223 EXAM FOUR BLUEPRINT
Glaucoma pharm treatment -
Correct Answer -Started on low doses and then advanced
to increased concentrations until the desired IOP level is
reached
Beta blockers are the preferred innitial topical medication
One eye treated first, with the other eye used as a control
to determine the efficiency of the medication, once
established then the other eye treated
When results are not satisfactory, a new medication is
substituted. The main markers of the efficacy of the
medication in glaucoma control are lowering of the IOP to
the target pressure, stable appearance of the optic nerve
head, and the visual field.
Cholinergics (miotics) (pilocarpine, carbachol) {Increased
aqueous fluid outflow by contracting the ciliary muscles
and causing meiosis (constriction of the pupil) and
opening the trabecular meshwork}
Beta-blockers (FIRST LINE)
(timolol) {Decrease aqueous humor production}
Alpha-adrenergic agonists (apraclonidine, bromonidine)
{Decrease aqueous humor production}
Carbonia anhydrase inhibitors (acetazolamide,
dorzolamide) {Decrease aqueous humor production}
Prostaglandin analogs (latanoprost, bimatoprost)
{Increase uveoscleral outflow}
Glaucoma nursing management -
Correct Answer -NO CURE-slows progression of the
disease but does not cure it
2
, NSG 223 EXAM FOUR BLUEPRINT
Assess for knowledge level and adherence to their
prescribed medication.
The lifelong therapeutic regimen mandates patient
education. The nature of the disease and the importance
of strict adherence to the medication regimen must be
included in an individualized education plan
REASSURANCE AND EMOTIONAL SUPPORT, IN
HOME CARE IF BLINDNESS OCCURS, has a familial
tendency, educate family on getting tested
Medication administration -
Correct Answer -When multiple eyedrops are required,
there should be an interval of 5 to 10 minutes between
drops
Apply pressure to the tear duct to discourage systemic
absorption for 3-5 minutes after instillation to decrease
systemic absorption
Eye drops and ointments: Ointments are administered
less frequently and higher concentration but cause blurred
vision
Do not use after expiration date, cloudy, discolored
solution should be discarded
Some eyedrops contain benzalkonium hydrochloride, a
preservative, which is absorbed by soft contact lenses.
The medications should not be applied while wearing soft
contacts and should be instilled 15 minutes or longer
before inserting soft contacts.
Cataracts nursing assessment -
Correct Answer -Leading cause of blindness in the world
3
NSG 223 Exam Four Blueprint 2026 Latest
Updated Questions With Answers Success
Guide.
Glaucoma nursing assessment -
Correct Answer --establish the diagnostic category
-assess the optic nerve damage
-formulate a treatment plan.
-The patient's ocular and medical history must be detailed
to investigate the history of predisposing factors.
Exams: tonometry to measure the IOP, ophthalmoscopy
to inspect the optic nerve, and central visual field testing
Changes in optic nerve are pallor (lack of blood supply)
and cupping (exaggerated bending of the blood vessel as
they cross the optic disk) progression caused by the
gradual loss of retinal nerve fibers and loss of blood
supply
As optic nerve damage increases, visual perception
decreases
Glaucoma medical treatment -
Correct Answer -Treatment is prevention of optic nerve
damage
Lifelong treatment-no cure
Treatment aimed at pharmacology (systemic and topical
ocular medications), laser, surgery, and a combination to
control further damage
Initial target is 30% lower than current pressure
1
,NSG 223 EXAM FOUR BLUEPRINT
Glaucoma pharm treatment -
Correct Answer -Started on low doses and then advanced
to increased concentrations until the desired IOP level is
reached
Beta blockers are the preferred innitial topical medication
One eye treated first, with the other eye used as a control
to determine the efficiency of the medication, once
established then the other eye treated
When results are not satisfactory, a new medication is
substituted. The main markers of the efficacy of the
medication in glaucoma control are lowering of the IOP to
the target pressure, stable appearance of the optic nerve
head, and the visual field.
Cholinergics (miotics) (pilocarpine, carbachol) {Increased
aqueous fluid outflow by contracting the ciliary muscles
and causing meiosis (constriction of the pupil) and
opening the trabecular meshwork}
Beta-blockers (FIRST LINE)
(timolol) {Decrease aqueous humor production}
Alpha-adrenergic agonists (apraclonidine, bromonidine)
{Decrease aqueous humor production}
Carbonia anhydrase inhibitors (acetazolamide,
dorzolamide) {Decrease aqueous humor production}
Prostaglandin analogs (latanoprost, bimatoprost)
{Increase uveoscleral outflow}
Glaucoma nursing management -
Correct Answer -NO CURE-slows progression of the
disease but does not cure it
2
, NSG 223 EXAM FOUR BLUEPRINT
Assess for knowledge level and adherence to their
prescribed medication.
The lifelong therapeutic regimen mandates patient
education. The nature of the disease and the importance
of strict adherence to the medication regimen must be
included in an individualized education plan
REASSURANCE AND EMOTIONAL SUPPORT, IN
HOME CARE IF BLINDNESS OCCURS, has a familial
tendency, educate family on getting tested
Medication administration -
Correct Answer -When multiple eyedrops are required,
there should be an interval of 5 to 10 minutes between
drops
Apply pressure to the tear duct to discourage systemic
absorption for 3-5 minutes after instillation to decrease
systemic absorption
Eye drops and ointments: Ointments are administered
less frequently and higher concentration but cause blurred
vision
Do not use after expiration date, cloudy, discolored
solution should be discarded
Some eyedrops contain benzalkonium hydrochloride, a
preservative, which is absorbed by soft contact lenses.
The medications should not be applied while wearing soft
contacts and should be instilled 15 minutes or longer
before inserting soft contacts.
Cataracts nursing assessment -
Correct Answer -Leading cause of blindness in the world
3
