NURS 210 Final Exam Questions With
Correct Answers
What is the normal response to the accommodation test?
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a. Convergence of the axis of the eyes and constriction of the pupils
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b. A direct light reflex and consensual light reflex
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c. Conjugate movement of the eyes in all 6 cardinal positions of gaze
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d. Symmetrical dilation of bilateral pupils - CORRECT ANSWER✔✔-a.
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Convergence of the axis of the eyes and constriction of the pupils
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How will the nurse assess the peripheral vision of an adult patient who
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was admitted to the hospital with a possible stroke?
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a. Perform the Snellen alphabet test
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b. Perform the diagnostic positions test
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c. Perform the corneal light reflex test
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d. Perform the confrontation test - CORRECT ANSWER✔✔-d. Perform
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the confrontation test
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,Which cranial nerves are being tested when the nurse has a patient
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perform the diagnostic positions test? | | | |
a. Cranial nerves III, IV and VI
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b. Cranial nerves II, III and IV
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c. Cranial nerves IV, V and VI
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d. Cranial nerves III, IV and V - CORRECT ANSWER✔✔-a. Cranial nerves
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III, IV and VI
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What is the best nursing response when asymmetric corneal light reflex
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is observed in a 3 year old child?
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a. Look for other signs of Bell's palsy
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b. Refer the patient to the appropriate specialist due to strabismus
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c. No action is needed, because this is a normal finding in children under
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the age of 6
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d. Notify the physician of cranial nerve II dysfunction - CORRECT
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ANSWER✔✔-b. Refer the patient to the appropriate specialist due to | | | | | | | | | |
strabismus
What is the nursing priority for an African-American patient with small
| | | | | | | | | | |
brown macules on the sclera?| | | |
a. Refer the patient to an ophthalmologist for further testing.
| | | | | | | | |
,b. Notify the patient that he may have liver disease and should have it
| | | | | | | | | | | | | |
checked.
c. Proceed with the examination as planned because this is a normal
| | | | | | | | | | | |
finding.
d. Instruct the patient to wear sunglasses when outdoors to prevent
| | | | | | | | | | |
further macule formation. - CORRECT ANSWER✔✔-c. Proceed with the
| | | | | | | | |
examination as planned because this is a normal finding. | | | | | | | |
How will the nurse document assessment of the eyes in an adult patient
| | | | | | | | | | | |
that has drooping of the left eye lid with a smaller distance between the
| | | | | | | | | | | | | |
upper and lower lids on the left?
| | | | | | |
a. Exophthalmos of the right eye
| | | | |
b. Ptosis of the left eye lid
| | | | | |
c. Anisocoria of the left eye lid
| | | | | |
d. Nystagmus of the left eye - CORRECT ANSWER✔✔-b. Ptosis of the left
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eye lid
| |
What is the priority nursing intervention when the nurse observes that
| | | | | | | | | | |
an elderly patient cannot move the eyes past the midline to the left
| | | | | | | | | | | | |
when performing the diagnostic positions test?
| | | | |
|
a. Perform the Snellen eye test and pupillary light reflex to further test
| | | | | | | | | | | | |
cranial nerve II. | |
b. Document dysfunction of cranial nerves II and III and proceed with
| | | | | | | | | | | |
the assessment.
|
, c. Continue the assessment, because this is a normal finding in elderly
| | | | | | | | | | | |
patients.
d. Refer patient for further testing due to possible dysfunction of cranial
| | | | | | | | | | | |
nerves III, IV and VI. - CORRECT ANSWER✔✔-d. Refer patient for further
| | | | | | | | | | | |
testing due to possible dysfunction of cranial nerves III, IV and VI.
| | | | | | | | | | |
What type of vision loss does the nurse expect in a patient that has
| | | | | | | | | | | | | |
experienced an infarct involving the left cerebral optic tract (left
| | | | | | | | | |
hemispheric stroke)? |
a. Visual field loss in the right temporal and left nasal fields
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b. Visual field loss in the right nasal and left nasal fields
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c. Visual field loss in the right temporal and left temporal fields
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d. Visual field loss in right nasal and left temporal fields - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-a. Visual field loss in the right temporal and left nasal | | | | | | | | | | |
fields
The mother of a 2-year-old is concerned because her son has had three
| | | | | | | | | | | | |
ear infections in the past year. What would be an appropriate response
| | | | | | | | | | | |
by the nurse?
| |
a.
"It is unusual for a small child to have frequent ear infections unless
| | | | | | | | | | | | |
something else is wrong." | | |
Correct Answers
What is the normal response to the accommodation test?
| | | | | | | |
a. Convergence of the axis of the eyes and constriction of the pupils
| | | | | | | | | | | |
b. A direct light reflex and consensual light reflex
| | | | | | | |
c. Conjugate movement of the eyes in all 6 cardinal positions of gaze
| | | | | | | | | | | |
d. Symmetrical dilation of bilateral pupils - CORRECT ANSWER✔✔-a.
| | | | | | | | |
Convergence of the axis of the eyes and constriction of the pupils
| | | | | | | | | | |
How will the nurse assess the peripheral vision of an adult patient who
| | | | | | | | | | | | |
was admitted to the hospital with a possible stroke?
| | | | | | | |
a. Perform the Snellen alphabet test
| | | | |
b. Perform the diagnostic positions test
| | | | |
c. Perform the corneal light reflex test
| | | | | |
d. Perform the confrontation test - CORRECT ANSWER✔✔-d. Perform
| | | | | | | | |
the confrontation test
| |
,Which cranial nerves are being tested when the nurse has a patient
| | | | | | | | | | | |
perform the diagnostic positions test? | | | |
a. Cranial nerves III, IV and VI
| | | | | |
b. Cranial nerves II, III and IV
| | | | | |
c. Cranial nerves IV, V and VI
| | | | | |
d. Cranial nerves III, IV and V - CORRECT ANSWER✔✔-a. Cranial nerves
| | | | | | | | | | | |
III, IV and VI
| | |
What is the best nursing response when asymmetric corneal light reflex
| | | | | | | | | | |
is observed in a 3 year old child?
| | | | | | |
a. Look for other signs of Bell's palsy
| | | | | | |
b. Refer the patient to the appropriate specialist due to strabismus
| | | | | | | | | |
c. No action is needed, because this is a normal finding in children under
| | | | | | | | | | | | |
the age of 6
| | | |
d. Notify the physician of cranial nerve II dysfunction - CORRECT
| | | | | | | | | | |
ANSWER✔✔-b. Refer the patient to the appropriate specialist due to | | | | | | | | | |
strabismus
What is the nursing priority for an African-American patient with small
| | | | | | | | | | |
brown macules on the sclera?| | | |
a. Refer the patient to an ophthalmologist for further testing.
| | | | | | | | |
,b. Notify the patient that he may have liver disease and should have it
| | | | | | | | | | | | | |
checked.
c. Proceed with the examination as planned because this is a normal
| | | | | | | | | | | |
finding.
d. Instruct the patient to wear sunglasses when outdoors to prevent
| | | | | | | | | | |
further macule formation. - CORRECT ANSWER✔✔-c. Proceed with the
| | | | | | | | |
examination as planned because this is a normal finding. | | | | | | | |
How will the nurse document assessment of the eyes in an adult patient
| | | | | | | | | | | |
that has drooping of the left eye lid with a smaller distance between the
| | | | | | | | | | | | | |
upper and lower lids on the left?
| | | | | | |
a. Exophthalmos of the right eye
| | | | |
b. Ptosis of the left eye lid
| | | | | |
c. Anisocoria of the left eye lid
| | | | | |
d. Nystagmus of the left eye - CORRECT ANSWER✔✔-b. Ptosis of the left
| | | | | | | | | | | |
eye lid
| |
What is the priority nursing intervention when the nurse observes that
| | | | | | | | | | |
an elderly patient cannot move the eyes past the midline to the left
| | | | | | | | | | | | |
when performing the diagnostic positions test?
| | | | |
|
a. Perform the Snellen eye test and pupillary light reflex to further test
| | | | | | | | | | | | |
cranial nerve II. | |
b. Document dysfunction of cranial nerves II and III and proceed with
| | | | | | | | | | | |
the assessment.
|
, c. Continue the assessment, because this is a normal finding in elderly
| | | | | | | | | | | |
patients.
d. Refer patient for further testing due to possible dysfunction of cranial
| | | | | | | | | | | |
nerves III, IV and VI. - CORRECT ANSWER✔✔-d. Refer patient for further
| | | | | | | | | | | |
testing due to possible dysfunction of cranial nerves III, IV and VI.
| | | | | | | | | | |
What type of vision loss does the nurse expect in a patient that has
| | | | | | | | | | | | | |
experienced an infarct involving the left cerebral optic tract (left
| | | | | | | | | |
hemispheric stroke)? |
a. Visual field loss in the right temporal and left nasal fields
| | | | | | | | | | |
b. Visual field loss in the right nasal and left nasal fields
| | | | | | | | | | |
c. Visual field loss in the right temporal and left temporal fields
| | | | | | | | | | |
d. Visual field loss in right nasal and left temporal fields - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-a. Visual field loss in the right temporal and left nasal | | | | | | | | | | |
fields
The mother of a 2-year-old is concerned because her son has had three
| | | | | | | | | | | | |
ear infections in the past year. What would be an appropriate response
| | | | | | | | | | | |
by the nurse?
| |
a.
"It is unusual for a small child to have frequent ear infections unless
| | | | | | | | | | | | |
something else is wrong." | | |
