PHARM NUR 210 GALEN EXAM 2 ACTUAL
PAPER 2026 QUESTIONS AND SOLUTIONS
GRADED A PLUS
◉A patient has a normal pupillary light reflex. The nurse recognizes
that this reflex indicates that:
a. The eyes converge to focus on the light.
b. Light is reflected at the same spot in both eyes.
c. The eye focuses the image in the center of the pupil.
d. Constriction of both pupils occurs in response to bright light.
Answer: d. Constriction of both pupils occurs in response to bright
light.
◉The nurse is conducting a visual examination. Which of these
statements regarding visual pathways and visual fields is true?
a. The right side of the brain interprets the vision for the right eye.
b. The image formed on the retina is upside down and reversed from
its actual appearance in the outside world.
c. Light rays are refracted through the transparent media of the eye
before striking the pupil.
,d. Light impulses are conducted through the optic nerve to the
temporal lobes of the brain.
Answer: b. The image formed on the retina is upside down and
reversed from its actual appearance in the outside world.
◉A mother asks when her newborn infants eyesight will be
developed. The nurse should reply:
a. Vision is not totally developed until 2 years of age.
b. Infants develop the ability to focus on an object at approximately 8
months of age.
c. By approximately 3 months of age, infants develop more
coordinated eye movements and can fixate on an object.
d. Most infants have uncoordinated eye movements for the first year
of life.
Answer: c. By approximately 3 months of age, infants develop more
coordinated eye movements and can fixate on an object.
◉10. The nurse is reviewing in age-related changes in the eye for a
class. Which of these physiologic changes is responsible for
presbyopia?
a. Degeneration of the cornea
b. Loss of lens elasticity
c. Decreased adaptation to darkness
d. Decreased distance vision abilities
,Answer: b. Loss of lens elasticity
◉11. Which of these assessment findings would the nurse expect to
see when examining the eyes of a black patient?
a. Increased night vision
b. Dark retinal background
c. Increased photosensitivity
d. Narrowed palpebral fissures
Answer: b. Dark retinal background
An ethnically based variability in the color of the iris and in retinal
pigmentation exists, with darker irides having darker retinas behind
them.
◉12. A 52-year-old patient describes the presence of occasional
floaters or spots moving in front of his eyes. The nurse should:
a. Examine the retina to determine the number of floaters.
b. Presume the patient has glaucoma and refer him for further
testing.
c. Consider these to be abnormal findings, and refer him to an
ophthalmologist.
d. Know that floaters are usually insignificant and are caused by
condensed vitreous fibers.
, Answer: d. Know that floaters are usually insignificant and are
caused by condensed vitreous fibers.
◉A patients vision is recorded as 20/30 when the Snellen eye chart
is used. The nurse interprets these results to indicate that:
a. At 30 feet the patient can read the entire chart.
b. The patient can read at 20 feet what a person with normal vision
can read at 30 feet.
c. The patient can read the chart from 20 feet in the left eye and 30
feet in the right eye.
d. The patient can read from 30 feet what a person with normal
vision can read from 20 feet.
Answer: b. The patient can read at 20 feet what a person with
normal vision can read at 30 feet.
The top number indicates the distance the person is standing from
the chart; the denominator gives the distance at which a normal eye
can see.
◉The nurse is preparing to assess the visual acuity of a 16-year-old
patient. How should the nurse proceed?
a. Perform the confrontation test.
b. Ask the patient to read the print on a handheld Jaeger card.
c. Use the Snellen chart positioned 20 feet away from the patient.
PAPER 2026 QUESTIONS AND SOLUTIONS
GRADED A PLUS
◉A patient has a normal pupillary light reflex. The nurse recognizes
that this reflex indicates that:
a. The eyes converge to focus on the light.
b. Light is reflected at the same spot in both eyes.
c. The eye focuses the image in the center of the pupil.
d. Constriction of both pupils occurs in response to bright light.
Answer: d. Constriction of both pupils occurs in response to bright
light.
◉The nurse is conducting a visual examination. Which of these
statements regarding visual pathways and visual fields is true?
a. The right side of the brain interprets the vision for the right eye.
b. The image formed on the retina is upside down and reversed from
its actual appearance in the outside world.
c. Light rays are refracted through the transparent media of the eye
before striking the pupil.
,d. Light impulses are conducted through the optic nerve to the
temporal lobes of the brain.
Answer: b. The image formed on the retina is upside down and
reversed from its actual appearance in the outside world.
◉A mother asks when her newborn infants eyesight will be
developed. The nurse should reply:
a. Vision is not totally developed until 2 years of age.
b. Infants develop the ability to focus on an object at approximately 8
months of age.
c. By approximately 3 months of age, infants develop more
coordinated eye movements and can fixate on an object.
d. Most infants have uncoordinated eye movements for the first year
of life.
Answer: c. By approximately 3 months of age, infants develop more
coordinated eye movements and can fixate on an object.
◉10. The nurse is reviewing in age-related changes in the eye for a
class. Which of these physiologic changes is responsible for
presbyopia?
a. Degeneration of the cornea
b. Loss of lens elasticity
c. Decreased adaptation to darkness
d. Decreased distance vision abilities
,Answer: b. Loss of lens elasticity
◉11. Which of these assessment findings would the nurse expect to
see when examining the eyes of a black patient?
a. Increased night vision
b. Dark retinal background
c. Increased photosensitivity
d. Narrowed palpebral fissures
Answer: b. Dark retinal background
An ethnically based variability in the color of the iris and in retinal
pigmentation exists, with darker irides having darker retinas behind
them.
◉12. A 52-year-old patient describes the presence of occasional
floaters or spots moving in front of his eyes. The nurse should:
a. Examine the retina to determine the number of floaters.
b. Presume the patient has glaucoma and refer him for further
testing.
c. Consider these to be abnormal findings, and refer him to an
ophthalmologist.
d. Know that floaters are usually insignificant and are caused by
condensed vitreous fibers.
, Answer: d. Know that floaters are usually insignificant and are
caused by condensed vitreous fibers.
◉A patients vision is recorded as 20/30 when the Snellen eye chart
is used. The nurse interprets these results to indicate that:
a. At 30 feet the patient can read the entire chart.
b. The patient can read at 20 feet what a person with normal vision
can read at 30 feet.
c. The patient can read the chart from 20 feet in the left eye and 30
feet in the right eye.
d. The patient can read from 30 feet what a person with normal
vision can read from 20 feet.
Answer: b. The patient can read at 20 feet what a person with
normal vision can read at 30 feet.
The top number indicates the distance the person is standing from
the chart; the denominator gives the distance at which a normal eye
can see.
◉The nurse is preparing to assess the visual acuity of a 16-year-old
patient. How should the nurse proceed?
a. Perform the confrontation test.
b. Ask the patient to read the print on a handheld Jaeger card.
c. Use the Snellen chart positioned 20 feet away from the patient.
