NCLEX cataract & glaucoma Exam Test Questions with Complete Solutions
1. The client who had cataract surgery with Answer: D
a lens implant 1 week ago remarks to the
home care nurse that after his daughter Rationale: These drugs are not
left to go to her home in another state yes- to be mixed together. Not only
terday, he combined all of his prescribed is the chance for contamination
eyedrops together in one container so he high, but the drug concentra-
had fewer drops to administer. What is the tions and effectiveness are also
nurse's best response? reduced when mixed together.
A. "This is not a good idea because not all Even when the drugs are admin-
of the drugs are on the same schedule." istered separately, they should
B. "That is a good idea; just remember to be given 5 to 10 minutes apart.
not touch the dropper to your eye when
giving yourself the drops."
C. "Call your surgeon immediately and
get new prescriptions because together
these drugs can lower your blood pres-
sure."
D. "Call your surgeon immediately and
get new prescriptions to use one at a time
because these drugs cannot be mixed to-
gether."
2. Which assessment is most important Answer: C
for the nurse to perform before instill-
ing travoprost (Travatan) into the client's Rationale: Travoprost is a
eye? prostaglandins agonist. Drugs
A. Measuring the client's blood pressure from this class should not be
B. Measuring the client's intraocular pres- applied unless the cornea is
sure completely intact. Measuring in-
C. Checking the cornea for abrasions or traocular pressure is not neces-
open areas sary when a diagnosis of glau-
D. Assessing heart rate and rhythm for 1 coma has been established.
full minute Prostaglandins agonists, even if
systemically absorbed, do not
affect body blood pressure or
heart rate and rhythm.
3. Which precaution is most important for Answer: A
the nurse to teach a 62-year-old client
1/5
, NCLEX cataract & glaucoma Exam Test Questions with Complete Solutions
newly diagnosed with early-stage dry Rationale: Dry AMD is more
age-related macular degeneration? common and progresses at a
A. Quit smoking faster rate among smokers than
B. Quit drinking alcoholic beverages among nonsmokers. Thus, quit-
C. Eat more dark green, red, and yellow ting smoking can slow the rate
vegetables of AMD progression. Avoiding
D. Wear dark glasses whenever he or she alcohol and bright light (even
is outside or in bright interior lighting en- ultraviolet light) is not related
vironments to AMD development or pro-
gression. Although increasing
long-term dietary intake of an-
tioxidants, vitamin B12, and the
carotenoids lutein and zeaxan-
thin that are found in green,
red, and yellow vegetables is
thought to help slow the pro-
gression of AMD, the effects
are not as profound as quitting
smoking.
4. A client with glaucoma is being assessed Answer: D
for new symptoms. Which symptom indi-
cates a high priority need for reassess- Rationale: Gradual vision
ment of intraocular pressure? changes are an indication of
A. Burning in the eye increased intraocular pressure.
B. Inability to differentiate colors A burning sensation in the eye
C. Increased sensitivity to light usually indicates inflammation
D. Gradual vision changes and/or infection. An inability to
differentiate colors is an early
sign of cataracts. An increased
sensitivity to light might be a
sign of a corneal abrasion.
5. A client has recently had cataract surgery. Answer: C
About which symptom does the nurse in-
struct the client to notify the health care Rationale: A reduction in vision
provider? after cataract surgery indicates
a problem, and the client should
notify the provider immediately.
2/5
1. The client who had cataract surgery with Answer: D
a lens implant 1 week ago remarks to the
home care nurse that after his daughter Rationale: These drugs are not
left to go to her home in another state yes- to be mixed together. Not only
terday, he combined all of his prescribed is the chance for contamination
eyedrops together in one container so he high, but the drug concentra-
had fewer drops to administer. What is the tions and effectiveness are also
nurse's best response? reduced when mixed together.
A. "This is not a good idea because not all Even when the drugs are admin-
of the drugs are on the same schedule." istered separately, they should
B. "That is a good idea; just remember to be given 5 to 10 minutes apart.
not touch the dropper to your eye when
giving yourself the drops."
C. "Call your surgeon immediately and
get new prescriptions because together
these drugs can lower your blood pres-
sure."
D. "Call your surgeon immediately and
get new prescriptions to use one at a time
because these drugs cannot be mixed to-
gether."
2. Which assessment is most important Answer: C
for the nurse to perform before instill-
ing travoprost (Travatan) into the client's Rationale: Travoprost is a
eye? prostaglandins agonist. Drugs
A. Measuring the client's blood pressure from this class should not be
B. Measuring the client's intraocular pres- applied unless the cornea is
sure completely intact. Measuring in-
C. Checking the cornea for abrasions or traocular pressure is not neces-
open areas sary when a diagnosis of glau-
D. Assessing heart rate and rhythm for 1 coma has been established.
full minute Prostaglandins agonists, even if
systemically absorbed, do not
affect body blood pressure or
heart rate and rhythm.
3. Which precaution is most important for Answer: A
the nurse to teach a 62-year-old client
1/5
, NCLEX cataract & glaucoma Exam Test Questions with Complete Solutions
newly diagnosed with early-stage dry Rationale: Dry AMD is more
age-related macular degeneration? common and progresses at a
A. Quit smoking faster rate among smokers than
B. Quit drinking alcoholic beverages among nonsmokers. Thus, quit-
C. Eat more dark green, red, and yellow ting smoking can slow the rate
vegetables of AMD progression. Avoiding
D. Wear dark glasses whenever he or she alcohol and bright light (even
is outside or in bright interior lighting en- ultraviolet light) is not related
vironments to AMD development or pro-
gression. Although increasing
long-term dietary intake of an-
tioxidants, vitamin B12, and the
carotenoids lutein and zeaxan-
thin that are found in green,
red, and yellow vegetables is
thought to help slow the pro-
gression of AMD, the effects
are not as profound as quitting
smoking.
4. A client with glaucoma is being assessed Answer: D
for new symptoms. Which symptom indi-
cates a high priority need for reassess- Rationale: Gradual vision
ment of intraocular pressure? changes are an indication of
A. Burning in the eye increased intraocular pressure.
B. Inability to differentiate colors A burning sensation in the eye
C. Increased sensitivity to light usually indicates inflammation
D. Gradual vision changes and/or infection. An inability to
differentiate colors is an early
sign of cataracts. An increased
sensitivity to light might be a
sign of a corneal abrasion.
5. A client has recently had cataract surgery. Answer: C
About which symptom does the nurse in-
struct the client to notify the health care Rationale: A reduction in vision
provider? after cataract surgery indicates
a problem, and the client should
notify the provider immediately.
2/5
