NR 302 Exam 2 (2025) ACTUAL EXAM (detailed &
elaborated) comprehensive questions and
verified accurate solution 2025 TEST!!
When examining the eye, the nurse notices that the patients eyelid margins approximate completely. The
nurse recognizes that this assessment finding: - ANSWER: Is expected
- The palpebral fissure is the elliptical open space between the eyelids, and, when closed, the lid margins
approximate completely, which is a normal finding.
During ocular examinations, the nurse keeps in mind that movement of the extraocular muscles is: - ANSWER:
Stimulated by CNs III, IV, and VI
- Movement of the extraocular muscles is stimulated by three CNs: III, IV, and VI.
The nurse is performing an external eye examination. Which statement regarding the outer layer of the eye is
true? - ANSWER: The outer layer of the eye is very sensitive to touch.
- The cornea and the sclera make up the outer layer of the eye. The cornea is very sensitive to touch. The
middle layer, the choroid, has dark pigmentation to prevent light from reflecting internally. The trigeminal
nerve (CN V) and the facial nerve (CN VII) are stimulated when the outer surface of the eye is stimulated. The
retina, in the inner layer of the eye, is where light waves are changed into nerve impulses.
When examining a patients eyes, the nurse recalls that stimulation of the sympathetic branch of the
autonomic nervous system: - ANSWER: Elevates the eyelid and dilates pupil
The nurse is reviewing causes of increased intraocular pressure. Which of these factors determines intraocular
pressure? - ANSWER: Amount of aqueous produced resistance to its outflow at the angle of the anterior
chamber
The nurse is conducting a visual examination. Which of these statements regarding visual pathways and visual
fields is true? - ANSWER: The image formed on the retina is upside down and reversed from its actual
appearance in the outside world.
The nurse is testing a patients visual accommodation, which refers to which action? - ANSWER: Pupillary
constriction when looking at a near object
,A patient has a normal pupillary light reflex. The nurse recognizes that this reflex indicates that: - ANSWER:
Constriction of both pupils occurs in response to bright light.
A mother asks when her newborn infants eyesight will be developed. The nurse should reply: - ANSWER: By
approximately 3 months of age, infants develop more coordinated eye movements and can fixate on an
object.
The nurse is reviewing in age-related changes in the eye for a class. Which of these physiologic changes is
responsible for presbyopia? - ANSWER: Loss of lens elasticity
- The lens loses elasticity and decreases its ability to change shape to accommodate for near vision. This
condition is called presbyopia
Which of these assessment findings would the nurse expect to see when examining the eyes of a black
patient? - ANSWER: Dark retinal background
A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. The
nurse should: - ANSWER: Know that floaters are usually insignificant and are caused by condensed vitreous
fibers.
The nurse is preparing to assess the visual acuity of a 16-year-old patient. How should the nurse proceed? -
ANSWER: Use the Snellen chart positioned 20 feet away from the patient.
A patients vision is recorded as 20/30 when the Snellen eye chart is used. The nurse interprets these results to
indicate that: - ANSWER: The patient can read at 20 feet what a person with normal vision can read at 30 feet.
A patient is unable to read even the largest letters on the Snellen chart. The nurse should take which action
next? - ANSWER: Shorten the distance between the patient and the chart until the letters are seen, and record
that distance
A patients vision is recorded as 20/80 in each eye. The nurse interprets this finding to mean that the patient: -
ANSWER: Has poor vision
When performing the corneal light reflex assessment, the nurse notes that the light is reflected at 2 o'clock in
each eye. The nurse should: - ANSWER: Consider this a normal finding
, The nurse is performing the diagnostic positions test. Normal findings would be which of these results? -
ANSWER: Parallel movement of both eyes
During an assessment of the sclera of a black patient, the nurse would consider which of these an expected
finding? - ANSWER: Presence of small brown macules on the sclera
A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he has ptosis of one eye.
How should the nurse check for this? - ANSWER: Observe the distance between the palpebral fissures.
During an examination of the eye, the nurse would expect what normal finding when assessing the lacrimal
apparatus? - ANSWER: Absence of drainage from the puncta when pressing against the inner orbital rim
When assessing the pupillary light reflex, the nurse should use which technique? - ANSWER: Shine a light
across the pupil from the side, and observe for direct and consensual pupillary constriction.
The nurse is assessing a patients eyes for the accommodation response and would expect to see which normal
finding? - ANSWER: Convergence of the axes of the eyes
In using the ophthalmoscope to assess a patients eyes, the nurse notices a red glow in the patients pupils. On
the basis of this finding, the nurse would: - ANSWER: Consider the red glow a normal reflection of the
ophthalmoscope light off the inner retina.
The nurse is examining a patients retina with an ophthalmoscope. Which finding is considered normal? -
ANSWER: Optic disc that is a yellow-orange color
A 2-week-old infant can fixate on an object but cannot follow a light or bright toy. The nurse would: -
ANSWER: Consider this a normal finding
The nurse is assessing color vision of a male child. Which statement is correct? The nurse should: - ANSWER:
Test for color vision screening at the Childs 2-year checkup
The nurse is performing an eye-screening clinic at a daycare center. When examining a 2-year-old child, the
nurse suspects that the child has a lazy eye and should: - ANSWER: Test for strabismus by performing the
corneal light reflex test
elaborated) comprehensive questions and
verified accurate solution 2025 TEST!!
When examining the eye, the nurse notices that the patients eyelid margins approximate completely. The
nurse recognizes that this assessment finding: - ANSWER: Is expected
- The palpebral fissure is the elliptical open space between the eyelids, and, when closed, the lid margins
approximate completely, which is a normal finding.
During ocular examinations, the nurse keeps in mind that movement of the extraocular muscles is: - ANSWER:
Stimulated by CNs III, IV, and VI
- Movement of the extraocular muscles is stimulated by three CNs: III, IV, and VI.
The nurse is performing an external eye examination. Which statement regarding the outer layer of the eye is
true? - ANSWER: The outer layer of the eye is very sensitive to touch.
- The cornea and the sclera make up the outer layer of the eye. The cornea is very sensitive to touch. The
middle layer, the choroid, has dark pigmentation to prevent light from reflecting internally. The trigeminal
nerve (CN V) and the facial nerve (CN VII) are stimulated when the outer surface of the eye is stimulated. The
retina, in the inner layer of the eye, is where light waves are changed into nerve impulses.
When examining a patients eyes, the nurse recalls that stimulation of the sympathetic branch of the
autonomic nervous system: - ANSWER: Elevates the eyelid and dilates pupil
The nurse is reviewing causes of increased intraocular pressure. Which of these factors determines intraocular
pressure? - ANSWER: Amount of aqueous produced resistance to its outflow at the angle of the anterior
chamber
The nurse is conducting a visual examination. Which of these statements regarding visual pathways and visual
fields is true? - ANSWER: The image formed on the retina is upside down and reversed from its actual
appearance in the outside world.
The nurse is testing a patients visual accommodation, which refers to which action? - ANSWER: Pupillary
constriction when looking at a near object
,A patient has a normal pupillary light reflex. The nurse recognizes that this reflex indicates that: - ANSWER:
Constriction of both pupils occurs in response to bright light.
A mother asks when her newborn infants eyesight will be developed. The nurse should reply: - ANSWER: By
approximately 3 months of age, infants develop more coordinated eye movements and can fixate on an
object.
The nurse is reviewing in age-related changes in the eye for a class. Which of these physiologic changes is
responsible for presbyopia? - ANSWER: Loss of lens elasticity
- The lens loses elasticity and decreases its ability to change shape to accommodate for near vision. This
condition is called presbyopia
Which of these assessment findings would the nurse expect to see when examining the eyes of a black
patient? - ANSWER: Dark retinal background
A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. The
nurse should: - ANSWER: Know that floaters are usually insignificant and are caused by condensed vitreous
fibers.
The nurse is preparing to assess the visual acuity of a 16-year-old patient. How should the nurse proceed? -
ANSWER: Use the Snellen chart positioned 20 feet away from the patient.
A patients vision is recorded as 20/30 when the Snellen eye chart is used. The nurse interprets these results to
indicate that: - ANSWER: The patient can read at 20 feet what a person with normal vision can read at 30 feet.
A patient is unable to read even the largest letters on the Snellen chart. The nurse should take which action
next? - ANSWER: Shorten the distance between the patient and the chart until the letters are seen, and record
that distance
A patients vision is recorded as 20/80 in each eye. The nurse interprets this finding to mean that the patient: -
ANSWER: Has poor vision
When performing the corneal light reflex assessment, the nurse notes that the light is reflected at 2 o'clock in
each eye. The nurse should: - ANSWER: Consider this a normal finding
, The nurse is performing the diagnostic positions test. Normal findings would be which of these results? -
ANSWER: Parallel movement of both eyes
During an assessment of the sclera of a black patient, the nurse would consider which of these an expected
finding? - ANSWER: Presence of small brown macules on the sclera
A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he has ptosis of one eye.
How should the nurse check for this? - ANSWER: Observe the distance between the palpebral fissures.
During an examination of the eye, the nurse would expect what normal finding when assessing the lacrimal
apparatus? - ANSWER: Absence of drainage from the puncta when pressing against the inner orbital rim
When assessing the pupillary light reflex, the nurse should use which technique? - ANSWER: Shine a light
across the pupil from the side, and observe for direct and consensual pupillary constriction.
The nurse is assessing a patients eyes for the accommodation response and would expect to see which normal
finding? - ANSWER: Convergence of the axes of the eyes
In using the ophthalmoscope to assess a patients eyes, the nurse notices a red glow in the patients pupils. On
the basis of this finding, the nurse would: - ANSWER: Consider the red glow a normal reflection of the
ophthalmoscope light off the inner retina.
The nurse is examining a patients retina with an ophthalmoscope. Which finding is considered normal? -
ANSWER: Optic disc that is a yellow-orange color
A 2-week-old infant can fixate on an object but cannot follow a light or bright toy. The nurse would: -
ANSWER: Consider this a normal finding
The nurse is assessing color vision of a male child. Which statement is correct? The nurse should: - ANSWER:
Test for color vision screening at the Childs 2-year checkup
The nurse is performing an eye-screening clinic at a daycare center. When examining a 2-year-old child, the
nurse suspects that the child has a lazy eye and should: - ANSWER: Test for strabismus by performing the
corneal light reflex test
