NUR 202 FINAL EXAM QUESTIONS FULLY
DETAILED AND VERIFIED WITH COMPLETE
CORRECT SOLUTIONS
Opaque, bluish white ring within the outer edge of the cornea, caused by fat deposits - answer ✔✔-
Arcus senilis
"dry-eye", arcus senilis, less ability for the iris to dialate (AEB trouble seeing in the dark), lens lose
elasticity (AEB reduced accommodation), narrow visual field, lower perception of colors
Intraocular pressure is slightly higher in older adults - answer ✔✔-What are eye changes associated with
aging?
D. "The ring is just a buildup of deposits, not a cataract, and never interferes with vision."` - answer ✔✔-
The older adult client asks whether the white ring in the iris of both eyes is a cataract that can be
removed to improve her vision. What is the nurse's best response?
A. "A cataract forms inside the eye, not on the surface. This growth should be assessed for cancer."
B. "This type of ring in the eye gets worse as intraocular pressure increases, leading to glaucoma."
C. "The ring is a cataract, and it cannot be removed until it reaches and covers over the pupil."
D. "The ring is just a buildup of deposits, not a cataract, and never interferes with vision."
C. The right pupil does not change size when a light is shined directly at it. - answer ✔✔-Which client
assessment finding does the nurse report to the health care provider immediately?
A. The left pupil is slightly smaller than the right pupil.
B. Both eyes twitch when the client looks to the far lateral gaze position.
, C. The right pupil does not change size when a light is shined directly at it.
D. The lowest line the client can read clearly at 20 feet on the Snellen chart is marked 50 feet.
D. "Do not drive with ointment in your eyes." - answer ✔✔-Which precaution is most important for the
nurse to teach a client who is prescribed to use an ophthalmic ointment?
A. "Keep the tube in the refrigerator to make the ointment easier to control when you squeeze the
tube."
B. "Wear gloves when you apple the ointment to prevent absorbing the drug through your skin."
C. "Patch your eye at night to prevent ointment from getting on your bedding or in your hair."
D. "Do not drive with ointment in your eyes."
Bending from the waist, lifting objects weighing more than 10 lbs, sneezing, coughing, blowing the nose,
straining to have a BM, vomiting, having sexual intercourse, keeping the head in a dependent position,
wearing tight shirt collars - answer ✔✔-What activities increase intraocular pressure?
Lens opacity that distorts the image projected onto the retina "painless" "no eye redness" - answer ✔✔-
Cataract
Blurred vision
decreased color perception - answer ✔✔-What are manifestations of cataracts?
Atropine - answer ✔✔-What is the drug used with dilated pupil exams?
the use of ultrasonic vibration to shatter and remove the lens clouded by a cataract - answer ✔✔-
Phacoemulsification
Removal of a clouded eye lens, in one piece, through an incision - answer ✔✔-Extracapsular
- Sharp, sudden pain in the eye
- bleeding or increased discharge
DETAILED AND VERIFIED WITH COMPLETE
CORRECT SOLUTIONS
Opaque, bluish white ring within the outer edge of the cornea, caused by fat deposits - answer ✔✔-
Arcus senilis
"dry-eye", arcus senilis, less ability for the iris to dialate (AEB trouble seeing in the dark), lens lose
elasticity (AEB reduced accommodation), narrow visual field, lower perception of colors
Intraocular pressure is slightly higher in older adults - answer ✔✔-What are eye changes associated with
aging?
D. "The ring is just a buildup of deposits, not a cataract, and never interferes with vision."` - answer ✔✔-
The older adult client asks whether the white ring in the iris of both eyes is a cataract that can be
removed to improve her vision. What is the nurse's best response?
A. "A cataract forms inside the eye, not on the surface. This growth should be assessed for cancer."
B. "This type of ring in the eye gets worse as intraocular pressure increases, leading to glaucoma."
C. "The ring is a cataract, and it cannot be removed until it reaches and covers over the pupil."
D. "The ring is just a buildup of deposits, not a cataract, and never interferes with vision."
C. The right pupil does not change size when a light is shined directly at it. - answer ✔✔-Which client
assessment finding does the nurse report to the health care provider immediately?
A. The left pupil is slightly smaller than the right pupil.
B. Both eyes twitch when the client looks to the far lateral gaze position.
, C. The right pupil does not change size when a light is shined directly at it.
D. The lowest line the client can read clearly at 20 feet on the Snellen chart is marked 50 feet.
D. "Do not drive with ointment in your eyes." - answer ✔✔-Which precaution is most important for the
nurse to teach a client who is prescribed to use an ophthalmic ointment?
A. "Keep the tube in the refrigerator to make the ointment easier to control when you squeeze the
tube."
B. "Wear gloves when you apple the ointment to prevent absorbing the drug through your skin."
C. "Patch your eye at night to prevent ointment from getting on your bedding or in your hair."
D. "Do not drive with ointment in your eyes."
Bending from the waist, lifting objects weighing more than 10 lbs, sneezing, coughing, blowing the nose,
straining to have a BM, vomiting, having sexual intercourse, keeping the head in a dependent position,
wearing tight shirt collars - answer ✔✔-What activities increase intraocular pressure?
Lens opacity that distorts the image projected onto the retina "painless" "no eye redness" - answer ✔✔-
Cataract
Blurred vision
decreased color perception - answer ✔✔-What are manifestations of cataracts?
Atropine - answer ✔✔-What is the drug used with dilated pupil exams?
the use of ultrasonic vibration to shatter and remove the lens clouded by a cataract - answer ✔✔-
Phacoemulsification
Removal of a clouded eye lens, in one piece, through an incision - answer ✔✔-Extracapsular
- Sharp, sudden pain in the eye
- bleeding or increased discharge
