NR302 EXAM 2 NEWEST 2025|CHAMBERLAIN| NR302
HEALTH ASSESSMENT| COMPLETE 200 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+
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.
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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?
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.....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.
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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.