Chapter 13 eye prep u questions

As part of a physical assessment, the nurse performs the confrontation test to assess the client's peripheral vision. Which test result should a nurse recognize as indicating normal peripheral vision for a client using the confrontation test?

• Client's consensual pupil constricts in response to indirect light.

• Eyes converge on an object as it is moved towards the nose.

• Direct light shown into the client's pupils results in constriction.

• The client and the examiner see the examiner's finger at the same time.

A 6-year-old boy has come to the clinic with his mother because of recent eye redness and discharge. The nurse's assessment has suggested a diagnosis of conjunctivitis. What should the nurse tell the mother about her son's eye?

• In children, this problem is usually caused by an increase in pressure within the eye.

• I'll prescribe some analgesics because your son is likely to have quite severe pain while his eye heals.

• Antibiotics will clear this up, but you need to make sure he gets them as ordered to avoid vision damage.

• This might have been the result of an allergy, but most likely it was caused by a bacteria or virus.

A client has conjunctivitis. The nurses understand that conjunctivitis differs from conjunctival hemorrhage in that conjunctivitis

• A. has a watery, mucoid discharge.

• B. usually follows trauma.

• C. is not painful.

• D. can result from a cough.

A 29-year-old physical therapist presents for evaluation of an eyelid problem. On observation, the right eyeball appears to be protruding forward. Based on this description, what is the most likely diagnosis?

• A. Ptosis

• B. Exophthalmos

• C. Ectropion

• D. Epicanthus

As part of a physical assessment, the nurse performs the confrontation test to assess the client's peripheral vision. Which test result should a nurse recognize as indicating normal peripheral vision for a client using the confrontation test?

• A. Client's consensual pupil constricts in response to indirect light

• B. Eyes converge on an object as it is moved towards the nose

• C. Direct light shown into the client's pupils results in constriction

• D. The client and the examiner see the examiner's finger at the same time

When performing an ophthalmoscopic exam, a nurse observes a round shape with distinct margins. The nurse would document this as which of the following?

• Physiologic cup

• Optic disc

• Retinal vessels

• Fovea

How can a nurse accurately assess the distant visual acuity of a client who is non-English speaking?

• Move an object through the six cardinal positions of gaze

• Use a Snellen E chart to perform the examination

• Have the client read from a Jaeger reading card

• Perform the confrontation test

A nurse assesses the vision of an older adult client with a long history of uncontrolled type 2 diabetes. The nurse determines the client's vision with corrective lenses is 20/200. How should the nurse interpret these findings?

• This is normal vision for a client over 65.

• The client will need a new pair of glasses.

• These findings indicate the client is legally blind.

• The client must have developed macular degeneration.

You are assessing visual fields on a client newly admitted for eye surgery. The client's left eye repeatedly does not see your fingers until they have crossed the line of gaze. You would document that the client has what?

• A left temporal hemianopsia

• A homonymous hemianopsia

• A bitemporal hemianopsia

• A quadrantic defect

While the nurse examines a client's pupillary response to light in the right eye, the pupil in the left eye is constricted. What does this finding suggest to the nurse?

• Myopia

• Presbyopia

• Direct reaction