Deck 45: Assessment of Visual Function

Question 1

A patient notices a change in the ability to focus the eyes. The nurse correlates this change to the function of which eye structure?
1)Lens
2)Macula
3)Optic disk
4)Optic nerve

Answer 1

1

Question 2

During morning care the nurse cleanses a patient's eyes. Which structure causes the eyes to blink?
1)Eyelids
2)Eyelashes
3)Lacrimal sacs
4)Lacrimal glands

Answer 2

2

Question 3

During a health history interview, a patient tells the nurse, "I am nearsighted." Which term does the nurse use in the patient's health record to document this information?
1)Myopia
2)Hyperopia
3)Presbyopia
4)Astigmatism

Answer 3

1

Question 4

Which tool does the nurse use to assess a patient's near vision?
1)Jaegar card
2)Snellen chart
3)Ishihara chart
4)Confrontation test

Question 5

The nurse notes that a patient's left pupil constricts when the right pupil is exposed to a bright light. What response did the nurse observe?
1)Ocular movements
2)Corneal light reflex
3)Pupillary light reflex
4)Consensual light reflex

Question 6

The nurse notes that a patient has difficulty seeing objects that are near. Which term should the nurse use when documenting this finding?
1)Myopia
2)Hyperopia
3)Emmetropia
4)Astigmatism

Question 7

The nurse correlates corneal testing to the diagnosis of which eye disorder?
1)Cataracts
2)Glaucoma
3)Detached retina
4)Corneal abrasions

Question 8

The nurse determines that a patient's rods are functioning as expected. What color did the patient see that caused the nurse to come to this conclusion?
1)Red
2)Blue
3)Gray
4)Green

Question 9

The school nurse recognizes which structure of the eye as the first line of defense against eye infections?
1)Iris
2)Fovea
3)Cornea
4)Conjunctivae

Question 10

An older patient reports a vision change of seeing dark spots. The nurse correlates this change to the function of which eye structure?
1)Sclera
2)Macula
3)Vitreous humor
4)Retinal blood vessels

Question 11

Which eye protection does the nurse recommend for a patient who works outdoors surveying land?
1)Face shield
2)Safety goggles
3)Prescriptive protective lenses
4)Ultraviolet protective eyewear

Question 12

A patient with eye pain is scheduled for slit-lamp testing. What pre-procedure teaching does the nurse provide to the patient?
1)Your eyes may be anesthetized during the test
2)Take nothing by mouth for four hours before the test
3)Take an over-the-counter analgesic before the test
4)Restrict intake to less than two cups of fluid before the test

Question 13

The nurse educates a patient with information related to the use of anesthetic drops during an eye examination. Which patient statement indicates the need for additional teaching?
1)"I will not rub my eyes after the eye examination."
2)"I will wear sunglasses after my eye examination."
3)"I will wait 24 hours after the examination before putting my contacts into my eyes."
4)"I will wait to swim for two to four hours after the eye examination."

Question 14

The nurse uses which tool to assess a patient's color vision?
1)Snellen chart
2)Ishihara chart
3)Confrontation test
4)Corneal light reflex test

Question 15

The nurse uses which term to document that a patient's eyes are dilated?
1)Miosis
2)Myopia
3)Mydriasis
4)Hyperopia

Question 16

A patient is scheduled for intraocular pressure testing. What pre-procedure teaching does the nurse provide to the patient?
1)Eye shields will need to be worn after the test
2)Avoid consuming alcohol for 12 hours before the test
3)Eye drops will be needed for several hours after the test
4)Take nothing by mouth after midnight the morning of the test

Question 17

During an ophthalmologic examination a patient's red reflex was absent from the left eye. This finding places the patient at risk for which complication?
1)Injury
2)Impaired comfort
3)Ineffective eye movement
4)Ineffective protection

Question 18

In preparing a patient for fluorescein angiography, the nurse includes which information about care at home after the test?
1)Increase oral intake of water after the test
2)Avoid lifting and sneezing for three days after the test
3)Remind that the skin may be yellow for a week after the test
4)Notify the healthcare provider if the urine turns green after the test

Question 19

The nurse prepares the patient with a suspected detached retina for which diagnostic test?
1)MRI
2)CT scan
3)Ultrasound
4)Radioisotope scan

Question 20

A patient is diagnosed with amblyopia. The nurse includes data about which eye structure when explaining this health problem to the patient?
1)Pupil
2)Retina
3)Sclera
4)Orbital muscles

Question 21

In reviewing a patient's history, which chronic disorders may affect the eye and vision? Select all that apply.
1)Diabetes mellitus
2)Hepatitis
3)Hypertension
4)Renal disease
5)Anemia

Question 22

The nurse is preparing an educational program for staff regarding care of the preoperative patient undergoing eye surgery. What does the nurse include about the functions of the ciliary body? Select all that apply.
1)Maintains lens zonules
2)Produces aqueous humor
3)Pupillary constriction
4)Supplies blood to the retina
5)Changes the shape of the lens

Question 23

By assessing the six cardinal positions of eye gaze, the nurse is able to correlate extraocular movements to function of which cranial nerves? Select all that apply.
1)CN II
2)CN III
3)CN IV
4)CN V
5)CN VI

Question 24

A 57-year-old patient asks how frequent eye examinations should be completed. What is the nurses' best response?
1)"It is recommended that you have an eye examination every 2 - 4 years."
2)"Everyone should have an eye exam every year."
3)"Most people need an examination every five years."
4)"If you have a chronic illness, an exam is needed every six months."

Question 25

The nurse is assessing a patient's eye function. On which cranial nerves should the nurse focus during this assessment? Select all that apply.
1)CN II
2)CN III
3)CN IV
4)CN V
5)CN VI

Question 26

An older adult patient is concerned because their eyes are dry and feel gritty. What is the nurse's best response to this patient's concern?
1)"This is because the eyelids lose elasticity with aging."
2)"This is because the arteries in the eyes narrow with aging."
3)"This is not normal and you need to see your healthcare provider."
4)"This is because the tear glands and conjunctiva don't lubricate the eye as well with aging."

Question 27

The nurse is providing care for a patient with a right eye injury. Because the uvea is damaged, the nurse correlates that this injury involves which eye structures? Select all that apply.
1)Iris
2)Sclera
3)Retina
4)Choroid
5)Ciliary body

Question 28

The nurse is preparing to assess a patient's eyes. Which eye functions are responsible for maintaining clear images of objects? Select all that apply.
1)Lubrication
2)Refraction
3)Convergence
4)Pupillary constriction
5)Accommodation

Question 29

A middle-aged adult is concerned about needing reading glasses. On which eye structure does the nurse focus when explaining this age-related change to the patient?
1)Lens
2)Pupil
3)Retina
4)Vitreous humor

Question 30

The nurse teaches a patient the importance of wearing sunglasses when outside to decrease the risk of which disorder?
1)Cataracts
2)Glaucoma
3)Detached retina
4)Corneal abrasions