Question 1

When a light is directed across the iris of the eye from the temporal side,the examiner is assessing for:

Accepted Answer

The presence of shadows in the anterior chamber may be a sign of acute angle-closure glaucoma.

Question 2

An ophthalmic examination reveals papilledema.The nurse is aware that this finding indicates:

Accepted Answer

Papilledema,or choked disk,is caused by increased intracranial pressure,which is caused by a space-occupying mass such as a brain tumor or hematoma.This pressure causes venous stasis in the globe,redness,congestion,and elevation of the optic disc,blurred margins,hemorrhages,and absent venous pulsations.

Question 3

During a physical education class,a student is hit in the eye with the end of a baseball bat.When examined in the emergency department,the nurse notes the presence of blood in the anterior chamber of the eye.This finding indicates the presence of:

Accepted Answer

Hyphema is the term for blood in anterior chamber is a serious result of blunt trauma (a fist or a baseball)or spontaneous hemorrhage and may indicate scleral rupture or major intraocular trauma.

Question 4

The nurse notes the presence of periorbital edema when performing an eye assessment on a 70-year-old patient.The nurse will:

Accepted Answer

Periorbital edema occurs with local infections,crying,and systemic conditions such as heart failure,renal failure,allergy,and hypothyroidism.

Question 5

A patient comes into the emergency department after an accident at work.A machine blew dust into his eyes and he was not wearing safety glasses.The nurse examines his corneas by shining a light from the side across the cornea.What findings would suggest that he has suffered a corneal abrasion?

Accepted Answer

A corneal abrasion causes irregular ridges in reflected light,producing a shattered look to light rays.

Question 6

To assess color vision on a male child,the nurse would:

Accepted Answer

Test only boys for color vision once between the ages of 4 and 8 years.

Question 7

The nurse is performing an eye-screening clinic at the day care center.When examining a 2-year-old child,the nurse suspects that the child has "lazy eye" and would:

Accepted Answer

Testing for strabismus is done by performing the corneal light reflex test.The light should be reflected at exactly the same spot in both eyes.

Question 8

A patient comes into the clinic complaining of pain in her right eye.On examination,the nurse sees a pustule at the lid margin that is painful to touch,red,and swollen.The nurse recognizes that this is

Accepted Answer

A hordeolum,or stye,is a painful,red,and swollen pustule at the lid margin.

Question 9

In a patient who has anisocoria,the nurse would expect to observe:

Accepted Answer

Unequal pupil size is termed anisocoria.It exists normally in 5% of the population but may also be indicative of central nervous system disease.

Question 10

The nurse is performing an eye assessment on an 80-year-old patient.Which of the following findings is considered abnormal?

Accepted Answer

Pupils are small in old age,and the pupillary light reflex may be slowed,but pupillary constriction should be symmetric.

Question 11

During an ophthalmscopic examination of the eye,the examiner notes areas of exudate that look like "cotton wool" or fluffy gray-white cumulus clouds.This finding indicates which possible problem?

Accepted Answer

Soft exudates or "cotton wool" areas look like fluffy gray-white cumulus clouds,They occur with diabetes,hypertension,subacute bacterial endocarditis,lupus,and papilledema of any cause.

Question 12

A 68-year-old woman is in the eye clinic for a checkup.She tells the nurse that she has been having trouble with reading the paper,sewing,and even seeing the faces of her grandchildren.On examination,the nurse notes that she has some loss of central vision but her peripheral vision is normal.These findings suggest that:

Accepted Answer

Macular degeneration is the most common cause of blindness.It is characterized by loss of central vision.

Quiz 14: Eyes