A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he has ptosis of one eye. How should the nurse check for this?
NURS330 Individual Assessment
Chapter 15 Quiz
Question 1A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he has ptosis of one eye. How should the nurse check for this?
Perform the confrontation test.
Assess the individual’s near vision.
Observe the distance between the palpebral fissures.
Perform the corneal light test, and look for symmetry of the light reflex.
Question 2The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is considered abnormal?
Decrease in tear production
Unequal pupillary constriction in response to light
Presence of arcus senilis observed around the cornea
Loss of the outer hair on the eyebrows attributable to a decrease in hair follicles
Question 3Which of these assessment findings would the nurse expect to see when examining the eyes of a black patient?
Increased night vision
Dark retinal background
Increased photosensitivity
Narrowed palpebral fissures
Question 4The nurse is testing a patient’s visual accommodation. How is accommodation assessed?
Pupillary dilation when looking at a distant object
Involuntary blinking in the presence of bright light
Pupillary constriction when looking at a near object
Changes in peripheral vision in response to bright light
Question 5The nurse is performing the diagnostic positions test. Which result is a normal finding?
Convergence of the eyes
Parallel movement of both eyes
Nystagmus in extreme superior gaze
Slight amount of lid lag when moving the eyes from a superior to an inferior position
Question 6The nurse is performing an eye-screening clinic at a daycare center. When examining a 2-year-old child, the nurse suspects that the child has a “lazy eye”. What should the nurse do next?
Examine the external structures of the eye.
Assess visual acuity with the Snellen eye chart.
Assess the child’s visual fields with the confrontation test.
Test for strabismus by performing the corneal light reflex test.
Question 7An ophthalmic examination reveals papilledema. What does this finding indicate?
Retinal detachment
Diabetic retinopathy
Acute-angle glaucoma
Increased intracranial pressure
Question 8A 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?
Smooth and clear corneas
Opacity of the lens behind the cornea
Bleeding from the areas across the cornea
Shattered look to the light rays reflecting off the cornea
Question 9During an examination, a patient states that she was diagnosed with open-angle glaucoma 2 years ago. The nurse assesses for characteristics of open-angle glaucoma. Which of these are characteristics of open-angle glaucoma? (Select all that apply.)
Immediate treatment is needed.
Virtually no symptoms are exhibited.
Vision loss begins with peripheral vision.
Patient may experience sensitivity to light, nausea, and halos around lights.
Patient experiences tunnel vision in the late stages.
Open-angle glaucoma causes sudden attacks of increased pressure that cause blurred vision.
Question 10The nurse is reviewing the age-related changes in the eye for a class. Which of these physiologic changes is responsible for presbyopia?
Loss of lens elasticity
Degeneration of the cornea
Decreased adaptation to darkness
Decreased distance vision abilities
The lens loses elasticity and decreases its ability to change shape to accommodate for near vision. This condition is called presbyopia.
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