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.