NS372 Chapter 16

While assessing a client's eyes a nurse observes an inward turning of the left eye. The nurse should document what finding... a) esotropia b) strabismus c) phoria d) exotropia

a) esotropia

The optic nerves from each eyeball cross at the.. a) optic chiasma b) vitreous humor c) optic disc d) visual cortex

a) optic chiasma

A 45-year old client reports occasionally seeing spots in front of their eyes, the nurse should... a) tell the client that these often occur with aging b) refer the client to an ophthalmologist c) re-examine the client in two weeks d) assess the client for signs of diabetes

a) tell the client that these often occur with aging

Diabetes mellitus increases the risk of developing cataract(s). a. True b. False

a. True

The nurse is caring for a patient with no history of vision problems, the nurse recommends eye exams... a) yearly b) 2 years c) 3 years d) 4 years

b) 2 years

An adult client reports a family history of cataracts and questions their risk of cataracts. The nurse should instruct the client that there is a potential risk factor for... a) lack of vitamin C in the diet b) UV light exposure c) obesity d) use of antibiotics

b) UV light exposure

The functional reflex that allows the eyes to focus on near objects is termed... a) pupillary reflex b) accommodation c) refraction d) indirect reflex

b) accommodation

The nurse test the near acuity of a 45-year old client which is impaired near vision. The nurse understands the client understands the teaching of presbyopia is usually due to... a) congenital cataracts b) decreased accommodation c) muscle weakness d) constant misalignment of the eyes

b) decreased accommodation

A client reports her peripheral vision is not what it used to be and has a blind spot in their left eye, the nurse should refer the client for evaluation of... a) glaucoma b) increased intracranial pressure c) bacterial infection d) migraine headaches

b) increased intracranial pressure

A client reports they have been experiencing double vision for the past few days, the nurse refers the client to a physician for possible... a)glaucoma b) increased intracranial pressure c) hypertension d) ophthalmic migraine

b) increased intracranial pressure

A client visits the doctor after experiencing head trauma and reports a consistent blind spot in his right eye, the nurse should... a) examine the area of head trauma b) refer the client to an ophthalmologist c) assess the client for double vision d) ask the client if they see "halos"

b) refer the client to an ophthalmologist

Consistent blind spots are commonly seen in narrow-angel glaucoma. a. True b. False

b. False

_____ occurs when injury causes red blood cells to collect int he lower half of the anterior chamber. a. Strabisus b. Hyphemia c. Hemianopia d. Hypohyon

b. Hyphemia

A visual field refers to what a person sees with one eye. a. False b. True

b. True

A client reports that they have been experiencing gradual vision loss, the nurse should... a) ask about the client's diet b) determine whether there's a history of glaucoma c) check the client's blood pressure d) ask the client if they have any known allergies

c) check the client's blood pressure

The bony orbit and fat cushion of the eye serves as a _____. a) caruncle b) channel c) protector d) filter

c) protector

The nurse is examining a client's eyes and has explained the positions test. The nurse determines the client needs further instructions when the client says that the positions test... a) assesses the muscle strength of the eye b) assesses the functioning of the cranial nerves innervating the eye muscles c) requires the covering of each eye separately d) requires the client to focus on an object

c) requires the covering of each eye separately

Photoreceptors of the eye are located in the eye's... a) ciliary body b) lens c) retina d) pupil

c) retina

A client reports burning and itching of both eyes, the nurse should assess for... a) a foreign body b) recent trauma c) blind spots d) allergies

d) allergies

The conjunctiva of the eye is divided into the palpebral portion and the... a) canthus portion b) intraocular portion c) nasolacrimal portion d) bulbar portion

d) bulbar portion

The chambers of the eye contain aqueous humor, which helps to maintain intraocular pressure and... a) transmit light rays b) maintain the retinal vessels c) change refractory of the lens d) cleanse the cornea and the lens

d) cleanse the cornea and the lens

The nurse tests an adults visual field and determines that the temporal field is 90 degrees in both eyes, the nurse should... a) refer the client for further evaluation b) examine the client for glaucoma c) ask the client if there's a family history of blindness d) document the findings in the client's record

d) document the findings in the client's record

A client reports a sudden change in her vision, the nurse advises this is associated with... a) diabetes b) the aging process c) hypertension d) head trauma

d) head trauma

An adult client reports excessive tearing in their left eye, the nurse should assess for... a) viral infection b) double vision c) allergic reactions d) lacrimal obstructions

d) lacrimal obstruction

Straight movements of the eye are controlled by the... a) lacrimal muscles b) oblique muscles c) corneal muscles d) rectus muscles

d) rectus muscles

A client tests 20/40 on the distant visual acuity test, the nurse should... a) document the results in the patients record b) ask the client to read a handheld chart c) schedule a two week follow up appointment d) refer the client to an optometrist

d) refer the client to an optometrist

A client reports difficulty driving at night, the nurse should explain this is associated with... a) retinal deterioration b) head trauma c) migraine headaches d) vitamin A deficiency

d) vitamin A deficiency

_____ is a functional reflex allowing the eyes to focus on near objects a. Nystagmus b. Corneal light reflex c. Fusion d. Accomodation

d. Accomodation

_____ is a local, noninfectious inflammation fo the sclera. a. Chalazion b. Exophthalmos c. Cataract d. Episcleritis

d. Episcleritis

The meibomian glands secrete... a) an oily substance to lubricate the eyes b) sweat c) hormones d) clear liquid tears

a) an oily substance to lubricate the eyes

The middle layer of the eye is known as... a) choroid layer b) scleral layer c) retinal layer d) optic layer

a) choroid layer

The tarsal plates of the upper eyelid contain... a) meibomian glands b) sebaceous glands c) tear ducts d) ocular muscles

a) meibomian glands

_____ is a hair follicle infection that causes local redness, swelling, and pain in the eyelid. a. conjunctivitis b. hordeolum c. anisocoria d. episcleritis

b. hordeolum

Drooping of the upper eyelid is called a. exophthalmos b. ptosis c. entropion d. papilledema

b. ptosis

An adult client reports throbbing aching pain in their right eye, the nurse should assess for... a) recent exposure to irritants b) increased intracranial pressure c) excessive tearing d) a foreign body

d) a foreign body

A client reports their eyes are painful because they left their left contact in too long the previous day. The nurse should explain that prolonged contact use can lead to... a) retinal damage b) cataracts c) myopia d) corneal damage

d) corneal damage

While assessing the eyes of an adult client, the nurse uses a wisp of cotton to stimulate the client's... a) eyelid reflexes b) refractory mechanism c) lacrimal reflexes d) corneal reflexes

d) corneal reflexes