FHA Exam 2 Practice Questions
A 12-year-old boy was brought to the emergency department after being hit in the head with a ball during a baseball game. What assessment finding would suggest to the nurse trauma to the middle ear or inner ear? - White spots on the tympanic membrane - Dark red or bluish tympanic membrane - Yellowish, bulging tympanic membrane - Clear tympanic membrane
Dark red or bluish tympanic membrane (Chp 14: Page 351)
A patient asks a nurse if any foods promote eye health. What food would the nurse include as a response? - Deep-water fish - Low-fat meat - Foods that contain lots of water - Multigrain foods
Deep-water fish (Chp 13: Page 321)
A nurse examines a client's retina during the ophthalmic examination and notices light-colored spots on the retinal background. The nurse should ask the client about a history of what disease process? - Anemia - Renal insufficiency - Diabetes - Retinal detachment
Diabetes (Chp 13: Page 348)
The nurse selects the chart shown here to assess a client's vision. Which client characteristic caused the nurse to select this chart? - Does not speak English - Being treated for glaucoma - Has blue-green color blindness - Recovering from cataract surgery
Does not speak English (Chp 13: Page 336)
What is a characteristic symptom of Graves hyperthyroidism? - Pterygium - Exophthalmos - Pinguecula - Episcleritis
Exophthalmos (Chp 13: Page 345)
What is a characteristic symptom of Graves hyperthyroidism? - Pterygium - Exophthalmos - Pinguecula - Episcleritis
Exophthalmos (Chp 13: Page 345)
When performing the cover test, a nurse notices that the client's left eye turns outward. How should the nurse document this finding in the client's record? - Exotropia - Esotropia - Strabismus - Presbyopia
Exotropia (Chp 13: Page 345)
Which of the following would a nurse expect to assess in a client with esotropia? - Eye turning outward - Eye malalignment - Eye turning inward - Eye oscillating
Eye turning inward (Chp 13: Page 345)
The nurse is preparing to test a client's eyes for accommodation. The nurse would have the client focus on an object in which sequence for this test? - Far, then near - Lateral, then near - Near, then far - Lateral, then far
Far, then near (Chp 13: Page 324)
A nurse assesses the parallel alignment of a client's eyes by testing the corneal light reflex. Where should the nurse shine the penlight to obtain an accurate result? - Focused on the bridge of the nose - Directly on the eye being examined - Pointed at a fixed object on the wall - Shined on the forehead
Focused on the bridge of the nose (Chp 13: Page 328)
A nurse assesses the parallel alignment of a client's eyes by testing the corneal light reflex. Where should the nurse shine the penlight to obtain an accurate result? - Focused on the bridge of the nose - Directly on the eye being examined - Pointed at a fixed object on the wall - Shined on the forehead
Focused on the bridge of the nose (Chp 13: Page 328)
A nurse begins the eye examination on a client who presents to the health care clinic for a routine examination. What is the correct action by the nurse to perform the test for near visual acuity? - Have the client hold the Jaeger card 14 inches from the face and read with one eye at a time - Sit the client in front of the examiner, extend one arm, and slowly move one finger upward - Tell the client to remove glasses, if present, and read the Snellen card using both eyes - Place the client 20 feet from the Snellen chart and record the smallest line the client can read
Have the client hold the Jaeger card 14 inches from the face and read with one eye at a time (Chp 13: Page 326)
What is vital in maintaining vision and a healthy outlook for clients? - Monthly eye exams - Health education - Health education - Physical exercise
Health education ( Chp 13: Page 337)
A client presents to the emergency department after being hit in the head with a baseball bat during a game. The nurse should assess for which condition? - Hyphema - Blepharitis - Chalazion - Iris nevus
Hyphema ( Chp 13: Page 344)
The following data are gathered: speaks very softly, denies hearing loss, has never had and cannot afford additional hearing tests, fails whisper test. Which nursing diagnosis would be most appropriate? - Ineffective health maintenance, related to denial of hearing problem and inadequate resources for additional testing - Impaired social interaction, related to decreased ability to maintain contact with friends - Impaired verbal communication, related to lack of understanding of hearing deficit - Readiness for enhanced communication relate to auditory integrity and never having had hearing tests
Ineffective health maintenance, related to denial of hearing problem and inadequate resources for additional testing
A middle-aged client reports difficulty in reading. Which action by the nurse is appropriate to test near visual acuity using a Jaeger reading card? - Place the chart 20 feet away from the client on the wall - Instruct the client to hold the chart away from the body at arm's length - Instruct the client hold the chart 14 inches from the eyes - Place the chart on a table 17 inches away from the client
Instruct the client hold the chart 14 inches from the eyes (Chp 13: Page 326)
A nurse is presenting a class to a local community group about vision and eye health. As part of the presentation, the nurse explains how visual perception occurs. What would the nurse include in the explanation? - It refers to a client's subjective appraisal of his or her vision. - It begins with light rays striking the retina. - It primarily involves the lens of the eye. - It allows the eyes to focus on near objects.
It begins with light rays striking the retina.
When using hand gel to clean the hands, what must the nurse do before touching a client's eyes? - Make sure the hands are completely dry - Wash the hands again with soap and water - Assess visual acuity - Assess for color blindness
Make sure the hands are completely dry (Chp 13: Page 324)
A nurse assesses a client's pupillary reaction and observes pinpoint pupils. The nurse interprets this finding as suggesting which of the following? - Recent eye trauma - Narcotic use - Effects of deep anesthesia - Recent central nervous system injury
Narcotic use (Chp 13: Page 332)
The nurse asks the client to perform the action pictured. What is the nurse assessing? - Near vision - Distance vision - Intraocular pressure - Color discrimination
Near vision (Chp 13: Page 324)
A nurse has completed the assessment of a client's direct pupillary response and is now assessing consensual response. This aspect of assessment should include which action? - Observing the eye's reaction when a light is shone into the opposite eye - Shining a light into one eye while covering the other eye with an opaque card - Have the client state when they see the nurse's finger enter their peripheral vision field. - Comparing the difference between the client's dilated pupil and a constricted pupil
Observing the eye's reaction when a light is shone into the opposite eye (Chp 13: Page 332)
A nurse has completed the assessment of a client's direct pupillary response and is now assessing consensual response. This aspect of assessment should include which action? - Observing the eye's reaction when a light is shone into the opposite eye - Shining a light into one eye while covering the other eye with an opaque card - Have the client state when they see the nurse's finger enter their peripheral vision field. - Comparing the difference between the client's dilated pupil and a constricted pupil
Observing the eye's reaction when a light is shone into the opposite eye (Chp 13: Page 332)
While interviewing a client who complains of earache, the nurse asks, "Is there anything that makes it better or worse?" The client replies, "It hurts much worse when I wiggle my ear." Which of the following conditions should the nurse most suspect? - Otitis externa - Ear infection - Sinus Infection - Teeth Problems
Otitis Externa (Chp 14: Page
On a health history, a client reports no visual disturbances, last eye exam two years ago, and does not wear glasses. The nurse notices that the client squints when signing the consent for treatment form and holds the paper close to the face. What should the nurse do next - Document the findings in the client's record - Perform both the distant and near visual acuity tests - Test the pupils for direct and consensual reaction to light - Obtain a referral to the ophthalmologist for a complete eye exam
Perform both the distant and near visual acuity tests (Chp 13)
A 60-year-old client has difficulty hearing high-pitched sounds. The nurse would document this finding as which of the following? - Vertigo - Otalgia - Tinnitus -Presbycusis
Presbycusis ( Chp 14: Page 353)
The nurse observes a middle-aged colleague fully extending her arm to read the label on a vial of medication. Which of the following age-related changes is the nurse likely to have observed? - Presbyopia - Cataract formation - Loss of convergence - Macular degeneration
Presbyopia (Chp 13: Page 336-341)
During a health history, a 48-year-old client states, "I've noticed that I need to hold my newspaper farther away so that I can read it." Which of the following would the nurse suspect? - Myopia - Presbyopia - Cataracts - Tropia
Presbyopia (Chp 13: Page 341)
When testing the near reaction, an expected finding includes which of the following? - Pupillary dilation on near gaze; dilation on distant gaze - Pupillary dilation on near gaze; constriction on distant gaze - Pupillary constriction on near gaze; dilation on distant gaze - Pupillary constriction on near gaze; constriction on distant gaze
Pupillary constriction on near gaze; dilation on distant gaze (Chp 13: Page 332)
A client is assigned a visual acuity of 20/100 in her left eye. Which of the following is true? - She obtains a 20% correct score at 100 feet - She can accurately name 20% of the letters at 20 feet - She can see at 20 feet what a normal person could see at 100 feet - She can see at 100 feet what a normal person could see at 20 feet
She can see at 20 feet what a normal person could see at 100 feet (Chp 13: Page 325-326)
A 12-year-old presents to the clinic with his father for evaluation of a painful lump in the left eye. It started this morning. The client denies any trauma or injury. There is no visual disturbance. Upon physical examination, there is a red raised area at the margin of the eyelid that is tender to palpation; no tearing occurs with palpation of the lesion. Based on this description, what is the most likely diagnosis? - Dacryocystitis - Chalazion - Stye - Xanthelasma
Stye (Chp 13: Page 346)
A 15-year-old high school student presents to the emergency department with his mother for evaluation of an area of blood in the left eye. He denies trauma or injury but has been coughing forcefully with a recent cold. He denies visual disturbances, eye pain, or discharge from the eye. On physical examination, the pupils are equal, round, and reactive to light with a visual acuity of 20/20 in each eye and 20/20 bilaterally. There is a homogeneous, sharply demarcated area at the lateral aspect of the base of the left eye. The cornea is clear. Based on this description, what is the most likely diagnosis? - Conjunctivitis - Acute iritis - Corneal abrasion - Subconjunctival hemorrhage
Subconjunctival hemorrhage (Chp 13: Page 330-331)
As part of a physical assessment, the nurse performs the confrontation test to assess the client's peripheral vision. Which test result should a nurse recognize as indicating normal peripheral vision for a client using the confrontation test? - Client's consensual pupil constricts in response to indirect light. - Eyes converge on an object as it is moved towards the nose. - Direct light shown into the client's pupils results in constriction. - The client and the examiner see the examiner's finger at the same time.
The client and the examiner see the examiner's finger at the same time.
The nurse tests the six cardinal directions to test extraocular movement of the eye - True - False
True (Chp 13: Page 328-329)
How can a nurse accurately assess the distant visual acuity of a client who is non-English speaking? - Move an object through the six cardinal positions of gaze - Use a Snellen E chart to perform the examination - Have the client read from a Jaeger reading card - Perform the confrontation test
Use a Snellen E chart to perform the examination (Chp 13: Page 336)
A nurse cares for a client with optic atrophy. The nurse recognizes that an ophthalmoscopic examination of the eye should reveal which characteristic finding in the optic disc? - Oval-shaped - White-colored - Blurred margins - Orange-colored
White-colored (Chp 13: Page 322)
The nurse notes that the pupil of a client's left eye constricts when a light is shined into the right eye. How should the nurse document this finding? - direct light response present in left eye - pupils equal and react to accommodation - consensual light response present in left eye - consensual light response present in right eye
consensual light response present in left eye ( Chp 13: Page 324)
While assessing the eye of an adult client, the nurse observes an inward turning of the client's left eye. The nurse should document the client's - esotropia. - strabismus. - phoria. - exotropia.
esotropia. (Chp 13: Page 342-345)
An adult client tells the nurse that her peripheral vision is not what it used to be and she has a blind spot in her left eye. The nurse should refer the client for evaluation of possible - glaucoma. - increased intracranial pressure. - bacterial infection. - migraine headaches.
glaucoma. (Chp 13: Page 320)
An adult client visits the clinic and tells the nurse that he has had excessive tearing in his left eye. The nurse should assess the client's eye for - viral infection. - double vision. - lacrimal obstruction. - allergic reactions.
lacrimal obstruction. ( Chp 13: Page 317)
An older client asks why vision is not as sharp as it used to be when the eyes are focused forward. What should the nurse realize this client is describing? - cataracts - glaucoma - detached retina - macular degeneration
macular degeneration (Chp 13: Page 319)
An older client asks why vision is not as sharp as it used to be when the eyes are focused forward. What should the nurse realize this client is describing? - cataracts - glaucoma - detached retina - macular degeneration
macular degeneration (Chp 13: Page 319)
The optic nerves from each eyeball cross at the - optic chiasma. - vitreous humor. - optic disc. - visual cortex.
optic chiasma.
Photoreceptors of the eye are located in the eye's - ciliary body. - lens - retina - pupil
retina
An adult client tells the nurse that his father had cataracts. He asks the nurse about risk factors for cataracts. The nurse should instruct the client that a potential risk factor is - lack of vitamin C in the diet. - ultraviolet light exposure. - obesity. - use of antibiotics.
ultraviolet light exposure. ( Chp 13: Page 345)
Which statement by the nurse indicates the best understanding of the purpose of an eye-related health history? - "The history allows the client to discuss their vision-related problems." - "The nurse is able to visualize the client's eye with the benefit of an ophthalmoscope." - "Broad, open-ended questions provide an opportunity to identify changes in the client's eyes." - "The history encourages the client to reflect upon the state of client's eyes and vision."
"Broad, open-ended questions provide an opportunity to identify changes in the client's eyes." (Chp 13: Page 334)
A nurse is completing a comprehensive health history of a 69-year-old woman who is a new client of the clinic. Which of the nurse's interview questions most directly addresses the client's risk for developing cataracts? - Do you exercise regularly?" - "Have you ever been tested for diabetes?" - "Do you ever take over-the-counter pain medications?" - "At what age did you first start wearing glasses?"
"Have you ever been tested for diabetes?" (Chp 13: Page 321)
A 52-year-old patient with myopia calls the ophthalmology clinic very upset. Shetells the nurse, "I keep seeing semi-clear spots floating across my vision. What is wrong with me?" What would be the most appropriate response by the nurse? - "It is not an uncommon finding in people older than 40 years for this to happen. They are called 'floaters'." - "Please come into the clinic right away so we can see what is wrong." - "Because it is almost 5 o'clock, please go to the emergency department right away. This sounds very serious." - "I have an opening tomorrow at 2 in the afternoon. Can you come in then?"
"It is not an uncommon finding in people older than 40 years for this to happen. They are called 'floaters'." (Chp 13: Page 321
A 6-year-old boy has come to the clinic with his mother because of recent eye redness and discharge. The nurse's assessment has suggested a diagnosis of conjunctivitis. What should the nurse tell the mother about her son's eye? - "In children, this problem is usually caused by an increase in pressure within the eye." - "I'll prescribe some analgesics because your son is likely to have quite severe pain while his eye heals." - "Antibiotics will clear this up, but you need to make sure he gets them as ordered to avoid vision damage." - "This might have been the result of an allergy, but most likely it was caused by a bacteria or virus."
"This might have been the result of an allergy, but most likely it was caused by a bacteria or virus." (Chp 13: Page 321-330
What information should the nurse include when documenting the data associated with the physical examination of a patient's eyes? (Select all that apply.) - Presence of double vision - Trauma to the eye - Diagnosis of diabetes - Shape and size of the pupils - Appearance of the optic disc
- Shape and size of the pupils - Appearance of the optic disc (Chp 13: Page 326)
A patient in the clinic where you work is considered legally blind. The nurse knows that this means the vision in his better eye, corrected by glasses, is what? - 20/100 or less - 20/200 or less - 20/300 or less - 20/400 or less
20/200 or less (Chp 13: Page 342)
Which of the following assessment findings suggests a problem with the client's cranial nerves? - A client states that he has recently begun seeing lights flashing in his field of vision - A client's extraocular movements are asymmetrical and she complains of diplopia. - Fundoscopic examination reveals intraocular bleeding. - A client's lens appears cloudy and she claims that her visual acuity has recently declined
A client's extraocular movements are asymmetrical and she complains of diplopia (Chp 13: Page 318-325)
Which of the following assessment findings suggests a problem with the client's cranial nerves? - A client states that he has recently begun seeing lights flashing in his field of vision. - A client's extraocular movements are asymmetrical and she complains of diplopia. - Fundoscopic examination reveals intraocular bleeding. - A client's lens appears cloudy and she claims that her visual acuity has recently declined.
A client's extraocular movements are asymmetrical and she complains of diplopia. (Chp 13: Page 318-325)
Otoscopic examination of a 69-year-old client's tympanic membrane reveals that it is red, bulging, and distorted. The nurse also notes a diminished light reflex. To what should the nurse most likely attribute this assessment finding? - Repeated ear infections - Trauma - Age-related changes - Acute otitis media
Acute otitis media (Chp 14: Page 361)
The nurse is inspecting the cornea and lens of an elderly client and notices a white arc around the limbus of the client's eye. The nurse recognizes this condition, common in older adults, as which of the following? - Arcus senilis - Presbyopia - Ectropion - Myopia
Arcus senilis (Chp 13: Page 336)
Which technique by the nurse demonstrates proper use of the ophthalmoscope? - Uses right eye to examine the client's left eye - Moves the scope around so the entire optic disk may be seen - Approaches the client directly in front of the pupil - Asks the client to fix the gaze upon an object and look straight ahead
Asks the client to fix the gaze upon an object and look straight ahead (Chp 13: Page 328)
A client complains of excessive tearing of the eyes. Which assessment would the nurse do next? - Inspect the palpebral conjunctiva - Assess the nasolacrimal sac - Perform the eye positions test - Test pupillary reaction to light
Assess the nasolacrimal sac (Chp 13: Page 317)
A client performs the test for distant visual acuity and scores 20/50. How should the nurse most accurately interpret this finding? - Client did not wear his glasses for this test and therefore it is not accurate. - When 50 feet from the chart, the client can see better than a person standing at 20 feet. - Client can read the 20/50 line correctly and two other letters on the line above. - At 20 feet from the chart, the client sees what a person with good vision can see at 50 feet.
At 20 feet from the chart, the client sees what a person with good vision can see at 50 feet. (CHp 13: Page 324-325)
A nurse is collecting subjective data during a client's eye and vision assessment. When asking the question, "Do you wear sunglasses during exposure to the sun?" the nurse is addressing a known risk factor for what health problem? - Presbyopia - Cataracts - Nystagmus - Glaucoma
Cataracts (Chp 13: Page 321-346)
A nurse is collecting subjective data during a client's eye and vision assessment. When asking the question, "Do you wear sunglasses during exposure to the sun?" the nurse is addressing a known risk factor for what health problem? - Presbyopia - Cataracts - Nystagmus - Glaucoma
Cataracts (Chp 13: Page 321-346)
The nurse is preparing to assess a client's visual fields to evaluate her gross peripheral vision. Which test would the nurse perform? - Cover test - Corneal light reflex test - Confrontation test - Eye position test
Confrontation test (Chp 13: Page 324)