Health Assessment Unit 2: Prep U Questions
A student asks a nursing instructor what blood vessels go to the eye. What would by the instructor's best answer A- The choroids B-The optic plexus C- The coronal vein D- The optic vein
A
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? A- Consensual light response present in the left eye B- Direct light response present in left eye C- Pupils equal and rect to accommodation D- Consensual light response present in the right eye
A
A 52-year-old client with myopia calls the ophthalmology clinic very upset. She tells 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? A- "Please come into the clinic right away so we can see what is wrong" B- "It is not an uncommon finding in people older than 40 years for this to happen. They are called 'floaters'" C- Because it is almost 5 o'clock, please go tot he emergency department right away. This sounds very serious D- "I have an opening tomorrow at 2 in the afternoon. Can you come in then?"
B
A client shares that a first-degree relative has an eye problem, but they not sure what the diagnosis is. What major eye problem will the nurse suggest screening the client for? A- Strabismus B- Glaucoma C- Retinoblastoma D- Retinitis pigmentosa
B
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 A- Exotropia B- Esotropia C- Strabismus D- Phoria
B
An adult client tells the nurse that his eyes are painful because he left his contact lenses in too long the day before yesterday. The nurse should instruct the client that prolonged wearing of contact lenses can lead to A- Myopia B- Cataracts C- Corneal damage D- Retinal damage
C
A client has been diagnosed with astigmatism. The nurse should be prepared to teach the client about which treatment for this condition? A- Surgery B- Daily use of eye drops C- No night driving D- Corrective lenses
D
A client is being assessed following a motor vehicle accident. The client's right eye is swollen shut and very painful. Why does this require further assessment? A- The client could have optic atrophy B- High velocity injuries are typically nonpenetrating C- The client could have optic atrophy D- Blunt force trauma often results in fracture of the orbit
D
You are assessing visual fields on a client newly admitted for eye surgery. The client's left eye repeatedly does not see your fingers until they have crossed the line of gaze. You would document that the client has what? A- A quadrantic defect B- A bitemporal hemianospia C- A homonymous hemianopsia D- A left temporal hemianopsia
D
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? A- Instruct the client hold the chart 14 inches from the eyes B- Place the chart 20 feet away from the client on the wall C- Instruct the client to hold the chart away from the body at arm's length D- Place the chart on a table 17 inches away from the cleint
A
The nurse has tested an adult client's visual fields and determined that the temporal field is 90 degrees in both eyes. The nurse should A- Document the findings in the client's record B- Examine the client for other signs of glaucoma C- Ask the client if there is a genetic history of blindness D- Refer the client for further evaluation
A
The nurse is planning to assess a client's near vision. Which technique should be used? A- Shine a light on the bridge of the nose B- Have the client read news paper print held 14 inches from the eyes C- Ask client to move eyes in the direction of a moving finger D- Have the client stand 20 feet from a wall chart and read the letters after covering one eye
B
When preparing to examine a client's sclera and conjunctiva during an eye examination, the nurse should instruct the client to move both eyes to look in which direction? A- Left B- Up C- Right D- Down
B
On visual confrontation testing, a client with a recent stroke cannot see the examiner's fingers on the entire right side with either eye covered. Which of the terms would describe this finding? A- Right temporal hemianopsia B- Bitemporal hemaniopsia C- Binasal hemianopsia D- Right homonymous hemianopsia
D
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? A- Ectropion B- Presbyopia C- Myopia D- Arcus senilis
D
What is the open space between the eyelids called? A- The eyeball B- The lacrimal apparatus C-The limbus D-The palpebral fissure
D
While the nurse examines a client's pupillary response to light in the right eye, the pupil in the left eye is constricted. What does this finding suggest to the nurse A- Myopia B- Direct reaction C- Presbyopia D- Consensual reaction
D