A client tells the clinic nurse that she has sought care because she has been experiencing excessive tearing of her eyes. Which assessment should the nurse next perform?
C) Assess the nasolacrimal sac.
When performing a client's ophthalmoscopic exam, the nurse observes a round shape with distinct margins. The nurse would document this as which of the following?
B) Optic disc
A nurse shines a light into one of the client's eyes during an ocular exam and the pupil of the other eye constricts. The nurse interprets this as which of the following?
C) Consensual response
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?
A) Far, then near
During a health history, a 62-year-old male client reveals that he occasionally sees spots before his eyes. The nurse interprets this finding as the result of which of the following?
B) Normal findings for client's age
A nurse who works at an outpatient ophthalmic clinic has a large number of clients.Which client would be at the highest risk for developing cataracts?
A) A 55-year-old female client
A nurse is assessing an adult client's eyes and vision. When performing the cover test,the nurse would cover one of the client's eyes and then do which of the following?
C) Ask the client to focus on a distant object, looking for movement in the other eye.
The nurse is assessing a client whose electronic health record notes a diagnosis of esotropia. When examining this client, the nurse should expect what finding?
A) Eye turning inward
A client's history suggests a need to assess eye muscle strength and cranial nerve function. What assessment should the nurse consequently perform?
D) Eye positions test
A nurse is performing an eye assessment of an 81-year-old male client. Which of the following would the nurse document as a normal finding?
B) Ectropion
Which of the following would the nurse expect to assess when examining the eyes of a client who reports a history of severe allergies?
D) Areas of dryness
During a client's eye assessment, the nurse is testing for consensual pupillary constriction. Which technique should the nurse implement?
C) Place a barrier between the client's eyes.
A nurse is assessing the eyes of a 3-year-old child. Which finding would the nurse document as normal?
D) Pseudostrabismus
A review of a client's history reveals cranial nerve IV paralysis. Which of the following findings would the nurse expect to assess?
B) The eye cannot look down when turned inward.
A nurse is observing the red reflex in a client during an eye assessment. During this component of the assessment, the client states, ìI hope you can see it because I have cataracts.What finding should the nurse expect?
D) Black spokes pointing inward
A nurse in the emergency department assesses a client's pupillary reaction and observes pinpoint pupils. The nurse interprets this finding as suggesting which of the following?
A) Narcotic use
A nurse is assessing a client who is suspected to have optic atrophy. Which of the following assessment findings is most consistent with this diagnosis?
C) A white appearance of the optic disc
A nurse is performing an eye and vision assessment on a client who has an inner ear disorder. This disorder may contribute to what finding during the client's eye positions test?
C) Nystagmus
After teaching a group of students about the external and internal structures of the eye,the instructor determines that the teaching was successful when the students identify which of the following as external structures? Select all that apply.
A) Lacrimal apparatus
B) Conjunctiva
C) Lens
D) Iris
E) Sclera
F)Caruncle
A) Lacrimal apparatus
B) Conjunctiva
F)Caruncle
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. Which of the following would the nurse include in the explanation?
C) It begins with light rays striking the retina.
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?
D) Have you ever been tested for diabetes?
A client has sought care because she states that she has begun to see halos around headlights and streetlights when she is out at night. The nurse should recognize the need to refer the client for further assessment related to what health problem?
D) Glaucoma
A factory worker has presented to the occupational health nurse with a small wood splinter in his left eye. The nurse has assessed the affected eye and irrigated with warm tap water, but the splinter remains in place. What should the nurse do next?
A) Arrange for worker to be promptly assessed by an eye specialist.
During an eye assessment, the nurse is testing a client's visual acuity using a Snellen chart. In order to prepare the client for this component of assessment, what instruction should the nurse provide?
C) ìCover one of your eyes and then read out the letters on the chart, starting from the top.
A nurse is conducting an assessment of a client's eyes and vision and has completed the positions test. Following this test, the nurse will be able to document data that address what aspects of eye health? Select all that apply.
A) Distant visual acuity
B) Near visual acuity
C) Accommodation
D) Eye muscle strength
E) Cranial nerve function
D) Eye muscle strength
E) Cranial nerve function
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 of the following actions?
D) Observing the eye's reaction when a light is shone into the opposite eye
The nurse is using an ophthalmoscope to examine a client's inner eye structures. What action should the nurse perform in order to accurately examine the client's optic disc?
A) Position the scope close to the client's eye and look through the pupil at a 15-
A nurse is collecting subjective data during a client's eye and vision assessment. When asking the question, ìDo you wear sunglasses during exposure to the sun?î the nurse is addressing a known risk factor for what health problem?
B) Cataracts
A nurse has taught a group of older adults about the high incidence and prevalence of macular degeneration. What health promotion and prevention activity should the nurse encourage these clients to perform?
C) Post an Amsler grid in their home and perform the test on a regular basis
A nurse has performed the corneal light reflex test during a client's eye examination.During this test, the nurse held a penlight 1 foot from the client's eyes and appraised the client's eye alignment in which of the following ways?
C) By comparing the reflection of the light on the client's eye surface
