Chapter 46: Assessment of the Eye and Vision

Chapter 46: Assessment of the Eye and Vision

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse has given a community group a presentation on eye health. Which statement by a participant indicates a need for more instruction?
   1. “I always lose my sunglasses, so I don’t wear them.”
   2. “I have diabetes and get an annual eye exam.”
   3. “I will not share my contact solution with others.”
   4. “I will wear safety glasses when I mow the lawn.”

ANS:   A

Clients should be taught to protect their eyes from ultraviolet (UV) exposure by consistently wearing sunglasses when outdoors, when tanning in tanning salons, or when working with UV light. The other statements are correct.

DIF:     Remembering/Knowledge                 REF: 970                     KEY: Visual system| health promotion| primary prevention                       MSC:                         Integrated Process: Nursing Process: Evaluation                                         NOT:                          Client Needs Category: Health Promotion and Maintenance

2. The nurse reads on a client’s chart that the client has exophthalmos. What assessment finding is consistent with this diagnosis?
   1. Bulging eyes
   2. Drooping eyelids
   3. Sunken-in eyes
   4. Yellow sclera

ANS:   A

Exophthalmos is bulging eyes. Drooping eyelids is ptosis. Sunken-in eyes is enophthalmos. Yellow sclera indicates jaundice.

DIF:     Remembering/Knowledge                 REF: 972

KEY:   Visual system| visual assessment

MSC:   Integrated Process: Nursing Process: Assessment                 NOT: Client Needs Category: Physiological Integrity: Reduction of Risk Potential

3. A client’s chart indicates anisocoria. For what should the nurse assess?
   1. Difference in pupil size
   2. Draining infection
   3. Recent eye trauma
   4. Tumor of the eyelid

ANS:   A

Anisocoria is a noticeable difference in the size of a person’s pupils. This is a normal finding in a small percentage of the population. Infection, trauma, and tumors are not related.

DIF:            Remembering/Knowledge                 REF:    972

KEY:          Visual assessment| visual system

MSC:          Integrated Process: Nursing Process: Assessment                 NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation

4. A client presents to the emergency department reporting a foreign body in the eye. For what diagnostic testing should the nurse prepare the client?
   1. Corneal staining
   2. Fluorescein angiography
   3. Ophthalmoscopy
   4. Tonometry

ANS:           A

Corneal staining is used when the possibility of eye trauma exists, including a foreign body. Fluorescein angiography is used to assess problems of retinal circulation. Ophthalmoscopy looks at both internal and external eye structures. Tonometry tests the intraocular pressure.

DIF:            Remembering/Knowledge                 REF:    974

KEY:          Visual system| visual assessment

MSC:          Integrated Process: Nursing Process: Assessment                 NOT: Client Needs Category: Physiological Integrity: Reduction of Risk Potential