Jarvis- Physical Examination & Health
Assessment Chapter 14- Eyes (edited)
100% Correct Questions With Answers
2023 Update TestBank
When examining
... [Show More] the eye, the nurse notices that the patient's eyelid margins
approximate completely. The nurse recognizes that this assessment finding:
a. Is expected.
b. May indicate a problem with extraocular muscles.
c. May result in problems with tearing.
d. Indicates increased intraocular pressure. - ANS: A. Is expected.
The palpebral fissure is the elliptical open space between the eyelids, and, when
closed, the lid margins approximate completely, which is a normal finding.
During ocular examinations, the nurse keeps in mind that movement of the extraocular
muscles is:
a. Decreased in the older adult.
b. Impaired in a patient with cataracts.
c. Stimulated by cranial nerves (CNs) I and II.
d. Stimulated by CNs III, IV, and VI. - ANS: D. Stimulated by CNs III, IV, and VI.
Movement of the extraocular muscles is stimulated by three CNs: III, IV, and VI.
The nurse is performing an external eye examination. Which statement regarding the
outer layer of the eye is true?
a. The outer layer of the eye is very sensitive to touch.
b. The outer layer of the eye is darkly pigmented to prevent light from reflecting
internally.
c. The trigeminal nerve (CN V) and the trochlear nerve (CN IV) are stimulated when the
outer surface of the eye is stimulated.
d. The visual receptive layer of the eye in which light waves are changed into nerve
impulses is located in the outer layer of the eye. - ANS: A. The outer layer of the eye is
very sensitive to touch.
The cornea and the sclera make up the outer layer of the eye. The cornea is very
sensitive to touch. The middle layer, the choroid, has dark pigmentation to prevent light
from reflecting internally. The trigeminal nerve (CN V) and the facial nerve (CN VII) are
stimulated when the outer surface of the eye is stimulated. The retina, in the inner layer
of the eye, is where light waves are changed into nerve impulses.
When examining a patient's eyes, the nurse recalls that stimulation of the sympathetic
branch of the autonomic nervous system:
a. Causes pupillary constriction.
b. Adjusts the eye for near vision.
c. Elevates the eyelid and dilates the pupil.
d. Causes contraction of the ciliary body. - ANS: C. Elevates the eyelid and dilates the
pupil.
Stimulation of the sympathetic branch of the autonomic nervous system dilates the pupil
and elevates the eyelid. Parasympathetic nervous system stimulation causes the pupil
to constrict. The muscle fibers of the iris contract the pupil in bright light to
accommodate for near vision. The ciliary body controls the thickness of the lens.
The nurse is reviewing causes of increased intraocular pressure. Which of these factors
determines intraocular pressure?
a. Thickness or bulging of the lens
b. Posterior chamber as it accommodates increased fluid
c. Contraction of the ciliary body in response to the aqueous within the eye
d. Amount of aqueous produced and resistance to its outflow at the angle of the anterior
chamber - ANS: D. Amount of aqueous produced and resistance to its outflow at the
angle of the anterior chamber
Intraocular pressure is determined by a balance between the amount of aqueous
produced and the resistance to its outflow at the angle of the anterior chamber. The
other responses are incorrect.
The nurse is conducting a visual examination. Which of these statements regarding
visual pathways and visual fields is true?
a. The right side of the brain interprets the vision for the right eye.
b. The image formed on the retina is upside down and reversed from its actual
appearance in the outside world.
c. Light rays are refracted through the transparent media of the eye before striking the
pupil.
d. Light impulses are conducted through the optic nerve to the temporal lobes of the
brain. - ANS: B. The image formed on the retina is upside down and reversed from its
actual appearance in the outside world.
The image formed on the retina is upside down and reversed from its actual
appearance in the outside world. The light rays are refracted through the transparent
media of the eye before striking the retina, and the nerve impulses are conducted
through the optic nerve tract to the visual cortex of the occipital lobe of the brain. The
left side of the brain interprets vision for the right eye...
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