Chapter 20: Assessment and Management: Visual Problems
Test Bank
MULTIPLE CHOICE
1. The nurse is providing health promotion teaching to a group of
... [Show More] older adults. Which information will the
nurse include when teaching about routine glaucoma testing?
a. A Tono-pen will be applied to the surface of the eye.
b. The test involves reading a Snellen chart from 20 feet.
c. Medications will be used to dilate the pupils for the test.
d. The examination involves checking the pupils reaction to light.
ANS: A
Glaucoma is caused by an increase in intraocular pressure, which would be measured using the Tono-pen. The
other techniques are used in testing for other eye disorders.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
2. The nurse is performing an eye examination on a 76-year-old patient. The nurse should refer the patient for a
more extensive assessment based on which finding?
a. The patients sclerae are light yellow.
b. The patient reports persistent photophobia.
c. The pupil recovers slowly after responding to a bright light.
d. There is a whitish gray ring encircling the periphery of the iris.
ANS: B
Photophobia is not a normally occurring change with aging, and would require further assessment. The other
assessment data are common gerontologic differences and would not be unusual in a 76-year-old patient.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
3. The nurse performing an eye examination will document normal findings for accommodation when
a. shining a light into the patients eye causes pupil constriction in the opposite eye.
b. a blink reaction follows touching the patients pupil with a piece of sterile cotton.
Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding) 196c. covering one eye for 1 minute and noting pupil constriction as the cover is removed.
d. the pupils constrict while fixating on an object being moved closer to the patients eyes.
ANS: D
Accommodation is defined as the ability of the lens to adjust to various distances. The pupils constrict while
fixating on an object being moved far away to near the eyes. The other responses may also be elicited as part of
the eye examination, but they do not indicate accommodation.
(MORE QUESTIONS AND ANSWERS IN THE DOCUMENT) [Show Less]