ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 46 : Assessment of the Eye and Vision Questions
Question 1 of 5
The nurse has given a community group a presentation on eye health. Which statement by a participant indicates a need text for presentation?
Correct Answer: A
Rationale: 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.
Question 2 of 5
The nurse reads on a clients chart that the client has exophthalmone. What assessment finding is consistent with this diagnosis?
Correct Answer: A
Rationale: Exophthalmone is bulging eyes. Dropping eyelids is ptosis. Sunkle-in-eyes is enophthalmos. Yellow sclera indicates jaundice.
Question 3 of 5
A clients chart indicates antisocioria. For what should the nurse assess?
Correct Answer: A
Rationale: 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.
Question 4 of 5
A client presents to the emergency department reporting a foreign body in the eye. For what diagnostic testing should the nurse prepare the client?
Correct Answer: A
Rationale: 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.
Question 5 of 5
A nurse who is applying eyedrops to a client holds pressure against the corner of the eye nearest the nose after instilling the drops. The client asks what the nurse is doing. What response by the nurse is best?
Correct Answer: C
Rationale: This technique, called punctal occlusion, prevents eyedrops from being absorbed systemically. The other answers are inaccurate.