NCLEX Quiz: Take The Trivia Test On Eye Disorders And care!
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In this NCLEX quiz, use your nursing knowledge and check what you know about eye disorders and how to take care of your eyes. Take this trivia test, and you'll come across many vision-related questions that will help you to enhance your knowledge in the medical field. A cataract is one of the eye disorders which almost everyone has faced over the years. Do you know how to perform its surgery? Play this quiz and learn more about eye-related things.
- 1.
The clinic nurse is preparing to test the visual acuity of a client using a Snellen chart. Which of the following identifies the accurate procedure for this visual acuity test?
- A.
Both eyes are assessed together. followed by the assessment of the right and then the left eye.
- B.
The right eye is tested followed by the left eye. and then both eyes are tested.
- C.
The client is asked to stand at a distance of 40ft. from the chart and is asked to read the largest line on the chart.
- D.
The client is asked to stand at a distance of 40ft from the chart and to read the line than can be read 200 ft away by an individual with unimpaired vision.
Correct Answer
B. The right eye is tested followed by the left eye. and then both eyes are tested.Explanation
Visual acuity is assessed in one eye at a time. and then in both eyes together with the client comfortably standing or sitting. The right eye is tested with the left eye covered; then the left eye is tested with the right eye covered. Both eyes then are tested together. Visual acuity is measured with or without corrective lenses and the client stands at a distance of 20ft. from the chart.Rate this question:
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- 2.
The clinic nurse notes that the following several eye examinations. the physician has documented a diagnosis of legal blindness in the client’s chart. The nurse reviews the results of the Snellen’s chart test expecting to note which of the following?
- A.
20/20 vision
- B.
20/40 vision
- C.
20/60 vision
- D.
20/200 vision
Correct Answer
D. 20/200 visionExplanation
Legal blindness is defined as 20/200 or less with corrected vision (glasses or contact lenses) or visual acuity of less than 20 degrees of the visual field in the better eye.Rate this question:
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- 3.
The client’s vision is tested with a Snellen’s chart. The results of the tests are documented as 20/60. The nurse interprets this as:
- A.
The client can read at a distance of 60 feet what a client with normal vision can read at 20 feet.
- B.
The client is legally blind.
- C.
The client’s vision is normal
- D.
The client can read only at a distance of 20 feet what a client with normal vision can read at 60 feet.
Correct Answer
D. The client can read only at a distance of 20 feet what a client with normal vision can read at 60 feet.Explanation
Vision that is 20/20 is normal. that is. the client is able to read from 20 feet what a person with normal vision can read from 20 feet. A client with a visual acuity of 20/60 only can read at a distance of 20 feet of what a person with normal vision can read at 60 feet.Rate this question:
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- 4.
Tonometry is performed on the client with a suspected diagnosis of glaucoma. The nurse analyzes the test results as documented in the client’s chart and understands that normal intraocular pressure is:
- A.
2-7 mmHg
- B.
10-21 mmHg
- C.
22-30 mmHg
- D.
31-35 mmHg
Correct Answer
B. 10-21 mmHgExplanation
Tonometry is the method of measuring intraocular fluid pressure using a calibrated instrument that indents or flattens the corneal apex. Pressures between 10 and 21 mmHg are considered within normal range.Rate this question:
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- 5.
The nurse is developing a plan of care for the client scheduled for cataract surgery. The nurse documents which more appropriate nursing diagnosis in the plan of care?
- A.
Self-care deficit
- B.
Imbalanced nutrition
- C.
Disturbed sensory perception
- D.
Anxiety
Correct Answer
C. Disturbed sensory perceptionExplanation
The most appropriate nursing diagnosis for the client scheduled for cataract surgery is Disturbed sensory perception (visual) related to lens extraction and replacement. Although the other options identify nursing diagnoses that may be appropriate. they are not related specifically to cataract surgery.Rate this question:
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- 6.
The nurse is performing an assessment in a client with a suspected diagnosis of cataract. The chief clinical manifestation that the nurse would expect to note in the early stages of cataract formation is:
- A.
Eye pain
- B.
Floating spots
- C.
Blurred vision
- D.
Diplopia
Correct Answer
C. Blurred visionExplanation
A gradual. painless blurring of central vision is the chief clinical manifestation of a cataract. Early symptoms include slightly blurred vision and a decrease in color perception.Rate this question:
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- 7.
In preparation for cataract surgery. the nurse is to administer prescribed eye drops. The nurse reviews the physicians orders. expecting which type of eye drops to be instilled?
- A.
An osmotic diuretic
- B.
A miotic agent
- C.
A mydriatic medication
- D.
A thiazide diuretic
Correct Answer
C. A mydriatic medicationExplanation
A mydriatic medication produces mydriasis or dilation of the pupil. Mydriatic medications are used preoperatively in the cataract client. These medication act by dilating the pupils. They also constrict blood vessels. An osmotic diuretic may be used to decrease intraocular pressure. A miotic medication constricts the pupil. A thiazide diuretic is not likely to be prescribed for a client with a cataract.Rate this question:
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- 8.
During the early postoperative period. the client who had a cataract extraction complains of nausea and severe eye pain over the operative site. The initial nursing action is to:
- A.
Call the physician
- B.
Administer the ordered main medication and antiemetic
- C.
Reassure the client that this is normal.
- D.
Turn the client on his or her operative side
Correct Answer
A. Call the pHysicianExplanation
Severe pain or pain accompanied by nausea is an indicator of increased intraocular pressure and should be reported to the physician immediately. The other options are inappropriate.Rate this question:
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- 9.
The client is being discharged from the ambulatory care unit following cataract removal. The nurse provides instructions regarding home care. Which of the following. if stated by the client. indicates an understanding of the instructions?
- A.
“I will take Aspirin if I have any discomfort.”
- B.
“I will sleep on the side that I was operated on.”
- C.
“I will wear my eye shield at night and my glasses during the day.”
- D.
“I will not lift anything if it weighs more that 10 pounds.”
Correct Answer
C. “I will wear my eye shield at night and my glasses during the day.”Explanation
The client is instructed to wear a metal or plastic shield to protect the eye from accidental and is instructed not to rub the eye. Glasses may be worn during the day. Aspirin or medications containing aspirin are not to be administered or taken by the client and the client is instructed to take acetaminophen as needed for pain. The client is instructed not to sleep on the side of the body on which the operation occurred. The client is not to lift more than 5 pounds.Rate this question:
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- 10.
The client with glaucoma asks the nurse is complete vision will return. The most appropriate response is:
- A.
“Although some vision as been lost and cannot be restored. further loss may be prevented by adhering to the treatment plan.”
- B.
“Your vision will return as soon as the medications begin to work.”
- C.
“Your vision will never return to normal.”
- D.
“Your vision loss is temporary and will return in about 3-4 weeks.”
Correct Answer
A. “Although some vision as been lost and cannot be restored. further loss may be prevented by adhering to the treatment plan.”Explanation
Vision loss to glaucoma is irreparable. The client should be reassured that although some vision has been lost and cannot be restored. further loss may be prevented by adhering to the treatment plan. Option C does not provide reassurance to the client.Rate this question:
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Aug 22, 2023Quiz Edited by
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Oct 19, 2017Quiz Created by
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