NCLEX Quiz: Eye Disorders And care
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Eye disorders are unfortunately pretty common among people. Our ' NCLEX Quiz: Eye disorders and Care' is carefully made to test your fundamentals on the basics of eye care and disorders. Can you correctly answer the questions on the quiz? Let's see how much you know! Our quiz can help you better prepare for your exams and understand the concept better. All questions are shown, but the results will only be given after you've finished the quiz; make sure to attempt all the questions properly. Good Luck!
- 1.
The nurse is developing a teaching plan for the client with glaucoma. Which of the following instructions would the nurse include in the plan of care?
- A.
Decrease fluid intake to control the intraocular pressure
- B.
Avoid overuse of the eyes
- C.
Decrease the amount of salt in the diet
- D.
Eye medications will need to be administered lifelong.
Correct Answer
D. Eye medications will need to be administered lifelong.Explanation
The administration of eye drops is a critical component of the treatment plan for the client with glaucoma. The client needs to be instructed that medications will need to be taken for the rest of his or her life.Rate this question:
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- 2.
The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which of the following is associated with this eye disorder?
- A.
Pain in the affected eye
- B.
Total loss of vision
- C.
A sense of a curtain falling across the field of vision
- D.
A yellow discoloration of the sclera.
Correct Answer
C. A sense of a curtain falling across the field of visionExplanation
A characteristic manifestation of retinal detachment described by the client is the feeling that a shadow or curtain is falling across the field of vision. No pain is associated with detachment of the retina. Options B and D are not characteristics of this disorder. A retinal detachment is an ophthalmic emergency and even more so if visual acuity is still normal.Rate this question:
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- 3.
The nurse is caring for a client with a diagnosis of detached retina. Which assessment sign would indicate that bleeding has occurred as a result of the retinal detachment?
- A.
Complaints of a burst of black spots or floaters
- B.
A sudden sharp pain in the eye
- C.
Total loss of vision
- D.
A reddened conjunctiva
Correct Answer
A. Complaints of a burst of black spots or floatersExplanation
Complaints of a sudden burst of black spots or floaters indicate that bleeding has occurred as a result of the detachment.Rate this question:
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- 4.
The client sustains a contusion of the eyeball following a traumatic injury with a blunt object. Which intervention is initiated immediately?
- A.
Notify the physician
- B.
Irrigate the eye with cold water
- C.
Apply ice to the affected eye
- D.
Accompany the client to the emergency room
Correct Answer
C. Apply ice to the affected eyeExplanation
Treatment for contusion begins at the time of injury. Ice is applied immediately. The client then should be seen by a physician and receive a thorough eye examination to rule out the presence of other eye injuries.Rate this question:
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- 5.
The client arrives in the emergency room with a penetrating eye injury from wood chips while cutting wood. The nurse assesses the eye and notes a piece of wood protruding from the eye. what is the initial nursing action?
- A.
Remove the piece of wood using a sterile eye clamp
- B.
Apply an eye patch
- C.
Perform visual acuity tests
- D.
Irrigate the eye with sterile saline.
Correct Answer
C. Perform visual acuity testsExplanation
If the laceration is the result of a penetrating injury. an object may be noted protruding from the eye. This object must never be removed except by the ophthalmologist because it may be holding ocular structures in place. Application of an eye patch or irrigation of the eye may disrupt the foreign body and cause further tearing of the sclera. (The only option that will prevent further disruption is to assess visual acuity.)Rate this question:
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- 6.
The client arrives in the emergency room after sustaining a chemical eye injury from a splash of battery acid. The initial nursing action is to:
- A.
Begin visual acuity testing
- B.
Irrigate the eye with sterile normal saline
- C.
Swab the eye with antibiotic ointment
- D.
Cover the eye with a pressure patch.
Correct Answer
B. Irrigate the eye with sterile normal salineExplanation
Emergency care following a chemical burn to the eye includes irrigating the eye immediately with sterile normal saline or ocular irrigating solution. In the emergency department. the irrigation should be maintained for at least 10 minutes. Following this emergency treatment. visual acuity is assessed.Rate this question:
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- 7.
The nurse is caring for a client following enucleation. The nurse notes the presence of bright red blood drainage on the dressing. Which nursing action is appropriate?
- A.
Notify the physician
- B.
Continue to monitor the drainage
- C.
Document the finding
- D.
Mark the drainage on the dressing and monitor for any increase in bleeding.
Correct Answer
A. Notify the physicianExplanation
If the nurse notes the presence of bright red drainage on the dressing. it must be reported to the physician because this indicated hemorrhage.Rate this question:
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- 8.
When using a Snellen alphabet chart. the nurse records the client’s vision as 20/40. Which of the following statements best describes 20/40 vision?
- A.
The client has alterations in near vision and is legally blind.
- B.
The client can see at 20 feet what the person with normal vision can see at 40 feet.
- C.
The client can see at 40 feet what the person with normal vision sees at 20 feet.
- D.
The client has a 20% decrease in acuity in one eye. and a 40% decrease in the other eye.
Correct Answer
B. The client can see at 20 feet what the person with normal vision can see at 40 feet.Explanation
The numerator refers to the client’s vision while comparing the normal vision in the denominator.Rate this question:
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- 9.
Which of the following instruments is used to record intraocular pressure?
- A.
Goniometer
- B.
Ophthalmoscope
- C.
Slit lamp
- D.
Tonometer
Correct Answer
D. TonometerExplanation
A tonometer is a device used in glaucoma screening to record intraocular pressure. A goniometer measures joint movement and angles. An ophthalmoscope examines the interior of the eye. especially the retina. A slit lamp evaluates structures in the anterior chamber in the eye.Rate this question:
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- 10.
After the nurse instills atropine drops into both eyes for a client undergoing ophthalmic examination. which of the following instructions would be given to the client?
- A.
“Be careful because the blink reflex is paralyzed.”
- B.
“Avoid wearing your regular glasses when driving.”
- C.
“Be aware that the pupils may be unusually small.”
- D.
“Wear dark glasses in bright light because the pupils are dilated.”
Correct Answer
D. “Wear dark glasses in bright light because the pupils are dilated.”Explanation
Atropine. an anticholinergic drug. has mydriatic effects causing pupil dilation. This allows more light onto the retina and may cause photophobia and blurred vision. Atropine doesn’t paralyze the blink reflex or cause miosis (pupil constriction). Driving may be contraindicated to blurred vision.Rate this question:
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