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1. During an ocular assessment of a 47-year-old man with HIV, the client informs the
nurse that he often sees floaters in his vision. What should the nurse tell the client?
A) Floaters are a normal occurrence that generally disappear with time.
B) Glasses will minimize this. abirb.com/test
C) He may be exhibiting signs of glaucoma.
D) This may be a result of cytomegalovirus.
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2. The nurse is performing an ocular history on a 3-month-old female infant. The nurse is
aware that the child's sclera will normally be what colour?
A) A dull white abirb.com/test

B) Bluish tinged
C) A bright white
D) Slightly yellow abirb.com/test

3. A 72-year-old man does not like to drive after dark, because he has difficulty seeing.
This is likely a manifestation of what abirb.com/test

phenomenon?
A) The optic nerve is damaged.
B) The rods in his eyes are deteriorating. abirb.com/test
C) His lens is cloudy.
D) The cones in his eyes are dying.

4. The nurse would use which of these terms to describe a caobinrbd.ciotimo/tnesitn

which there is deviation from perfect ocular alignment?
A) Hyphema
B) Chemosis abirb.com/test
C) Ptosis
D) Strabismus
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5. Which of these is a normal intraocular pressure

(IOP)?
A) 5 mm Hg abirb.com/test
B) 15 mm Hg
C) 25 mm Hg
D) 35 mm Hg
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6. The nurse instructs the client who has undergone eye surgery to avoid activities that
would increase intraocular pressure, such as:
A) reading abirb.com/test
B) sitting upright
C) looking upward
D) talking on the phone
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 7. What is the most characteristic symptom of acute angle-closure glaucoma?
A) Vertigo
B) Floaters in the visual field abirb.com/test
C) Sudden and progressive visual impairment
D) Diplopia
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8. The ability of the eye to focus and refocus is called:

A) enucleation
B) papilledema abirb.com/test

C) accommodation
D) astigmatism
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9. A client with low vision and peripheral field defects may require assistance with which
of these activities?
A) Eating a meal abirb.com/test

B) Mobility
C) Dressing
D) Brushing teeth abirb.com/test

10. A client has had cataract extraction with intraocular lens implant. Which of these signs
or symptoms should the client report to the ophthalmologabisirtb.icmomm/teesdt iately?
A) Nausea
B) Slight morning discharge
C) A scratchy feeling abirb.com/test
D) Flashing lights

11. A 6-year-old boy has been diagnosed with bacterial conjaubnircbt.ciovmit/itess.t What
should be included in the teaching of this child and his parents?
A) Handwashing should be emphasized.
B) The infection should resolve within 48 hours. abirb.com/test
C) The infection is not contagious.
D) There will be minimal discomfort in the eye.
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12. Which of these drugs is used to treat glaucoma?

A) Antiemetics
B) Cholinergics abirb.com/test
C) Antibiotics
D) Antispasmodics
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13. Which of these drugs is a beta-blocker?
A) Atropine
B) Pilocarpine
C) Timolol abirb.com/test
D) Acetazolamide
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14. A client underwent cataract
removal with an intraocular lens
implant. The nurse is
giving the client discharge
instructions. These instructions
should include:
A) avoid lifting objects
weighing more than 1 kg.
B) lie on the abirb.com/tes
t
affected
side to
protect the
implant. abirb.com/tes
t
C) keep rooms
brightly lit.
D) avoid
straining
during
bowel
movement.

15. The nurse is administering

eyedrops to a client with
glaucoma. To achieve
maximum absorption, the
nurse should instill the
eyedrop into the:
A)conju a
bi
nct rb
iva .c
o
l m
sac /t
e
B) pupil st
C) scler
a
D)vitre
a
ou bi
s rb
.c
hu o
mo m
/t
ur e
st

16. The nurse is giving home

care instructions to a client
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18. A client has been diagnosed with open-angle glaucoma. The physician's orders include
who just had a icular abirb.com/
cataract adenop test

removed and an athy is

intraocular lens decreas
implanted. What ed. abirb.com/
should the C) Purule test
nurseabtierbll.coth nt
me/tecsltient? dischar
A) Do not sleep ge is
abirb.com/
on the operated resolve test
side. d.
B) Wear the eye D) Both
shield eyes
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continuously have test
for 2 weeks. purule
C) Asp ab nt
irin irb dischar
.c
may o ge. abirb.com/
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be m/
te
take st
n
for
mil
d
pain
.
D) Ben
ding
over
at
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the
wai
st is
allo
wed
.

17. What finding

would lead the
nurse to conclude
that
treatmabeirbn.ct ofmo/
rtecstonjunctivitis
was not effective?
A) The client's
eye pain is
relieved.
B) P ea
r ur
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 one drop of pilocarpine 1% in each eye every 6 hours. The client states that he does not
understand the need for medication because he does not have symptoms of an eye
problem. Which of these nursing diagnoses would be moasbtirba.pcopmro/tepsrt iate?
A) Noncompliance related to refusal to use eyedrops
B) Deficient knowledge related to the disease
C) Anxiety related to a new health problem abirb.com/test
D) Disturbed body image related to the need for medication

19. The nurse is caring for a client admitted with a retinal deatbaicrbh.cmome/ntetstin his left
eye. What symptoms would the nurse expect to find during assessment?
A) Flashing lights in the visual field
B) Sudden eye pain abirb.com/test
C) Loss of colour vision
D) Coloured halos around lights

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20. The nurse is caring for a 74-year-old client with chronic open-angle glaucoma. After the
nurse administers pilocarpine, the client reports blurred vision. Which nursing action is
most appropriate? abirb.com/test
A) Holding the next dose and notifying the physician
B) Treating the client for an allergic reaction
C) Suggesting that the client put on his or her
glasses abirb.com/test

D) Explaining that this is an expected adverse effect

21. A nurse is providing care for a client who is blind and haasbibrbe.ceonm/atedsmt itted for
the
treatment of an unrelated medical problem. Which of these actions should the nurse take
to promote that client's spatial orientation while in the hospital?
A) Inform the client of any scheduled activities at the beginning of each day.
B) Explain assessment findings clearly after each assesasbmirbe.cnotmi/tsespt erformed.
C) Explain the physical layout of the room and keep objects in the same position each
day.
D) Remove as many items as possible from the room. abirb.com/test

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22. A 60-year-old female client has presented to her primary care provider's clinic
complaining of a recent loss of peripheral vision and recurrent headaches. A diagnostic
workup has concluded with the diagnosis of glaucoma. Which of these teaching points
should the nurse provide to the client? abirb.com/test
A) “You can expect to be cured of your glaucoma in time provided that you adhere
strictly to the medication schedule.”
B) “Quite often glaucoma is the result of a high-sodiumabdirbi.ecto,ms/toesyt ou
will have to monitor your salt intake closely.”
C) “It is quite common for the lens of your eye to become cloudy over time, but there
are highly successful treatments available.”
D) “Eyedrops can help lower the pressure inside your
eaybierbt.choamt/tiesstcausing this problem.”

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23. A client has been diagnosed with cataracts and is scheduled for surgical correction.
Which of these signs and symptoms most likely prompted the client to initially seek
care?
A) Painful eyes with purulent exudate abirb.com/test

B) Painless, blurry vision

C) Recurrent headaches and reduction in peripheral vision
D) Yellowing of the sclerae and excess tear productionabirb.com/test

24. An older adult client has come to the surgical daycare department of the hospital early
on the morning of his schedule keratoplasty. Which of thaebsireb.csotmat/teemst ents
would reflect a sound understanding of the surgery he will be experiencing?
A) “They'll be reducing the amount of fluid that's in my eye today.”
B) “I'll be getting a transplant of part of my eye this moabrinrbi.ncogm.”/test
C) “I'm looking forward to being able to see without glasses after I recover.”
D) “This will help the blood flow through my eye far better than it has been in the
past.”
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25. A diagnostic workup on a client has revealed the presence of numerous abnormal blood
vessels under her eye, which have led to distortions in hat is the woman's
hearbivrbi.scioomn/t.esWt most likely diagnosis?
A) Acute angle-closure glaucoma
B) Viral conjunctivitis
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C) Open-angle glaucoma
D) Wet macular degeneration

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 suspected spinal cord injury after a wakeboarding accident. The team also suspects
ligamentous damage and has ordered an MRI to rule this out. Which of these questions
should the nurse ask the client before his MRI? abirb.com/test
A) “Have you ever had a foreign object lodged in your eye?”
B) “Have you required eye surgery at any point in the past?”
C) “Do you have a history of glaucoma, retinal detachmabeirnb.tc,oomr/telsotss of
vision?”
D) “Do you wear eyeglasses or contact lenses?”

27. A public health nurse is liaising with the teachers and adambiirnb.icsotmra/tetisot n of an
elementary school that has experienced a recent outbreak of viral conjunctivitis.
Which of these principles should underlie the nurse's choices for intervention and
education?
A) Viral conjunctivitis is the leading cause of vision loasbsiribn.cocmh/iteldstren and
adolescents.
B) Although untreatable, viral conjunctivitis is usually self-limited.
C) Prophylactic ocular antibiotics have been shown to slow the spread of viral
conjunctivitis.
D) Although it has serious health consequences, viral caobnirbju.cnomct/tievsittis is
not easily transmitted.

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28. A 56-year-old man's severe glaucoma has required enucleation. Which of these teaching
points should the nurse integrate into client education in preparation for his new eye
prosthesis?
A) “Make sure to remove your prosthesis each night anadbircbl.ceoamn/teitstdaily.”
B) “You can rinse your prosthesis while it's in place, using saline solution or contact
lens solution.”
C) “You might find that your prosthesis occasionally faabllirsb.ocoumt,/tebsut t it is
important that it not fit too tightly in your orbit to prevent infection and
irritation.”
D) “Don't attempt to clean your prosthesis while it is still in your orbit.”
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29. Which of these clients most likely faces the highest risk of retinal inflammation as a
result of cytomegalovirus (CMV)?
A) A client who has a diagnosis of herpes zoster abirb.com/test
B) A client who has chronic bacterial conjunctivitis
C) A client with type 1 diabetes who is demonstrating symptoms of diabetic
retinopathy
D) A client who has clinical category “C” AIDS

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Answer Key
effect on preserving the vision of participants?
A) A class that teaches participants ways to integrate more physical activity into their
daily routines abirb.com/test
B) A stroke prevention and symptom-identification program
C) A booth that provides information on sexually transmitted infections
D) A workshop on ways to control high blood pressureabirb.com/test

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 1. D
2. B abirb.com/test
3. B
4. D
5. B
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6. C
7. C
8. C
9. B abirb.com/test
10. D
11. A
12. B
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13. C
14. D
15. A
16. A abirb.com/test
17. D
18. B
19. A abirb.com/test
20. D
21. C
22. D
23. B abirb.com/test
24. B
25. D
26. A abirb.com/test
27. B
28. B
29. D
30. D abirb.com/test

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