NORCET 5.

0
[Q] The eyeball is approximately spherical in [Q] Which muscle is responsible for pupil meiosis?
shape with a diameter of about? (a) Dilator pupillae (b) Radiating pupillae
(a) 1.8 cm (b) 3.0 cm (c) Sphincter pupillae (d) None of the above
(c) 1 cm (d) 2.5cm
[Q] Which of the following factor is most
[Q] Which is most outer layer of eye ball?
important regarding fluid?
(a) Fibrous tunic (b) Uveal tract
(c) Vascular tunic (d) Neural layer (a) Secretion of fluid
[Q] The anterior transparent part of the eye is (b) Pathway of fluid
(a) Pupil (b) Conjunctiva (c) Absorption of the fluid
(c) Cornea (d) Sclera (d) Uses of fluid
[Q] Main refractive medium of eye? [Q] Fluid in posterior chamber of eye is called
(a) Lens (b) Cornea
(a) Vitreous fluid (b) Aqueous fluid
(c) Iris (d) Retina
(c) Both a & b (d) None of these
[Q] Which of following method is used for eye
[Q] Aqueous humor produced by all except?
storage, except?
(a) Osmosis (b) Diffuse
(a) Moist chamber (b) Mk medium
(c) Active secretion (d) Ultrafiltration
(c) Cryopreservation (d) Cryosurgery
[Q] Which fluid is mainly responsible for IOP?
[Q] Which is maximum duration for eye after
(a) Aqueous humor (b) Vitreous humor
death
(c) Cerebrospinal fluid (d) None of the above
(a) 2 hours (b) 4 hours
[Q] Blepharitis is a condition of?
(c) 6 hours (d) 8 hours
(a) Eye lid (b) Eye lashes
[Q] A cornea transplant is never rejected in human
(c) Eye brow (d) Bowman’s layer of cornea
because?
[Q] Which cranial nerve involve in closing of eye
(a) It consists of enucleated cell
(b) It’s a non- living layer lid?
(c) It has no blood supply (a) 7th CN (b) 3rdCN
(d) Its cells are leas penetrable bacteria (c) 5th CN (d) 4th CN
[Q] Which of the following structure is known as [Q] Which of the following is primary visual area?
“white of eye”? (a) 17 (b) 18
(a) Sclera (b)Cornea (c) 19 (d) 20
(c) Choroid (d)Retina [Q] The human eye lens is?
[Q] Which of the following structure is not the part (a) Concave (b) Convex
of uveal tract? (c) Biconcave (d) Biconvex
(a) Choroid (b) Ciliary body [Q] Which structure of eye is helpful in changing
the thickness of lens?
(c) Iris (d)Retina
(a) Sclera (b) Cornea
[Q] Size of pupil varies in between? (c) Ciliary muscle (d) Iris
(a) 3-5 mm (b) 2-6 mm [Q] Which of the following cell is not present in
(c) 1-4 mm (d) 1-10 mm retina?
[Q] Pin point pupil seen in except? (a) Purkinje cells (b) Bipolar cells
(a) Pontine hemorrhage (c) Ganglionic cells (d) Amacrine cells
(b) Paralysis [Q] The normal intraocular pressure is:
(c) Pilocarpine over dose (a) 8-21 mmHg (b) 16-25 mm Hg
(d) Organophosphate poisoning (c) 20-35 mmHg (d) 19-38 mmHg
[Q] Which of the following pair is incorrect while [Q] When testing Visual fields, the nurse is
comparing the human eye with camera?
assessing which of the following parts of
(a) Film–retina
(b) Diaphragm–Iris vision?
(c) Aperture–pupil (a) Peripheral vision (b) Near vision
(d) Lens – choroid (c) Distance vision (d) Central vision

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 NORCET 5.0
[Q] The nurse is preparing to test the visual acuity [Q] In caring for a client after cataract surgery, the
of a client, using a Snellen chart. Which nurse should notify physician if the client has:
identifies the accurate procedure for this (a) Blurred vision (b) Glare
visual acuity test? (c) Eye pain (d) Itching
(a) The right eye is tested, followed by the left eye, [Q] During the early postoperative period, a client
and then both eyes are tested. who has undergone a cataract extraction
(b) Both eyes are assessed together, followed by complains of nausea and severe eye pain over
an assessment of the right eye and then the left the operative site. What should be the initial
eye. nursing action?
(c) The client is asked to stand at a distance of 40 (a)Call the health care provider (HCP).
feet (12 meters) from the chart and to read the (b)Reassure the client that this is normal.
largest line on the chart. (c) Turn the client onto his or her operative side.
(d) The client is asked to stand at a distance of 40 (d)Administer the prescribed pain medication and
feet (12 meters) from the chart and to read the antiemetic.
line that can be read 200 feet (60 meters) away by [Q] The nurse is performing an assessment on a
an individual with unimpaired vision. client with a suspected diagnosis of cataract.
[Q] The drugs used to constrict the pupils are: Which clinical manifestation should the nurse
(a) miotics (b) Sulfonamide expect to note in the early stages of cataract
(c) antibiotics (d) mydriatics formation?
[Q] Formation of pustule in the area of eyelashes (a) Diplopia (b) Eye pain
follicle is called........? (c) Floating spots (d) Blurred vision
(a) Stye hordeolum (b) Ptosis [Q] The nurse is preparing a teaching plan for a
(c) Diplopia (d) Exophthalmos client who had a cataract extraction with
[Q] Strabismus also known as? intraocular implantation. Which home care
(a) Cross eye (b) Lazy eye measures should the nurse include in the plan,
(c) Squint (d) All of the above EXCEPT?
[Q] A child is diagnosed with bacterial (a)Avoid activities that require bending over.
conjunctivitis; a nurse educates the mother to (b)Place an eye shield on the surgical eye at
do all except? bedtime.
(a) Wash hands frequently (c) Take acetaminophen for minor eye
(b) Clean eyes as prescribed discomfort.
(c) Share towel and wash cloths (d)Expect episodes of sudden severe pain in the
(d) Give eye drops as prescribed eye.
[Q] Corrective lens used in Myopia is: [Q] A client’s relative asks the nurse what a
(a) Concave lens (b) Simple lens cataract. What explanation should the nurse
(c) Compound lens (d) Convex lens provide?
[Q] Astigmatism can be corrected by (a) An opacity of the lens
(a) Bifocal lenses (b) A thin film over the cornea
(b) Cylindrical lenses (c) A crystallization of the pupil
(c) Concave lenses (d) An increase in the density of the conjunctiva
(d) Plano convex lenses [Q] What should the nurse do for a client who just
[Q] Which of the following is not the management had cataract surgery?
of refractive error. (a) Instruct the client to avoid driving for several
(a) Peripheral keratotomy
weeks.
(b) Photorefractive
(b) Teach the client coughing and deep-breathing
(c) Lasik
(d) Scleral ring techniques.
[Q] The disease-causing lens opacity leading to (c) Advise the client to refrain from vigorous
disability in elderly is brushing of the teeth and hair.
(a) Glaucoma (b) Cataract (d) Encourage the client to perform eye exercises
(c) Keratoconus (d) Corneal dystrophies to strengthen the ocular musculature.

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 NORCET 5.0
[Q] What specific manifestation is seen in acute [Q] Which drug does a nurse anticipate may be
close angle glaucoma and not in open angle prescribed to produce diuresis and inhibit
glaucoma? formation of aqueous humor for a client with
(a) Loss of peripheral vision glaucoma?
(b) Irreversible vision loss (a) Chlorothiazide
(c) There is an increase in IOP (b) Acetazolamide
(d) Pain (c) Bendroflumethiazide
[Q] Which of the following condition is (d) Demecarium bromide
manifested/associated by increased IOP? [Q] Betaxolol hydrochloride eye drops have been
(a) Cataract prescribed for a client with glaucoma. Which
(b) Conjunctivitis nursing action is most appropriate related to
(c) Dacryocystitis monitoring for side and adverse effects of this
(d) Glaucoma medication?
[Q] Clinical manifestation of glaucoma includes.... (a) Assessing for edema
(a) Blurred and loss of vision (b) Monitoring temperature
(b) Headache (c) Monitoring blood pressure
(c) Halos around lights (d) Assessing blood glucose level
(d) All of the above [Q] Which medication, if prescribed for the client
[Q] The nurse is developing a teaching plan for a with glaucoma, should the nurse question?
client with glaucoma. Which instruction (a) Betaxolol
should the nurse include in the plan of care? (b) Pilocarpine
(a)Avoid overuse of the eyes. (c) Erythromycin
(b)Decrease the amount of salt in the diet.
(d) Atropine sulfate
(c) Eye medications will need to be administered
[Q] The nurse is performing an admission
for life time.
(d)Decrease fluid intake to control the intraocular assessment on a client with a diagnosis of
pressure. detached retina. Which sign or symptom is
[Q] Tonometry is performed on a client with a associated with this eye disorder?
suspected diagnosis of glaucoma. The nurse (a) Total loss of vision
looks at the documented test results and (b) Pain in the affected eye
notes an intraocular pressure (IOP) value of
(c) A yellow discoloration of the sclera
23. What should be the nurse’s initial action?
(a)Apply normal saline drops. (d) A sense of a curtain falling across the field of
(b)Note the time of day the test was done. vision
(c) Contact the health care provider (HCP). [Q] A client with detachment of the retina is to
(d)Instruct the client to sleep with the head of the patch both eyes. The expected outcome of
bed flat. patching is to:
[Q] Which desired effect of therapy should the
(a) Reduce rapid eye movements.
nurse explain to the client who has primary
(b) Decrease the irritation caused by light
angle-closure glaucoma?
(a) Dilating the pupil entering the damaged eye.
(b) Resting the eye muscles (c) Protect the injured eye from infection.
(c) Preventing secondary infection (d) Rest the eyes to promote healing.
(d) Controlling intraocular pressure [Q] Which of the following goals is a priority for a
[Q] Which clinical indicator is the nurse most likely client who has undergone surgery for retinal
to identify when exploring the history of a
detachment?
client with open-angle glaucoma?
(a) Control pain.
(a) Constant blurring
(b) Abrupt attacks of acute pain (b) Prevent an increase in intraocular pressure.
(c) Sudden, complete loss of vision (c) Promote a low-sodium diet.
(d) Impairment of peripheral vision (d) Maintain a darkened environment

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 NORCET 5.0
[Q] The most common cause of
detachment is:
(a) Brain tumors
(b) Diabetes mellitus
(c) Degenerative change in retina or vitreous
(d) Trauma
[Q] A nurse is caring for a client who is scheduled
for surgery for a detached retina. Which goal
of surgery identified by the client indicates
that the preoperative teaching was effective?
(a) Promote growth of new retinal cells
(b) Adhere the sclera to the choroid layer
(c) Graft a healthy piece of retina in place
(d) Create a scar that aids in healing retinal holes
[Q] Important intervention to a client with retinal
detachment is ....
(a) Admitting him to the hospital and strict bed
rest
(b) Patching both of his eyes
(c) Use sunglass
(d) Use topical antibiotic and analgesics
[Q] Which is most common type of macular
degeneration?
(a) Dry macular degeneration
(b) Wet macular degeneration
(c) Diabetic macular degeneration
(d) Hypertensive macular degeneration
[Q] A client arrives in the emergency department
following an automobile crash. The client’s
forehead hit the steering wheel and a
hyphema is diagnosed. The nurse should place
the client in which position?
(a)Flat in bed
(b)A semi-Fowler’s position
(c) Lateral on the affected side
(d)Lateral on the unaffected side
[Q] The client sustains a contusion of the eyeball
following a traumatic injury with a blunt
object. Which intervention should be initiated
immediately?
(a)Apply ice to the affected eye.
(b)Irrigate the eye with cool water.
(c) Notify the health care provider (HCP).
(d)Accompany the client to the emergency
department.
retinal [Q] A woman was working in her garden. She
accidentally sprayed insecticide into her right
eye. She calls the emergency department,
frantic and screaming for help. The nurse
should instruct the woman to take which
immediate action?
(a)Irrigate the eyes with water.
(b)Come to the emergency department.
(c) Call the health care provider (HCP).
(d)Irrigate the eyes with diluted hydrogen
peroxide.
[Q] A client’s vision is tested with a Snellen chart.
The results of the tests are documented as
20/60. What action should the nurse
implement based on this finding?
(a)Provide the client with materials on legal
blindness.
(b)Instruct the client that he or she may need
glasses when driving.
(c) Inform the client of where he or she can
purchase a white cane with a red tip.
(d)Inform the client that it is best to sit near the
back of the room when attending lectures.
[Q] When performing a neurologic assessment of
a client, a nurse identifies that the client has a
dilated right pupil. The nurse concludes that
this suggests a problem with which cranial
nerve?
(a) Third
(b) Fourth
(c) Second
(d) Seventh
[Q] A client is admitted with paresis of the ciliary
muscles of the left eye. What function should
the nurse expect to be affected?
(a) Closing the eyelids
(b) Convergence of both eyes
(c) Ability to discriminate colors
(d) Focusing the lens on near objects
[Q] The nurse is preparing to administer eye
drops. Which interventions should the nurse
take to administer the drops, Except?
(a) Wash hand & Put gloves on.
(b) Pull the lower lid down & ins till the drop in the
conjunctival sac.
(c) If there is two separate medication then wait
for 3 to 5 minute before instilling another drops.
(d) Instruct the client to squeeze the eyes shut
after instilling the eye drop.
(e) Instruct the client to extend the head
backward, open the eyes, and look upward.
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 NORCET 5.0
[Q] A client is prescribed an eye drop and an eye [Q] The mode of transmission of trachoma from
ointment for the right eye. How should the one person to another person is:
nurse best administer the medications? (a) Direct & indirect contact
(a)Administer the eye drop first, followed by
(b) blood contact
the eye ointment.
(c) Inoculation
(b)Administer the eye ointment first, followed
(d) Iatrogenic
by the eye drop.
[Q] Azithromycin mass treatment is given in
(c) Administer the eye drop, wait 15 minutes,
community when prevalence of Trachoma is
and administer the eye ointment.
more than:
(d)Administer the eye ointment, wait 15 (a) 4%
minutes, and administer the eye drop. (b) 6%
[Q] The nurse prepares a client for ear (c) 8%
irrigation as prescribed by the health care (d) 10%
provider. Which action should the nurse [Q] According to WHO, the blindness is defined
as visual acuity is less than?
take when performing the procedure?
(a) 6/6
(a)Warm the irrigating solution to 98.6 °F(37.0
(b) 3/60
°C). (c) 1/60
(b)Position the client with the affected side up (d) 18/60
following the irrigation.
(c) Direct a slow, steady stream of irrigation
solution toward the eardrum.
(d)Assist the client to turn his or her head so
that the ear to be irrigated is facing upward.
[Q] The surgical removal of the entire contents
of the orbit, including the eye balls and
eyelids is
(a) Enucleation (b) Exenteration
(c) Evisceration (d) Laser surgery
[Q] Common cause of blindness in India is:
(a) Vitamin A deficiency
(b) Cataract
(c) Glaucoma
(d) Trachoma
[Q] The nurse is caring for a client following
enucleation and notes the presence of
bright red drainage on the dressing. Which
action should the nurse take at this time?
(a) Document the finding.
(b) Continue to monitor the drainage.
(c) Notify the health care provider (HCP).
(d) Mark the drainage on the dressing and
monitor for any increase in bleeding.

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