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NSG 3160 NCLEX Review Chapter 15

This NCLEX-style quiz focuses on eye anatomy, function, cranial nerves, and visual pathways—essential content for nursing students reviewing ophthalmologic assessment and preparing for the NCLEX-RN exam.

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    NSG 3 1 6 0 NCLEX REVIEW M r . Paul Haidet [Miami Campus Content Enrichment Specialist) Eyes (chapter 15) Stuviaxom Online NSG 3160 NCLEX Database Questions Question 1 When a patient's eyelid margins approximate completely, this: a. Is expected b. May indicate a problem with extraocular muscles c. May result in problems with tearing d. Indicates increased intraocular pressure Question 2 Movement of the extraocular muscles is: a. Decreased in the older adult b. Impaired in a patient with cataracts c. Stimulated by cranial nerves (CNs) I and II d. Stimulated by CNs III, IV, and VI

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    Question 3 Which of the following is true of the outer layer of the eye? a. The outer layer of the eye is very sensitive to touch. b. The outer layer of the eye is darkly pigmented to prevent light from reflecting internally. c. The trigeminal nerve (CN V) and the trochlear nerve (CN IV) are stimulated when the outer surface of the eye is stimulated. d. The visual receptive layer of the eye in which light waves are changed into nerve impulses is located in the outer layer of the eye. Question 4 Stimulation of the sympathetic branch of the autonomic nervous system: a. Causes pupillary constriction b. Adjusts the eye for near vision c. Elevates the eyelid and dilates the pupil d. Causes contraction of the ciliary body

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    Question 5 Which of these factors determines intraocular pressure? a. Thickness or bulging of the lens b. Posterior chamber as it accommodates increased fluid c. Contraction of the ciliary body in response to the aqueous within the eye d. Amount of aqueous produced and resistance to its outflow at the angle of the anterior chamber Question 6 Which of these statements regarding visual pathways and visual fields is true? a. The right side of the brain interprets the vision for the right eye. b. The image formed on the retina is upside down and reversed from its actual appearance in the outside world. c. Light rays are refracted through the transparent media of the eye before striking the pupil. d. Light impulses are conducted through the optic nerve to the temporal lobes of the brain.

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    Question 7 Testing a patient's visual accommodation refers to: a. Pupillary constriction when looking at a near object b. Pupillary dilation when looking at a far object c. Changes i n peripheral vision in response t o light d. Involuntary blinking i n the presence of bright light Question 8 A normal pupillary light reflex indicates that: a. The eyes converge to focus on the light b. Light is reflected at the same spot in both eyes c. The eye focuses the image on the center of the pupil d. Constriction of both pupils occurs in response t o bright light

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    Question 9 Which of these physiologic changes is responsible for presbyopia? a. Degeneration of t h e cornea b . Loss of lens elasticity c. Decreased adaptation t o darkness d . Decreased distance vision abilities Question 10 What would the nurse expect to see when examining the eyes of a black patient? a. Increased night vision b. Dark retinal background c. Increased photosensitivity d. Narrowed palpebral fissures

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    Question 1 1 For a patient with occasional eye floaters or spot, the nurse should: a. Examine the retina to determine the number of floaters. b. Presume the patient has glaucoma and refer him for further testing. c. Consider these t o be abnormal findings and refer him to an ophthalmologist. d. Know that floaters are usually insignificant and are caused by condensed vitreous fibers. Question 12 How should the nurse assess the visual acuity of a 16-year-old patient? a. Perform the confrontation test b. Ask the patient to read the print on a handheld Jaeger card c. Use the Snellen chart positioned 20 feet away from the patient d. Determine the patient's ability to read newsprint at a distance of 12 to 14 inches

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