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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 NCLEXREVIEWM r . Paul Haidet [Miami Campus Content Enrichment Specialist)Eyes (chapter 15)Stuviaxom Online NSG 3160 NCLEX Database QuestionsQuestion 1When a patient's eyelid margins approximatecompletely, this:a. Is expectedb. May indicate a problem with extraocular musclesc. May result in problems with tearingd. Indicates increased intraocular pressureQuestion 2Movement of the extraocular muscles is:a. Decreased in the older adultb. Impaired in a patient with cataractsc. Stimulated by cranial nerves (CNs) I and IId. Stimulated by CNs III, IV, and VI

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Question 3Which 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 preventlight from reflecting internally.c. The trigeminal nerve (CN V) and the trochlear nerve (CN IV)are stimulated when the outer surface of the eye isstimulated.d. The visual receptive layer of the eye in which light wavesare changed into nerve impulses is located in the outer layerof the eye.Question 4Stimulation of the sympathetic branch of the autonomicnervous system:a. Causes pupillary constrictionb. Adjusts the eye for near visionc. Elevates the eyelid and dilates the pupild. Causes contraction of the ciliary body

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

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Question 7Testingapatient's visual accommodation refers to:a. Pupillary constriction when looking at a near objectb. Pupillary dilation when looking at a far objectc. Changes i n peripheral vision in response t o lightd. Involuntary blinking i n the presence of bright lightQuestion 8A normal pupillary light reflex indicates that:a. The eyes converge to focus on the lightb. Light is reflected at the same spot in both eyesc. The eye focuses the image on the center of the pupild. Constriction of both pupils occurs in response t obright light

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Question 9Which of these physiologic changes is responsible forpresbyopia?a. Degeneration of t h e corneab . Loss of lens elasticityc. Decreased adaptation t o darknessd . Decreased distance vision abilitiesQuestion 10What would the nurse expect to see when examining theeyes of a black patient?a. Increased night visionb. Dark retinal backgroundc. Increased photosensitivityd. Narrowed palpebral fissures

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