ADULT HEALTH 1 - EXAM 4 QUESTIONS
WITH CORRECT ANSWERS 2026
CH. 20 - The nurse is teaching a patient about timolol eyedrops for the treatment of glaucoma.
What statement made by the patient demonstrates that teaching was effective?
a. "I may feel some palpitations after instilling these eyedrops."
b. "I should withhold this medication if my blood pressure becomes elevated."
c. "I should keep my eyes closed for 15 minutes after instilling these eyedrops."
d. "I may have some temporary blurring of vision after instilling these eyedrops." - CORRECT
ANSWER-d. "I may have some temporary blurring of vision after instilling these eyedrops."
It is common for patients to have a temporary blurring of vision for a few minutes after instilling
eyedrops. This should not cause concern to the patient. Because timolol is a β-blocker, heart
rate may slow, and blood pressure is more likely to decrease if absorbed systemically.
CH. 20 - The nurse is preparing to administer timolol eyedrops for treatment of glaucoma. What
statement made by the patient would cause the nurse to hold the medication and report to the
health care provider?
a. "I have sinusitis."
b. "I have migraine headaches a lot."
c. "I have chronic obstructive pulmonary disease."
d. "I have a history of chronic urinary tract infections." - CORRECT ANSWER-c. "I have chronic
obstructive pulmonary disease."
Timolol is a nonselective β-adrenergic blocker that could lead to bronchoconstriction and
bronchospasm. For this reason, it should not be used in patients with COPD. Timolol may be
used to treat migraine headaches, and it does not affect sinusitis or chronic urinary tract
infections.
,CH. 20 - A patient newly diagnosed with glaucoma asks the nurse what has made the pressure
in the eyes so high. Which is the nurse's most accurate response?
a. Back pressure from cardiac congestion causes corneal edema.
b. Cerebral venous dilation prevents normal interstitial fluid resorption.
c. Increased production of aqueous humor or blocked drainage increases pressure.
d. Congenital anomalies of the lacrimal gland or duct obstruct the passage of tears. - CORRECT
ANSWER-c. Increased production of aqueous humor or blocked drainage increases pressure.
Intraocular pressure is increased in glaucoma as a result of excess aqueous humor production or
decreased outflow. Cardiac or cerebral circulation changes do not cause glaucoma. Lacrimal
anomalies do not affect aqueous humor production.
CH. 20 - During the course of a health history to assess vision, a patient reports dry eyes. What
should the nurse assess next?
a. Assess for contact lenses.
b. Suggest saline eyedrops.
c. Ask about eyeglass usage.
d. Check the medication list. - CORRECT ANSWER-d. Check the medication list.
The nurse should evaluate the patient's medication list to identify agents that can contribute to
dry eyes so follow-up nursing care can be planned. Dry eyes aggravate wearing contact lenses,
but contact lenses do not normally cause dry eyes. The nurse should not suggest saline
eyedrops until the etiology of the dry eyes is determined. Eyeglasses do not cause dry eyes.
CH. 20 - When administering eyedrops to a patient with glaucoma, which nursing measure is
most appropriate to minimize systemic effects of the medication?
a. Apply pressure to each eyeball for a few seconds after administration.
b. Have the patient close the eyes and move them back and forth several times.
c. Have the patient put pressure on the inner canthus of the eye after administration.
,d. Have the patient try to blink out excess medication immediately after administration. -
CORRECT ANSWER-c. Have the patient put pressure on the inner canthus of the eye after
administration.
Systemic absorption can be minimized by applying pressure to the inner canthus of the eye. The
other options will not minimize systemic effects of the medication.
CH. 20 - During a health history, a 43-yr-old teacher reports increasing difficulty reading printed
materials for the past year. What change related to aging does the nurse suspect?
a. Myopia
b. Hyperopia
c. Presbyopia
d. Astigmatism - CORRECT ANSWER-c. Presbyopia
Presbyopia is a loss of accommodation causing an inability to focus on near objects. This occurs
as a normal part of aging process starting around age 40 years. Myopia is nearsightedness (near
objects are clear and far objects are blurred). Astigmatism results in visual distortion related to
unevenness in the cornea. Hyperopia is farsightedness (near objects are blurred and far objects
are clearly seen).
CH. 20 - The nurse is providing discharge teaching to a patient with type 2 diabetes after a
scleral buckling procedure. Which statement, if made by the patient, indicates that the
discharge teaching is effective?
a. "I doubt my other eye will ever be affected."
b. "I can expect severe pain after this procedure."
c. "I should avoid lifting heavy objects and straining."
d. "The procedure will correct my vision immediately." - CORRECT ANSWER-c. "I should avoid
lifting heavy objects and straining."
, Patients should avoid heavy lifting (more than 20 lb) and straining. A patient with a detached
retina is at risk for detachment of the other retina. Patients usually have little to no discomfort
after scleral buckling. Severe, persistent pain should be reported immediately to the health care
provider. Vision is restored in about 90% of retinal detachments. Vision will not be restored
immediately and takes days to weeks to improve.
CH. 20 - When administering a scheduled dose of pilocarpine, in which area should the nurse
place the drops?
a. Inner canthus
b. Outer canthus
c. Center of the eyeball
d. Lower conjunctival sac - CORRECT ANSWER-d. Lower conjunctival sac
Ocular medications, such as pilocarpine, should be instilled into the lower conjunctival sac.
Never apply eyedrops directly to the cornea. Applying the drops to the inner canthus will cause
them to be distributed systemically.
CH. 20 - The triage nurse at an ambulatory clinic receives a call from a person with possible
metal fragments in both eyes. Which instructions would the nurse provide for emergency care
of this potential eye injury?
a. "Remove any visible metal fragments."
b. "Apply a loose dressing over your eyes."
c. "Rinse your eyes immediately with water."
d. "Keep your eyes open to allow tears to form." - CORRECT ANSWER-b. "Apply a loose dressing
over your eyes."
An initial intervention for a penetrating eye injury includes covering the eye(s) with a dry, sterile
patch and protective shield. The fragments should not be removed by the person or others.
Penetrating eye injuries should not be irrigated (only irrigate for chemical eye injuries).
WITH CORRECT ANSWERS 2026
CH. 20 - The nurse is teaching a patient about timolol eyedrops for the treatment of glaucoma.
What statement made by the patient demonstrates that teaching was effective?
a. "I may feel some palpitations after instilling these eyedrops."
b. "I should withhold this medication if my blood pressure becomes elevated."
c. "I should keep my eyes closed for 15 minutes after instilling these eyedrops."
d. "I may have some temporary blurring of vision after instilling these eyedrops." - CORRECT
ANSWER-d. "I may have some temporary blurring of vision after instilling these eyedrops."
It is common for patients to have a temporary blurring of vision for a few minutes after instilling
eyedrops. This should not cause concern to the patient. Because timolol is a β-blocker, heart
rate may slow, and blood pressure is more likely to decrease if absorbed systemically.
CH. 20 - The nurse is preparing to administer timolol eyedrops for treatment of glaucoma. What
statement made by the patient would cause the nurse to hold the medication and report to the
health care provider?
a. "I have sinusitis."
b. "I have migraine headaches a lot."
c. "I have chronic obstructive pulmonary disease."
d. "I have a history of chronic urinary tract infections." - CORRECT ANSWER-c. "I have chronic
obstructive pulmonary disease."
Timolol is a nonselective β-adrenergic blocker that could lead to bronchoconstriction and
bronchospasm. For this reason, it should not be used in patients with COPD. Timolol may be
used to treat migraine headaches, and it does not affect sinusitis or chronic urinary tract
infections.
,CH. 20 - A patient newly diagnosed with glaucoma asks the nurse what has made the pressure
in the eyes so high. Which is the nurse's most accurate response?
a. Back pressure from cardiac congestion causes corneal edema.
b. Cerebral venous dilation prevents normal interstitial fluid resorption.
c. Increased production of aqueous humor or blocked drainage increases pressure.
d. Congenital anomalies of the lacrimal gland or duct obstruct the passage of tears. - CORRECT
ANSWER-c. Increased production of aqueous humor or blocked drainage increases pressure.
Intraocular pressure is increased in glaucoma as a result of excess aqueous humor production or
decreased outflow. Cardiac or cerebral circulation changes do not cause glaucoma. Lacrimal
anomalies do not affect aqueous humor production.
CH. 20 - During the course of a health history to assess vision, a patient reports dry eyes. What
should the nurse assess next?
a. Assess for contact lenses.
b. Suggest saline eyedrops.
c. Ask about eyeglass usage.
d. Check the medication list. - CORRECT ANSWER-d. Check the medication list.
The nurse should evaluate the patient's medication list to identify agents that can contribute to
dry eyes so follow-up nursing care can be planned. Dry eyes aggravate wearing contact lenses,
but contact lenses do not normally cause dry eyes. The nurse should not suggest saline
eyedrops until the etiology of the dry eyes is determined. Eyeglasses do not cause dry eyes.
CH. 20 - When administering eyedrops to a patient with glaucoma, which nursing measure is
most appropriate to minimize systemic effects of the medication?
a. Apply pressure to each eyeball for a few seconds after administration.
b. Have the patient close the eyes and move them back and forth several times.
c. Have the patient put pressure on the inner canthus of the eye after administration.
,d. Have the patient try to blink out excess medication immediately after administration. -
CORRECT ANSWER-c. Have the patient put pressure on the inner canthus of the eye after
administration.
Systemic absorption can be minimized by applying pressure to the inner canthus of the eye. The
other options will not minimize systemic effects of the medication.
CH. 20 - During a health history, a 43-yr-old teacher reports increasing difficulty reading printed
materials for the past year. What change related to aging does the nurse suspect?
a. Myopia
b. Hyperopia
c. Presbyopia
d. Astigmatism - CORRECT ANSWER-c. Presbyopia
Presbyopia is a loss of accommodation causing an inability to focus on near objects. This occurs
as a normal part of aging process starting around age 40 years. Myopia is nearsightedness (near
objects are clear and far objects are blurred). Astigmatism results in visual distortion related to
unevenness in the cornea. Hyperopia is farsightedness (near objects are blurred and far objects
are clearly seen).
CH. 20 - The nurse is providing discharge teaching to a patient with type 2 diabetes after a
scleral buckling procedure. Which statement, if made by the patient, indicates that the
discharge teaching is effective?
a. "I doubt my other eye will ever be affected."
b. "I can expect severe pain after this procedure."
c. "I should avoid lifting heavy objects and straining."
d. "The procedure will correct my vision immediately." - CORRECT ANSWER-c. "I should avoid
lifting heavy objects and straining."
, Patients should avoid heavy lifting (more than 20 lb) and straining. A patient with a detached
retina is at risk for detachment of the other retina. Patients usually have little to no discomfort
after scleral buckling. Severe, persistent pain should be reported immediately to the health care
provider. Vision is restored in about 90% of retinal detachments. Vision will not be restored
immediately and takes days to weeks to improve.
CH. 20 - When administering a scheduled dose of pilocarpine, in which area should the nurse
place the drops?
a. Inner canthus
b. Outer canthus
c. Center of the eyeball
d. Lower conjunctival sac - CORRECT ANSWER-d. Lower conjunctival sac
Ocular medications, such as pilocarpine, should be instilled into the lower conjunctival sac.
Never apply eyedrops directly to the cornea. Applying the drops to the inner canthus will cause
them to be distributed systemically.
CH. 20 - The triage nurse at an ambulatory clinic receives a call from a person with possible
metal fragments in both eyes. Which instructions would the nurse provide for emergency care
of this potential eye injury?
a. "Remove any visible metal fragments."
b. "Apply a loose dressing over your eyes."
c. "Rinse your eyes immediately with water."
d. "Keep your eyes open to allow tears to form." - CORRECT ANSWER-b. "Apply a loose dressing
over your eyes."
An initial intervention for a penetrating eye injury includes covering the eye(s) with a dry, sterile
patch and protective shield. The fragments should not be removed by the person or others.
Penetrating eye injuries should not be irrigated (only irrigate for chemical eye injuries).
