NSG 211 EXAM 1 UNIT 1 - SENSORY
PERCEPTION 2026 LATEST
QUESTIONS AND ANSWERS| ACE
YOUR GRADES.
Parasympathomimetic ophthalmic drugs such as pilocarpine
(Pilocar) reduce intraocular pressure in the treatment of glaucoma
by which mechanism of action?
a. Miosis
b. Causing the pupils to dilate
c. Decreasing drainage of aqueous humor
d. Mydriasis - correct answer -ANS: A
Pilocarpine is a direct-acting parasympathomimetic drug that is
used as a miotic in the treatment of open-angle glaucoma. Miosis
causes pupillary constriction, increasing the outflow of aqueous
humor.
Which statement by a client indicates a need for further teaching
regarding proper administration of eyedrops?
a. "I will be careful not to touch my eye with the dropper."
b. "I will rinse the eyedropper with tap water after each use."
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c. "I will press gently against the inner corner my eye after I
administer the eye drops."
d. "I will wash my hands thoroughly with soap and water before
putting in the eye drops." - correct answer -ANS: B
It is important to maintain sterility of the eyedrop container;
therefore, it should not be rinsed. The cap should be put
immediately back on the container.
The nurse is educating a client who was administered atropine
sulfate solution for an eye examination. The nurse includes which
information in the education?
a. Encourage use of sunglasses to decrease sunlight sensitivity.
b. Instruct that a common adverse effect is dry eyes.
c. Advise that pupils may remain small for 12 hours after
administration.
d. Instruct to wait 72 hours to wear contact lenses. - correct
answer -ANS: A
Atropine sulfate is a mydriatic and is used to dilate the pupils for
eye exams. The client may have increased sunlight sensitivity and
should wear sunglasses until the pupils return to normal size.
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A child born with increased intraocular pressure is likely to be
diagnosed with which type of glaucoma?
a. Open angle
b. Congenital
c. Pigmentary
d. Angle closure - correct answer -ANS: B
An infant may be born with congenital glaucoma
A client is prescribed epinephrine eye drops for treatment of
chronic open-angle glaucoma. The client complains of burning
with instillation of the drops. Which statement is the nurse's best
response?
a. "It is a normal sensation because the eye drops reduce
inflammation."
b. "This will occur if the drop is not placed in the correct area of
the eye."
c. "That should not occur. Contact your health care provider
immediately."
d. "This is a typical adverse effect and may lessen over time." -
correct answer -ANS: D
Both epinephrine and dipivefrin are used to reduce elevated
intraocular pressure in the treatment of chronic open-angle
glaucoma, either as initial therapy or as long-term therapy.
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Adverse effects of the sympathomimetic mydriatics are primarily
limited to ocular effects and include burning, eye pain, and
lacrimation. Such effects are usually temporary and may subside
as the client grows accustomed to the medication.
Sympathomimetic mydriatics have the potential to react with other
drugs if sufficient topical absorption occurs. When given
concurrently, drugs in which class may interact with the
sympathomimetic mydriatics?
a. NSAIDs
b. Thyroid hormones
c. Calcium channel blockers
d. Oral contraceptives - correct answer -ANS: B
With sufficient topical absorption, sympathomimetic mydriatics
have the potential to react with other drugs. Cardiac dysrhythmias
are potentiated when mydriatic drugs are given with halogenated
anesthetics, cardiac glycosides, thyroid hormones, or tricyclic
antidepressants.
The nurse is educating a client with a new diagnosis of open-
angle glaucoma on the adverse effects of the indirect-acting
miotic eye drops prescribed. What will the nurse include in the
teaching as possible adverse effects? (Select all that apply.)
a. Paralysis of eyelids