N314 Final Exam 4 Questions with
Guaranteed Pass Solutions 2026
Updated.
Which eye finding is normal for a 3-year-old child?
-White reflex
-20/40 visual acuity
-Different visual acuity in each eye
-Bleeding of retinal blood vessels - Answer 20/40 visual acuity
Which eye assessment finding is associated with hyperthyroidism?
-Episcleritis
-Strabismus
-Nystagmus
-Exophthalmos - Answer Exophthalmos
When examining the eyes, which finding is indicative of extraocular muscle weakness?
-Nystagmus
-Red reflex
-Pupillary dilation
-Pupillary constriction - Answer Nystagmus
When examining the eyes, which finding describes abnormal findings of the eyelid?
-Drusen bodies
-Sclera yellow, dark green, or rust-colored
-Pterygium
-Ptosis - Answer Ptosis
A patient with a history of hypertension complains of diplopia and halos. The nurse notes eye
redness and irritation and a blood pressure of 136/82 mm Hg. Which finding should the nurse
document as history of present illness related to the eye assessment? (Select all that apply.)
,-Halos
-Diplopia
-Eye redness
-Blood pressure of 136/82 mm Hg
-Patient's history of hypertension - Answer -Halos
-Diplopia
-Eye redness
During the eye assessment, the nurse notes discoloration of the sclera and red conjunctiva. The
patient reports poor vision and eye pain and wears protective eye devices for work. Which
subjective information would the nurse document as a part of the personal/social history
related to the eye examination?
-Eye pain
-Poor vision
-Red conjunctiva
-Discoloration of the sclera
-Use of a protective eye device - Answer Use of protective eye device
Which information should the nurse document as history of present illness related to
strabismus? (Select all that apply.)
-Sudden onset of double vision
-Eye surgery to correct double vision
-Patient reports that eyes cross
-Nurse notes that one eye deviates inward
-Use of a protective eye device - Answer -Sudden onset of double vision
-Patient reports that eyes cross
Match the external eye structure with the relevant function.
-Distributes tears over the eye surface
-Protects from foreign bodies and desiccation
-Produces tears that moisten the eye
,-Lacrimal gland
-Conjunctiva
-Eyelid - Answer -Distributes tears over the eye surface: Conjunctiva
-Protects from foreign bodies and desiccation: Eyelid
-Produces tears that moisten the eye: Lacrimal gland
The nurse should ask a patient with a red eye which questions about associated symptoms as
part of the history of present illness? (Select all that apply.)
-"Do you have pain in or around the eye?"
-"Have you tried using eye drops?"
-"Do you have any vision loss?"
-"Do you have seasonal allergies?"
-"Do you wear contact lenses?" - Answer -"Do you have pain in or around the eye?"
-"Do you have any vision loss?"
The nurse should ask a patient who reports halos around lights which questions as part of the
past medical history? (Select all that apply.)
-"Do you have pain in or around the eye?"
-"Have you been treated for glaucoma?"
-"Do you have seasonal allergies?"
-"How long has this been going on?" - Answer -"Have you been treated for glaucoma?"
-"Do you have seasonal allergies?"
For which features should the nurse inspect the orbital area? (Select all that apply.)
-Edema
-Puffiness
-Tenderness
-Temperature
-Sagging tissue - Answer -Edema
-Puffiness
, -Sagging tissue
For which features should the nurse inspect during assessment of the sclera? (Select all that
apply.)
-Visual acuity
-Corneal abrasions
-Color of the sclera
-Eyelid fasciculations
-Presence of senile hyaline plaque - Answer -Color of the sclera
-Presence of senile hyaline plaque
When performing the ophthalmoscopic examination, which finding of the blood vessels is
abnormal?
-Venules smaller than arterioles
-Branching of vessels away from the optic disc
-Smooth crossing of the vessels
-Possible venous pulsations - Answer Venules smaller than arterioles
When performing the ophthalmoscopic examination, which finding of the optic discs is
abnormal?
-Sharp well-defined disc margin
-About 1.5 mm in diameter
-Cupping of the disc
-Yellow to creamy pink in color - Answer Cupping of the disc
A patient with a history of hypertension complains of impaired vision and eye discomfort. The
nurse notes hemorrhages in the eye and increased ocular pressure. Which information related
to the eye assessment should the nurse document as objective data? (Select all that apply.)
-Hypertension
-Impaired vision
-Eye discomfort
-Eye hemorrhages
Guaranteed Pass Solutions 2026
Updated.
Which eye finding is normal for a 3-year-old child?
-White reflex
-20/40 visual acuity
-Different visual acuity in each eye
-Bleeding of retinal blood vessels - Answer 20/40 visual acuity
Which eye assessment finding is associated with hyperthyroidism?
-Episcleritis
-Strabismus
-Nystagmus
-Exophthalmos - Answer Exophthalmos
When examining the eyes, which finding is indicative of extraocular muscle weakness?
-Nystagmus
-Red reflex
-Pupillary dilation
-Pupillary constriction - Answer Nystagmus
When examining the eyes, which finding describes abnormal findings of the eyelid?
-Drusen bodies
-Sclera yellow, dark green, or rust-colored
-Pterygium
-Ptosis - Answer Ptosis
A patient with a history of hypertension complains of diplopia and halos. The nurse notes eye
redness and irritation and a blood pressure of 136/82 mm Hg. Which finding should the nurse
document as history of present illness related to the eye assessment? (Select all that apply.)
,-Halos
-Diplopia
-Eye redness
-Blood pressure of 136/82 mm Hg
-Patient's history of hypertension - Answer -Halos
-Diplopia
-Eye redness
During the eye assessment, the nurse notes discoloration of the sclera and red conjunctiva. The
patient reports poor vision and eye pain and wears protective eye devices for work. Which
subjective information would the nurse document as a part of the personal/social history
related to the eye examination?
-Eye pain
-Poor vision
-Red conjunctiva
-Discoloration of the sclera
-Use of a protective eye device - Answer Use of protective eye device
Which information should the nurse document as history of present illness related to
strabismus? (Select all that apply.)
-Sudden onset of double vision
-Eye surgery to correct double vision
-Patient reports that eyes cross
-Nurse notes that one eye deviates inward
-Use of a protective eye device - Answer -Sudden onset of double vision
-Patient reports that eyes cross
Match the external eye structure with the relevant function.
-Distributes tears over the eye surface
-Protects from foreign bodies and desiccation
-Produces tears that moisten the eye
,-Lacrimal gland
-Conjunctiva
-Eyelid - Answer -Distributes tears over the eye surface: Conjunctiva
-Protects from foreign bodies and desiccation: Eyelid
-Produces tears that moisten the eye: Lacrimal gland
The nurse should ask a patient with a red eye which questions about associated symptoms as
part of the history of present illness? (Select all that apply.)
-"Do you have pain in or around the eye?"
-"Have you tried using eye drops?"
-"Do you have any vision loss?"
-"Do you have seasonal allergies?"
-"Do you wear contact lenses?" - Answer -"Do you have pain in or around the eye?"
-"Do you have any vision loss?"
The nurse should ask a patient who reports halos around lights which questions as part of the
past medical history? (Select all that apply.)
-"Do you have pain in or around the eye?"
-"Have you been treated for glaucoma?"
-"Do you have seasonal allergies?"
-"How long has this been going on?" - Answer -"Have you been treated for glaucoma?"
-"Do you have seasonal allergies?"
For which features should the nurse inspect the orbital area? (Select all that apply.)
-Edema
-Puffiness
-Tenderness
-Temperature
-Sagging tissue - Answer -Edema
-Puffiness
, -Sagging tissue
For which features should the nurse inspect during assessment of the sclera? (Select all that
apply.)
-Visual acuity
-Corneal abrasions
-Color of the sclera
-Eyelid fasciculations
-Presence of senile hyaline plaque - Answer -Color of the sclera
-Presence of senile hyaline plaque
When performing the ophthalmoscopic examination, which finding of the blood vessels is
abnormal?
-Venules smaller than arterioles
-Branching of vessels away from the optic disc
-Smooth crossing of the vessels
-Possible venous pulsations - Answer Venules smaller than arterioles
When performing the ophthalmoscopic examination, which finding of the optic discs is
abnormal?
-Sharp well-defined disc margin
-About 1.5 mm in diameter
-Cupping of the disc
-Yellow to creamy pink in color - Answer Cupping of the disc
A patient with a history of hypertension complains of impaired vision and eye discomfort. The
nurse notes hemorrhages in the eye and increased ocular pressure. Which information related
to the eye assessment should the nurse document as objective data? (Select all that apply.)
-Hypertension
-Impaired vision
-Eye discomfort
-Eye hemorrhages
