NURS 210 FINAL EXAM QUESTIONS AND ANSWERS
1. What is the normal response to the accommodation test?
a. Convergence of the axis of the eyes and constriction of the pupils
b. A direct light reflex and consensual light reflex
c. Conjugate movement of the eyes in all 6 cardinal positions of gaze
d. Symmetrical dilation of bilateral pupils: a. Convergence of the axis of the eyes
and constriction of the pupils
2. How will the nurse assess the peripheral vision of an adult patient who was
admitted to the hospital with a possible stroke?
a. Perform the Snellen alphabet test
b. Perform the diagnostic positions test
c. Perform the corneal light reflex test
d. Perform the confrontation test: d. Perform the confrontation test
3. Which cranial nerves are being tested when the nurse has a patient perform
the diagnostic positions test?
a. Cranial nerves III, IV and VI
b. Cranial nerves II, III and IV
c. Cranial nerves IV, V and VI
d. Cranial nerves III, IV and V: a. Cranial nerves III, IV and VI
4. What is the best nursing response when asymmetric corneal light reflex is
observed in a 3 year old child?
a. Look for other signs of Bell's palsy
b. Refer the patient to the appropriate specialist due to strabismus
c. No action is needed, because this is a normal finding in children under the
age of 6
d. Notify the physician of cranial nerve II dysfunction: b. Refer the patient to the
appropriate specialist due to strabismus
5. What is the nursing priority for an African-American patient with small
brown macules on the sclera?
,a. Refer the patient to an ophthalmologist for further testing.
b. Notify the patient that he may have liver disease and should have it checked.
c. Proceed with the examination as planned because this is a normal finding.
d. Instruct the patient to wear sunglasses when outdoors to prevent further
macule formation.: c. Proceed with the examination as planned because this is a
normal finding.
,6. How will the nurse document assessment of the eyes in an adult patient that
has drooping of the left eye lid with a smaller distance between the upper and
lower lids on the left?
a. Exophthalmos of the right eye
b. Ptosis of the left eye lid
c. Anisocoria of the left eye lid
d. Nystagmus of the left eye: b. Ptosis of the left eye lid
7. What is the priority nursing intervention when the nurse observes that
an elderly patient cannot move the eyes past the midline to the left when
performing the diagnostic positions test?
a. Perform the Snellen eye test and pupillary light reflex to further test cranial
nerve II.
b. Document dysfunction of cranial nerves II and III and proceed with the
assessment.
c. Continue the assessment, because this is a normal finding in elderly pa-
tients.
d. Refer patient for further testing due to possible dysfunction of cranial
nerves III, IV and VI.: d. Refer patient for further testing due to possible dysfunction
of cranial nerves III, IV and VI.
8. What type of vision loss does the nurse expect in a patient that has ex-
perienced an infarct involving the left cerebral optic tract (left hemispheric
stroke)?
a. Visual field loss in the right temporal and left nasal fields
b. Visual field loss in the right nasal and left nasal fields
c. Visual field loss in the right temporal and left temporal fields
d. Visual field loss in right nasal and left temporal fields: a. Visual field loss in
the right temporal and left nasal fields
9. The mother of a 2-year-old is concerned because her son has had three
ear infections in the past year. What would be an appropriate response by the
nurse?
, a.
"It is unusual for a small child to have frequent ear infections unless some-
thing else is wrong."
b.
"We need to check the immune system of your son to determine why he is
having so many ear infections."
1. What is the normal response to the accommodation test?
a. Convergence of the axis of the eyes and constriction of the pupils
b. A direct light reflex and consensual light reflex
c. Conjugate movement of the eyes in all 6 cardinal positions of gaze
d. Symmetrical dilation of bilateral pupils: a. Convergence of the axis of the eyes
and constriction of the pupils
2. How will the nurse assess the peripheral vision of an adult patient who was
admitted to the hospital with a possible stroke?
a. Perform the Snellen alphabet test
b. Perform the diagnostic positions test
c. Perform the corneal light reflex test
d. Perform the confrontation test: d. Perform the confrontation test
3. Which cranial nerves are being tested when the nurse has a patient perform
the diagnostic positions test?
a. Cranial nerves III, IV and VI
b. Cranial nerves II, III and IV
c. Cranial nerves IV, V and VI
d. Cranial nerves III, IV and V: a. Cranial nerves III, IV and VI
4. What is the best nursing response when asymmetric corneal light reflex is
observed in a 3 year old child?
a. Look for other signs of Bell's palsy
b. Refer the patient to the appropriate specialist due to strabismus
c. No action is needed, because this is a normal finding in children under the
age of 6
d. Notify the physician of cranial nerve II dysfunction: b. Refer the patient to the
appropriate specialist due to strabismus
5. What is the nursing priority for an African-American patient with small
brown macules on the sclera?
,a. Refer the patient to an ophthalmologist for further testing.
b. Notify the patient that he may have liver disease and should have it checked.
c. Proceed with the examination as planned because this is a normal finding.
d. Instruct the patient to wear sunglasses when outdoors to prevent further
macule formation.: c. Proceed with the examination as planned because this is a
normal finding.
,6. How will the nurse document assessment of the eyes in an adult patient that
has drooping of the left eye lid with a smaller distance between the upper and
lower lids on the left?
a. Exophthalmos of the right eye
b. Ptosis of the left eye lid
c. Anisocoria of the left eye lid
d. Nystagmus of the left eye: b. Ptosis of the left eye lid
7. What is the priority nursing intervention when the nurse observes that
an elderly patient cannot move the eyes past the midline to the left when
performing the diagnostic positions test?
a. Perform the Snellen eye test and pupillary light reflex to further test cranial
nerve II.
b. Document dysfunction of cranial nerves II and III and proceed with the
assessment.
c. Continue the assessment, because this is a normal finding in elderly pa-
tients.
d. Refer patient for further testing due to possible dysfunction of cranial
nerves III, IV and VI.: d. Refer patient for further testing due to possible dysfunction
of cranial nerves III, IV and VI.
8. What type of vision loss does the nurse expect in a patient that has ex-
perienced an infarct involving the left cerebral optic tract (left hemispheric
stroke)?
a. Visual field loss in the right temporal and left nasal fields
b. Visual field loss in the right nasal and left nasal fields
c. Visual field loss in the right temporal and left temporal fields
d. Visual field loss in right nasal and left temporal fields: a. Visual field loss in
the right temporal and left nasal fields
9. The mother of a 2-year-old is concerned because her son has had three
ear infections in the past year. What would be an appropriate response by the
nurse?
, a.
"It is unusual for a small child to have frequent ear infections unless some-
thing else is wrong."
b.
"We need to check the immune system of your son to determine why he is
having so many ear infections."
