NUR 130 Exam 3 UPDATED QUESTIONS
AND CORRECT ANSWERS
A client, diagnosed with a cataract, comes into the clinic. What assessments should the nurse observe
in this client? - CORRECT ANSWER Blurred or cloudy visual image
The nurse is performing patient teaching with a patient newly diagnosed with glaucoma. The nurse
teaches the patient that this disease has a familial tendency. How often would the nurse tell the patient
that family members should undergo examination for the detection of glaucoma? - CORRECT
ANSWER At least once every 2 years
The nurse is reviewing the medical record of a client with glaucoma. Which of the following would
alert the nurse to suspect that the client was at increased risk for this disorder? - CORRECT
ANSWER Risk factors associated with glaucoma include prolonged use of topical or systemic
corticosteroids, older age, myopia, and a history of cardiovascular disease
A client has undergone tonometry to evaluate for possible glaucoma. Which result would the nurse
record as abnormal? - CORRECT ANSWER Normally, intraocular pressure (IOP) ranges
between 10 to 21 mm Hg. Any reading greater than 21 mm Hg indicates increased IOP
Which type of glaucoma presents an ocular emergency? - CORRECT ANSWER Acute angle-
closure glaucoma
A client has just been diagnosed with early glaucoma. During a teaching session, the nurse should: -
CORRECT ANSWER demonstrate eyedrop instillation.
Which group of medications causes pupillary constriction? - CORRECT ANSWER Miotics
Which of the following terms refers to the absence of the natural lens? - CORRECT
ANSWER Aphakia
Which of the following would not be included as a marker of medication effectiveness in glaucoma
control? - CORRECT ANSWER Opacity of the lens relates to cataract formation. The main
markers of the efficacy of the medication in glaucoma control are lowering of the IOP to the target
pressure, appearance of the optic nerve head, and the visual field
, Your patient is ready to be discharged home after a cataract extraction with intraocular lens implant.
You are teaching your patient about signs and symptoms that need to be reported to the
ophthalmologist immediately. You know that the patient understands when he says what? -
CORRECT ANSWER "I need to call the doctor if I see flashing lights."
A client with an inflammatory ophthalmic disorder has been receiving repeated courses of a
corticosteroid ointment, one-half inch in the lower conjunctival sac four times a day as directed. The
client reports a headache and blurred vision. The nurse suspects that these symptoms represent: -
CORRECT ANSWER increased intraocular pressure (IOP).
A client is prescribed pilocarpine. When preparing the client's teaching plan about this drug, which of
the following would the nurse integrate? - CORRECT ANSWER The client may experience
difficulty seeing in the dark.
Nursing students are reviewing eye structures. The students demonstrate understanding of the material
when they identify which of the following as the site of aqueous humor production? - CORRECT
ANSWER Posterior chamber
A client comes to the clinic for an ophthalmologic screening, which will include measurement of
intraocular pressure (IOP) with a tonometer. Which statement about this procedure is true? -
CORRECT ANSWER The tonometer will register the force required to indent or flatten the
corneal apex
Which of the following medication classifications increases aqueous fluid outflow in the patient with
glaucoma? - CORRECT ANSWER Cholinergics
After surgery for removal of cataract, a client is being discharged, and the nurse has completed
discharge instruction. Which client statement indicates that the outcome of the teaching plan has been
met? - CORRECT ANSWER After cataract surgery, the client needs to avoid lifting, pulling, or
pushing any object that weighs more than 15 pounds to prevent putting excessive pressure on the
surgical site. Sunglasses should be worn when outdoors during the day because the eye is sensitive to
light. Dots, flashing lights, a decrease in vision, pain, and increased redness need to be reported to the
physician immediately. The eye patch is worn for 24 hours after surgery, followed by eyeglasses worn
during the day and a metal shield worn at night for 1 to 4 weeks.
AND CORRECT ANSWERS
A client, diagnosed with a cataract, comes into the clinic. What assessments should the nurse observe
in this client? - CORRECT ANSWER Blurred or cloudy visual image
The nurse is performing patient teaching with a patient newly diagnosed with glaucoma. The nurse
teaches the patient that this disease has a familial tendency. How often would the nurse tell the patient
that family members should undergo examination for the detection of glaucoma? - CORRECT
ANSWER At least once every 2 years
The nurse is reviewing the medical record of a client with glaucoma. Which of the following would
alert the nurse to suspect that the client was at increased risk for this disorder? - CORRECT
ANSWER Risk factors associated with glaucoma include prolonged use of topical or systemic
corticosteroids, older age, myopia, and a history of cardiovascular disease
A client has undergone tonometry to evaluate for possible glaucoma. Which result would the nurse
record as abnormal? - CORRECT ANSWER Normally, intraocular pressure (IOP) ranges
between 10 to 21 mm Hg. Any reading greater than 21 mm Hg indicates increased IOP
Which type of glaucoma presents an ocular emergency? - CORRECT ANSWER Acute angle-
closure glaucoma
A client has just been diagnosed with early glaucoma. During a teaching session, the nurse should: -
CORRECT ANSWER demonstrate eyedrop instillation.
Which group of medications causes pupillary constriction? - CORRECT ANSWER Miotics
Which of the following terms refers to the absence of the natural lens? - CORRECT
ANSWER Aphakia
Which of the following would not be included as a marker of medication effectiveness in glaucoma
control? - CORRECT ANSWER Opacity of the lens relates to cataract formation. The main
markers of the efficacy of the medication in glaucoma control are lowering of the IOP to the target
pressure, appearance of the optic nerve head, and the visual field
, Your patient is ready to be discharged home after a cataract extraction with intraocular lens implant.
You are teaching your patient about signs and symptoms that need to be reported to the
ophthalmologist immediately. You know that the patient understands when he says what? -
CORRECT ANSWER "I need to call the doctor if I see flashing lights."
A client with an inflammatory ophthalmic disorder has been receiving repeated courses of a
corticosteroid ointment, one-half inch in the lower conjunctival sac four times a day as directed. The
client reports a headache and blurred vision. The nurse suspects that these symptoms represent: -
CORRECT ANSWER increased intraocular pressure (IOP).
A client is prescribed pilocarpine. When preparing the client's teaching plan about this drug, which of
the following would the nurse integrate? - CORRECT ANSWER The client may experience
difficulty seeing in the dark.
Nursing students are reviewing eye structures. The students demonstrate understanding of the material
when they identify which of the following as the site of aqueous humor production? - CORRECT
ANSWER Posterior chamber
A client comes to the clinic for an ophthalmologic screening, which will include measurement of
intraocular pressure (IOP) with a tonometer. Which statement about this procedure is true? -
CORRECT ANSWER The tonometer will register the force required to indent or flatten the
corneal apex
Which of the following medication classifications increases aqueous fluid outflow in the patient with
glaucoma? - CORRECT ANSWER Cholinergics
After surgery for removal of cataract, a client is being discharged, and the nurse has completed
discharge instruction. Which client statement indicates that the outcome of the teaching plan has been
met? - CORRECT ANSWER After cataract surgery, the client needs to avoid lifting, pulling, or
pushing any object that weighs more than 15 pounds to prevent putting excessive pressure on the
surgical site. Sunglasses should be worn when outdoors during the day because the eye is sensitive to
light. Dots, flashing lights, a decrease in vision, pain, and increased redness need to be reported to the
physician immediately. The eye patch is worn for 24 hours after surgery, followed by eyeglasses worn
during the day and a metal shield worn at night for 1 to 4 weeks.
