Galen NUR 210 Exam 2 Question and Answer
2026 | Comprehensive Review with Detailed
Rationales | Grade A+
• The nurse is testing a patients visual accommodation, which refers to
which action?
a. Pupillary constriction when looking at a near object
b. Pupillary dilation when looking at a far object
c. Changes in peripheral vision in response to light
d. Involuntary blinking in the presence of bright light -✓✓a. Pupillary
constriction when looking at a near object
• A patient has a normal pupillary light reflex. The nurse recognizes that
this reflex indicates that:
a. The eyes converge to focus on the light.
b. Light is reflected at the same spot in both eyes.
c. The eye focuses the image in the center of the pupil.
d. Constriction of both pupils occurs in response to bright light. -✓✓d.
Constriction of both pupils occurs in response to bright light.
• A mother asks when her newborn infants eyesight will be developed.
The nurse should reply:
a. Vision is not totally developed until 2 years of age.
b. Infants develop the ability to focus on an object at approximately 8
months of age.
,c. By approximately 3 months of age, infants develop more coordinated
eye movements and can fixate on an object.
d. Most infants have uncoordinated eye movements for the first year of
life. -✓✓c. By approximately 3 months of age, infants develop more
coordinated eye movements and can fixate on an object.
• 10. The nurse is reviewing in age-related changes in the eye for a class.
Which of these physiologic changes is responsible for presbyopia?
a. Degeneration of the cornea
b. Loss of lens elasticity
c. Decreased adaptation to darkness
d. Decreased distance vision abilities -✓✓b. Loss of lens elasticity
• 11. Which of these assessment findings would the nurse expect to see
when examining the eyes of a black patient?
a. Increased night vision
b. Dark retinal background
c. Increased photosensitivity
d. Narrowed palpebral fissures -✓✓b. Dark retinal background
An ethnically based variability in the color of the iris and in retinal
pigmentation exists, with darker irides having darker retinas behind
them.
,• 12. A 52-year-old patient describes the presence of occasional floaters
or spots moving in front of his eyes. The nurse should:
a. Examine the retina to determine the number of floaters.
b. Presume the patient has glaucoma and refer him for further testing.
c. Consider these to be abnormal findings, and refer him to an
ophthalmologist.
d. Know that floaters are usually insignificant and are caused by
condensed vitreous fibers. -✓✓d. Know that floaters are usually
insignificant and are caused by condensed vitreous fibers.
• The nurse is preparing to assess the visual acuity of a 16-year-old
patient. How should the nurse proceed?
a. Perform the confrontation test.
b. Ask the patient to read the print on a handheld Jaeger card.
c. Use the Snellen chart positioned 20 feet away from the patient.
d. Determine the patients ability to read newsprint at a distance of 12 to
14 inches. -✓✓c. Use the Snellen chart positioned 20 feet away from
the patient.
• A patients vision is recorded as 20/30 when the Snellen eye chart is
used. The nurse interprets these results to indicate that:
a. At 30 feet the patient can read the entire chart.
b. The patient can read at 20 feet what a person with normal vision can
read at 30 feet.
c. The patient can read the chart from 20 feet in the left eye and 30 feet
in the right eye.
, d. The patient can read from 30 feet what a person with normal vision
can read from 20 feet. -✓✓b. The patient can read at 20 feet what a
person with normal vision can read at 30 feet.
The top number indicates the distance the person is standing from the
chart; the denominator gives the distance at which a normal eye can see.
• A patient is unable to read even the largest letters on the Snellen chart.
The nurse should take which action next?
a. Refer the patient to an ophthalmologist or optometrist for further
evaluation.
b. Assess whether the patient can count the nurses fingers when they are
placed in front of his or her eyes.
c. Ask the patient to put on his or her reading glasses and attempt to read
the Snellen chart again.
d. Shorten the distance between the patient and the chart until the letters
are seen, and record that distance. -✓✓d. Shorten the distance between
the patient and the chart until the letters are seen, and record that
distance.
• A patients vision is recorded as 20/80 in each eye. The nurse interprets
this finding to mean that the patient:
a. Has poor vision.
b. Has acute vision.
c. Has normal vision.
d. Is presbyopic. -✓✓a. Has poor vision.
2026 | Comprehensive Review with Detailed
Rationales | Grade A+
• The nurse is testing a patients visual accommodation, which refers to
which action?
a. Pupillary constriction when looking at a near object
b. Pupillary dilation when looking at a far object
c. Changes in peripheral vision in response to light
d. Involuntary blinking in the presence of bright light -✓✓a. Pupillary
constriction when looking at a near object
• A patient has a normal pupillary light reflex. The nurse recognizes that
this reflex indicates that:
a. The eyes converge to focus on the light.
b. Light is reflected at the same spot in both eyes.
c. The eye focuses the image in the center of the pupil.
d. Constriction of both pupils occurs in response to bright light. -✓✓d.
Constriction of both pupils occurs in response to bright light.
• A mother asks when her newborn infants eyesight will be developed.
The nurse should reply:
a. Vision is not totally developed until 2 years of age.
b. Infants develop the ability to focus on an object at approximately 8
months of age.
,c. By approximately 3 months of age, infants develop more coordinated
eye movements and can fixate on an object.
d. Most infants have uncoordinated eye movements for the first year of
life. -✓✓c. By approximately 3 months of age, infants develop more
coordinated eye movements and can fixate on an object.
• 10. The nurse is reviewing in age-related changes in the eye for a class.
Which of these physiologic changes is responsible for presbyopia?
a. Degeneration of the cornea
b. Loss of lens elasticity
c. Decreased adaptation to darkness
d. Decreased distance vision abilities -✓✓b. Loss of lens elasticity
• 11. Which of these assessment findings would the nurse expect to see
when examining the eyes of a black patient?
a. Increased night vision
b. Dark retinal background
c. Increased photosensitivity
d. Narrowed palpebral fissures -✓✓b. Dark retinal background
An ethnically based variability in the color of the iris and in retinal
pigmentation exists, with darker irides having darker retinas behind
them.
,• 12. A 52-year-old patient describes the presence of occasional floaters
or spots moving in front of his eyes. The nurse should:
a. Examine the retina to determine the number of floaters.
b. Presume the patient has glaucoma and refer him for further testing.
c. Consider these to be abnormal findings, and refer him to an
ophthalmologist.
d. Know that floaters are usually insignificant and are caused by
condensed vitreous fibers. -✓✓d. Know that floaters are usually
insignificant and are caused by condensed vitreous fibers.
• The nurse is preparing to assess the visual acuity of a 16-year-old
patient. How should the nurse proceed?
a. Perform the confrontation test.
b. Ask the patient to read the print on a handheld Jaeger card.
c. Use the Snellen chart positioned 20 feet away from the patient.
d. Determine the patients ability to read newsprint at a distance of 12 to
14 inches. -✓✓c. Use the Snellen chart positioned 20 feet away from
the patient.
• A patients vision is recorded as 20/30 when the Snellen eye chart is
used. The nurse interprets these results to indicate that:
a. At 30 feet the patient can read the entire chart.
b. The patient can read at 20 feet what a person with normal vision can
read at 30 feet.
c. The patient can read the chart from 20 feet in the left eye and 30 feet
in the right eye.
, d. The patient can read from 30 feet what a person with normal vision
can read from 20 feet. -✓✓b. The patient can read at 20 feet what a
person with normal vision can read at 30 feet.
The top number indicates the distance the person is standing from the
chart; the denominator gives the distance at which a normal eye can see.
• A patient is unable to read even the largest letters on the Snellen chart.
The nurse should take which action next?
a. Refer the patient to an ophthalmologist or optometrist for further
evaluation.
b. Assess whether the patient can count the nurses fingers when they are
placed in front of his or her eyes.
c. Ask the patient to put on his or her reading glasses and attempt to read
the Snellen chart again.
d. Shorten the distance between the patient and the chart until the letters
are seen, and record that distance. -✓✓d. Shorten the distance between
the patient and the chart until the letters are seen, and record that
distance.
• A patients vision is recorded as 20/80 in each eye. The nurse interprets
this finding to mean that the patient:
a. Has poor vision.
b. Has acute vision.
c. Has normal vision.
d. Is presbyopic. -✓✓a. Has poor vision.
