CARE OF PATIENT WITH EYE
AND VISION PROBLEMS
NCLEX PRACTICE
QUESTIONS AND ANSWERS
2022
, 1. A client is using an ophthalmic beta-blocking agent for the treatment of glaucoma. Which
instruction does the nurse give to the client to prevent orthostatic hypotension?
a. “Change positions quickly after administering the drops.”
b. “Take your pulse at least four times daily.”
c. “Apply pressure to the inside corner of your eye when administering the
drops.”
d. “Lay down for 10 minutes after administering the drops.”
ANS: C
Nasal punctal occlusion during eyedrop instillation keeps the drug in contact with the eye
structures longer and decreases systemic absorption and side effects. Systemic distribution of
the drug is what may cause orthostatic hypotension. The other answers will not help prevent
orthostatic hypotension.
DIF: Cognitive Level: Application/Applying or higher REF: N/A
TOP: Client Needs Category: Physiological Integrity (Pharmacological and Parenteral Therapies—
Adverse Effects/Contraindications/Side Effects/Interactions)
MSC: Integrated Process: Nursing Process (Implementation)
2. Which is the most important information for the nurse to teach a client who is receiving
cycloplegic drug therapy?
a. “Do not drive or operate machinery until the drug wears off.”
b. “Use at least a 30 SPF sunscreen agent when going outdoors.”
c. “Remain on bedrest for 24 hours in a prone position.”
d. “Turn up the lights because acuity will be decreased in low-light environments.”
ANS: A
Cycloplegic agents prevent accommodation of the iris, resulting in a widely dilated pupil. The
pupil cannot accommodate to bright light, causing eye discomfort and pain. Turning up the
lights will not assist the client to see more clearly. Bedrest and sunscreen are not measures
needed for this drug.
DIF: Cognitive Level: Application/Applying or higher REF: N/A
TOP: Client Needs Category: Health Promotion and Maintenance (Self-Care)
MSC: Integrated Process: Teaching/Learning
3. An older adult client who has a mature cataract in the right eye states, “Now I have lost the
sight in my right eye because I waited too long for treatment.” How does the nurse best
respond to the client?
a. “Yes, this type of blindness could have been prevented by earlier treatment.”
b. “It is fortunate you came for treatment in time to save the sight of your other eye.”
c. “Nothing you could have done would have made any difference.”
d. “Surgery can still save the sight in your eye with removal of the cataract.”
AND VISION PROBLEMS
NCLEX PRACTICE
QUESTIONS AND ANSWERS
2022
, 1. A client is using an ophthalmic beta-blocking agent for the treatment of glaucoma. Which
instruction does the nurse give to the client to prevent orthostatic hypotension?
a. “Change positions quickly after administering the drops.”
b. “Take your pulse at least four times daily.”
c. “Apply pressure to the inside corner of your eye when administering the
drops.”
d. “Lay down for 10 minutes after administering the drops.”
ANS: C
Nasal punctal occlusion during eyedrop instillation keeps the drug in contact with the eye
structures longer and decreases systemic absorption and side effects. Systemic distribution of
the drug is what may cause orthostatic hypotension. The other answers will not help prevent
orthostatic hypotension.
DIF: Cognitive Level: Application/Applying or higher REF: N/A
TOP: Client Needs Category: Physiological Integrity (Pharmacological and Parenteral Therapies—
Adverse Effects/Contraindications/Side Effects/Interactions)
MSC: Integrated Process: Nursing Process (Implementation)
2. Which is the most important information for the nurse to teach a client who is receiving
cycloplegic drug therapy?
a. “Do not drive or operate machinery until the drug wears off.”
b. “Use at least a 30 SPF sunscreen agent when going outdoors.”
c. “Remain on bedrest for 24 hours in a prone position.”
d. “Turn up the lights because acuity will be decreased in low-light environments.”
ANS: A
Cycloplegic agents prevent accommodation of the iris, resulting in a widely dilated pupil. The
pupil cannot accommodate to bright light, causing eye discomfort and pain. Turning up the
lights will not assist the client to see more clearly. Bedrest and sunscreen are not measures
needed for this drug.
DIF: Cognitive Level: Application/Applying or higher REF: N/A
TOP: Client Needs Category: Health Promotion and Maintenance (Self-Care)
MSC: Integrated Process: Teaching/Learning
3. An older adult client who has a mature cataract in the right eye states, “Now I have lost the
sight in my right eye because I waited too long for treatment.” How does the nurse best
respond to the client?
a. “Yes, this type of blindness could have been prevented by earlier treatment.”
b. “It is fortunate you came for treatment in time to save the sight of your other eye.”
c. “Nothing you could have done would have made any difference.”
d. “Surgery can still save the sight in your eye with removal of the cataract.”
