NR 302 EXAM 2 EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
When examining the eye, the nurse notices that the patients eyelid margins approximate
completely. The nurse recognizes that this assessment finding: - CORRECT-
ANSWERSIs expected
- The palpebral fissure is the elliptical open space between the eyelids, and, when
closed, the lid margins approximate completely, which is a normal finding.
During ocular examinations, the nurse keeps in mind that movement of the extraocular
muscles is: - CORRECT-ANSWERSStimulated by CNs III, IV, and VI
- Movement of the extraocular muscles is stimulated by three CNs: III, IV, and VI.
The nurse is performing an external eye examination. Which statement regarding the
outer layer of the eye is true? - CORRECT-ANSWERSThe outer layer of the eye is very
sensitive to touch.
- The cornea and the sclera make up the outer layer of the eye. The cornea is very
sensitive to touch. The middle layer, the choroid, has dark pigmentation to
prevent light from reflecting internally. The trigeminal nerve (CN V) and the
facial nerve (CN VII) are stimulated when the outer surface of the eye is
, stimulated. The retina, in the inner layer of the eye, is where light waves are
changed into nerve impulses.
When examining a patients eyes, the nurse recalls that stimulation of the sympathetic
branch of the autonomic nervous system: - CORRECT-ANSWERSElevates the eyelid
and dilates pupil
The nurse is reviewing causes of increased intraocular pressure. Which of these factors
determines intraocular pressure? - CORRECT-ANSWERSAmount of aqueous produced
resistance to its outflow at the angle of the anterior chamber
The nurse is conducting a visual examination. Which of these statements regarding visual
pathways and visual fields is true? - CORRECT-ANSWERSThe image formed on the
retina is upside down and reversed from its actual appearance in the outside world.
The nurse is testing a patients visual accommodation, which refers to which action? -
CORRECT-ANSWERSPupillary constriction when looking at a near object
A patient has a normal pupillary light reflex. The nurse recognizes that this reflex
indicates that: - CORRECT-ANSWERSConstriction of both pupils occurs in response to
bright light.
A mother asks when her newborn infants eyesight will be developed. The nurse should
reply: - CORRECT-ANSWERSBy approximately 3 months of age, infants develop more
coordinated eye movements and can fixate on an object.
The nurse is reviewing in age-related changes in the eye for a class. Which of these
physiologic changes is responsible for presbyopia? - CORRECT-ANSWERSLoss of lens
elasticity
, - The lens loses elasticity and decreases its ability to change shape to accommodate
for near vision. This condition is called presbyopia
Which of these assessment findings would the nurse expect to see when examining the
eyes of a black patient? - CORRECT-ANSWERSDark retinal background
A 52-year-old patient describes the presence of occasional floaters or spots moving in
front of his eyes. The nurse should: - CORRECT-ANSWERSKnow 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? - CORRECT-ANSWERSUse 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: - CORRECT-ANSWERSThe patient can read at
20 feet what a person with normal vision can read at 30 feet.
A patient is unable to read even the largest letters on the Snellen chart. The nurse should
take which action next? - CORRECT-ANSWERSShorten 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: - CORRECT-ANSWERSHas poor vision
When performing the corneal light reflex assessment, the nurse notes that the light is
reflected at 2 o'clock in each eye. The nurse should: - CORRECT-ANSWERSConsider
this a normal finding
The nurse is performing the diagnostic positions test. Normal findings would be which of
these results? - CORRECT-ANSWERSParallel movement of both eyes
, During an assessment of the sclera of a black patient, the nurse would consider which of
these an expected finding? - CORRECT-ANSWERSPresence of small brown macules on
the sclera
A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he has
ptosis of one eye. How should the nurse check for this? - CORRECT-
ANSWERSObserve the distance between the palpebral fissures.
During an examination of the eye, the nurse would expect what normal finding when
assessing the lacrimal apparatus? - CORRECT-ANSWERSAbsence of drainage from the
puncta when pressing against the inner orbital rim
When assessing the pupillary light reflex, the nurse should use which technique? -
CORRECT-ANSWERSShine a light across the pupil from the side, and observe for
direct and consensual pupillary constriction.
The nurse is assessing a patients eyes for the accommodation response and would expect
to see which normal finding? - CORRECT-ANSWERSConvergence of the axes of the
eyes
In using the ophthalmoscope to assess a patients eyes, the nurse notices a red glow in the
patients pupils. On the basis of this finding, the nurse would: - CORRECT-
ANSWERSConsider the red glow a normal reflection of the ophthalmoscope light off the
inner retina.
The nurse is examining a patients retina with an ophthalmoscope. Which finding is
considered normal? - CORRECT-ANSWERSOptic disc that is a yellow-orange color
A 2-week-old infant can fixate on an object but cannot follow a light or bright toy. The
nurse would: - CORRECT-ANSWERSConsider this a normal finding
QUESTIONS AND ANSWERS 2025
When examining the eye, the nurse notices that the patients eyelid margins approximate
completely. The nurse recognizes that this assessment finding: - CORRECT-
ANSWERSIs expected
- The palpebral fissure is the elliptical open space between the eyelids, and, when
closed, the lid margins approximate completely, which is a normal finding.
During ocular examinations, the nurse keeps in mind that movement of the extraocular
muscles is: - CORRECT-ANSWERSStimulated by CNs III, IV, and VI
- Movement of the extraocular muscles is stimulated by three CNs: III, IV, and VI.
The nurse is performing an external eye examination. Which statement regarding the
outer layer of the eye is true? - CORRECT-ANSWERSThe outer layer of the eye is very
sensitive to touch.
- The cornea and the sclera make up the outer layer of the eye. The cornea is very
sensitive to touch. The middle layer, the choroid, has dark pigmentation to
prevent light from reflecting internally. The trigeminal nerve (CN V) and the
facial nerve (CN VII) are stimulated when the outer surface of the eye is
, stimulated. The retina, in the inner layer of the eye, is where light waves are
changed into nerve impulses.
When examining a patients eyes, the nurse recalls that stimulation of the sympathetic
branch of the autonomic nervous system: - CORRECT-ANSWERSElevates the eyelid
and dilates pupil
The nurse is reviewing causes of increased intraocular pressure. Which of these factors
determines intraocular pressure? - CORRECT-ANSWERSAmount of aqueous produced
resistance to its outflow at the angle of the anterior chamber
The nurse is conducting a visual examination. Which of these statements regarding visual
pathways and visual fields is true? - CORRECT-ANSWERSThe image formed on the
retina is upside down and reversed from its actual appearance in the outside world.
The nurse is testing a patients visual accommodation, which refers to which action? -
CORRECT-ANSWERSPupillary constriction when looking at a near object
A patient has a normal pupillary light reflex. The nurse recognizes that this reflex
indicates that: - CORRECT-ANSWERSConstriction of both pupils occurs in response to
bright light.
A mother asks when her newborn infants eyesight will be developed. The nurse should
reply: - CORRECT-ANSWERSBy approximately 3 months of age, infants develop more
coordinated eye movements and can fixate on an object.
The nurse is reviewing in age-related changes in the eye for a class. Which of these
physiologic changes is responsible for presbyopia? - CORRECT-ANSWERSLoss of lens
elasticity
, - The lens loses elasticity and decreases its ability to change shape to accommodate
for near vision. This condition is called presbyopia
Which of these assessment findings would the nurse expect to see when examining the
eyes of a black patient? - CORRECT-ANSWERSDark retinal background
A 52-year-old patient describes the presence of occasional floaters or spots moving in
front of his eyes. The nurse should: - CORRECT-ANSWERSKnow 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? - CORRECT-ANSWERSUse 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: - CORRECT-ANSWERSThe patient can read at
20 feet what a person with normal vision can read at 30 feet.
A patient is unable to read even the largest letters on the Snellen chart. The nurse should
take which action next? - CORRECT-ANSWERSShorten 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: - CORRECT-ANSWERSHas poor vision
When performing the corneal light reflex assessment, the nurse notes that the light is
reflected at 2 o'clock in each eye. The nurse should: - CORRECT-ANSWERSConsider
this a normal finding
The nurse is performing the diagnostic positions test. Normal findings would be which of
these results? - CORRECT-ANSWERSParallel movement of both eyes
, During an assessment of the sclera of a black patient, the nurse would consider which of
these an expected finding? - CORRECT-ANSWERSPresence of small brown macules on
the sclera
A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he has
ptosis of one eye. How should the nurse check for this? - CORRECT-
ANSWERSObserve the distance between the palpebral fissures.
During an examination of the eye, the nurse would expect what normal finding when
assessing the lacrimal apparatus? - CORRECT-ANSWERSAbsence of drainage from the
puncta when pressing against the inner orbital rim
When assessing the pupillary light reflex, the nurse should use which technique? -
CORRECT-ANSWERSShine a light across the pupil from the side, and observe for
direct and consensual pupillary constriction.
The nurse is assessing a patients eyes for the accommodation response and would expect
to see which normal finding? - CORRECT-ANSWERSConvergence of the axes of the
eyes
In using the ophthalmoscope to assess a patients eyes, the nurse notices a red glow in the
patients pupils. On the basis of this finding, the nurse would: - CORRECT-
ANSWERSConsider the red glow a normal reflection of the ophthalmoscope light off the
inner retina.
The nurse is examining a patients retina with an ophthalmoscope. Which finding is
considered normal? - CORRECT-ANSWERSOptic disc that is a yellow-orange color
A 2-week-old infant can fixate on an object but cannot follow a light or bright toy. The
nurse would: - CORRECT-ANSWERSConsider this a normal finding