NUR 155 FINAL CRITICAL THINKING FOR THE PRACTICAL NURSE
NEWEST 2025 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Lens - ANSWER-focuses light rays that enter the eye through the pupil onto the retina, a light-
sensitive layer of tissue at the back of the eye
Aqueous Humor - ANSWER-keeps your eye inflated and provides nourishment
Vitreous Humor - ANSWER-provides nutrients to your eye and helps your eye keep its shape
Optic Nerve - ANSWER-lets your eyes send signals to your brain describing what they detect
Cornea - ANSWER-responsible for approximately 65% to 75% of the refraction of light as it
passes through the eye
Sclera - ANSWER-maintains your eye's shape and protects it from injuries
Retina - ANSWER-captures incoming photons and transmits them along neuronal pathways as
both electrical and chemical signals for the brain to perceive a visual picture
Fovea - ANSWER-responsible for high-acuity vision it is densely saturated with cone
photoreceptors
Ciliary Muscle - ANSWER-helps the eye focus on objects at different distances by changing the
shape of the lens
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, NUR 155 FINAL Critical Thinking For The Practical NURSE
Meniere's Disease - ANSWER-a disorder of the inner ear causing vertigo, tinnitus, and hearing
loss
Clinical manifestations of Cataracts - ANSWER-Decreased vision, Abnormal color perception,
Glare.
Diagnostic Assessment - ANSWER-History and physical assessment, Visual acuity measurement,
Ophthalmoscopy, Slit lamp microscopy, Glare testing, potential acuity testing in select patients.
Surgical therapy (outpatient) - ANSWER-Preoperative: H and P; give anti-inflammatory and
pupillary dilating drops.
Intraoperative Phacoemulsification - ANSWER-Ultrasonic vibrations dissolve lens; fragments are
removed (Most Common).
Extracapsular cataract extraction procedure - ANSWER-Remove lens in one piece; requires
sutures.
Intraocular lens (IOL) implantation - ANSWER-Artificial replacement for the lens of your eye.
Sensory Impairments - ANSWER-Unique safety risks of individuals with sensory
impairments/deficits.
Healthy Sensory Functioning - ANSWER-Measures to promote healthy sensory functioning in
adults.
Age-related Sensory Changes - ANSWER-Impact of age-related sensory changes on safety,
intrinsic risks, and interventions to promote safety.
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Environment and Psychosocial Health - ANSWER-Effect of the environment on psychosocial
health.
Signs and Nursing Interventions - ANSWER-Compare and contrast signs and nursing
interventions for adults with cataracts, glaucoma, macular degeneration, corneal ulcers, Vertigo,
Meniere's Disease, and Labyrinthitis.
Vertigo - ANSWER-A sensation of spinning or dizziness.
Labyrinthitis - ANSWER-Inflammation of the inner ear structures.
Risk Factors - ANSWER-Increasing age, Diabetes, Excessive exposure to sunlight, Smoking,
Obesity, High blood pressure, Previous eye injury or inflammation, Previous eye surgery,
Prolonged use of corticosteroid medications, Drinking excessive amounts of alcohol.
Prevention - ANSWER-Have regular eye examinations, Quit smoking, Manage other health
problems, Choose a healthy diet that includes plenty of fruits and vegetables, Wear sunglasses,
Reduce alcohol use.
Mydriatic - ANSWER-Alpha-adrenergic agonist (Midodrine) for dilation.
Cycloplegic - ANSWER-Anticholinergic—paralysis of accommodation and dilation.
Drug Alert - ANSWER-Patients wear dark glasses to reduce photophobia; monitor for systemic
toxicity (tachycardia and CNS effects).
Limiting activities post-op - ANSWER-Avoid activities that increase IOP, such as bending,
stooping, coughing, and lifting.
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Follow-up visits - ANSWER-Necessary for monitoring recovery.
Nursing management - ANSWER-Assess visual acuity.
Preoperative assessment - ANSWER-Obtain an appropriate history and physical assessment.
Assess psychosocial impact - ANSWER-Assess the psychosocial impact of the visual disability.
Assess knowledge - ANSWER-Assess the level of knowledge about the disease process and
treatment options.
Preoperative Goals - ANSWER-Make informed decisions, minimal anxiety.
Postoperative Goals - ANSWER-Understand and adhere to therapy, physical and emotional
comfort, no complications (such as infections).
Acute care for Cataracts - ANSWER-Preoperative care and education; intraoperative: decrease
lighting for photophobia; postoperative: mild analgesia, monitor for complications.
Ambulatory Care for Cataracts - ANSWER-Proper hygiene and eye care techniques; signs and
symptoms of infection; importance of following restrictions; how to instill eye medications using
aseptic technique.
Evaluation Outcomes for Cataracts - ANSWER-Improved vision and self-care; minimal or no pain;
optimistic expectations.
Visual Acuity Measurements - ANSWER-Tests to assess clarity of vision.
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