Health Assessment Exam 2 Questions and Correct
Answers | Latest Update
A client complains of excessive tearing of the eyes. Which assessment
would the nurse do next?
A) Inspect the palpebral conjunctiva
B) Assess the nasolacrimal sac
C) Perform the eye positions test
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D) Test pupillary reaction to light
Ans: b
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When performing an ophthalmoscopic exam, a nurse observes a round
shape with distinct margins. The nurse would document this as which of
the following?
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A) Physiologic cup
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B) Optic disc
C) Retinal vessels
D) Fovea
Ans: b
A nurse shines a light into one eye during ocular exam and the pupil of
the other constricts. The nurse interprets this as which of the following?
A) Direct reflex
B) Optic chiasm
C) Consensual response
D) Accommodation
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Ans: c
The nurse is preparing to test a client's eyes for accommodation. The
nurse would have the client focus on an object in which sequence for this
test?
A) Far, then near
B) Lateral, then near
C) Near, then far
D) Lateral, then far
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Ans: a
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During a health history, a 42-year-old male client reveals that he is seeing
spots before his eyes. The nurse interprets this finding as the result of
which of the following?
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A) Increased ocular pressure
B) Vitamin A deficiency
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C) Normal findings for client's age
D) Vascular spasm
Ans: c
A nurse is caring for several clients. Which client would be at the highest
risk for developing cataracts?
A) A 55-year-old female client
B) A 40-year-old with arteriosclerosis
C) A client whose father had cataracts
D) A male client who smokes cigarettes
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Ans: a
When performing the cover test, the nurse would cover one of the client's
eyes and then ask the client to do which of the following?
A) Focus on a distant object, looking for movement in the other eye
B) Close the other eye, then open that eye quickly
C) Follow the examiner's finger with the other eye
D) Look directly at a light with the other eye
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Ans: a
Which of the following would a nurse expect to assess in a client with
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esotropia?
A) Eye turning outward
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B) Eye malalignment
C) Eye turning inward
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D) Eye oscillating
Ans: c
Which test would be most appropriate for the nurse to perform when
assessing eye muscle strength and cranial nerve function?
A) Corneal light reflex test
B) Eye positions test
C) Cover test
D) Visual fields test
Ans: b
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A nurse examines an older adult client. Which of the following would the
nurse document as a normal finding?
A) Ectropion
B) Episcleritis
C) Chalazion
D) Exophthalmos
Ans: a
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Which of the following would the nurse expect to assess when examining
the eyes of a client who reports a history of severe allergies?
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A) Generalized redness
B) Pinguecula
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C) Areas of dryness
D) Nodular appearance
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Ans: c
When testing for consensual pupillary constriction, which technique
would be most appropriate?
A) Hold a pencil about 12 inches from the tip of the nose
B) Use an ophthalmoscope to inspect the inner eye
C) Shine a light directly into one eye of the client
D) Place a barrier between the client's eyes
Ans: d
A nurse is assessing the eyes of a young child. Which finding would the
nurse document as normal?