Sherpath Lesson Eyes Chapter 15, Eyes: Eyes

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Question 1 of 21

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Label the indicated structures of the eye.

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2

3

4

5

Correct Answers:

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2

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5

Submitted Answers:

Correct

1 Outer canthus

Correct

2 Lacrimal sac

Correct

3 Iris

Correct

4 Pupil

Correct

5 Conjunctiva

Question 2 of 21

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Label the indicated structures of the inner eye.

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2

3

4

5

Correct Answers:

1

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Submitted Answers:

Correct

1 Sclera

Correct

2 Cornea

Correct

3 Iris

Correct

4 Lens

Correct

5 Retina

Question 3 of 21

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Which eye structure is known as the “white” of the eye?

    • IrisThe iris is the pigment of the eye, not the “white” of the eye.
  • Correct
    • ScleraThe sclera is known as the “white” of the eye.
    • CorneaThe cornea is clear and is not known as the “white” of the eye.
    • ConjunctivaThe conjunctiva is a clear, thin mucous membrane, and it is not known as the “white” of the eye.

Question 4 of 21

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Match the external eye structure with the relevant function.

  • Eyelid
  • Conjunctiva
  • Lacrimal gland

Question 5 of 21

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Match the nerve with the relevant function in the eye.

  • Abducens nerve
  • Trochlear nerve
  • Oculomotor nerve

Question 6 of 21

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Which cranial nerve is responsible for elevation of the eyelid?

  • Correct
    • Cranial nerve IIICranial nerve III is responsible for eye movement by elevating and retracting the upper eyelid.
    • Cranial nerve VCranial nerve V, the trigeminal nerve, is responsible for chewing and sensory information from the face and head.
    • Cranial nerve IVCranial nerve IV is responsible for eye movement through innervation of the superior oblique muscle, not for elevation of the eyelid.
    • Cranial nerve XCranial nerve X, the vagus nerve, is responsible for sensory, motor, and autonomic functions of the viscera.

Question 7 of 21

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The nurse should ask a patient with a red eye which questions about associated symptoms as part of the history of present illness?

  • Correct
    • “Do you have pain in or around the eye?”The nurse should ask the patient with a red eye about the presence of pain when assessing associated symptoms as part of the history of present illness.
    • “Have you tried using eye drops?”The nurse should ask the patient with a red eye about treatments being used, but this does not assess associated symptoms.
  • Correct
    • “Do you have any vision loss?”The nurse should ask the patient with a red eye about vision loss when assessing associated symptoms as part of the history of present illness.
    • “Do you have seasonal allergies?”The nurse should ask the patient with a red eye about a history of seasonal allergies, but this does not assess associated symptoms.
    • “Do you wear contact lenses?”The nurse should ask the patient with a red eye about the use of contact lenses, but this does not assess associated symptoms.

Question 8 of 21

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Which question related to family history should a nurse ask a patient with a red eye?

    • “Do you have pain in or around the eye?”The nurse should ask the patient with a red eye about the presence of pain as part of history of present illness, but this does not assess family history.
    • “Have you had eye surgery?”The nurse should ask the patient with a red eye about eye surgery as part of medical-surgical history, but this does not assess family history.
    • “Do you have any vision loss?”The nurse should ask the patient with a red eye about vision loss as part of history of present illness, but this does not assess family history.
    • “Do you have seasonal allergies?”The nurse should ask the patient with a red eye about a history of seasonal allergies as part of medical history, but this does not assess associated symptoms.
  • Correct
    • “Has anyone in your family had glaucoma?”The nurse should ask the patient with a red eye about a family history of glaucoma.

Question 9 of 21

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The nurse should ask a patient who reports halos around lights which questions as part of the past medical history?

    • “Do you have pain in or around the eye?”The nurse should ask the patient with halos around light about the presence of pain as part of history of present illness, but this does not assess past medical history.
  • Correct
    • “Have you been treated for glaucoma?”The nurse should ask the patient with halos around lights about a history of glaucoma as part of past medical history.
    • “Are you having trouble seeing?”The nurse should ask the patient with halos around lights about vision loss as part of history of present illness, but this does not assess past medical history.
  • Correct
    • “Do you have seasonal allergies?”The nurse should ask the patient with halos around lights about a history of seasonal allergies as part of past medical history.
    • “How long has this been going on?”The nurse should ask the patient with halos around lights about onset as part of history of present illness, but this does not assess past medical history.

Question 10 of 21

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Match the examination with the type of vision it tests.

  • Rosenbaum pocket screener
  • Confrontation test
  • Snellen chart

Question 11 of 21

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For which features should the nurse inspect the orbital area?

  • Correct
    • EdemaThe nurse should inspect the orbital area for edema.
  • Correct
    • PuffinessThe nurse should inspect the orbital area for puffiness.
    • TendernessThe nurse should assess tenderness by palpation, not inspection.
    • TemperatureThe nurse should assess temperature by palpation, not inspection.
  • Correct
    • Sagging tissueThe nurse should inspect the orbital area for sagging tissue.

Question 12 of 21

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For which features should the nurse inspect during assessment of the sclera?

    • Visual acuityVisual acuity is not assessed during inspection of the sclera.
    • Corneal abrasionsThe nurse should inspect for corneal abrasions during the corneal assessment, not assessment of the sclera.
  • Correct
    • Color of the scleraThe nurse should inspect the color of the sclera.
    • Eyelid fasciculationsThe nurse should assess for fasciculations during inspection of the eyelids, not inspection of the sclera.
  • Correct
    • Presence of senile hyaline plaqueThe nurse should inspect for the presence of senile hyaline plaques.

Question 13 of 21

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Which finding is expected when both eyes are examined for light reactivity?

    • Slow bilateral reactivitySlow bilateral reactivity is an abnormal finding.
    • No reaction in either eyeNo reaction to light is an abnormal finding.
  • Correct
    • Brisk bilateral reactivityBrisk bilateral reactivity is expected; that is, the pupil in the nonilluminated eye will constrict.
    • Reactivity in the illuminated eye onlyConsensual reactivity is expected in the nonilluminated eye.

Question 14 of 21

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Which age-related color change is expected on assessment of the sclera of an older adult?

    • RedA red sclera is not an age-related change in older adults.
    • WhiteA white sclera is the expected finding for an adult and is not an age-related color change.
    • BlueThe sclera should not be blue at any age.
  • Correct
    • YellowAlthough a yellow sclera may indicate liver disease, it is also a common age-related finding in older adults.

Question 15 of 21

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What findings are expected when assessing the iris and pupils of the eyes?

  • Correct
    • Both pupils constrict when a light is shone directly into one eye.As a consensual response to light, both pupils should constrict simultaneously.
    • When testing accommodation, the pupils constrict when looking at the far object.When testing accommodation, the pupils constrict when looking at the near object, not the far object.
  • Correct
    • Both pupils are the same size.Both pupils are expected to be the same size.
    • One pupil constricts more rapidly than the other.Both pupils should constrict simultaneously at the same rate.
    • Both pupils have notched edges.Each pupil should be round and have regular edges.

Question 16 of 21

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When examining the eyes, which finding is indicative of cataracts?

    • In the affected eye the pupil dilates more slowly than the unaffected eyeThe ability of the pupils to dilate is not associated with cataracts.
    • Shallow anterior chamber in the affected eyeA shallow anterior chamber is associated with glaucoma, not cataracts.
    • Cobblestone appearance of the conjunctivae in the affected eyeCobblestone appearance is associated with allergies, not cataracts, and occurs bilaterally.
  • Correct
    • Cloudiness of the lens in the affected eyeCloudiness of the lens is found with cataracts.

Question 17 of 21

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When performing the ophthalmoscopic examination, which finding of the blood vessels is abnormal?

  • Correct
    • Venules smaller than arteriolesArterioles are smaller than venules in a ratio of 2:3 or 3:5.
    • Branching of vessels away from the optic discVessels branch outward from the optic disc.
    • Smooth crossing of the vesselsThe vessels should cross smoothly without interruption.
    • Possible venous pulsationsVenous pulsations may be visible.

Question 18 of 21

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When performing the ophthalmoscopic examination, which finding of the optic discs is abnormal?

    • Sharp well-defined disc marginThe disc margin should be sharp with well-defined borders.
    • About 1.5 mm in diameterThe disc should be about 1.5 mm in diameter.
  • Correct
    • Cupping of the discCupping of the disc is associated with glaucoma and is an abnormal finding.
    • Yellow to creamy pink in colorYellow to creamy pink are expected colors. The color may be darker in individuals whose skin is dark.

Question 19 of 21

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During the eye assessment, the nurse notes a visual acuity of 20/70 and periorbital swelling. The patient complains of blurred vision and has had recent eye surgery. Which history of present illness information should the nurse document as a part of the eye assessment?

    • Eye surgeryEye surgery is part of the medical-surgical history, not history of present illness.
  • Correct
    • Blurred visionBlurred vision is part of the history of present illness related to the eye assessment.
    • Periorbital swellingPeriorbital swelling is objective data, not part of the history of present illness.
    • 20/70 visual acuityVisual acuity is objective data, not part of the history of present illness.

Question 20 of 21

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The nurse assesses an older adult patient who reports lack of access to food and poor intake over the past month. The nurse notes sunken eyes and loose, wrinkled eyelids. Which information suggestive of poor nutrition should the nurse document as objective data?

  • Correct
    • Sunken eyesThe patient’s sunken eyelids are objective data suggestive of poor nutrition.
  • Correct
    • Loose eyelidsThe patient’s loose eyelids are objective data suggestive of poor nutrition.
    • Poor food intakeThe patient’s poor food intake is part of the patient’s personal/social history, not objective data.
  • Correct
    • Wrinkled eyelidsThe patient’s wrinkled eyelids are objective data suggestive of poor nutrition.
    • Lack of access to foodThe patient’s lack of access to food is part of the patient’s personal/social history, not objective data.

Question 21 of 21

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A patient with a history of hypertension complains of impaired vision and eye discomfort. The nurse notes hemorrhages in the eye and increased ocular pressure. Which information related to the eye assessment should the nurse document as objective data?

    • HypertensionThe patient’s hypertension is part of the patient’s medical history, not objective data.
    • Impaired visionThe patient’s impaired vision is part of the history of present illness, not objective data.
    • Eye discomfortThe patient’s eye discomfort is part of the history of present illness, not objective data.
  • Correct
    • Eye hemorrhagesThe patient’s eye hemorrhages, as observed by the nurse, are objective data related to the eye assessment.
  • Correct
    • Increased ocular pressureThe patient’s increased ocular pressure, as observed by the nurse, is objective data related to the eye assessment.