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Lewis Chapter 20: Assessment of Visual and Auditory Systems Exam Questions And Answers
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Lewis Chapter 20: Assessment of Visualand Auditory Systems Exam Questions
And Answers
The nurse is providing health promotion teaching to a group of
*older adults*. Which information will the nurse include when
teaching about routine *glaucoma testing*?
a. A Tono-Pen will be applied to the surface of the eye.
b. The test involves reading a Snellen chart from 20 feet.
c. Medications will be used to dilate the pupils for the test.
d. The examination involves checking the pupil's reaction to light. - -
- correct answer ✅a. A Tono-Pen will be applied to the surface of
the eye
Glaucoma is caused by an *increase in intraocular pressure*, which
would be measured using the *Tono-Pen*. The other techniques
are used in testing for other eye disorders.
The nurse is performing an eye examination on a *76-yr-old*
patient. The nurse should refer the patient for a more extensive
assessment based on which finding?
a. The patient's sclerae are light yellow.
b. The patient reports persistent photophobia.
c. The pupil recovers slowly after responding to a bright light.
d. There is a whitish gray ring encircling the periphery of the iris. - -
- correct answer ✅b. The patient reports persistent photophobia.
,Lewis Chapter 20: Assessment of Visual
and Auditory Systems Exam Questions
And Answers
*Photophobia* is *not a normally occurring change* with aging
and would require further assessment. The other assessment data
are common gerontologic differences in assessment and would not
be unusual in a 76-yr-old patien
The nurse performing an eye examination will document normal
findings for accommodation when
a. shining a light into the patient's eye causes pupil constriction in
the opposite eye.
b. a blink reaction follows touching the patient's pupil with a piece
of sterile cotton.
c. covering one eye for 1 minute and noting pupil constriction as
the cover is
removed.
d. the pupils constrict while fixating on an object being moved
toward the patient's
eyes. - - - correct answer ✅d. the pupils constrict while fixating on
an object being moved toward the patient's
eyes.
, Lewis Chapter 20: Assessment of Visual
and Auditory Systems Exam Questions
And Answers
Which assessment finding alerts the nurse to provide patient
teaching about *cataract development*?
a. History of hyperthyroidism
b. Unequal pupil size and shape
c. Blurred vision and light sensitivity
d. Loss of peripheral vision in both eyes - - - correct answer ✅c.
Blurred vision and light sensitivity
Classic signs of cataracts include blurred vision and light sensitivity.
Thyroid problems are a major cause of exophthalmos. Unequal
pupil is not indicative of cataracts. Loss of peripheral vision is a sign
of glaucoma.
Assessment of a patient's visual acuity reveals that the left eye can
see at 20 feet what a person with normal vision can see at 50 feet
and the right eye can see at 20 feet what a person with normal
vision can see at 40 feet. The nurse records which finding?
a. OS 20/50; OD 20/40
c. OD 20/40; OS 20/50
b. OU 20/40; OS 50/20
d. OU 40/20; OD 50/20 - - - correct answer ✅a. OS 20/50; OD
20/40
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