NURS 3323 Health Assessment Unit #2 EXAM
questions with correct answers
Visual Reflexes: Pupillary light reflex Correct Answer-normal
constriction of pupils when bright light shines on retina
Visual Reflexes: Fixation Correct Answer-a reflex direction of eye
toward an object attracting a person's attention
Visual Reflexes: Accommodation Correct Answer-adaptation of eye for
near vision
Age-Specific Visual Considerations: Infants/children Correct Answer-
Limited eye function at birth
Reach adult eyeball size by 8 years old
Aging Adults are at increased risk for? Correct Answer-Cataracts,
Glaucoma, Age-related macular degeneration (AMD), and diabetic
retinopathy
What are cataracts? Correct Answer-lens fibers thicken and below
yellow
,What is Glaucoma? Correct Answer-optic nerve neuropathy
What is age-related macular degeneration (AMD)? Correct Answer-loss
of central vision
What is diabetic retinopathy? Correct Answer-damage to blood vessels
of the retina
What are subjective data questions? There are 9. Correct Answer-1) Do
you have any difficulty seeing or blurry vision?
2) Do you have any eye pain?
3) Do you have any strabismus or diplopia?
4) Do you have any eye redness or swelling?
5) Do you have any excessive watering or discharge?
6) Do you have a history of eye injury or eye surgery?
7) Have you ever been tested for glaucoma?
8) Do you wear glasses or contacts?
9) What is your social and prophylactic history?
What are some questions in subjective data for infants/children? There
are 4. Correct Answer-1) Infections during childbirth?
2) Meeting developmental milestones?
3) Vision testing at school?
,4) Practice toy safety?
What are some questions in subjective data for aging adults? There are
3. Correct Answer-1) Vision issues during activity or at night?
2) Glaucoma or cataracts?
3) Dry, burning eyes?
What are the factors of the Snellen Eye Chart? Name 7. Correct Answer-
1) Stand 20 ft from chart
2) Cover one eye at a time
3) Leave on glasses/contacts
4) Have patient read smallest line possible
5) "Normal" vision is 20/20
6) Record result (ex. R eye, 20/40 -1)
7) 20/40:"You can read at 20 ft what the normal person reads at 40 ft."
What is the near vision (Jaeger, Rosenbaum, Graham) test? There are 3.
Correct Answer-1) Test ability to see close/read
2) Hold card 14 in from eye
3) Cover one eye at a time
What is the confrontation visual field test? Correct Answer-- Tests for
loss of peripheral vision
- Compares patient's peripheral vision to your own vision
, - Stand 2 feet in front of patient
- You and patient cover same side of face
- Wiggle finger (or hold up number of fingers) in patient's periphery and
have patient say "now" when finger is visualized
With the extraocular muscle function, what i sthe corneal light reflex?
Correct Answer-- Ask the patient to stare straight ahead
- Shine light toward the center of patient's eyes
- Note the reflection of light should be in the same spot in both pupils
- Abnormality:
-----> Muscle weakness or paralysis
What is the diagnostic positions test? Name 2 abnormalities? Correct
Answer-- Six cardinal fields of gaze
- Tests cranial nerves III, IV, and VI
- Hold finger/penlight about 12 inches from face
- Move into 6 positions (using H or star pattern)
- Eye movement should be smooth and equal
Abnormalities:
1) Nystagmus
2) Lag
What are the external ocular structures for eyebrows, eyelids/lashes,
eyeballs, conjunctiva, sclera and lacrimal apparatus? Correct Answer-
Eyebrows- Even and symmetrical
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