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NR 509 APEA 3P Exam Week 8 Grade A Plus 2020
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NR 509 AP EA 3P Exam Week 8 Grade A Plus 2020 NR 509 AP EA 3P Exam Week 8 Grade A Plus 2020 NR 509 AP EA 3P Exam Week 8 Grade A Plus 2020
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Chapter 14: Eyes
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. When examining the eye, the nurse notices that the patient’s eyelid margins
approximatecompletely. The nurse recognizes that this assessment finding:
a. Is expected.
b. May indicate a problem with extraocular muscles.
c. May result in problems with tearing.
d. Indicates increased intraocular pressure.
ANS: A
The palpebral fissure is the elliptical open space between the eyelids, and, when closed, the lid
margins approximate completely, which is a normal finding.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 281
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
2. During ocular examinations, the nurse keeps in mind that movement of the
extraocularmuscles is:
a. Decreased in the older adult.
b. Impaired in a patient with cataracts.
c. Stimulated by cranial nerves (CNs) I and II.
d. Stimulated by CNs III, IV, and VI.
ANS: D
Movement of the extraocular muscles is stimulated by three CNs: III, IV, and VI.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 283
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
, [Document title]
3. The nurse is performing an external eye examination. Which statement regarding the
outerlayer of the eye is true?
a. The outer layer of the eye is very sensitive to touch.
b. The outer layer of the eye is darkly pigmented to prevent light from
reflectinginternally.
c. The trigeminal nerve (CN V) and the trochlear nerve (CN IV) are stimulated when
the outer surface of the eye is stimulated.
d. The visual receptive layer of the eye in which light waves are changed into
nerveimpulses is located in the outer layer of the eye.
ANS: A
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