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NURS 380 - Assessment and Health Promotion Questions And Quality Correct Answers.
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  • NUR 380

When using the Snellen chart, what does a vision evaluation of 20/50 mean? A. The patient has difficulty seeing far objects clearly. B. The patient can read at 50 feet what most people can read at 20 feet C. The patient can read at 20 feet what most people can read at 50 feet. D. Bot...

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  • August 19, 2024
  • 42
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • the patient

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  • NUR 380
  • NUR 380

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NURS 380 - Assessment and Health
Promotion Questions And Quality
Correct Answers.
When using the Snellen chart, what does a vision evaluation of 20/50 mean?



A. The patient has difficulty seeing far objects clearly.



B. The patient can read at 50 feet what most people can read at 20 feet



C. The patient can read at 20 feet what most people can read at 50 feet.



D. Both A and B. - Answer ANS:

B. Both A and B



20/50 on the Snellen chart means that the patient has difficulty seeing far objects clearly and can read at
20 feet what most people can read at 50 feet. 20/50 on the Snellen chart does not mean that the patient
can read at 50 feet what most people can read at 20 feet.



What does full movement of the eyes in the six cardinal fields of gaze reflect?



A. Proper functioning of the extraocular muscles



B. Proper functioning of the olfactory and optic nerves



C. Proper functioning of the oculomotor, trochlear, and abducens nerves

,D. Both A and C - Answer ANS:

A. Both B and C



Proper functioning of the oculomotor, trochlear, and abducens nerves plus proper functioning of the
extraocular muscles is reflected by full movement of the eyes in the six cardinal fields of gaze. Proper
functioning of the olfactory and optic nerves is reflected by an accurate sense of smell and accurate
vision on the Snellen and Rosenbaum charts, not the movement of the eyes in the six cardinal fields of
gaze.



What term refers to the constriction of the pupils when a patient focuses on an object held about 10
centimeters from the nose?



A. Ptosis



B. Peripheral vision



C. Glaucoma



D. Accommodation - Answer ANS:

D. Accommodation



Accommodation is the correct term for constriction of the pupils when focusing on an object held about
10 centimeters from the nose. Ptosis is drooping of the upper eyelid, not constriction of the pupils.
Glaucoma is a condition that causes damage to the eye's optic nerve, not constriction of the pupils when
focusing on an object 10 centimeters from the nose. Peripheral vision is the part of vision that occurs
outside the center of the gaze, not constriction of the pupils.



Which of the following are risk factors for glaucoma?



A. Age over 40 years



B. All of the above

,C. Diabetes



D. High Blood Pressure - Answer ANS:

B. All of the above



All three answers, age over 40 years, diabetes, and high blood pressure are risk factors for glaucoma.



When examining the eyes, which of the following is an expected finding?



A. Reddened conjunctivae



B. Periorbital edema



C. Equal pupils



D. Crusted eyelashes - Answer ANS:

C. Equal Pupils



Equal pupils are an expected finding during an eye exam. Reddened conjunctivae are not an expected
finding during an eye exam. Crusted eyelashes are not an expected finding during an eye exam.
Periorbital edema is not an expected finding during an eye exam.



Which test or tests assess accuracy of movement?



A. Finger-to-finger test



B. All of the above

, C. Finger-to-nose test



D. Heel-to-shin test - Answer ANS:

B. All of the above



All of the above tests can be used to assess accuracy of movement. The finger-to-finger test is used to
assess accuracy of movement. The patient's movements should be rapid, smooth, and accurate with no
past pointing. The finger-to-nose test is used to assess accuracy of movement. The patient's movements
should be rapid, smooth, and accurate, even with increasing speed. The heel-to-shin test is used to
assess accuracy of movement. The patient should move his heel in a straight line without deviations to
the side.



What should the nurse do if a patient displays staggering or loss of balance during the Romberg test?



A. Give the patient a gentle push to further assess balance.



B. Have the patient hop on one foot.



C. Delay other balance tests.



D. Have the patient stand on one foot with the eyes closed. - Answer ANS:

C. Delay other balance tests



If a patient has staggering or loss of balance with the Romberg test, delay other balance tests. If a patient
has staggering or loss of balance with the Romberg test, delay other balance tests; do not give the
patient a gentle push to further assess balance. If a patient has staggering or loss of balance with the
Romberg test, delay other balance tests; do not have the patient stand on one foot with eyes closed. If a
patient has staggering or loss of balance with the Romberg test, delay other balance tests; do not have
the patient hop on one foot.



How would you assess sensitivity to superficial pain?

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