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Lewis Chapter 20: Assessment of Visual and Auditory Systems Exam Questions And Correct Answers

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Lewis Chapter 20: Assessment of Visual and Auditory Systems Exam Questions And Correct 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 t...

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©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM


Lewis Chapter 20: Assessment of Visual and
Auditory Systems Exam Questions And
Correct 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. - 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.

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
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. - answer✔b. The patient

reports persistent photophobia.




*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. - answer✔d. the pupils constrict while fixating on an object being moved toward the

patient's

eyes.

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
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 - 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 - answer✔a. OS 20/50; OD 20/40


When assessing a patient's consensual pupil response, the nurse should

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