1. MATCHING TYPE.

 Match Column A to Column B.

COLUMN B

1. Cyclopegia
2. refraction
3. chalazion
4. 2 drops
5. Concave lenses
6. xerophthalmia
7. scotoma
8. astigmatism
9. hyphema
10. 3 drops
11. rhodopsin
12. Convex lenses
13. exophthalmus
14. nysatgmus
15. Mydriasis
16. hyperemia
17. exenteration
18. keratoplasty
19. photophobia
20. hordeolum
21. Accommodation
22. Enucleation

W.  Valsalva maneuver

1. Ocular melanoma
2. Myosis
3. Iritis 

MULTIPLE CHOICE. Select the letter corresponding to the best answer

1. It is a type of Retinal Detachment caused by a pulling force that pushes the retina away from its area of attachment.
This then stimulates inflammatory process and further detaches the retina away from the choroid. 
1. Rhegmatogenous Retinal Detachment. 
2. Serous Retinal Detachment 
3. Traction Retinal Detachment 
4. Exudative Retinal Detachment
2.  This refers to the flashes of light or floating spots on the visual field because of the scattering of epithelial fragments
secondary to Retinal Detachment. 
1. a.   Photopsia
2. Aphakia
3. Curtain-veil vision
4. Tunnel vision
3. It is considered the pathognomonic or hallmark sign of Retinal Detachment.
1. Clouding of vision
2. b.   Curtain-veil vision
3. Tunnel vision
4. Distorted vision
4. A procedure wherein the sclera is cut or shortened then reattached decreasing the circumference of the ocular orbit to
facilitate retinal reattachment. it also involves the use of splint  to hold the sclera and the choroid together.
1. Diarthermy
2. photocoagulation
3. c.    Scleral buckling
4. Cryopexy
5. After photocoagulation using laser wherein the retinal tears are welded, an important nursing action is to monitor for
which common side effect which prompts immediate referral to physician in charge post-opertaively.
1. Infection
2. Removal of lens implant
3. Pain
4. d.   bleeding
6. Based on the nurses’ understanding, patient who had retinal surgeries can resume light activities 3 weeks after.
Since the patient’s work requires strenuous activities, you should instruct him to go back to work after how many
weeks?

1. 4 weeks
2. 5 weeks
3. c.    6 weeks
4. 7 weeks

7. All of the following are possible bacterial causative agents of conjunctivitis except?
1. a.   Chlamydia trachomatis
2. Haemophilus influenza
3. Staphylococcus aureus
4. Streptococcus pneumonia
8. Drug of choice for viral conjunctivitis is??
1. Dexamethasone (maxidex)
2. Fluoromethasone (Fluor-Op Ophthalmic)
3. Cromolyn (Opticrom)
4. d.   Vidarabine ointment (Vira-A)

9. Which of the following is a major contraindication when it comes to taking care of patients with conjunctivitis? 

1. Eye irrigation
2. Maintaining personal hygiene 
3. Warm compress 
4. Cold compress  

10. The 60-year-old patient who has had an enucleation asks when he can get his prosthesis fitted. The nurse responds that

the prosthesis will be fitted by an optician in approximately:

1. 2 weeks.
2. b.   4 weeks.
3. 8 weeks.
4. 12 weeks

11. The nurse performing the eye irrigation would:

1. have the patient tip her head up and run the irrigation fluid over the open eye.
2. b.   direct the irrigating fluid from the inner to the outer canthus.
 3. not allow the patient to blink.
4. place the irrigating syringe directly onto the corner of the eye and allow the fluid to move across the eye.

14. The nurse would include in the information given to a patient who is using topical eye medications to:

1. look upward and drop medication into the inner canthus.

2. pull the lower lid down and drop the medication into the conjunctival sac.
3. hold both lids open and drop medication onto the sclera.

4. tilt the head to the side and drop the medication into the outer canthus. 

15. The newly diagnosed patient with macular degeneration flings her book at the TV set and furiously says, “I can’t read this

blasted book and I can’t see what is on the stupid TV!” The nurse recognizes this behavior as:

1. the anger stage of grieving.

2. poor impulse control.
3. ineffective management of therapeutic regimen.
4. psychotic reaction to loss.

16. The patient with glaucoma who is using a beta-adrenergic blocking agent, Timolol (Timoptic) should be monitored for:

1. wheezing.
2. hypertension.
3. sudden eye pain.
4. Blurred vision 

16. The patient with glaucoma who is using a beta-adrenergic blocking agent, Timolol (Timoptic) should be monitored for:

1. wheezing.
2. hypertension.
3. sudden eye pain.
4. Blurred vision 

18. The nurse explains that LASIK surgery is a new methods to correct refractive errors surgically. These procedures are used to

reshape the:

1. cornea.
2. lens.
3. iris.
4. pupil.

20. The nurse explains that the difference between open-angle and closed-angle glaucoma is that, with closed-angle glaucoma:

1. the onset is acute.

2. trabeculectomy is the initial treatment.
3. can be treated conservatively.
 4. intraocular pressure drops suddenly

21. The nurse considers in planning care for a patient with glaucoma that this disorder is caused by:

1. cloudiness in the lens.

2. an increase in intraocular pressure.
3. failed eye surgery.
4. retinal tears.

22. A patient presents in the emergency room complaining of severe pain in his eye, and is seeing halos around lights and feeling

nauseous. You suspect that he may be experiencing:

1. open-angle glaucoma.
2. angle-closure glaucoma.
3. cataracts.
4. retinal detachment.

23. The nurse explains to a patient with retinal detachment that the surgical implementation that is most effective is:

1. removing the lens.

2. macular bonding.
3. LASIK surgery.

4.scleral buckling

24. The patient who has had surgery this morning for cataracts is now going home. Discharge instructions include that the patient

should do all of the following except:

1. sleep on the operated side.

2. avoid bending over.
3. not lift anything heavier than 5 pounds.
4. not wear an eye shield at night.

25. An inflammation of eyelid margin with associated manifestations such as burning and itching sensations, irritation, ulceration

and falling out of eye lashes.

1. a.   Blepharitis
2. Hordeolum
3. Chalazion
4. Boils

26. Nursing responsibilities regarding the care of the harvested cornea for Keratoplasty includes all but one?

 
 1. Make sure the cornea was harvested within two hours after the donor’s death.
2. Cover it with a sterile gauze and soak it in a warm solution of sterile 0.9 Na Cl.
3. Assure that the donor is free from any blood-borne and other systemic diseases.
4. d.   Make sure the cornea was harvested within twelve hours after the donor’s death

27. A child is about to undergo an eye surgery. To decrease post operative fear, the nurse may include this intervention while

accomplishing the child’s pre-operative checklist:

1. Perform film showing of an actual eye operation

2. Refer the child to a social worker for evaluation
3. c.    Perform play therapy such as practice covering the eyes
4. NOTA

28. During the rehabilitation of a visually impaired patient, it is important that you maintain respect towards your patient while at

the same time assuring the integrity of patient’s dignity. This is impossible if the nurse does which of the following ?

1. Explaining to the patient what is being done and what is to be done next.
2. b.   Touching the patient without permission
3. Being relaxed and unhurried when performing nursing procedures.
4. Not rushing and offering help to the patient unless it is clear that he wants help.

29. The family of a visually impaired asks you, the RN, what gift is suitable for their patient. Your knowledge tells you that you

should suggest

1. Sunglasses to conceal the patient’s eyes

2. Red-colored shirt, since it was his favorite color before he got blind
3. c.    A CD of inspirational song
4. The latest Sony Cybershot

30. All but one are the drugs given to a newborn as a routinary measure to prevent ophthalmia neonatorum.

1. Silver nitrate
2. Erythromycin
3. Tetracycline
4. d.   Steroids

31. Xeropthalmia and Retinitis pigmentosa are eye disorders that usually develop if you have a deficiency with what fat soluble

vitamin?

1. Vitamin K
2. b.   Vitamin A
3. Vitamin D
4. Vitamin E

32. The client had undergone retinal detachment repair. Which of the following should concern the nurse most?

1. Complains of thirst
 2. Complains of nausea
3. c.    Complains of severe eye pain
4. Complains of fatigue

33. The following medications are indicated to a client with glaucoma except:

1. Pilocarpine (Pilocar)
2. Carbachol (Carboptic)
3. c.    Cogentin
4. Timolol maleate (Timoptic)

35. Which client is at highest risk for retinal detachment?

1. A 4-year old with amblyopia

2. b.   A 17-year old who plays physical contact sports
3. A 33-year old with severe ptosis and diplopia
4. None of the above

36. To reduce the chance of Mr. Adams form having systemic effects of Atropine Sulfate after intraocular administration, the

nurse will:

1. Place warm compress over both eyes

2. Rinse the eye with water following instillation
3. c.    Maintain pressure on the inner canthus for 1 minute
4. Have the client wipe eyes with gauze after instillation

37. Which of the following conditions should MR. Adams be assessed prior to administration of Atropine Sulfate?

1. Cataracts
2. b.   Glaucoma
3. Uveitis
4. Conjunctivitis

38. Which statement made by Mr. Adams indicates that he understands the instructions given following the instillation of

atropine?

1. a.   “My son will drive me home after the exam”

2. “If my eyes itch, it’s OK to rub them”
3. “I plan to go to the beach after this appointment”
4. “I will mow the lawn as soon as I get home”

39. Glaucoma is treated with eye medications that is:

1. Both mydriatic and miotic

2. Mydriatic
3. c.    Miotic
 4. None of the above

40. Which statement by Mrs. Fuller indicates a need for more teaching about Pilocarpine?

1. “I know a side effect of pilocarpine is blurring of vision”

2. “I won’ touch the eye dropper when instilling the drops”
3. c.    “I will stop the Pilocarpine once my vision improves”
4. “I know that Pilocarpine can cause side effects in my eyes as well as other parts of my body”

SITUATION: Mr. Henry Monet, 42 years old, is receiving cryotherapy for repair of detached retina.

41. When taking a history form Mr. Monet, which symptom would the nurse expect him to have?

1. Diplopia
2. Severe eye pain
3. Sudden blindness
4. d.   Bright flashes of light

42. Mr. Monet asks the nurse what might have contributed to the development of his detached retina. The nurse explains that the

client at greatest risk for the development of a retinal tear usually has:

1. Hypertension
2. b.   Near-sightedness
3. Cranial tumors
4. Sinusitis

43. When explaining cryotherapy to Mr. Monet, the nurse should note that its MAJOR purpose is to:

1. Create a scar that promotes healing

2. Disintegrate debris in the eye
3. c.    Freeze small blood vessels
4. Halt secretions of the lacrimal duct

These are individual questions:

44. The teaching plan for a child who is taking long-term corticosteroid therapy would include which of the following

instruction?

1. Dental check-ups every three months to assess for gingival hyperplasia

2. Regular physical therapy sessions to prevent muscular hypertrophy
3. c.    Eye examinations yearly to assess for cataract formation
4. Regular appointments with a registered dietitian to prevent malnutrition
45. The nurse is caring for a client with glaucoma. Which of the following medications, if ordered for this patient, should the

nurse question?

1. a.   Atropine Sulfate ophthalmic solution, 2 gtts OU at HS

2. Pilocarpine ophthalmic solution, 1 gtt OU q 12 hours
3. Timolol maleate (Timoptic), 1 gtt q 12 hours
4. Acetazolamide (Diamox), 1 tab, po, q 12 hours

46. During a well child visit, a nurse gives instructions to a parent of an 18-month old child who has strabismus. The best

indication that the teaching has been effective is that the parent:

1. Purchases sunglasses for the child

2. Makes an appointment for the child with an ophthalmologist
3. c.    Patches the child’s affected eye
4. Applies antibiotic ointment to the child’s affected eye at bedtime

47. A patient who is having eye pain is suspected to have glaucoma. The answer to which of the following questions would

provide additional information?

1. “Do your eyes water a lot?”

2. “Do you see floating spots in front of your eyes?”
3. “Does everything look hazy to you?”
4. d.   “Do you see halos around light?”

48. A nurse would expect a client with cataract to report which of the following symptoms?

1. a.   Decreased color perception

2. Loss of peripheral vision
3. Halos around light
4. Headaches9o

49. Two days after cataract surgery, a patient makes all of the following statements to a nurse in the surgical ambulatory care

center. Which statement would indicate that the patient needs further instruction about safety measures following cataract

surgery?

1. “I will sleep with two pillows under my head”

2. b.   “I carry my groceries home form the supermarket”
3. “I wear sunglasses when I go outside”
4. “I place a raised toilet seat over the commode”

SITUATION: A client is admitted to the Emergency Department with a diagnosis of Detached retina. The client’s

eyes are bilaterally patched on admission.

50. As the nurse completes admission assessment, the client reports that before the physician patched his eyes, he saw many spots

or “floaters.” The nurse should explain to the client that these spots were caused by:

1. Pieces of iris floating in the eye 

2. Blood cells released into the eyes by the detachment
3. Contamination of the aqueous humor
4. Spasm of the retinal blood vessels traumatized by the detachment

51. In the immediate postoperative period after scleral buckling, the client’s nursing care should include which of the following?

1. Encourage deep breathing and coughing every two hours

2. Assessing for eye drainage
3. Apply pressure dressings over the eyes
4. Enforcing strict bed rest

52. Which of the following clinical manifestations commonly occur in retinal detachment? 

1. a sudden severe eye pain and colored halos around lights 

2. inability to move the eye and loss of accommodation ability 
3. a tearing sensation and increased lacrimation 
4. flashes of lights and visual field loss

53. Scleral buckling, a procedure used to treat retinal detachment, involves:

1. removing the torn segment of the retina and stitching down the remaining segment
2. replacing the torn segment of the retina with a strip of retina from a donor
3. stitching the retina firmly to the optic nerve to give support
4. creating a splint to hold the retina together until a scar can form a seal off the tear

54. The nurse would evaluate that the client understands his home care instructions after scleral buckling for a detached retina if

he says his activity should include:

1. Avoid abrupt movement of the head

2. Exercising the eye muscles each day
3. Turning the entire head rather than just the eyes for sight
4. 4. Avoiding activities requiring depth perception

55. The client is extremely apprehensive. He states, “I’m afraid of going blind. It would be so hard to live this way.” What factor

should the nurse consider before responding to his statement:

1. Repeat surgery is impossible, so if this procedure fails, vision loss is inevitable

2. The surgery will only delay blindness in the right eye, but vision is preserved in the left eye
3. More and more services are available to help newly blind people adapt to daily living
4. Optimism is justified because surgical treatment has a 90% to 95% success rate.