Eye Health Questions (NCLEX 61-65)

Welcome to NCLEX Eye Health Questions. Before you begin answering the questions, you may first want to take a peek about the material that will surely help you the pass the NCLEX examination :

Complete NCLEX Study Materials

Enjoy answering and I hope that NCLEX Review and Secrets can somehow help you in your future examination. Good Luck


61. A client has undergone surgery to treat glaucoma. The nurse reinforces which home care instruction with the client?

a) wound healing usually takes 16 weeks
b) expect that vision will be permanently impaired to a small degree
c) a shield or eye patch should be worn to protect the eye
d) the sutures are removed after 1 week

62. A client has undergone surgery for cataracts. The nurse instructs the client to call the physician if which of the following occurs?

a) a sudden decrease in vision
b) eye pain relieved by acetaminophen (Tylenol)
c) small amounts of dried matter on the lashes after sleep
d) gradual resolution of eye redness

63. A nurse is caring for a client with arthritis. The client complains of difficulty instilling glaucoma eye drops because of shaking hands caused by the arthritis. Which instruction would the nurse provide to the client to alleviate this problem?

a) keep the drops in the refrigerator so they will thicken and be easier to instill
b) lie down on a bed to instill the eye drops
c) tilt the head straight back to instill the eye drops
d) talk to the physician about the need for eye drops

64. Corrective glasses are prescribed for the client with bilateral aphakia, and the nurse provides instructions to the client regarding the use of the glasses. Which statement by the client indicates the need for further instructions?

a) the glasses will correct my peripheral visual field of sight
b) the glasses will magnify my central vision by 30%
c) objects that I look at may be distorted
d) it may be difficult to judge distances when I drive a car

65. A client is brought to the ambulatory care department by her spouse one day following a cataract extraction procedure and is diagnosed with hyphema that occurred as a result of the surgical procedure. The nurse provides which instruction to the client and spouse regarding treatment for the hyphema?

a) resume normal activities because the hyphema will resolve on its own
b) obtain assistance when ambulating
c) return to the ambulatory care department for removal of the intraocular lens implant
d) maintain bedrest and place an eye shield or patch over both eyes







Eye Health Questions
Answers and Rationale

61) C

- After ocular surgery, the client should wear an eye patch or eyeglasses for protection of the eye. Healing takes place in about 6 weeks. Once the postoperative inflammation subsides, the client's vision should return to the preoperative level of acuity. Sutures are usually absorbable.

62) A

- The client should report a noticeable or sudden decrease in vision to the physician. The client is taught to take acetaminophen, which is usually effective in relieving discomfort. The eye may be slightly reddened postoperatively, but this should gradually resolve. Small amounts of dried material may be present on the lashes after sleep. This is expected and should be removed with a warm facecloth.

63) B

- Eye drop regimen is a critical component of treatment for a client with glaucoma to prevent blindness. Clients with arthritis or shaking hands have difficulty instilling their own eye drops. The client is instructed to lie down on a bed or sofa. Tilting the head back can lead to loss of balance. Placing eye drops in a refrigerator should not be done unless specifically prescribed.

64) A

- Corrective glasses, contact lenses, or intraocular lenses correct aphakia (absence of the lens of the eye). Only central vision is corrected with corrective glasses, and peripheral vision is distorted. There is approximately 30% magnification of central vision with corrective glasses. This requires adjustment of daily activities and use of safety precautions. Because of the magnification, objects viewed centrally appear distorted, and it is difficult to judge distances such as when driving a car or sitting in a chair.

65) D

- Hyphema is bleeding into the anterior chamber of the eye that occurs postoperatively as a complication of cataract surgery. Treatment includes bedrest and bilateral eye patching or shielding for 2 to 5 days, during which absorption occurs. The client should be instructed to monitor for signs of increased intraocular pressure, which commonly causes sudden ocular pain. Miotics and cycloplegics may be prescribed. Occasionally, irrigation of the anterior chamber may be done to remove the blood.



After you reviewed your answers through its rationale, you can also go back to the first page to start from the beginning:

Eye Health Questions (1-6)

Or proceed to the next set of questions:

Eye Health Questions (66-70)