Management of Patients with Ophthalmic Conditions | Preventive and rehabilitative aspects | Mock Test | Staff Nurse | Guides Academy

Management of patients with ophthalmic conditions, Preventive and rehabilitative aspects, National programs on blindness, Ocular emergencies, Eye banking, eye irrigations, eye dressing and bandage, assisting for removal of foreign body.

Time: 15:00

A patient is admitted to the emergency department with a chemical splash to the left eye. What is the immediate, priority nursing action?

[a] Check the patient's visual acuity.

[b] Apply a sterile patch to the eye.

[c] Begin copious irrigation of the eye with normal saline or water.

[d] Instill an anesthetic eye drop to relieve pain.

A nurse is providing postoperative instructions to a patient who has just undergone cataract surgery. Which statement by the patient indicates a need for further teaching?

[a] "I will bend over to tie my shoes carefully."

[b] "I will wear my eye shield at night to protect my eye."

[c] "I will call the doctor if I have severe pain in my eye."

[d] "I understand I should not lift heavy objects."

The primary goal of India's National Programme for Control of Blindness & Visual Impairment (NPCBVI) is to:

[a] Provide free eyeglasses to every citizen in India.

[b] Exclusively focus on treating diabetic retinopathy.

[c] Eradicate all forms of blindness by the year 2025.

[d] Reduce the prevalence of avoidable blindness to less than 0.3%.

A patient presents with sudden, painless loss of vision in one eye, describing it as "a curtain falling over my eye," along with flashes of light and floaters. These are classic symptoms of:

[a] Acute angle-closure glaucoma.

[b] A cataract.

[c] Retinal detachment.

[d] Conjunctivitis.

For eye donation to be successful, the corneas should be retrieved (enucleated) from the donor within what time frame after death?

[a] Within 30 minutes.

[b] Within 12-24 hours.

[c] Within 4-6 hours.

[d] Within 1 hour.

When performing an eye irrigation, the nurse should direct the flow of the solution from the:

[a] Outer canthus to the inner canthus.

[b] Center of the cornea outwards.

[c] Lower lid to the upper lid.

[d] Inner canthus to the outer canthus.

A patient has a penetrating injury to the right eye with a small piece of metal embedded in the cornea. What is the most appropriate initial management in the field or emergency department?

[a] Attempt to remove the foreign body with sterile forceps.

[b] Apply firm pressure to the eye to stop any bleeding.

[c] Stabilize the object, patch both eyes, and keep the patient calm.

[d] Irrigate the eye forcefully to dislodge the object.

Vitamin A deficiency is a leading cause of preventable childhood blindness, manifesting as a condition known as:

[a] Strabismus.

[b] Amblyopia.

[c] Xerophthalmia.

[d] Retinoblastoma.

A patient is diagnosed with acute angle-closure glaucoma. The nurse would expect the patient to report which combination of symptoms?

[a] Gradual, painless loss of peripheral vision.

[b] Itchy, watery eyes with a purulent discharge.

[c] Flashes of light and a curtain-like vision loss.

[d] Severe eye pain, halos around lights, and nausea.

When assisting a visually impaired patient with meals, the most effective communication technique is to:

[a] Place the food on the tray and allow the patient to find it.

[b] Ask the patient what food they would like you to feed them first.

[c] Mix all the food together to make it easier to eat with a spoon.

[d] Describe the location of food on the plate using the numbers on a clock face.

The primary purpose of applying an eye patch and shield after certain types of eye surgery is to:

[a] Improve visual acuity in the un-operated eye.

[b] Absorb excessive tearing.

[c] Protect the eye from accidental injury and pressure.

[d] Keep the eye warm to promote healing.

A nurse is preparing to administer eye drops into a patient's right eye. The correct procedure is to ask the patient to look up and then gently instill the drop into the:

[a] Inner canthus.

[b] Directly onto the center of the cornea.

[c] Lower conjunctival sac.

[d] Upper conjunctival sac.

"Vision 2020: The Right to Sight" was a global initiative, supported by India's NPCBVI, that primarily focused on:

[a] Developing new technologies for refractive surgery.

[b] Providing designer eyewear to the underprivileged.

[c] Eliminating the main causes of avoidable blindness.

[d] Mandating annual eye exams for all adults.

Pilocarpine is a miotic agent used to treat open-angle glaucoma. Its mechanism of action is to:

[a] Dilate the pupil to improve vision.

[b] Decrease the production of aqueous humor.

[c] Constrict the pupil and increase the outflow of aqueous humor.

[d] Paralyze the ciliary muscle to reduce eye pain.

A school nurse is screening children for strabismus. The nurse would be looking for which sign?

[a] A cloudy appearance of the lens.

[b] Redness and discharge from the eye.

[c] Involuntary, rhythmic movements of the eyes.

[d] Misalignment of the eyes (cross-eyed or wall-eyed).

After instilling eye drops, the nurse should apply gentle pressure to the punctum (inner corner of the eye) for 30-60 seconds. What is the rationale for this action?

[a] To prevent the patient from blinking.

[b] To prevent systemic absorption of the medication.

[c] To spread the medication evenly over the cornea.

[d] To check for an allergic reaction.

A patient has a small, loose foreign body (like an eyelash) on the surface of the eye. After assessment, what is the safest initial step the nurse can assist with for removal?

[a] Using a dry cotton-tipped applicator to wipe it off.

[b] Asking the patient to rub their eye vigorously.

[c] Attempting to flush it out with sterile saline or using a moist, sterile cotton-tipped applicator.

[d] Using a small magnet to attract the object.

In the context of eye banking, what part of the donated eye is primarily used for transplantation to restore sight?

[a] The lens.

[b] The retina.

[c] The cornea.

[d] The entire eyeball.

An elderly patient is diagnosed with age-related macular degeneration (ARMD). The nurse should explain that this condition primarily affects:

[a] Peripheral vision.

[b] Night vision.

[c] Central vision, needed for reading and seeing fine detail.

[d] Color vision.

A key rehabilitative goal for a patient with newly diagnosed, irreversible low vision is to:

[a] Ensure the patient learns Braille immediately.

[b] Find a surgical cure for their condition.

[c] Maximize the use of their remaining vision with aids like magnifiers and proper lighting.

[d] Encourage the patient to rely completely on caregivers for daily tasks.

A patient complains of a "gritty" feeling in their eyes, and the nurse notes redness and a mucopurulent discharge. This clinical picture is most consistent with:

[a] Uveitis.

[b] Allergic conjunctivitis.

[c] Bacterial conjunctivitis.

[d] A subconjunctival hemorrhage.

Which diagnostic test measures intraocular pressure (IOP) and is essential for screening and managing glaucoma?

[a] Snellen chart test.

[b] Ophthalmoscopy.

[c] Tonometry.

[d] Amsler grid test.

A nurse is providing health education to prevent eye strain (asthenopia) for a person who works on a computer all day. The best advice is to:

[a] Increase the brightness of the screen to the maximum level.

[b] Use lubricating eye drops every 15 minutes.

[c] Follow the "20-20-20 rule": every 20 minutes, look at something 20 feet away for 20 seconds.

[d] Wear sunglasses while working on the computer.

A patient is scheduled for a mydriatic eye drop instillation before an eye exam. The nurse knows this medication will cause the pupil to:

[a] Dilate.

[b] Constrict.

[c] Remain unchanged.

[d] Accommodate for near vision.

When applying an eye ointment, the nurse should be instructed to:

[a] Apply a thick layer directly onto the cornea.

[b] Squeeze the tube from a height of 6 inches for accuracy.

[c] Ask the patient to keep their eye open and not blink after application.

[d] Apply a thin ribbon of ointment into the lower conjunctival sac from inner to outer canthus.