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MSN Exam for Cataract (PM)*
Choose the letter of the correct answer. Good luck!
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Question 1
A client who had cataract should be told to call his MD if he has which of the following situations?
A
Blurred Vision
B
Eye Pain
C
Glare
Question 2
The primary reason for performing iridectomy after cataract extraction is:
A
To prevent secondary glaucoma
B
To improve the vision of the client
C
To prevent postop hemorrhage
D
To reduce eye discomfort
Question 3
Which of the following statement is true regarding the visual changes associated with cataracts?
A
Both eyes typically cataracts at the same time
B
The loss of vision is experienced as a painless, gradual blurring
C
The patient is suddenly blind
D
The patient is typically experiences a painful, sudden blurring of vision.
Question 3 Explanation:
Typically, a patient with cataracts experiences painless, gradual loss of vision. Although both eyes may develop at different rates.
Question 4
Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?
A
The lens controls stimulation of the retina.
B
The lens orchestrates eye movement.
C
The lens focuses light rays on the retina.
D
The lens magnifies small objects.
Question 4 Explanation:
The lens allows light to pass through the pupil and focus light on the retina. The lens does not stimulate the retina, assist with eye movement, or magnify small objects, so answers A, B, and D are incorrect.
Question 5
The primary problem in cataract is:
A
Blurring of vision
B
Loss of peripheral vision
C
Presence of floaters
D
Halos around light
Question 6
Pterygium is caused primarily by:
A
Exposure to sunlight
B
Exposure to dust
C
Exposure to wind
D
Exposure to chemicals
Question 7
The following are nursing interventions for a blind person EXCEPT:
A
When approaching the client, talk before touching
B
Orient the client to the environment
C
When assisting the client during ambulation, the nurse stays beside the client
D
Promote the independence in activities of daily living
Question 8
A female patient is being discharged after cataract surgery. After providing medication teaching, the nurse asks the patient to repeat the instructions. The nurse is performing which professional role?
A
Manager
B
Educator
C
Caregiver
D
Patient advocate
Question 8 Explanation:
When teaching a patient about medications before discharge, the nurse is acting as an educator. The nurse acts as a manager when performing such activities as scheduling and making patient care assignments. The nurse performs the care giving role when providing direct care, including bathing patients and administering medications and prescribed treatments. The nurse acts as a patient advocate when making the patient’s wishes known to the doctor.
Question 9
The following are appropriate nursing interventions after cataract extraction EXCEPT:
A
Place the client in supine position or turn towards unoperated side
B
Advise the client to avoid bending, stooping or lifting heavy objects for several weeks postop
C
Instruct the client to limit fluid intake
D
Advise the client to protect his eyes with eye pad and eye shield for a week
Question 10
Which of the ff test assesses visual acuity
A
Snellen’s Test
B
Ishihara Plate
C
Retinoscopy
D
Tonometry
Question 11
A sterile chronic granulomatous inflammation of the meibomian gland is:
A
Chalazion
B
Hordeulum
C
Uveitis
D
Keratoconjunctivitis
Question 12
What statement by the client recovering from cataract surgery would indicate to the nurse need for additional teaching?
A
“I’ll call if I have a significant amount of pain.”
B
“I’ll continue to take my Metamucil for another week.”
C
“I’ll just do some laundry this afternoon instead of going to work.”
D
“I’ll take my acetazolamide (Diamox) drops with my other morning medications
Question 13
The nurse has just completed teaching about postoperative activity to a client who is going to have a cataract surgery. The nurse knows the teaching has been effective if the client:
A
coughs and deep breathes postoperatively
B
ties his own shoes
C
asks his wife to pick up his shirt from the floor after he drops it.
D
States that he doesn’t need to wear an eyepatch or guard to bed
Question 13 Explanation:
Bending to pick up something from the floor would increase intraocular pressure, as would bending to tie his shoes. The client needs to wear eye protection to bed to prevent accidental injury during sleep.
Question 14
Which of the following statement is true regarding the visual changes associated with cataracts?
A
Both eyes typically cataracts at the same time
B
The loss of vision is experienced as a painless, gradual blurring
C
The patient is suddenly blind
D
The patient is typically experiences a painful, sudden blurring of vision.
Question 14 Explanation:
Typically, a patient with cataracts experiences painless, gradual loss of vision. Although both eyes may develop at different rates.
Question 15
The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:
A
Mydriatics to facilitate removal
B
Miotic medications such as Timoptic
C
A laser to smooth and reshape the lens
D
Silicone oil injections into the eyeball
Question 15 Explanation:
Before cataract removal, the client will have Mydriatic drops instilled to dilate the pupil. This will facilitate removal of the lens. Miotics constrict the pupil and are not used in cataract clients. A laser is not used to smooth and reshape the lens; the diseased lens is removed.
Question 16
Which instruction should be included in the discharge teaching for the client with cataract surgery?
A
Over-the-counter eyedrops can be used to treat redness and irritation.
B
The eye shield should be worn at night.
C
It will be necessary to wear special cataract glasses.
D
A prescription for medication to control post-operative pain will be needed.
Question 16 Explanation:
The eye shield should be worn at night or when napping, to prevent accidental trauma to the operative eye. Prescription eyedrops, not over-the-counter eyedrops, are ordered for the client. The client might or might not require glasses following cataract surgery. A prescription for medication to control post-operative pain will be needed is incorrect because cataract surgery is pain free.
Question 17
The nurse is assigned to care for a 57-year-old female client who had a cataract surgery an hour ago. The nurse should:
A
Advise the client to refrain from vigorous brushing of teeth and hair.
B
Instruct the client to avoid driving for 2 weeks.
C
Encourage eye exercises to strengthen the ocular musculature.
D
Teach the client coughing and deep-breathing techniques.
Question 17 Explanation:
Activities such as rigorous brushing of hair and teeth cause increased intraocular pressure and may lead to hemorrhage in the anterior chamber
Question 18
A 55-year old client underwent cataract removal with intraocular lens implant. Nurse Oliver is giving the client discharge instructions. These instructions should include which of the following?
A
Avoid lifting objects weighing more than 5 lb (2.25 kg).
B
Lie on your abdomen when in bed
C
Keep rooms brightly lit.
D
Avoiding straining during bowel movement or bending at the waist.
Question 18 Explanation:
The client should avoid straining, lifting heavy objects, and coughing harshly because these activities increase intraocular pressure. Typically, the client is instructed to avoid lifting objects weighing more than 15 lb (7kg) – not 5lb. instruct the client when lying in bed to lie on either the side or back. The client should avoid bright light by wearing sunglasses.
Question 19
Which of the following terms refers to the decrease in lens flexibility that occurs with age, resulting in the near point of focus getting farther away?
A
Presbyopia
B
Presbycusis
C
Cataract
D
Glaucoma
Question 19 Explanation:
Presbyopia usually begins in the fifth decade of life, when reading glasses are required to magnify objects.
Question 20
Hyperopia is corrected with that type of lens?
A
Concave lens
B
Convex lens
C
Aphakic lens
D
Bifocal lens
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MSN Exam for Cataract (EM)*
Choose the letter of the correct answer. You got 20 minutes to finish the exam .Good luck!
Start
Congratulations - you have completed MSN Exam for Cataract (EM)*.
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1
The primary reason for performing iridectomy after cataract extraction is:
A
To prevent secondary glaucoma
B
To improve the vision of the client
C
To prevent postop hemorrhage
D
To reduce eye discomfort
Question 2
The nurse has just completed teaching about postoperative activity to a client who is going to have a cataract surgery. The nurse knows the teaching has been effective if the client:
A
coughs and deep breathes postoperatively
B
ties his own shoes
C
asks his wife to pick up his shirt from the floor after he drops it.
D
States that he doesn’t need to wear an eyepatch or guard to bed
Question 2 Explanation:
Bending to pick up something from the floor would increase intraocular pressure, as would bending to tie his shoes. The client needs to wear eye protection to bed to prevent accidental injury during sleep.
Question 3
The nurse is assigned to care for a 57-year-old female client who had a cataract surgery an hour ago. The nurse should:
A
Advise the client to refrain from vigorous brushing of teeth and hair.
B
Instruct the client to avoid driving for 2 weeks.
C
Encourage eye exercises to strengthen the ocular musculature.
D
Teach the client coughing and deep-breathing techniques.
Question 3 Explanation:
Activities such as rigorous brushing of hair and teeth cause increased intraocular pressure and may lead to hemorrhage in the anterior chamber
Question 4
Hyperopia is corrected with that type of lens?
A
Concave lens
B
Convex lens
C
Aphakic lens
D
Bifocal lens
Question 5
Which of the following terms refers to the decrease in lens flexibility that occurs with age, resulting in the near point of focus getting farther away?
A
Presbyopia
B
Presbycusis
C
Cataract
D
Glaucoma
Question 5 Explanation:
Presbyopia usually begins in the fifth decade of life, when reading glasses are required to magnify objects.
Question 6
A 55-year old client underwent cataract removal with intraocular lens implant. Nurse Oliver is giving the client discharge instructions. These instructions should include which of the following?
A
Avoid lifting objects weighing more than 5 lb (2.25 kg).
B
Lie on your abdomen when in bed
C
Keep rooms brightly lit.
D
Avoiding straining during bowel movement or bending at the waist.
Question 6 Explanation:
The client should avoid straining, lifting heavy objects, and coughing harshly because these activities increase intraocular pressure. Typically, the client is instructed to avoid lifting objects weighing more than 15 lb (7kg) – not 5lb. instruct the client when lying in bed to lie on either the side or back. The client should avoid bright light by wearing sunglasses.
Question 7
Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?
A
The lens controls stimulation of the retina.
B
The lens orchestrates eye movement.
C
The lens focuses light rays on the retina.
D
The lens magnifies small objects.
Question 7 Explanation:
The lens allows light to pass through the pupil and focus light on the retina. The lens does not stimulate the retina, assist with eye movement, or magnify small objects, so answers A, B, and D are incorrect.
Question 8
What statement by the client recovering from cataract surgery would indicate to the nurse need for additional teaching?
A
“I’ll call if I have a significant amount of pain.”
B
“I’ll continue to take my Metamucil for another week.”
C
“I’ll just do some laundry this afternoon instead of going to work.”
D
“I’ll take my acetazolamide (Diamox) drops with my other morning medications
Question 9
Which of the following statement is true regarding the visual changes associated with cataracts?
A
Both eyes typically cataracts at the same time
B
The loss of vision is experienced as a painless, gradual blurring
C
The patient is suddenly blind
D
The patient is typically experiences a painful, sudden blurring of vision.
Question 9 Explanation:
Typically, a patient with cataracts experiences painless, gradual loss of vision. Although both eyes may develop at different rates.
Question 10
A female patient is being discharged after cataract surgery. After providing medication teaching, the nurse asks the patient to repeat the instructions. The nurse is performing which professional role?
A
Manager
B
Educator
C
Caregiver
D
Patient advocate
Question 10 Explanation:
When teaching a patient about medications before discharge, the nurse is acting as an educator. The nurse acts as a manager when performing such activities as scheduling and making patient care assignments. The nurse performs the care giving role when providing direct care, including bathing patients and administering medications and prescribed treatments. The nurse acts as a patient advocate when making the patient’s wishes known to the doctor.
Question 11
Which of the following statement is true regarding the visual changes associated with cataracts?
A
Both eyes typically cataracts at the same time
B
The loss of vision is experienced as a painless, gradual blurring
C
The patient is suddenly blind
D
The patient is typically experiences a painful, sudden blurring of vision.
Question 11 Explanation:
Typically, a patient with cataracts experiences painless, gradual loss of vision. Although both eyes may develop at different rates.
Question 12
The following are nursing interventions for a blind person EXCEPT:
A
When approaching the client, talk before touching
B
Orient the client to the environment
C
When assisting the client during ambulation, the nurse stays beside the client
D
Promote the independence in activities of daily living
Question 13
Pterygium is caused primarily by:
A
Exposure to sunlight
B
Exposure to dust
C
Exposure to wind
D
Exposure to chemicals
Question 14
The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:
A
Mydriatics to facilitate removal
B
Miotic medications such as Timoptic
C
A laser to smooth and reshape the lens
D
Silicone oil injections into the eyeball
Question 14 Explanation:
Before cataract removal, the client will have Mydriatic drops instilled to dilate the pupil. This will facilitate removal of the lens. Miotics constrict the pupil and are not used in cataract clients. A laser is not used to smooth and reshape the lens; the diseased lens is removed.
Question 15
Which of the ff test assesses visual acuity
A
Snellen’s Test
B
Ishihara Plate
C
Retinoscopy
D
Tonometry
Question 16
A sterile chronic granulomatous inflammation of the meibomian gland is:
A
Chalazion
B
Hordeulum
C
Uveitis
D
Keratoconjunctivitis
Question 17
The primary problem in cataract is:
A
Blurring of vision
B
Loss of peripheral vision
C
Presence of floaters
D
Halos around light
Question 18
The following are appropriate nursing interventions after cataract extraction EXCEPT:
A
Place the client in supine position or turn towards unoperated side
B
Advise the client to avoid bending, stooping or lifting heavy objects for several weeks postop
C
Instruct the client to limit fluid intake
D
Advise the client to protect his eyes with eye pad and eye shield for a week
Question 19
A client who had cataract should be told to call his MD if he has which of the following situations?
A
Blurred Vision
B
Eye Pain
C
Glare
Question 20
Which instruction should be included in the discharge teaching for the client with cataract surgery?
A
Over-the-counter eyedrops can be used to treat redness and irritation.
B
The eye shield should be worn at night.
C
It will be necessary to wear special cataract glasses.
D
A prescription for medication to control post-operative pain will be needed.
Question 20 Explanation:
The eye shield should be worn at night or when napping, to prevent accidental trauma to the operative eye. Prescription eyedrops, not over-the-counter eyedrops, are ordered for the client. The client might or might not require glasses following cataract surgery. A prescription for medication to control post-operative pain will be needed is incorrect because cataract surgery is pain free.
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Text Mode – Text version of the exam
1) Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?
The lens controls stimulation of the retina.
The lens orchestrates eye movement.
The lens focuses light rays on the retina.
The lens magnifies small objects.
2) Hyperopia is corrected with that type of lens?
Concave lens
Convex lens
Aphakic lens
Bifocal lens
3) A sterile chronic granulomatous inflammation of the meibomian gland is:
Chalazion
Hordeulum
Uveitis
Keratoconjunctivitis
4) What statement by the client recovering from cataract surgery would indicate to the nurse need for additional teaching?
“I’ll call if I have a significant amount of pain.”
“I’ll continue to take my Metamucil for another week.”
“I’ll just do some laundry this afternoon instead of going to work.”
“I’ll take my acetazolamide (Diamox) drops with my other morning medications
5) Pterygium is caused primarily by:
Exposure to sunlight
Exposure to dust
Exposure to wind
Exposure to chemicals
6) Which of the following statement is true regarding the visual changes associated with cataracts?
Both eyes typically cataracts at the same time
The loss of vision is experienced as a painless, gradual blurring
The patient is suddenly blind
The patient is typically experiences a painful, sudden blurring of vision.
7) A client who had cataract should be told to call his MD if he has which of the following situations?
Blurred Vision
Eye Pain
Glare
Glare
8) A 55-year old client underwent cataract removal with intraocular lens implant. Nurse Oliver is giving the client discharge instructions. These instructions should include which of the following?
Avoid lifting objects weighing more than 5 lb (2.25 kg).
Lie on your abdomen when in bed
Keep rooms brightly lit.
Avoiding straining during bowel movement or bending at the waist.
9) The primary reason for performing iridectomy after cataract extraction is:
To prevent secondary glaucoma
To improve the vision of the client
To prevent postop hemorrhage
To reduce eye discomfort
10) Which of the following statement is true regarding the visual changes associated with cataracts?
Both eyes typically cataracts at the same time
The loss of vision is experienced as a painless, gradual blurring
The patient is suddenly blind
The patient is typically experiences a painful, sudden blurring of vision.
11) The primary problem in cataract is:
Blurring of vision
Loss of peripheral vision
Presence of floaters
Halos around light
12) The nurse has just completed teaching about postoperative activity to a client who is going to have a cataract surgery. The nurse knows the teaching has been effective if the client:
coughs and deep breathes postoperatively
ties his own shoes
asks his wife to pick up his shirt from the floor after he drops it.
States that he doesn’t need to wear an eyepatch or guard to bed
13) The nurse is assigned to care for a 57-year-old female client who had a cataract surgery an hour ago. The nurse should:
Advise the client to refrain from vigorous brushing of teeth and hair.
Instruct the client to avoid driving for 2 weeks.
Encourage eye exercises to strengthen the ocular musculature.
Teach the client coughing and deep-breathing techniques.
14) The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:
Mydriatics to facilitate removal
Miotic medications such as Timoptic
A laser to smooth and reshape the lens
Silicone oil injections into the eyeball
15) A female patient is being discharged after cataract surgery. After providing medication teaching, the nurse asks the patient to repeat the instructions. The nurse is performing which professional role?
Manager
Educator
Caregiver
Patient advocate
16) Which instruction should be included in the discharge teaching for the client with cataract surgery?
Over-the-counter eyedrops can be used to treat redness and irritation.
The eye shield should be worn at night.
It will be necessary to wear special cataract glasses.
A prescription for medication to control post-operative pain will be needed.
17) The following are appropriate nursing interventions after cataract extraction EXCEPT:
Place the client in supine position or turn towards unoperated side
Advise the client to avoid bending, stooping or lifting heavy objects for several weeks postop
Instruct the client to limit fluid intake
Advise the client to protect his eyes with eye pad and eye shield for a week
18) Which of the following terms refers to the decrease in lens flexibility that occurs with age, resulting in the near point of focus getting farther away?
Presbyopia
Presbycusis
Cataract
Glaucoma
19) The following are nursing interventions for a blind person EXCEPT:
When approaching the client, talk before touching
Orient the client to the environment
When assisting the client during ambulation, the nurse stays beside the client
Promote the independence in activities of daily living
20) Which of the ff test assesses visual acuity
Snellen’s Tes
Ishihara Plate
Retinoscopy
Tonometry
Answers and Rationales
C. The lens focuses light rays on the retina. The lens allows light to pass through the pupil and focus light on the retina. The lens does not stimulate the retina, assist with eye movement, or magnify small objects, so answers A, B, and D are incorrect.
B. Convex lens
A. Chalazion
C. “I’ll just do some laundry this afternoon instead of going to work.”
B. Exposure to dust
B. The loss of vision is experienced as a painless, gradual blurring . Typically, a patient with cataracts experiences painless, gradual loss of vision. Although both eyes may develop at different rates.
B. Eye Pain
D. Avoiding straining during bowel movement or bending at the waist. The client should avoid straining, lifting heavy objects, and coughing harshly because these activities increase intraocular pressure. Typically, the client is instructed to avoid lifting objects weighing more than 15 lb (7kg) – not 5lb. instruct the client when lying in bed to lie on either the side or back. The client should avoid bright light by wearing sunglasses.
A. To prevent secondary glaucoma
B. The loss of vision is experienced as a painless, gradual blurring . Typically, a patient with cataracts experiences painless, gradual loss of vision. Although both eyes may develop at different rates.
A. Blurring of vision
C. asks his wife to pick up his shirt from the floor after he drops it. Bending to pick up something from the floor would increase intraocular pressure, as would bending to tie his shoes. The client needs to wear eye protection to bed to prevent accidental injury during sleep.
A. Advise the client to refrain from vigorous brushing of teeth and hair. Activities such as rigorous brushing of hair and teeth cause increased intraocular pressure and may lead to hemorrhage in the anterior chamber
A. Mydriatics to facilitate removal . Before cataract removal, the client will have Mydriatic drops instilled to dilate the pupil. This will facilitate removal of the lens. Miotics constrict the pupil and are not used in cataract clients. A laser is not used to smooth and reshape the lens; the diseased lens is removed.
B. Educator . When teaching a patient about medications before discharge, the nurse is acting as an educator. The nurse acts as a manager when performing such activities as scheduling and making patient care assignments. The nurse performs the care giving role when providing direct care, including bathing patients and administering medications and prescribed treatments. The nurse acts as a patient advocate when making the patient’s wishes known to the doctor.
B. The eye shield should be worn at night. The eye shield should be worn at night or when napping, to prevent accidental trauma to the operative eye. Prescription eyedrops, not over-the-counter eyedrops, are ordered for the client. The client might or might not require glasses following cataract surgery. A prescription for medication to control post-operative pain will be needed is incorrect because cataract surgery is pain free.
C. Instruct the client to limit fluid intake
A. Presbyopia . Presbyopia usually begins in the fifth decade of life, when reading glasses are required to magnify objects.
C. When assisting the client during ambulation, the nurse stays beside the client