NURS 502 EXAM 2 LATEST ACTUAL EXAM

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NURS 502 EXAM 2 LATEST 2025/ 2026 ACTUAL EXAM

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The nurse is performing an eye examination on a 76-yr-old patient. Which finding indicates that the nurse should refer the patient for a more extensive assessment?

• The patient's sclerae are light yellow.
• The patient reports persistent photophobia.
• The pupil recovers slowly after responding to a bright

light.

• There is a whitish gray ring encircling the periphery of

the iris. - Answer-B 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 patient.

Which finding by the nurse performing an eye examination indicates that the patient has normal accommodation? 1 / 4

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• After covering one eye for 1 minute, the pupil constricts

as the cover is removed.

• Shining a light into the patient's eye causes pupil

constriction in the opposite eye.

• A blink reaction occurs after touching the patient's pupil

with a piece of sterile cotton

• The pupils constrict while fixating on an object being

moved towards the patient's eyes - Answer-D Accommodation is defined as the ability of the lens to adjust to various distances. The pupils constrict while fixating on an object that is being moved from far away to near the eyes. The other responses may also be elicited as part of the eye examination, but they do not indicate accommodation.

Which assessment finding alerts the nurse to provide patient teaching about cataract development?

• Unequal pupil size
• Sensitivity to light
• Loss of peripheral vision
• History of hyperthyroidism - Answer-B

Classic signs of cataracts include blurred vision and light sensitivity. Thyroid problems are a major cause of 2 / 4

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exophthalmos. Unequal pupil is not indicative of cataracts.Loss of peripheral vision is a sign of glaucoma.

A 65-yr-old patient is being evaluated for glaucoma. Which information given by the patient has implications for the patient's treatment plan?

• "I take metoprolol (Lopressor) for angina."
• "I take aspirin when I have a sinus headache."
• "I have had frequent episodes of conjunctivitis."
• "I have not had an eye examination of 10 years" -

Answer-A It is important to note whether the patient takes any - adrenergic blockers because this classification of medications is also used to treat glaucoma, and there may be an increase in adverse effects. The use of aspirin does not increase intraocular pressure and is safe for patients with glaucoma. Although older patients should have yearly eye examinations, treatment will not be affected by the 10- year gap in eye care. Conjunctivitis does not increase the risk for glaucoma.

A patient who underwent eye surgery must wear an eye patch until the scheduled postoperative clinic visit. Which patient problem will the nurse address in the plan of care? 3 / 4

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• Risk for falls
• Difficulty coping
• Disturbed body image
• Inability to care for home - Answer-A

The loss of stereoscopic vision created by the eye patch impairs the patient's ability to see in three dimensions and to judge distances. This increases the risk for falls. There is no evidence in the assessment data for inability to care for home, disturbed body image, or difficulty coping.

The nurse is assessing a 65-yr-old patient for presbyopia.Which instruction will the nurse give the patient before the test?

• "Hold this card and read the print out loud."
• "Cover one eye while reading the wall chart."
• "You'll feel a short burst of air directed at your eyeball."
• "A light will be used to look for a change in your pupils."
• Answer-A

The Jaeger card is used to assess near vision problems and presbyopia in persons older than 40 years of age. The card should be held 14 inches away from eyes while the patient reads words in various print sizes. Using a penlight to determine pupil change is testing pupil response. A

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