Eye Injury

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Sample questions from Eye Injury

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.In the emergency department, a 34-year-old client arrives after a metal fragment struck the eye while the client was using a power tool. The client reports severe pain and blurred vision; a small metal object is protruding from the eye. Vital signs are stable. Which action should the nurse take first?

   • A.Apply a pressure dressing to limit bleeding and movement.
   • B.Stabilize a rigid protective shield over the eye without applying pressure.
   • C.Irrigate the eye with sterile saline to flush out debris.
   • D.Remove the object with sterile forceps to prevent further tissue damage.

   Rationale: A rigid shield protects the eye from further injury without increasing pressure on a possible open globe. Removing the object, applying a pressure dressing, or irrigating can worsen tissue damage or cause extrusion of ocular contents. The client needs urgent ophthalmologic evaluation, but protection of the eye is the immediate nursing action.

2. 2.During a home visit, the parent of a 2-year-old reports that household cleaner splashed into the child's eye 5 minutes ago. The child is crying, and the parent has not yet rinsed the eye. What instruction should the nurse give the parent to do immediately?

   • A.Apply an over-the-counter anesthetic eye drop before rinsing.
   • B.Wait to rinse until the product label has been reviewed.
   • C.Begin flushing the eye continuously with clean, lukewarm tap water.
   • D.Cover the eye with a dry dressing and drive to the emergency department.

   Rationale: Immediate, copious irrigation is the priority after a chemical eye exposure; clean tap water is appropriate when sterile solution is not readily available. Covering the eye or waiting to identify the product delays removal of the chemical. Anesthetic drops should not be used at home, and the child still needs urgent evaluation after irrigation begins.

3. 3.Refer to the client's chart. In the emergency department, a 19-year-old client is being treated after an alkaline cleaning solution splashed into the left eye. Which actions should the nurse take now? Select all that apply.

   • A.Hold the eyelids open during irrigation and direct fluid away from the unaffected eye.
   • B.Continue irrigation and recheck ocular surface pH until it is within the facility's target range.
   • C.Stop irrigation because the pH was neutral at the first check.
   • D.Apply a pressure patch to the affected eye before continuing care.
   • E.Arrange urgent ophthalmology evaluation after initial decontamination.

   Rationale: The chart shows that irrigation lowered the pH from 10.5 to 8.0, but the eye remains alkaline and irrigation should continue with repeat pH checks. Holding the lids open improves exposure, and directing fluid away from the other eye helps prevent contamination. A single near-neutral result is not a reason to stop, and a pressure patch is inappropriate; urgent ophthalmology evaluation is needed because alkaline injuries can cause severe damage.

4. 4.At change of shift in a community urgent care clinic, a 7-year-old client is brought in after being struck near the eye by a ball. The child is alert, has mild eyelid swelling, and denies vision changes. Which task is appropriate for the registered nurse to delegate to an unlicensed assistive personnel (UAP)?

   • A.Obtain and document the child's vital signs.
   • B.Assess visual acuity in each eye and determine whether it has changed.
   • C.Teach the parent how to monitor for signs of retinal injury.
   • D.Decide whether the injury requires emergency department transfer.

   Answer and rationale are in the full material.

5. 5.A provider prescribes an anesthetic eye drop for a 26-year-old client with a superficial corneal abrasion and asks the nurse to send the client home with the remaining bottle for pain control. Which response by the nurse is most appropriate?

   • A.Dilute the drops with saline so the client can use them more frequently.
   • B.Teach the client to use the drops only before sleep to avoid daytime blurred vision.
   • C.Provide the bottle and instruct the client to use the drops whenever pain returns.
   • D.Clarify the discharge prescription because repeated topical anesthetic use can delay healing and mask worsening injury.

   Answer and rationale are in the full material.