1. The primary care pediatric nurse practitioner performs a vision screen on a 4-
month-old infant and notes the presence of convergence and accommodation with mild esotropia
of the left eye. What will the nurse practitioner do?
A. Patch the right eye to improve coordination of the left eye.
B. Reassure the parents that the infant will outgrow this.
C. Recheck the infant’s eyes in 2 to 4 weeks.
D. Refer the infant to a pediatric ophthalmologist. Correc
2. During a well child exam on a 4-year-old child, the primary care pediatric nurse ID: 13348411168
practitioner notes that the clinic nurse recorded “20/50” for the child’s vision and noted that the
child had difficulty cooperating with the exam. What will the nurse practitioner recommend?
A. Follow up with a visual acuity screen in 6 months.
B. Refer to a pediatric ophthalmologist.
C. Re-test the child in 1 year.
D. Test the child’s vision in 1 month.
3. During a well child assessment of an African-American infant, the primary care ID: 13348411148
pediatric nurse practitioner notes a dark red-brown light reflex in the left eye and a slightly brighter,
red-orange light reflex in the right eye. The nurse practitioner will
A. dilate the pupils and reassess the red reflex.
B. order auto-refractor screening of the eyes.
C. recheck the red reflex in 1 month.
D. refer the infant to an ophthalmologist. Correc
4. The primary care pediatric nurse practitioner performs a Hirschberg test to evaluate
A. color vision.
B. ocular alignment. Correc
C. peripheral vision.
D. visual acuity.
5. The primary care pediatric nurse practitioner applies fluorescein stain to a child’s
eye. When examining the eye with a cobalt blue filter light, the entire cornea
appears
cloudy.
What
does this
indicate?
A. The
cornea
has not
been
damaged.
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