CEA Nursing Practice Exam

When assessing a patient’s visual field using a confrontation test, a normal exam should be documented as which of the following?

1. Normal visual acuity.

2. Normal refractory reflexes.

3. Normal confrontation.

4. Normal convergence test.

The correct answer is: Normal confrontation.

In the confrontation test for assessing a patient's visual field, the correct documentation of a normal exam is the confirmation of "normal confrontation." This test evaluates a patient's peripheral vision by comparing it against the examiner's vision. During the test, the healthcare provider and the patient face each other and both cover one eye while the provider presents fingers or objects in the patient's peripheral vision to check for any discrepancies in what each individual can see. When the confrontation test is normal, it indicates that the patient's peripheral vision is intact and that there are no significant defects in their visual field. Normal visual acuity refers to the clarity or sharpness of vision and is assessed differently, usually through an eye chart. Normal refractory reflexes assess how well the eyes respond to light and do not measure visual fields. The convergence test evaluates the ability of the eyes to move together and focus on near objects, which is unrelated to assessing the peripheral visual field. Therefore, "normal confrontation" is the most accurate and relevant indication of a normal visual field assessment using this specific method.