Texas DSHS Vision Screening Practice Exam

These questions are part of the practice quiz. Start practicing

• A child fails distance acuity if they cannot identify more than half the symbols on the passing line. This criterion applies to:
• During chart placement, the line that should be level with the eyes of the child is the passing line.
• How many individuals should be on a vision screening team?
• Where should the Snellen chart be placed for distance vision screening?
• What is a key setup consideration when preparing the screening?
• The Hirschberg corneal light reflex test is used to identify misalignment due to which condition?
• Is it possible for a child to pass acuity in each eye individually but still fail due to interocular difference?
• At what age is color vision screening typically considered relevant?
• Which outcome on a second screen would trigger a PCP referral?
• Why is checking the red reflex important in a pediatric vision screening?
• If a child shows signs or symptoms of a vision problem during the first screening, what should be done?
• If a child fails screening of either or both eyes and there are no signs of a vision problem, what should be done?
• If a child cannot complete the acuity test, what is a reasonable next step?
• The practice line is used to establish the starting point for distance acuity testing.
• If the distance used for testing is not the standard distance, what should be done before testing?
• When using a vision screening instrument other than an approved eye chart, the screener must:
• What lighting condition is recommended for near vision screening?
• After a primary care provider evaluation following a referral, what documentation action is required?
• Chapter 36 of the Texas Health and Safety Code defines which program?
• Which scenario correctly reflects the enrollment screening timing?
• How should you handle the child who wears glasses during screening?
• When a child is anxious or distressed during screening, what is the recommended approach?
• What do age-appropriate charts like Lea, HOTV, and tumbling E help ensure in screening outcomes?
• What is the ultimate goal of good vision?
• Which line represents visual acuity in the screening results?
• What term describes misalignment of the eyes that may be observed during screening and should prompt referral?
• Which statement about the Hirschberg corneal light reflex test is true?
• If photoscreening indicates a potential vision problem, the screener should:
• On the first screen, which condition requires referral to a PCP?
• During the screening, what should you tell the child about occlusion?
• For children ages 4 years and younger, the passing acuity difference between the two eyes must be less than how many lines to pass?
• Which practice most contributes to accurate visual acuity measurements during screening?
• Which action ensures the vision screening program can evaluate its effectiveness?
• Which statement best describes the status of a child with Right 20/40 and Left 20/20 under the passing criteria?
• What is the primary goal of the Texas DSHS vision screening program?
• The chart(s) required by the Department of State Health Services for basic visual acuity screening include:
• When should screening occur for the groups listed under WHO?
• If HOTV letters are used, at what distance should the test be conducted?
• How does Texas DSHS define "vision screening" in terms of scope?
• Which chart symbol set is commonly used for children who cannot recognize letters?
• How do you know what distance the chart should be at?
• Who is identified as eligible for vision screening under the WHO heading?
• The Tumbling 'E' chart is appropriate for children:
• Which behavior is described as a possible sign of vision difficulties?
• What is the passing visual acuity line for children 4 years and younger?
• Visual acuity is always the last line that was read correctly (passed).
• How is the distance from the chart measured?
• What distance is standard for distance vision screening with Snellen in most settings?
• Which item is NOT a typical component of screening results documentation?
• What is the primary goal of pediatric vision screening?
• Regarding acuity testing, what should be documented for each eye?
• If you observe a red reflex asymmetry during screening, what is the recommended next step?
• When should the HOTV chart be used?
• Where should the light reflection be observed during the Hirschberg test for normal alignment?
• Which statement accurately describes the difference in acuities allowed for a pass?
• What does a normal red reflex look like?
• What is a common error that can invalidate acuity measurements?
• What should happen after a child is referred to their primary care provider?
• What is the role of consent in vision screening?
• If a parent asks about the meaning of a "failed" vision screen, what should you explain?
• Which acuity combination would be considered a pass for both eyes individually but fail the screening due to interocular difference?
• The Hirschberg corneal light reflex test is used to detect possible:
• What is considered a passing result for the Hirschberg corneal reflex test?
• What is a major benefit of universal vision screening in pediatric populations?
• How often should vision screening be repeated in a program?
• How long should records of vision screenings be kept?
• If screening results indicate a potential vision problem, what should you communicate to the family?
• When is a pinhole test sometimes used in vision screening?
• In Texas DSHS vision screening, muscle balance tests are:
• According to Texas law, Erica, a 4th grader who transferred within the same district, needs to be screened:
• What is a common reason for false-positive referrals?
• What is the primary purpose of using age-appropriate charts in pediatric vision screening?
• A child repeats a grade and has not been screened within the last year; what is recommended?
• If a child passes a vision screening but shows signs or symptoms of a visual problem, what should the nurse do?
• The Sloan letter chart is typically used at what distance?
• Lighting during vision screening can affect which of the following?
• It is not required to have three certified screeners present to conduct a screening.
• What is the purpose of using age-appropriate charts such as Lea, HOTV, and tumbling E?
• If the child fails the first distance acuity screen and has no obvious signs or symptoms of visual difficulty, that child should be?
• What should you do if the chart is damaged or illegible?
• What documentation records acuity results?
• Which statement about screening children younger than 4 years of age is correct?
• How should you handle a child who resists covering one eye?
• How should you adapt screening for nonverbal or special needs children?
• Passing the visual acuity screen is determined by reading the majority (at least one more than half) of the symbols on the passing line.
• What should you provide to parents along with the screening findings to guide next steps?
• How is ocular alignment typically screened in a vision screening?
• Which screening methods are preferred?
• Distance acuity screens for:
• If the child cannot identify the line just above passing, what should you do?
• Who is typically allowed to perform vision screening under Texas DSHS guidance in schools and child-care settings?
• What distance measurement practice should be used to ensure accuracy during testing?
• Children who wear glasses or contacts should always remove them before screening.
• During practice, which eye(s) should the child keep open?
• What are common signs of strabismus to look for during screening?
• For color vision screening with very young children, what is recommended?
• Which statement is true about the Tumbling 'E' chart?
• Who can use an automated vision screening device?
• Which prerequisite is commonly required to conduct vision screening?
• Binocular vision is:
• How should you document screening results?
• What is the recommended rescreening timeframe after an initial distance acuity failure when no obvious signs are present?
• How do you ensure accuracy when testing at different distances?
• The Vision and Hearing Screening Program requires vision and hearing screening for which group?
• When should the letter chart be used?
• To maintain accuracy across screenings, what actions are essential?
• Which of the following statements is true regarding rescreen timing after a failed screening with no signs?
• What should be included when returning screening results to parents?
• Which sign may indicate vision difficulties during screening?
• When an eye chart result appears at odds with what you expected, what is the recommended action?
• _______________ is the most common screening error.
• A passing acuity is determined by reading the majority of symbols correctly on the passing line.
• Which line is commonly defined as the passing line in acuity screening?
• After a referral is made, which professional is typically expected to perform a comprehensive follow-up examination?
• Which of the following is NOT a sign or symptom of a vision problem?
• What type of record-keeping is typically required for DSHS vision screening?
• Are muscle balance tests required by Texas law?
• For which grades does DSHS recommend muscle balance testing, even though not required by law?
• A 20/30 acuity is considered passing for children who are:
• The HOTV Crowded Test may be used at a 20-foot distance.
• After the second screen, a 4-year-old has 20/40 acuity in the right eye and 20/20 acuity in the left eye. The child should be:
• What is the role of communication with the patient/parent during vision screening?
• What is the passing line for children ages 5 years or older?
• What is one objective of a vision screening program?
• Which statement is NOT listed as an appearance of the eyes that suggest vision problems?
• Which strategy is recommended if a child has difficulty during near vision testing due to inattention or fatigue?
• What is the typical testing distance for near vision screening?
• How should the eye chart be positioned relative to the child during screening?
• What is the recommended action after a failure on the second screen?
• What equipment is essential for distance acuity screening?
• Which scenario would NOT automatically trigger a PCP referral?
• During subjective visual acuity testing, how should acuity be recorded?
• Which observation during screening would prompt referral due to possible ocular health concerns?
• If a child passes both eyes individually and the inter-eye difference is zero lines, what is the screening result?
• Which professionals usually conduct the full follow-up assessment after a referral?
• If an abnormal red reflex is observed, what should be done?
• Which tests screen for constant muscle imbalance (strabismus)?
• Which two charts are required by the DSHS for basic visual acuity screening?
• What is the correct occluder procedure during subjective visual acuity testing?
• If a child passes all DSHS-prescribed vision screens but fails any other recognized kind of vision screen, what should be done?
• What should be checked before starting a screening session?
• How should charts be positioned for accuracy?
• Which action is most appropriate after a screen shows no signs but a failure in one eye?
• Which of the following are considered critical red flags during vision screening?
• If a 5-year-old identifies only half of the symbols on the 20/30 line, what is the result?
• Distance acuity screening measures which aspect?
• In color vision screening, which test is commonly used for older children?
• When conducting the cover and uncover test, care should be taken that:
• If the red reflex is asymmetric during screening, what is a potential concern?
• When are referrals made in the screening process?
• Which of the following best describes the primary purpose of vision screening?
• What screening result would lead to PCP referral due to muscle balance testing?
• Name two child-friendly chart alternatives used for young children.
• Which factor can lead to false-positive results in vision screening?
• Which sized chart is preferred for most screenings?
• When should distance acuity screening begin?
• Which signs indicate urgent referral?
• Where is the distance for chart use indicated on the chart?
• At what point may color vision screening not be required for very young children?
• When a referral is indicated, which professionals typically perform the subsequent full assessment?
• Before any eye charts may be used, which of the following must occur?
• Who should be informed about the results and referrals after a vision screening?
• What are typical follow-up steps after a referral?
• If a child shows a two-line difference between the eyes (e.g., 20/40 in the right eye and 20/20 in the left eye), what should be done?
• Which statement about rescreening is correct?
• Why is head position and chair height important during vision screening?
• What is the recommended action if a child exhibits signs of a vision problem on the first screen?
• Before using the two charts, the child must:
• What line should you begin the screening on?
• What is the purpose of near vision testing in vision screening?
• Which practice supports quality control in a vision screening program?
• Why is vision screening done?
• The annual vision screening report is:
• Which detail should be recorded when documenting acuity results?
• Which statement describes who needs to undergo vision screening?
• What does vision screening aim to identify to allow timely intervention?
• Why is it important not to give medical advice beyond the screening results?
• Which of the following is a key sign that should prompt referral during a vision screening?