Texas DSHS Vision Screening Practice Exam

These questions are part of the practice quiz. Start practicing

• What is considered a passing result for the Hirschberg corneal reflex test?
• The Hirschberg corneal light reflex test is used to identify misalignment due to which condition?
• If a child passes both eyes individually and the inter-eye difference is zero lines, what is the screening result?
• How should the eye chart be positioned relative to the child during screening?
• 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 line represents visual acuity in the screening results?
• The Hirschberg corneal light reflex test is used to detect possible:
• In Texas DSHS vision screening, muscle balance tests are:
• If HOTV letters are used, at what distance should the test be conducted?
• According to Texas law, Erica, a 4th grader who transferred within the same district, needs to be screened:
• During chart placement, the line that should be level with the eyes of the child is the passing line.
• Who is identified as eligible for vision screening under the WHO heading?
• If a child shows signs or symptoms of a vision problem during the first screening, what should be done?
• What is the recommended action after a failure on the second screen?
• If the child cannot identify the line just above passing, what should you do?
• To pass, how many symbols must be identified on the passing line?
• During practice, which eye(s) should the child keep open?
• Which action ensures the vision screening program can evaluate its effectiveness?
• If a child passes all DSHS-prescribed vision screens but fails any other recognized kind of vision screen, what should be done?
• What should happen after a child is referred to their primary care provider?
• Chapter 36 of the Texas Health and Safety Code defines which program?
• Which outcome on a second screen would trigger a PCP referral?
• During the screening, what should you tell the child about occlusion?
• If a 5-year-old identifies only half of the symbols on the 20/30 line, what is the result?
• If the child fails the first distance acuity screen and has no obvious signs or symptoms of visual difficulty, that child should be?
• When using a vision screening instrument other than an approved eye chart, the screener must:
• Which statement describes who needs to undergo vision screening?
• When are referrals made in the screening process?
• What is a key setup consideration when preparing the screening?
• 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 scenario correctly reflects the enrollment screening timing?
• What does vision screening aim to identify to allow timely intervention?
• Why is vision screening done?
• A passing acuity is determined by reading the majority of symbols correctly on the passing line.
• The chart(s) required by the Department of State Health Services for basic visual acuity screening include:
• Children who wear glasses or contacts should always remove them before screening.
• Is it possible for a child to pass acuity in each eye individually but still fail due to interocular difference?
• Which of the following is NOT a sign or symptom of a vision problem?
• Distance acuity screening measures which aspect?
• If photoscreening indicates a potential vision problem, the screener should:
• When should the letter chart be used?
• For which grades does DSHS recommend muscle balance testing, even though not required by law?
• When should the HOTV chart be used?
• If a child fails screening of either or both eyes and there are no signs of a vision problem, what should be done?
• When conducting the cover and uncover test, care should be taken that:
• Which statement about screening children younger than 4 years of age is correct?
• Which statement best describes the status of a child with Right 20/40 and Left 20/20 under the passing criteria?
• _______________ is the most common screening error.
• Which acuity combination would be considered a pass for both eyes individually but fail the screening due to interocular difference?
• Which statement about the Hirschberg corneal light reflex test is true?
• On the first screen, which condition requires referral to a PCP?
• A child repeats a grade and has not been screened within the last year; what is recommended?
• Which statement accurately describes the difference in acuities allowed for a pass?
• The Vision and Hearing Screening Program requires vision and hearing screening for which group?
• Where is the distance for chart use indicated on the chart?
• How do you know what distance the chart should be at?
• What is the passing line for children ages 5 years or older?
• The HOTV Crowded Test may be used at a 20-foot distance.
• Before using the two charts, the child must:
• 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 recommended action if a child exhibits signs of a vision problem on the first screen?
• Which sign may indicate vision difficulties during screening?
• What is one objective of a vision screening program?
• The Sloan letter chart is typically used at what distance?
• What screening result would lead to PCP referral due to muscle balance testing?
• Which prerequisite is commonly required to conduct vision screening?
• Which screening methods are preferred?
• The practice line is used to establish the starting point for distance acuity testing.
• Where should the light reflection be observed during the Hirschberg test for normal alignment?
• Which sized chart is preferred for most screenings?
• It is not required to have three certified screeners present to conduct a screening.
• How long should records of vision screenings be kept?
• Which behavior is described as a possible sign of vision difficulties?
• Which statement is true about the Tumbling 'E' chart?
• Distance acuity screens for:
• Passing the visual acuity screen is determined by reading the majority (at least one more than half) of the symbols on the passing line.
• Which statement about rescreening is correct?
• Which tests screen for constant muscle imbalance (strabismus)?
• The Tumbling 'E' chart is appropriate for children:
• A 20/30 acuity is considered passing for children who are:
• Which two charts are required by the DSHS for basic visual acuity screening?
• Visual acuity is always the last line that was read correctly (passed).
• What is the recommended rescreening timeframe after an initial distance acuity failure when no obvious signs are present?
• Which scenario would NOT automatically trigger a PCP referral?
• What line should you begin the screening on?
• What is the passing visual acuity line for children 4 years and younger?
• Binocular vision is:
• Are muscle balance tests required by Texas law?
• How many individuals should be on a vision screening team?
• Which line is commonly defined as the passing line in acuity screening?
• The annual vision screening report is:
• When should distance acuity screening begin?
• Which statement is NOT listed as an appearance of the eyes that suggest vision problems?
• If a child passes a vision screening but shows signs or symptoms of a visual problem, what should the nurse do?
• What is the ultimate goal of good vision?
• How is the distance from the chart measured?
• Which action is most appropriate after a screen shows no signs but a failure in one eye?
• When should screening occur for the groups listed under WHO?
• Which term describes eyes that turn in or out?
• After a primary care provider evaluation following a referral, what documentation action is required?
• Before any eye charts may be used, which of the following must occur?
• Which of the following best describes the primary purpose of vision screening?
• A child fails distance acuity if they cannot identify more than half the symbols on the passing line. This criterion applies to:
• Who can use an automated vision screening device?
• Which of the following statements is true regarding rescreen timing after a failed screening with no signs?