ANP 650 MIDTERM EXAM LATEST 2024-2025
ACTUAL EXAM TEST BANK 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES
Terms in this set (125)
1.A client is diagnosed with ANS: 2
strabismus. Which of the Diplopia, or double vision, is the primary symptom of
following will the client strabismus. Nystagmus is a disorder that causes
most likely experience with involuntarily rhythmic movements in the eye. Aphakic
this disorder? vision occurs when the lens of the eye is removed. Ptosis
1. Nystagmus is drooping of the eyelid.
2. Diplopia
3. Aphakic vision
4. Ptosis
2.A client is experiencing a ANS: 2
gradual blurring of vision in Cataracts occur as the opacity of the lens becomes
both eyes not associated cloudy, blurring the vision. It occurs in both eyes but is
with any pain. The nurse usually worse in one eye. Gradual eye blurring is not
suspects the client is associated with glaucoma, macular degeneration, or
experiencing: retinal detachment.
1. glaucoma.
2. cataracts.
3. macular degeneration.
4. retinal detachment.
,3.The nurse should instruct ANS: 2
a client, diagnosed with Glaucoma is a disease that relates to the increase of
glaucoma, that the purpose intraocular pressure. The medication given will decrease
of medication is to: this intraocular pressure. Medication for glaucoma is not
1. help dry up excess used to help dry up excess secretions, strengthen the
secretions. eye muscles, or improve vision.
2. lower the intraocular
pressure.
3. strengthen the muscles of
the eye.
4. improve the vision in the
eye.
4.After surgery to remove a ANS: 1
cataract, which of the Client education is extremely important in the aftercare
following should the nurse of cataract surgery. There is a need to emphasize the
instruct the client? postoperative care of eyedrop instillation. The client
1. Be sure to follow the should not place any pressure near or on the eye.
schedule for the prescribed Postoperative instructions are highly important for the
eyedrop medication. client having an outpatient surgical procedure.
2. Sleep on the right side to
promote drainage.
3. It is okay to rub the eye
because the surgery was on
the inside.
4. This is an outpatient
procedure, and there are
no instructions for the
patient.
,5.A tonometry test has been ANS: 3
performed with a client and
the results are 25 mmHg. Several reading need to be taken throughout the day to
The nurse know that: establish the highest reading to be the treated pressure.
1. the reading is low and Normal intraocular pressure ranges from 12 to 16 mmHg.
there is no problem. The reading of 25 mmHg is not low or normal.
2. the reading is normal and Medication can be prescribed to reduce the pressure.
nothing needs to be done
at this time.
3. the results are high and
follow-up readings and
tests are needed.
4. the results are high and
there is no cure to bring the
pressure down.
6.A client has been ANS: 2
diagnosed with cataracts. Surgical treatment for cataracts begins when vision is
The nurse realizes that the sufficiently impaired. The lens is removed and the
only treatment for this replacement artificial intraocular lens is put in place.
disorder is? Cataracts cannot be treated with medication alone.
1. Medical management with Cryopexy and phototherapy are not used to treat
eyedrops cataracts.
2. Surgical removal of the
lens
3. Cryopexy
4. Phototherapy
7.Which of the following ANS: 1
should the nurse assess in a Open-angle glaucoma is characterized by a gradual
client diagnosed with open- increase in pressure and a gradual loss of vision. Closed-
angle glaucoma? angle glaucoma presents with a sudden onset causing
1. Degree of lost vision headache, blurred vision, and eye pain.
2. Severity of headaches
3. Amount of blurred vision
4. Date of onset
, 8.A client is experiencing ANS: 4
little flashes of lights and Retinal detachment is clinically manifested by flashes
things floating in the visual and floaters in the visual field. Flashes of light and
field. The nurse suspects: floaters are not associated with cataracts, glaucoma, or
1. cataracts. conjunctivitis.
2. glaucoma.
3. conjunctivitis.
4. retinal detachment.
9.A client tells the nurse that ANS: 3
she sees a shadow that is The nurse should notify an ophthalmologist with the
slowing getting worse in clients symptoms. The onset of a shadow in the field of
her left eye. Which of the vision that will not dissipate is an indication of a
following should the nurse detached retina. Retinal detachments rarely self-repair,
do? and the client will need surgery. The nurse should not
1. Instruct the client to instruct the client to return home to rest in bed. The
return home to rest in bed. client should not be encouraged to continue with
2. Encourage the client to normal daily activities. Fluids and saline eyedrops will
continue with normal daily not help a detached retina.
activities.
3. Notify an
ophthalmologist.
4. Encourage fluids and
normal saline eyedrops.
10.A client is experiencing a ANS: 3
loss of central vision but not Macular degeneration is a deterioration of part of the
a loss of peripheral vision. retina, causing loss of central vision but not affecting
The nurse realizes the client peripheral vision. The loss of central vision is not
should be evaluated for: typically seen in a detached retina, nystagmus, or
1. detached retina conjunctivitis.
syndrome.
2. nystagmus.
3. macular degeneration.
4. conjunctivitis.
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