ANP-650 Midterm Study Questions with Verified Answers Graded A+
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Course
ANP-650
Institution
ANP-650
ANP-650 Midterm Study Questions with Verified Answers Graded A+
1. 1.A client is diagnosed with strabismus. ANS: 2
Which of the following will the client
most likely experience with this disor-
der?
1. Nystagmus
2. Diplopia
3. Aphakic vision
4. Ptosis
2. 2.A client is experiencing a gradua...
ANP-650 Midterm Study Questions with Verified Answers Graded A+
1. 1.A client is diagnosed with strabismus. ANS: 2
Which of the following will the client Diplopia, or double vision, is
most likely experience with this disor- the primary symptom of strabis-
der? mus. Nystagmus is a disorder
1. Nystagmus that causes involuntarily rhythmic
2. Diplopia movements in the eye. Aphakic
3. Aphakic vision vision occurs when the lens of the
4. Ptosis eye is removed. Ptosis is droop-
ing of the eyelid.
2. 2.A client is experiencing a gradual ANS: 2
blurring of vision in both eyes not as- Cataracts occur as the opacity of
sociated with any pain. The nurse sus- the lens becomes cloudy, blurring
pects the client is experiencing: the vision. It occurs in both eyes
1. glaucoma. but is usually worse in one eye.
2. cataracts. Gradual eye blurring is not as-
3. macular degeneration. sociated with glaucoma, macular
4. retinal detachment. degeneration, or retinal detach-
ment.
3. 3.The nurse should instruct a client, di- ANS: 2
agnosed with glaucoma, that the pur- Glaucoma is a disease that re-
pose of medication is to: lates to the increase of intraocu-
1. help dry up excess secretions. lar pressure. The medication giv-
2. lower the intraocular pressure. en will decrease this intraocular
3. strengthen the muscles of the eye. pressure. Medication for glauco-
4. improve the vision in the eye. ma is not used to help dry up ex-
cess secretions, strengthen the
eye muscles, or improve vision.
4. 4.After surgery to remove a cataract, ANS: 1
which of the following should the nurse Client education is extremely
instruct the client? important in the aftercare of
1. Be sure to follow the schedule for the cataract surgery. There is a need
prescribed eyedrop medication. to emphasize the postoperative
2. Sleep on the right side to promote care of eyedrop instillation. The
drainage. client should not place any pres-
3. It is okay to rub the eye because the sure near or on the eye. Post-
surgery was on the inside. operative instructions are highly
, ANP-650 Midterm Study Questions with Verified Answers Graded A+
4. This is an outpatient procedure, and important for the client having an
there are no instructions for the patient. outpatient surgical procedure.
5. 5.A tonometry test has been performed ANS: 3
with a client and the results are 25
mmHg. The nurse know that: Several reading need to be tak-
1. the reading is low and there is no en throughout the day to estab-
problem. lish the highest reading to be
2. the reading is normal and nothing the treated pressure. Normal in-
needs to be done at this time. traocular pressure ranges from
3. the results are high and follow-up 12 to 16 mmHg. The reading of
readings and tests are needed. 25 mmHg is not low or normal.
4. the results are high and there is no Medication can be prescribed to
cure to bring the pressure down. reduce the pressure.
6. 6.A client has been diagnosed with ANS: 2
cataracts. The nurse realizes that the Surgical treatment for cataracts
only treatment for this disorder is? begins when vision is sufficient-
1. Medical management with eyedrops ly impaired. The lens is removed
2. Surgical removal of the lens and the replacement artificial in-
3. Cryopexy traocular lens is put in place.
4. Phototherapy Cataracts cannot be treated with
medication alone. Cryopexy and
phototherapy are not used to
treat cataracts.
7. 7.Which of the following should the ANS: 1
nurse assess in a client diagnosed with Open-angle glaucoma is char-
open-angle glaucoma? acterized by a gradual increase
1. Degree of lost vision in pressure and a gradual loss
2. Severity of headaches of vision. Closed-angle glauco-
3. Amount of blurred vision ma presents with a sudden on-
4. Date of onset set causing headache, blurred vi-
sion, and eye pain.
8. 8.A client is experiencing little flashes ANS: 4
of lights and things floating in the visual Retinal detachment is clinical-
field. The nurse suspects: ly manifested by flashes and
1. cataracts. floaters in the visual field. Flashes
2. glaucoma. of light and floaters are not asso-
, ANP-650 Midterm Study Questions with Verified Answers Graded A+
3. conjunctivitis. ciated with cataracts, glaucoma,
4. retinal detachment. or conjunctivitis.
9. 9.A client tells the nurse that she sees ANS: 3
a shadow that is slowing getting worse The nurse should notify an
in her left eye. Which of the following ophthalmologist with the clients
should the nurse do? symptoms. The onset of a shad-
1. Instruct the client to return home to ow in the field of vision that will
rest in bed. not dissipate is an indication of
2. Encourage the client to continue with a detached retina. Retinal de-
normal daily activities. tachments rarely self-repair, and
3. Notify an ophthalmologist. the client will need surgery. The
4. Encourage fluids and normal saline nurse should not instruct the
eyedrops. client to return home to rest in
bed. The client should not be en-
couraged to continue with normal
daily activities. Fluids and saline
eyedrops will not help a detached
retina.
10. 10.A client is experiencing a loss of cen- ANS: 3
tral vision but not a loss of peripher- Macular degeneration is a deteri-
al vision. The nurse realizes the client oration of part of the retina, caus-
should be evaluated for: ing loss of central vision but not
1. detached retina syndrome. affecting peripheral vision. The
2. nystagmus. loss of central vision is not typi-
3. macular degeneration. cally seen in a detached retina,
4. conjunctivitis. nystagmus, or conjunctivitis.
11. 11.A client is experiencing redness, ANS: 2
burning, itching, and pain of the eyes. Clinical manifestations of con-
The nurse suspects the client is experi- junctivitis (pink eye) include wa-
encing: tery eyes, redness, itching, and
1. blepharitis. burning pain. Blepharitis is as-
2. conjunctivitis. sociated with a sticky exudate.
3. keratitis. Keratitis is associated with pho-
4. iritis. tophobia. Iritis is associated with
blurred vision and photophobia.
12.
, ANP-650 Midterm Study Questions with Verified Answers Graded A+
12.A client has been diagnosed as be- ANS: 1
ing legally blind. The nurse realizes this Legal blindness is defined as
clients vision is: vision of 20/200 or less on a
1. 20/200 or less in the better eye with Snellen chart in the better eye
correction. with correction. The eye needs
2. 20/200 or less in the worse eye with- to have correction in order to
out correction. be diagnosed as legally blind;
3. 20/100 or less in the better eye with- therefore, the choice of 20/200
out correction. in the worse eye without correc-
4. 20/100 or less in the worse eye with tion would be incorrect. The vi-
correction. sion measurements of the oth-
er choices can be corrected with
lenses and would not be catego-
rized as legal blindness.
13. 13.The nurse realizes that the best med- ANS: 3
ication treatment for open-angle glau- For the best effect in the
coma would be: treatment of open-angle glauco-
1. timolol (Timoptic) eyedrops. ma, timolol (Timoptic) and la-
2. latanoprost (Xalatan) eyedrops. tanoprost (Xalatan) should be
3. timolol (Timoptic) and Latanoprost prescribed together. Metoprolol
(Xalatan) eyedrops. is not prescribed for open-angle
4. metoprolol oral medication. glaucoma.
14. 1.A client tells the nurse that he does ANS: 1, 2, 4
not want to develop macular degenera- Recent statistics show that mac-
tion like his mother. Which of the follow- ular degeneration is age related
ing should the nurse instruct the client and that women are at greater
as being risk factors for the develop- risk than men. Family history
ment of this disorder? (Select all that and smoking are also significant
apply.) risk factors. Caucasians are at
1. There is greater risk as people age. greater risk than African Amer-
2. Women are at greater risk than men. icans. Alcohol does not prevent
3. African Americans are at greater risk the onset of this disorder.
than Caucasians.
4. Family history of macular degenera-
tion increases risk.
5. Smoking does not increase risk.
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