ANP-650 MIDTERM (ACTUAL 2026) EXAM
QUESTIONS WITH VERIFIED CORRECT
ANSWERS
1.A | client | is | diagnosed | with | strabismus. | Which | of | the |following |will | the
| client | most | likely | experience | with | this | disorder?
1. Nystagmus
2. Diplopia
3. Aphakic |vision
4. Ptosis
ANS: |2
Diplopia, | or | double | vision, | is | the | primary | symptom | of |strabismus.
| Nystagmus | is |a | disorder | that | causes | involuntarily |rhythmic | movements | in
| the | eye. |Aphakic |vision | occurs | when |the | lens | of | the |eye | is | removed.
| Ptosis | is | drooping | of | the | eyelid.
2.A | client | is | experiencing | a | gradual | blurring | of | vision | in | both |eyes | not
| associated | with |any |pain. | The | nurse | suspects | the |client | is | experiencing:
1. glaucoma.
2. cataracts.
3. macular |degeneration.
4. retinal |detachment.
ANS: |2
,Cataracts | occur | as | the | opacity | of | the | lens | becomes | cloudy, |blurring
| the | vision. |It | occurs | in |both |eyes | but | is |usually | worse |in |one | eye.
|Gradual | eye |blurring | is | not | associated | with |glaucoma, | macular
| degeneration, | or | retinal | detachment.
1.A | client | tells | the | nurse | that | he | does | not | want | to |develop |macular
| degeneration | like | his |mother. | Which | of | the | following |should | the | nurse
| instruct | the | client | as | being | risk |factors | for |the | development | of | this
| disorder? | (Select | all | that | apply.)
1. There |is |greater |risk |as |people | age.
2. Women |are |at |greater |risk |than |men.
3. African | Americans |are |at |greater |risk |than |Caucasians.
4. Family |history |of |macular |degeneration |increases |risk.
5. Smoking |does |not |increase |risk.
6. Alcohol |prevents | the |onset |of | this |disorder. |ANS:
| 1, |2, | 4
Recent |statistics | show | that | macular | degeneration | is |age |related | and | that
| women | are | at | greater | risk | than | men. | Family |history | and | smoking | are
| also |significant |risk | factors.
Caucasians |are | at |greater | risk | than |African |Americans. |Alcohol | does | not
| prevent | the | onset | of | this | disorder.
2.A | client | is | receiving | tests | to |diagnose | glaucoma. | Which |of | the |following
| diagnostic | tests | will | be |used | to |identify | this | disorder |in |the |client? |(Select
| all | that | apply.)
, Visual |acuity
1. Visual | field | test
2. Tonometry
3. Weber |test
4. Rinne |test
5. Electroencephalogram
ANS: |1, |2, | 3
Glaucoma | is |determined | through | a | comprehensive |eye | exam |including | a
| visual | acuity | test, |visual | fields | test, |dilated | eye |exam, | and | tonometry.
| The |Weber | and | Rinne |tests | are | used |in |an | ear | assessment. | An
| electroencephalogram | is |not | used | to |diagnose | glaucoma.
1. The | nurse | is | instructing | a | client | diagnosed | with | otitis | media |on
| management | during | the |acute | phase. |Which | of | the |following |should | the
| nurse | include | in | the | teaching? | (Select | all | that |apply.)
1. Take |the |antibiotics |as |ordered.
2. Take |over-the-counter | analgesics |for |mild | pain |as
|recommended.
3. It | is | okay | to | go | swimming.
4. It | is | okay |to |go |on |vacation |and | trips |that |require |flying.
5. If |excruciating |pain |develops, |seek |medical |care.
6. Limit |fluids.
ANS: |1, |2, | 5
Clients | must | complete | the |medication |as | ordered | to |kill | the |infection. | Mild
| analgesics | for | pain | are | often | needed. | If
, excruciating | ear | pain | develops, |the | client |should | seek | medical |care | to |rule
| out | perforation | of | the | eardrum. | It | is | important | to |keep | the | ear | dry,
| so | the | client | should | not | swim | at | this | time.
Flying | is | not | recommended | at | this | time. |Limiting | fluids | is | not |necessary
| with | otitis |media.
2. When | caring | for | a | client |with | total | hearing | loss, | the |nurse | is
|instructing | the | client | about | the |many | options | that | are | available |to
| function | in | a | hearing | world. | Which | of | the | following | should |the | nurse
| include? | (Select | all | that | apply.)
1. Flashing |lights |for |alarms
2. TV | with | closed | captions
3. Talking |computer
4. Lip |reading |and |sign |language
5. Cell | phones | with |headsets
6. Loud |ringers |on |telephones |ANS:
| 1, |2, | 4
Patients | who |have | no |hearing | have | access | to |various |mechanisms | to
| alert | them | to | various | sounds. | Flashing | lights |for | alarms | to | phones | and
| doorbells, | TV | with | closed | captions |for | the |hearing | impaired, | and
| classes | in | lip |reading | and | sign |language |are |some |options. |Talking
| computers |and | cell | phones |with | headsets | are | advancements | for | the
|hearing, | not | for | the |hearing | impaired. | Loud | ringers | on | telephones
| would | also |be |helpful | to |the | client | with | some | hearing | and | not | a | total
| hearing |loss.
QUESTIONS WITH VERIFIED CORRECT
ANSWERS
1.A | client | is | diagnosed | with | strabismus. | Which | of | the |following |will | the
| client | most | likely | experience | with | this | disorder?
1. Nystagmus
2. Diplopia
3. Aphakic |vision
4. Ptosis
ANS: |2
Diplopia, | or | double | vision, | is | the | primary | symptom | of |strabismus.
| Nystagmus | is |a | disorder | that | causes | involuntarily |rhythmic | movements | in
| the | eye. |Aphakic |vision | occurs | when |the | lens | of | the |eye | is | removed.
| Ptosis | is | drooping | of | the | eyelid.
2.A | client | is | experiencing | a | gradual | blurring | of | vision | in | both |eyes | not
| associated | with |any |pain. | The | nurse | suspects | the |client | is | experiencing:
1. glaucoma.
2. cataracts.
3. macular |degeneration.
4. retinal |detachment.
ANS: |2
,Cataracts | occur | as | the | opacity | of | the | lens | becomes | cloudy, |blurring
| the | vision. |It | occurs | in |both |eyes | but | is |usually | worse |in |one | eye.
|Gradual | eye |blurring | is | not | associated | with |glaucoma, | macular
| degeneration, | or | retinal | detachment.
1.A | client | tells | the | nurse | that | he | does | not | want | to |develop |macular
| degeneration | like | his |mother. | Which | of | the | following |should | the | nurse
| instruct | the | client | as | being | risk |factors | for |the | development | of | this
| disorder? | (Select | all | that | apply.)
1. There |is |greater |risk |as |people | age.
2. Women |are |at |greater |risk |than |men.
3. African | Americans |are |at |greater |risk |than |Caucasians.
4. Family |history |of |macular |degeneration |increases |risk.
5. Smoking |does |not |increase |risk.
6. Alcohol |prevents | the |onset |of | this |disorder. |ANS:
| 1, |2, | 4
Recent |statistics | show | that | macular | degeneration | is |age |related | and | that
| women | are | at | greater | risk | than | men. | Family |history | and | smoking | are
| also |significant |risk | factors.
Caucasians |are | at |greater | risk | than |African |Americans. |Alcohol | does | not
| prevent | the | onset | of | this | disorder.
2.A | client | is | receiving | tests | to |diagnose | glaucoma. | Which |of | the |following
| diagnostic | tests | will | be |used | to |identify | this | disorder |in |the |client? |(Select
| all | that | apply.)
, Visual |acuity
1. Visual | field | test
2. Tonometry
3. Weber |test
4. Rinne |test
5. Electroencephalogram
ANS: |1, |2, | 3
Glaucoma | is |determined | through | a | comprehensive |eye | exam |including | a
| visual | acuity | test, |visual | fields | test, |dilated | eye |exam, | and | tonometry.
| The |Weber | and | Rinne |tests | are | used |in |an | ear | assessment. | An
| electroencephalogram | is |not | used | to |diagnose | glaucoma.
1. The | nurse | is | instructing | a | client | diagnosed | with | otitis | media |on
| management | during | the |acute | phase. |Which | of | the |following |should | the
| nurse | include | in | the | teaching? | (Select | all | that |apply.)
1. Take |the |antibiotics |as |ordered.
2. Take |over-the-counter | analgesics |for |mild | pain |as
|recommended.
3. It | is | okay | to | go | swimming.
4. It | is | okay |to |go |on |vacation |and | trips |that |require |flying.
5. If |excruciating |pain |develops, |seek |medical |care.
6. Limit |fluids.
ANS: |1, |2, | 5
Clients | must | complete | the |medication |as | ordered | to |kill | the |infection. | Mild
| analgesics | for | pain | are | often | needed. | If
, excruciating | ear | pain | develops, |the | client |should | seek | medical |care | to |rule
| out | perforation | of | the | eardrum. | It | is | important | to |keep | the | ear | dry,
| so | the | client | should | not | swim | at | this | time.
Flying | is | not | recommended | at | this | time. |Limiting | fluids | is | not |necessary
| with | otitis |media.
2. When | caring | for | a | client |with | total | hearing | loss, | the |nurse | is
|instructing | the | client | about | the |many | options | that | are | available |to
| function | in | a | hearing | world. | Which | of | the | following | should |the | nurse
| include? | (Select | all | that | apply.)
1. Flashing |lights |for |alarms
2. TV | with | closed | captions
3. Talking |computer
4. Lip |reading |and |sign |language
5. Cell | phones | with |headsets
6. Loud |ringers |on |telephones |ANS:
| 1, |2, | 4
Patients | who |have | no |hearing | have | access | to |various |mechanisms | to
| alert | them | to | various | sounds. | Flashing | lights |for | alarms | to | phones | and
| doorbells, | TV | with | closed | captions |for | the |hearing | impaired, | and
| classes | in | lip |reading | and | sign |language |are |some |options. |Talking
| computers |and | cell | phones |with | headsets | are | advancements | for | the
|hearing, | not | for | the |hearing | impaired. | Loud | ringers | on | telephones
| would | also |be |helpful | to |the | client | with | some | hearing | and | not | a | total
| hearing |loss.
