MARYVILLE UNIVERSITY NUR 322 –
ADULT HEALTH NURSING FINAL
EXAM|QUESTIONS AND VERIFIED
ANSWERS|GRADED A+|2026
UPDATE
tPA (Alteplase) - <<<<CORRECT ANSWERS>>>Thrombolytic medication used to
dissolve clots in ischemic stroke
tPA Time Window - <<<<CORRECT ANSWERS>>>Must be given within 3-4.5 hours of
symptom onset
tPA Monitoring - <<<<CORRECT ANSWERS>>>Monitor for hypotension; bleeding;
intracranial hemorrhage
tPA Contraindications - <<<<CORRECT ANSWERS>>>Active bleeding; recent
anticoagulant or antiplatelet use
Traumatic Brain Injury (TBI) - <<<<CORRECT ANSWERS>>>Disruption in brain
function caused by external force
TBI Manifestations - <<<<CORRECT ANSWERS>>>Headache; confusion; dizziness;
nausea; vomiting; decreased LOC; pupil changes
Patient Education Priority - <<<<CORRECT ANSWERS>>>Medication adherence;
lifestyle modification; follow-up care
Age-Related Macular Degeneration (AMD) - <<<<CORRECT ANSWERS>>>Leading
cause of irreversible blindness and visual impairment; primarily affects central vision
AMD Manifestations - <<<<CORRECT ANSWERS>>>Blurred vision; distorted objects;
lack of depth perception; progressive vision loss
Dry Macular Degeneration - <<<<CORRECT ANSWERS>>>Most common form;
gradual blockage of retinal capillaries; ischemia and necrosis of macula
, Wet Macular Degeneration - <<<<CORRECT ANSWERS>>>Less common; abnormal
blood vessel growth with thin walls; leakage of blood and fluid
AMD Identification - <<<<CORRECT ANSWERS>>>Amsler grid; ophthalmoscopy;
wavy lines caused by fluid or blood leakage altering visual perception
AMD Nutrition Teaching - <<<<CORRECT ANSWERS>>>Encourage vitamin E and
carotene intake
Glaucoma - <<<<CORRECT ANSWERS>>>Disturbance of functional or structural
integrity of the optic nerve due to increased intraocular pressure
Normal Intraocular Pressure (IOP) - <<<<CORRECT ANSWERS>>>10-20 mmHg
Glaucoma Causes - <<<<CORRECT ANSWERS>>>Decreased fluid drainage or
increased fluid secretion increasing IOP
Secondary Glaucoma Causes - <<<<CORRECT ANSWERS>>>Trauma; eye surgery;
tumors; uveitis; iritis; neovascular disorders; degenerative disease; central retinal vein
occlusion
Glaucoma Risk Factors - <<<<CORRECT ANSWERS>>>Age; infection; tumors;
diabetes; genetic predisposition; hypertension; eye trauma; severe myopia; retinal
detachment
Glaucoma Diagnostics - <<<<CORRECT ANSWERS>>>Tonometry; gonioscopy; visual
assessment
Glaucoma Medication Administration - <<<<CORRECT ANSWERS>>>Eye drops every
12 hours; one drop per eye twice daily; wait 5-10 minutes between drops; punctal
occlusion after instillation
Eye Drop Administration Steps - <<<<CORRECT ANSWERS>>>Hand hygiene; pull
lower lid down; instill into conjunctival sac; avoid cornea; wipe drainage inner to outer
canthus
Cataracts - <<<<CORRECT ANSWERS>>>Opacity of the lens that impairs vision
Cataract Risk Factors - <<<<CORRECT ANSWERS>>>Advanced age; diabetes;
heredity; smoking; eye trauma; sun exposure; chronic corticosteroid use
Cataract Prevention - <<<<CORRECT ANSWERS>>>Wear sunglasses; protective eye
equipment; annual eye exams
Cataract Nursing Care - <<<<CORRECT ANSWERS>>>Check visual acuity with
Snellen chart; assess eye structures; increase room lighting
ADULT HEALTH NURSING FINAL
EXAM|QUESTIONS AND VERIFIED
ANSWERS|GRADED A+|2026
UPDATE
tPA (Alteplase) - <<<<CORRECT ANSWERS>>>Thrombolytic medication used to
dissolve clots in ischemic stroke
tPA Time Window - <<<<CORRECT ANSWERS>>>Must be given within 3-4.5 hours of
symptom onset
tPA Monitoring - <<<<CORRECT ANSWERS>>>Monitor for hypotension; bleeding;
intracranial hemorrhage
tPA Contraindications - <<<<CORRECT ANSWERS>>>Active bleeding; recent
anticoagulant or antiplatelet use
Traumatic Brain Injury (TBI) - <<<<CORRECT ANSWERS>>>Disruption in brain
function caused by external force
TBI Manifestations - <<<<CORRECT ANSWERS>>>Headache; confusion; dizziness;
nausea; vomiting; decreased LOC; pupil changes
Patient Education Priority - <<<<CORRECT ANSWERS>>>Medication adherence;
lifestyle modification; follow-up care
Age-Related Macular Degeneration (AMD) - <<<<CORRECT ANSWERS>>>Leading
cause of irreversible blindness and visual impairment; primarily affects central vision
AMD Manifestations - <<<<CORRECT ANSWERS>>>Blurred vision; distorted objects;
lack of depth perception; progressive vision loss
Dry Macular Degeneration - <<<<CORRECT ANSWERS>>>Most common form;
gradual blockage of retinal capillaries; ischemia and necrosis of macula
, Wet Macular Degeneration - <<<<CORRECT ANSWERS>>>Less common; abnormal
blood vessel growth with thin walls; leakage of blood and fluid
AMD Identification - <<<<CORRECT ANSWERS>>>Amsler grid; ophthalmoscopy;
wavy lines caused by fluid or blood leakage altering visual perception
AMD Nutrition Teaching - <<<<CORRECT ANSWERS>>>Encourage vitamin E and
carotene intake
Glaucoma - <<<<CORRECT ANSWERS>>>Disturbance of functional or structural
integrity of the optic nerve due to increased intraocular pressure
Normal Intraocular Pressure (IOP) - <<<<CORRECT ANSWERS>>>10-20 mmHg
Glaucoma Causes - <<<<CORRECT ANSWERS>>>Decreased fluid drainage or
increased fluid secretion increasing IOP
Secondary Glaucoma Causes - <<<<CORRECT ANSWERS>>>Trauma; eye surgery;
tumors; uveitis; iritis; neovascular disorders; degenerative disease; central retinal vein
occlusion
Glaucoma Risk Factors - <<<<CORRECT ANSWERS>>>Age; infection; tumors;
diabetes; genetic predisposition; hypertension; eye trauma; severe myopia; retinal
detachment
Glaucoma Diagnostics - <<<<CORRECT ANSWERS>>>Tonometry; gonioscopy; visual
assessment
Glaucoma Medication Administration - <<<<CORRECT ANSWERS>>>Eye drops every
12 hours; one drop per eye twice daily; wait 5-10 minutes between drops; punctal
occlusion after instillation
Eye Drop Administration Steps - <<<<CORRECT ANSWERS>>>Hand hygiene; pull
lower lid down; instill into conjunctival sac; avoid cornea; wipe drainage inner to outer
canthus
Cataracts - <<<<CORRECT ANSWERS>>>Opacity of the lens that impairs vision
Cataract Risk Factors - <<<<CORRECT ANSWERS>>>Advanced age; diabetes;
heredity; smoking; eye trauma; sun exposure; chronic corticosteroid use
Cataract Prevention - <<<<CORRECT ANSWERS>>>Wear sunglasses; protective eye
equipment; annual eye exams
Cataract Nursing Care - <<<<CORRECT ANSWERS>>>Check visual acuity with
Snellen chart; assess eye structures; increase room lighting
