ANP-650 EXAM STUDY GUIDE 2026
COMPLETE QUESTIONS AND SOLUTIONS
◉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.. Answer: 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.
◉3.The nurse should instruct a client, diagnosed with glaucoma,
that the purpose of medication is to:
1. help dry up excess secretions.
2. lower the intraocular pressure.
3. strengthen the muscles of the eye.
4. improve the vision in the eye.. Answer: ANS: 2
,Glaucoma is a disease that relates to the increase of intraocular
pressure. The medication given will decrease this intraocular
pressure. Medication for glaucoma is not used to help dry up excess
secretions, strengthen the eye muscles, or improve vision.
◉4.After surgery to remove a cataract, which of the following should
the nurse instruct the client?
1. Be sure to follow the schedule for the prescribed eyedrop
medication.
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.. Answer: ANS: 1
Client education is extremely important in the aftercare of cataract
surgery. There is a need to emphasize the postoperative care of
eyedrop instillation. The client should not place any pressure near or
on the eye. Postoperative instructions are highly important for the
client having an outpatient surgical procedure.
◉5.A tonometry test has been performed with a client and the
results are 25 mmHg. The nurse know that:
1. the reading is low and there is no problem.
2. the reading is normal and 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.. Answer: ANS: 3
Several reading need to be taken throughout the day to establish the
highest reading to be the treated pressure. Normal intraocular
pressure ranges from 12 to 16 mmHg. The reading of 25 mmHg is
not low or normal. Medication can be prescribed to reduce the
pressure.
◉6.A client has been diagnosed with cataracts. The nurse realizes
that the only treatment for this disorder is?
1. Medical management with eyedrops
2. Surgical removal of the lens
3. Cryopexy
4. Phototherapy. Answer: ANS: 2
Surgical treatment for cataracts begins when vision is sufficiently
impaired. The lens is removed and the replacement artificial
intraocular lens is put in place. Cataracts cannot be treated with
medication alone. Cryopexy and phototherapy are not used to treat
cataracts.
◉7.Which of the following should the nurse assess in a client
diagnosed with open-angle glaucoma?
1. Degree of lost vision
2. Severity of headaches
, 3. Amount of blurred vision
4. Date of onset. Answer: ANS: 1
Open-angle glaucoma is characterized by a gradual increase in
pressure and a gradual loss of vision. Closed-angle glaucoma
presents with a sudden onset causing headache, blurred vision, and
eye pain.
◉8.A client is experiencing little flashes of lights and things floating
in the visual field. The nurse suspects:
1. cataracts.
2. glaucoma.
3. conjunctivitis.
4. retinal detachment.. Answer: ANS: 4
Retinal detachment is clinically manifested by flashes and floaters in
the visual field. Flashes of light and floaters are not associated with
cataracts, glaucoma, or conjunctivitis.
◉9.A client tells the nurse that she sees a shadow that is slowing
getting worse in her left eye. Which of the following should the
nurse do?
1. Instruct the client to return home to rest in bed.
2. Encourage the client to continue with normal daily activities.
3. Notify an ophthalmologist.
4. Encourage fluids and normal saline eyedrops.. Answer: ANS: 3
COMPLETE QUESTIONS AND SOLUTIONS
◉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.. Answer: 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.
◉3.The nurse should instruct a client, diagnosed with glaucoma,
that the purpose of medication is to:
1. help dry up excess secretions.
2. lower the intraocular pressure.
3. strengthen the muscles of the eye.
4. improve the vision in the eye.. Answer: ANS: 2
,Glaucoma is a disease that relates to the increase of intraocular
pressure. The medication given will decrease this intraocular
pressure. Medication for glaucoma is not used to help dry up excess
secretions, strengthen the eye muscles, or improve vision.
◉4.After surgery to remove a cataract, which of the following should
the nurse instruct the client?
1. Be sure to follow the schedule for the prescribed eyedrop
medication.
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.. Answer: ANS: 1
Client education is extremely important in the aftercare of cataract
surgery. There is a need to emphasize the postoperative care of
eyedrop instillation. The client should not place any pressure near or
on the eye. Postoperative instructions are highly important for the
client having an outpatient surgical procedure.
◉5.A tonometry test has been performed with a client and the
results are 25 mmHg. The nurse know that:
1. the reading is low and there is no problem.
2. the reading is normal and 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.. Answer: ANS: 3
Several reading need to be taken throughout the day to establish the
highest reading to be the treated pressure. Normal intraocular
pressure ranges from 12 to 16 mmHg. The reading of 25 mmHg is
not low or normal. Medication can be prescribed to reduce the
pressure.
◉6.A client has been diagnosed with cataracts. The nurse realizes
that the only treatment for this disorder is?
1. Medical management with eyedrops
2. Surgical removal of the lens
3. Cryopexy
4. Phototherapy. Answer: ANS: 2
Surgical treatment for cataracts begins when vision is sufficiently
impaired. The lens is removed and the replacement artificial
intraocular lens is put in place. Cataracts cannot be treated with
medication alone. Cryopexy and phototherapy are not used to treat
cataracts.
◉7.Which of the following should the nurse assess in a client
diagnosed with open-angle glaucoma?
1. Degree of lost vision
2. Severity of headaches
, 3. Amount of blurred vision
4. Date of onset. Answer: ANS: 1
Open-angle glaucoma is characterized by a gradual increase in
pressure and a gradual loss of vision. Closed-angle glaucoma
presents with a sudden onset causing headache, blurred vision, and
eye pain.
◉8.A client is experiencing little flashes of lights and things floating
in the visual field. The nurse suspects:
1. cataracts.
2. glaucoma.
3. conjunctivitis.
4. retinal detachment.. Answer: ANS: 4
Retinal detachment is clinically manifested by flashes and floaters in
the visual field. Flashes of light and floaters are not associated with
cataracts, glaucoma, or conjunctivitis.
◉9.A client tells the nurse that she sees a shadow that is slowing
getting worse in her left eye. Which of the following should the
nurse do?
1. Instruct the client to return home to rest in bed.
2. Encourage the client to continue with normal daily activities.
3. Notify an ophthalmologist.
4. Encourage fluids and normal saline eyedrops.. Answer: ANS: 3
