ANP-650 MIDTERM EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES
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 - ANSWER--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. - 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.
, ANP-650 MIDTERM EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES
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
, ANP-650 MIDTERM EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES
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
The nurse should notify an ophthalmologist with the clients symptoms. The onset of a shadow in the
field of vision that will not dissipate is an indication of a detached retina. Retinal detachments rarely
, ANP-650 MIDTERM EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES
self-repair, and the client will need surgery. The nurse should not instruct the client to return home to
rest in bed. The client should not be encouraged to continue with normal daily activities. Fluids and
saline eyedrops will not help a detached retina.
10.A client is experiencing a loss of central vision but not a loss of peripheral vision. The nurse realizes
the client should be evaluated for:
1. detached retina syndrome.
2. nystagmus.
3. macular degeneration.
4. conjunctivitis. - ANSWER--ANS: 3
Macular degeneration is a deterioration of part of the retina, causing loss of central vision but not
affecting peripheral vision. The loss of central vision is not typically seen in a detached retina,
nystagmus, or conjunctivitis.
11.A client is experiencing redness, burning, itching, and pain of the eyes. The nurse suspects the client
is experiencing:
1. blepharitis.
2. conjunctivitis.
3. keratitis.
4. iritis. - ANSWER--ANS: 2
Clinical manifestations of conjunctivitis (pink eye) include watery eyes, redness, itching, and burning
pain. Blepharitis is associated with a sticky exudate. Keratitis is associated with photophobia. Iritis is
associated with blurred vision and photophobia.
12.A client has been diagnosed as being legally blind. The nurse realizes this clients vision is:
1. 20/200 or less in the better eye with correction.
2. 20/200 or less in the worse eye without correction.
3. 20/100 or less in the better eye without correction.
CORRECT DETAILED ANSWERS WITH
RATIONALES
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 - ANSWER--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. - 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.
, ANP-650 MIDTERM EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES
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
, ANP-650 MIDTERM EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES
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
The nurse should notify an ophthalmologist with the clients symptoms. The onset of a shadow in the
field of vision that will not dissipate is an indication of a detached retina. Retinal detachments rarely
, ANP-650 MIDTERM EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES
self-repair, and the client will need surgery. The nurse should not instruct the client to return home to
rest in bed. The client should not be encouraged to continue with normal daily activities. Fluids and
saline eyedrops will not help a detached retina.
10.A client is experiencing a loss of central vision but not a loss of peripheral vision. The nurse realizes
the client should be evaluated for:
1. detached retina syndrome.
2. nystagmus.
3. macular degeneration.
4. conjunctivitis. - ANSWER--ANS: 3
Macular degeneration is a deterioration of part of the retina, causing loss of central vision but not
affecting peripheral vision. The loss of central vision is not typically seen in a detached retina,
nystagmus, or conjunctivitis.
11.A client is experiencing redness, burning, itching, and pain of the eyes. The nurse suspects the client
is experiencing:
1. blepharitis.
2. conjunctivitis.
3. keratitis.
4. iritis. - ANSWER--ANS: 2
Clinical manifestations of conjunctivitis (pink eye) include watery eyes, redness, itching, and burning
pain. Blepharitis is associated with a sticky exudate. Keratitis is associated with photophobia. Iritis is
associated with blurred vision and photophobia.
12.A client has been diagnosed as being legally blind. The nurse realizes this clients vision is:
1. 20/200 or less in the better eye with correction.
2. 20/200 or less in the worse eye without correction.
3. 20/100 or less in the better eye without correction.
