HOSMERIT
ANP-650 MIDTERM ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
| ALREADY GRADED A+
A client is diagnosed with strabismus. Which of the following will the client most
likely experience with this disorder?
a. Nystagmus
b. Diplopia
c. Aphakic vision
d. 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.
A client is experiencing a gradual blurring of vision in both eyes not associated
with any pain. The nurse suspects the client is experiencing:
a. glaucoma.
b. cataracts.
c. macular degeneration.
d. 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.
The nurse should instruct a client, diagnosed with glaucoma, that the purpose of
medication is to:
a. help dry up excess secretions.
b. lower the intraocular pressure.
c. strengthen the muscles of the eye.
d. improve the vision in the eye. 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.
After surgery to remove a cataract, which of the following should the nurse
instruct the client?
a. Be sure to follow the schedule for the prescribed eyedrop medication.
b. Sleep on the right side to promote drainage.
c. It is okay to rub the eye because the surgery was on the inside.
d. This is an outpatient procedure, and there are no instructions for the patient.
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.
A tonometry test has been performed with a client and the results are 25 mmHg.
The nurse know that:
a. the reading is low and there is no problem.
,b. the reading is normal and nothing needs to be done at this time.
c. the results are high and follow-up readings and tests are needed.
d. the results are high and there is no cure to bring the pressure down. 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.
A client has been diagnosed with cataracts. The nurse realizes that the only
treatment for this disorder is?
a. Medical management with eyedrops
b. Surgical removal of the lens
c. Cryopexy
d. Phototherapy
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.
Which of the following should the nurse assess in a client diagnosed with open-
angle glaucoma?
a. Degree of lost vision
b. Severity of headaches
c. Amount of blurred vision
d. Date of onset 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.
, A client is experiencing little flashes of lights and things floating in the visual
field. The nurse suspects:
a. cataracts.
b. glaucoma.
c. conjunctivitis.
d. retinal detachment.
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.
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?
a. Instruct the client to return home to rest in bed.
b. Encourage the client to continue with normal daily activities.
c. Notify an ophthalmologist.
d. Encourage fluids and normal saline eyedrops. 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 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.
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:
a. detached retina syndrome.
b. nystagmus.
ANP-650 MIDTERM ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
| ALREADY GRADED A+
A client is diagnosed with strabismus. Which of the following will the client most
likely experience with this disorder?
a. Nystagmus
b. Diplopia
c. Aphakic vision
d. 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.
A client is experiencing a gradual blurring of vision in both eyes not associated
with any pain. The nurse suspects the client is experiencing:
a. glaucoma.
b. cataracts.
c. macular degeneration.
d. 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.
The nurse should instruct a client, diagnosed with glaucoma, that the purpose of
medication is to:
a. help dry up excess secretions.
b. lower the intraocular pressure.
c. strengthen the muscles of the eye.
d. improve the vision in the eye. 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.
After surgery to remove a cataract, which of the following should the nurse
instruct the client?
a. Be sure to follow the schedule for the prescribed eyedrop medication.
b. Sleep on the right side to promote drainage.
c. It is okay to rub the eye because the surgery was on the inside.
d. This is an outpatient procedure, and there are no instructions for the patient.
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.
A tonometry test has been performed with a client and the results are 25 mmHg.
The nurse know that:
a. the reading is low and there is no problem.
,b. the reading is normal and nothing needs to be done at this time.
c. the results are high and follow-up readings and tests are needed.
d. the results are high and there is no cure to bring the pressure down. 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.
A client has been diagnosed with cataracts. The nurse realizes that the only
treatment for this disorder is?
a. Medical management with eyedrops
b. Surgical removal of the lens
c. Cryopexy
d. Phototherapy
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.
Which of the following should the nurse assess in a client diagnosed with open-
angle glaucoma?
a. Degree of lost vision
b. Severity of headaches
c. Amount of blurred vision
d. Date of onset 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.
, A client is experiencing little flashes of lights and things floating in the visual
field. The nurse suspects:
a. cataracts.
b. glaucoma.
c. conjunctivitis.
d. retinal detachment.
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.
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?
a. Instruct the client to return home to rest in bed.
b. Encourage the client to continue with normal daily activities.
c. Notify an ophthalmologist.
d. Encourage fluids and normal saline eyedrops. 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 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.
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:
a. detached retina syndrome.
b. nystagmus.
