Page 1 of 107
ANP 650 MIDTERM EXAM AND FINAL EXAM TEST
BANK ALL 350 QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR
ANP 650 MIDTERM EXAM
QUESTION: 1.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.
QUESTION: 2.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.
1
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4. 20/100 or less in the worse eye with correction. - ANSWER-ANS: 1
Legal blindness is defined as vision of 20/200 or less on a Snellen chart in the better eye with
correction. The eye needs to have correction in order to be diagnosed as legally blind;
therefore, the choice of 20/200 in the worse eye without correction would be incorrect. The
vision measurements of the other choices can be corrected with lenses and would not be
categorized as legal blindness.
.
QUESTION: 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.
QUESTION: 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
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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.
QUESTION: 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.
QUESTION: 6.A client has been diagnosed with cataracts. The nurse realizes that the only
treatment for this disorder is?
3
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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.
QUESTION: 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.
QUESTION: 8.A client is experiencing little flashes of lights and things floating in the visual field.
The nurse suspects:
1. cataracts.
4
ANP 650 MIDTERM EXAM AND FINAL EXAM TEST
BANK ALL 350 QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR
ANP 650 MIDTERM EXAM
QUESTION: 1.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.
QUESTION: 2.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.
1
,Page 2 of 107
4. 20/100 or less in the worse eye with correction. - ANSWER-ANS: 1
Legal blindness is defined as vision of 20/200 or less on a Snellen chart in the better eye with
correction. The eye needs to have correction in order to be diagnosed as legally blind;
therefore, the choice of 20/200 in the worse eye without correction would be incorrect. The
vision measurements of the other choices can be corrected with lenses and would not be
categorized as legal blindness.
.
QUESTION: 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.
QUESTION: 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
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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.
QUESTION: 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.
QUESTION: 6.A client has been diagnosed with cataracts. The nurse realizes that the only
treatment for this disorder is?
3
, Page 4 of 107
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.
QUESTION: 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.
QUESTION: 8.A client is experiencing little flashes of lights and things floating in the visual field.
The nurse suspects:
1. cataracts.
4
