ANP 650 MIDTERM EXAM - ACTUAL EXAM TEST
BANK 100 QUESTIONS AND CORRECT ANSWERS
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ANP 650 Midterm Exam Practice Questions (1-85)
Based on ANP 650 Curriculum - Advanced Pathophysiology, Pharmacology, and
Clinical Assessment
PART 1: EYE DISORDERS & VISION
1. 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
Correct Answer: B) Diplopia
Explanation: Diplopia, or double vision, is the primary symptom of strabismus.
Nystagmus is a disorder that causes involuntary 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:
,A) Glaucoma
B) Cataracts
C) Macular degeneration
D) Retinal detachment
Correct Answer: B) Cataracts
Explanation: 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:
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
Correct Answer: B) Lower the intraocular pressure
Explanation: 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?
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
,Correct Answer: A) Be sure to follow the schedule for the prescribed eyedrop
medication
Explanation: 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 knows 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
Correct Answer: C) The results are high and follow-up readings and tests are
needed
Explanation: Several readings 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:
A) Medical management with eyedrops
B) Surgical removal of the lens
C) Cryopexy
D) Phototherapy
Correct Answer: B) Surgical removal of the lens
, Explanation: 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?
A) Degree of lost vision
B) Severity of headaches
C) Amount of blurred vision
D) Date of onset
Correct Answer: A) Degree of lost vision
Explanation: 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:
A) Cataracts
B) Glaucoma
C) Conjunctivitis
D) Retinal detachment
Correct Answer: D) Retinal detachment
Explanation: 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.
BANK 100 QUESTIONS AND CORRECT ANSWERS
(VERIFIED) | GRADED A+ | LATEST UPDATE | 100%
ASSURED PASS.
ANP 650 Midterm Exam Practice Questions (1-85)
Based on ANP 650 Curriculum - Advanced Pathophysiology, Pharmacology, and
Clinical Assessment
PART 1: EYE DISORDERS & VISION
1. 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
Correct Answer: B) Diplopia
Explanation: Diplopia, or double vision, is the primary symptom of strabismus.
Nystagmus is a disorder that causes involuntary 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:
,A) Glaucoma
B) Cataracts
C) Macular degeneration
D) Retinal detachment
Correct Answer: B) Cataracts
Explanation: 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:
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
Correct Answer: B) Lower the intraocular pressure
Explanation: 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?
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
,Correct Answer: A) Be sure to follow the schedule for the prescribed eyedrop
medication
Explanation: 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 knows 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
Correct Answer: C) The results are high and follow-up readings and tests are
needed
Explanation: Several readings 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:
A) Medical management with eyedrops
B) Surgical removal of the lens
C) Cryopexy
D) Phototherapy
Correct Answer: B) Surgical removal of the lens
, Explanation: 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?
A) Degree of lost vision
B) Severity of headaches
C) Amount of blurred vision
D) Date of onset
Correct Answer: A) Degree of lost vision
Explanation: 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:
A) Cataracts
B) Glaucoma
C) Conjunctivitis
D) Retinal detachment
Correct Answer: D) Retinal detachment
Explanation: 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.