ANP-650 Actual Exam 2025 ANP 650
Exam Latest Update 2025 Questions and
Correct Answers Rated A+
1.A client tells the nurse that he does not want to develop macular
degeneration like his mother. Which of the following should the nurse
instruct the client as being risk factors for the development of this
disorder? (Select all that apply.)
1. There is greater risk as people age.
2. Women are at greater risk than men.
3. African Americans are at greater risk than Caucasians.
4. Family history of macular degeneration increases risk.
5. Smoking does not increase risk.
6. Alcohol prevents the onset of this disorder. -ANSWER-ANS: 1, 2, 4
Recent statistics show that macular degeneration is age related and
that women are at greater risk than men. Family history and smoking
are also significant risk factors. Caucasians are at greater risk than
African Americans. Alcohol does not prevent the onset of this disorder.
2.A client is receiving tests to diagnose glaucoma. Which of the
following diagnostic tests will be used to identify this disorder in the
client? (Select all that apply.)
1. Visual acuity
2. Visual field test
3. Tonometry
4. Weber test
5. Rinne test
6. Electroencephalogram -ANSWER-ANS: 1, 2, 3
Glaucoma is determined through a comprehensive eye exam
including a visual acuity test, visual fields test, dilated eye exam, and
,tonometry. The Weber and Rinne tests are used in an ear
assessment. An electroencephalogram is not used to diagnose
glaucoma.
3.A client is diagnosed with ocular cancer. The nurse realizes this
client could be treated with: (Select all that apply.)
1. Enucleation
2. Laser surgery
3. Plaque brachytherapy
4. Block incision
5. Trabeculoplasty
6. Trabeculectomy -ANSWER-ANS: 1, 3, 4
Surgical options for a client diagnosed with ocular cancer include
enucleation, plaque brachytherapy, or block incision. Laser surgery,
trabeculoplasty, and trabeculectomy would be used to treat glaucoma.
4.A client, diagnosed with keratoconus, asks the nurse what caused
the disorder to develop. The nurse should instruct the client on which
of the following as risk factors for the development of this disorder?
(Select all that apply.)
1. Sun exposure
2. Ocular allergies
3. Wearing rigid contact lenses
4. Vigorous eye rubbing
5. Herpes simplex virus
6. Dry eyes -ANSWER-ANS: 2, 3, 4
Risk factors for the development of keratoconus include ocular
allergies, rigid contact lens wear, and vigorous eye rubbing. Sun
exposure, herpes simplex virus, and dry eyes are not risk factors for
this disorder.
,5.The nurse is planning instruction for a client experiencing dry eyes.
Which of the following should be included in these instructions?
(Select all that apply.)
1. Drink 8 to 10 glasses of water each day.
2. Apply petroleum jelly to the eyelids.
3. Blink more frequently.
4. Avoid sun exposure.
5. Avoid rubbing the eyes.
6. Avoid dry air. -ANSWER-ANS: 1, 3, 5, 6
Interventions to improve dry eyes include drink 8 to 10 glasses of
water each day; blink more frequently; avoid rubbing the eyes; and
know that dry air makes the condition worse. Petroleum jelly is not a
treatment for dry eyes. Avoiding the sun is good advice; however, it is
not proven to help with dry eyes.
6.Which of the following should the nurse instruct a client diagnosed
with type 2 diabetes mellitus regarding vision care? (Select all that
apply.)
1. Maintain good glucose control.
2. Stop smoking.
3. Limit exercise.
4. Reduce reading.
5. Frequently rest the eyes.
6. Rub eyes daily. -ANSWER-ANS: 1, 2
To preserve vision and reduce the onset of diabetic retinopathy, the
nurse should instruct the client to control blood glucose level, manage
other complications, and stop smoking. The client should not be
instructed to limit exercise, reduce reading, rest the eyes, or rub the
eyes to prevent the onset of diabetic retinopathy.
1.A client is not able to successfully pass the whisper test. Which of
the following would be indicated for this client?
, 1. Head CT scan
2. Audiometry
3. MRI of the brain
4. Electroencephalogram -ANSWER-ANS: 2
Failure to pass the whisper test would indicate the need for formal
audiometry testing. The client would not need a head CT or MRI at
this time. An electroencephalogram is not necessary.
2.A client is prescribed a medication that is ototoxic. The nurse
realizes that this medication may cause:
1. permanent or temporary vision loss.
2. permanent or temporary hearing loss.
3. nausea and vomiting.
4. central nervous system (CNS) depression. -ANSWER-ANS: 2
Although many drugs cause nausea and vomiting and central nervous
system (CNS) depression, ototoxic drugs cause hearing loss and the
risks must be considered prior to suggesting these types of
medications.
3.The nurse is trying to communicate with a hearing-impaired client.
The best way to do this is to:
1. write down all of the message.
2. shout in the impaired ear.
3. speak slowly and clearly while facing the client.
4. talk in a regular voice in the good ear. -ANSWER-ANS: 3
When trying to communicate with the hearing-impaired client, the
nurse should speak slowly and clearly while facing the client to give
her the opportunity to see and hear the words being spoken. The
nurse should not write down all of the messages. Shouting in the
impaired ear will not improve the clients hearing. Talking in a regular
voice into the good ear will not improve hearing.
Exam Latest Update 2025 Questions and
Correct Answers Rated A+
1.A client tells the nurse that he does not want to develop macular
degeneration like his mother. Which of the following should the nurse
instruct the client as being risk factors for the development of this
disorder? (Select all that apply.)
1. There is greater risk as people age.
2. Women are at greater risk than men.
3. African Americans are at greater risk than Caucasians.
4. Family history of macular degeneration increases risk.
5. Smoking does not increase risk.
6. Alcohol prevents the onset of this disorder. -ANSWER-ANS: 1, 2, 4
Recent statistics show that macular degeneration is age related and
that women are at greater risk than men. Family history and smoking
are also significant risk factors. Caucasians are at greater risk than
African Americans. Alcohol does not prevent the onset of this disorder.
2.A client is receiving tests to diagnose glaucoma. Which of the
following diagnostic tests will be used to identify this disorder in the
client? (Select all that apply.)
1. Visual acuity
2. Visual field test
3. Tonometry
4. Weber test
5. Rinne test
6. Electroencephalogram -ANSWER-ANS: 1, 2, 3
Glaucoma is determined through a comprehensive eye exam
including a visual acuity test, visual fields test, dilated eye exam, and
,tonometry. The Weber and Rinne tests are used in an ear
assessment. An electroencephalogram is not used to diagnose
glaucoma.
3.A client is diagnosed with ocular cancer. The nurse realizes this
client could be treated with: (Select all that apply.)
1. Enucleation
2. Laser surgery
3. Plaque brachytherapy
4. Block incision
5. Trabeculoplasty
6. Trabeculectomy -ANSWER-ANS: 1, 3, 4
Surgical options for a client diagnosed with ocular cancer include
enucleation, plaque brachytherapy, or block incision. Laser surgery,
trabeculoplasty, and trabeculectomy would be used to treat glaucoma.
4.A client, diagnosed with keratoconus, asks the nurse what caused
the disorder to develop. The nurse should instruct the client on which
of the following as risk factors for the development of this disorder?
(Select all that apply.)
1. Sun exposure
2. Ocular allergies
3. Wearing rigid contact lenses
4. Vigorous eye rubbing
5. Herpes simplex virus
6. Dry eyes -ANSWER-ANS: 2, 3, 4
Risk factors for the development of keratoconus include ocular
allergies, rigid contact lens wear, and vigorous eye rubbing. Sun
exposure, herpes simplex virus, and dry eyes are not risk factors for
this disorder.
,5.The nurse is planning instruction for a client experiencing dry eyes.
Which of the following should be included in these instructions?
(Select all that apply.)
1. Drink 8 to 10 glasses of water each day.
2. Apply petroleum jelly to the eyelids.
3. Blink more frequently.
4. Avoid sun exposure.
5. Avoid rubbing the eyes.
6. Avoid dry air. -ANSWER-ANS: 1, 3, 5, 6
Interventions to improve dry eyes include drink 8 to 10 glasses of
water each day; blink more frequently; avoid rubbing the eyes; and
know that dry air makes the condition worse. Petroleum jelly is not a
treatment for dry eyes. Avoiding the sun is good advice; however, it is
not proven to help with dry eyes.
6.Which of the following should the nurse instruct a client diagnosed
with type 2 diabetes mellitus regarding vision care? (Select all that
apply.)
1. Maintain good glucose control.
2. Stop smoking.
3. Limit exercise.
4. Reduce reading.
5. Frequently rest the eyes.
6. Rub eyes daily. -ANSWER-ANS: 1, 2
To preserve vision and reduce the onset of diabetic retinopathy, the
nurse should instruct the client to control blood glucose level, manage
other complications, and stop smoking. The client should not be
instructed to limit exercise, reduce reading, rest the eyes, or rub the
eyes to prevent the onset of diabetic retinopathy.
1.A client is not able to successfully pass the whisper test. Which of
the following would be indicated for this client?
, 1. Head CT scan
2. Audiometry
3. MRI of the brain
4. Electroencephalogram -ANSWER-ANS: 2
Failure to pass the whisper test would indicate the need for formal
audiometry testing. The client would not need a head CT or MRI at
this time. An electroencephalogram is not necessary.
2.A client is prescribed a medication that is ototoxic. The nurse
realizes that this medication may cause:
1. permanent or temporary vision loss.
2. permanent or temporary hearing loss.
3. nausea and vomiting.
4. central nervous system (CNS) depression. -ANSWER-ANS: 2
Although many drugs cause nausea and vomiting and central nervous
system (CNS) depression, ototoxic drugs cause hearing loss and the
risks must be considered prior to suggesting these types of
medications.
3.The nurse is trying to communicate with a hearing-impaired client.
The best way to do this is to:
1. write down all of the message.
2. shout in the impaired ear.
3. speak slowly and clearly while facing the client.
4. talk in a regular voice in the good ear. -ANSWER-ANS: 3
When trying to communicate with the hearing-impaired client, the
nurse should speak slowly and clearly while facing the client to give
her the opportunity to see and hear the words being spoken. The
nurse should not write down all of the messages. Shouting in the
impaired ear will not improve the clients hearing. Talking in a regular
voice into the good ear will not improve hearing.
