ANP-650 – Midterm Study Guide – Comprehensive Review for Midterm Exam Preparation
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 - correct 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. - correct 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. - correct 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.
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.
,ANP-650 – Midterm Study Guide – Comprehensive Review for Midterm Exam Preparation
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. - correct
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. - correct 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 - correct 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.
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
,ANP-650 – Midterm Study Guide – Comprehensive Review for Midterm Exam Preparation
3. Amount of blurred vision
4. Date of onset - correct 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. - correct 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. - correct 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 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. - correct answer ANS: 3
, ANP-650 – Midterm Study Guide – Comprehensive Review for Midterm Exam Preparation
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. - correct 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.
4. 20/100 or less in the worse eye with correction. - correct 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.
13.The nurse realizes that the best medication treatment for open-angle glaucoma would be:
1. timolol (Timoptic) eyedrops.
2. latanoprost (Xalatan) eyedrops.
3. timolol (Timoptic) and Latanoprost (Xalatan) eyedrops.
4. metoprolol oral medication. - correct answer ANS: 3
For the best effect in the treatment of open-angle glaucoma, timolol (Timoptic) and latanoprost
(Xalatan) should be prescribed together. Metoprolol is not prescribed for open-angle glaucoma.
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 - correct 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. - correct 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. - correct 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.
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.
,ANP-650 – Midterm Study Guide – Comprehensive Review for Midterm Exam Preparation
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. - correct
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. - correct 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 - correct 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.
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
,ANP-650 – Midterm Study Guide – Comprehensive Review for Midterm Exam Preparation
3. Amount of blurred vision
4. Date of onset - correct 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. - correct 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. - correct 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 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. - correct answer ANS: 3
, ANP-650 – Midterm Study Guide – Comprehensive Review for Midterm Exam Preparation
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. - correct 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.
4. 20/100 or less in the worse eye with correction. - correct 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.
13.The nurse realizes that the best medication treatment for open-angle glaucoma would be:
1. timolol (Timoptic) eyedrops.
2. latanoprost (Xalatan) eyedrops.
3. timolol (Timoptic) and Latanoprost (Xalatan) eyedrops.
4. metoprolol oral medication. - correct answer ANS: 3
For the best effect in the treatment of open-angle glaucoma, timolol (Timoptic) and latanoprost
(Xalatan) should be prescribed together. Metoprolol is not prescribed for open-angle glaucoma.
