ANP 650 MIDTERM EXAM LATEST 2023-2024 ACTUAL EXAM TEST BANK

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 – ANSWER- ANS: 2
   Rationale: 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:
5. glaucoma.
6. cataracts.
7. macular degeneration.
8. retinal detachment. – ANSWER- ANS: 2
   Rationale: 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:
9. help dry up excess secretions.
10. lower the intraocular pressure.
11. strengthen the muscles of the eye.
12. improve the vision in the eye. – ANSWER- ANS: 2
    Rationale: 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?
13. Be sure to follow the schedule for the prescribed eyedrop medication.
14. Sleep on the right side to promote drainage.
15. It is okay to rub the eye because the surgery was on the inside.
16. This is an outpatient procedure, and there are no instructions for the
    patient. – ANSWER- ANS: 1
    Rationale: 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:
17. the reading is low and there is no problem.
18. the reading is normal and nothing needs to be done at this time.
19. the results are high and follow-up readings and tests are needed.
20. the results are high and there is no cure to bring the pressure down. –
    ANSWER- ANS: 3
    Rationale: 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?
21. Medical management with eyedrops
22. Surgical removal of the lens
23. Cryopexy
24. Phototherapy – ANSWER- ANS: 2
    Rationale: 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?
25. Degree of lost vision
26. Severity of headaches
27. Amount of blurred vision
28. Date of onset – ANSWER- ANS: 1
    Rationale: 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:
29. cataracts.
30. glaucoma.
31. conjunctivitis.
32. retinal detachment. – ANSWER- ANS: 4
    Rationale: 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?
33. Instruct the client to return home to rest in bed.
34. Encourage the client to continue with normal daily activities.

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