NURS 6531 Final Exam Newest Exam 2026 | All
Questions and Correct Answers with
Rationales | Verified Answers | Brand New
Version!
An adult patient with a history of recurrent sinusitis and allergic rhinitis reports
chronic tearing in one eye, ocular discharge, and eyelid crusting. The provider
suspects nasolacrimal duct obstruction. Which initial treatment will the provider
recommend?
a. Antibiotic eye drops
b. Nasolacrimal duct probing
c. Systemic antibiotics
d. Warm compresses ---------CORRECT ANSWER-----------------ANS: D
This is most likely acquired nasolacrimal duct obstruction. Initial treatment
should include warm compresses. Antibiotics are only used if infection is
present. Nasolacrimal duct probing is not useful for acquired conditions;
definitive treatment usually requires surgery.
A patient is diagnosed with dacryocystitis. The provider notes a painful lacrimal
sac abscess that appears to be coming to a head. Which treatment will be useful
initially?
a. Eyelid scrubs with baby shampoo
b. Incision and drainage
c. Lacrimal bypass surgery
d. Topical antibiotic ointment ---------CORRECT ANSWER-----------------ANS: B
,When an abscess is present and coming to a head, incision and drainage may be
useful. Definitive treatment with lacrimal bypass surgery will be performed
once the acute episode has resolved. Eyelid scrubs and topical ointments are
not effective.
Which is the most common cause of orbital cellulitis in all age groups?
a. Bacteremic spread from remote infections
b. Inoculation from local trauma or bug bites
c. Local spread from the ethmoid sinus
d. Paranasal sinus inoculation ---------CORRECT ANSWER-----------------ANS: C
Because the membrane separating the ethmoid sinus from the orbit is literally
paper-thin, this is the most common source of orbital infection in all age groups.
Bacteremic spread, inoculation from localized trauma, and paranasal sinus
spread all may occur, but are less common.
A child's optic assessment data include unilateral eyelid edema, warmth, and
erythema but no pain with ocular movement is reported. Which characteristic is
most likely true about this
child's infection?
a. Decreased visual acuity may occur.
b. Increased intraocular pressure will be present.
c. Optic nerve compromise is a complication.
d. The eye is typically spared without conjunctivitis. ---------CORRECT ANSWER------
-----------ANS: D
,This child has symptoms of preseptal cellulitis in which the eye is typically
spared. The other findings are consistent with orbital cellulitis.
A patient is experiencing eyelid swelling with erythema and warmth and reports
pain with eye movement. Which diagnostic tests will be performed to confirm a
diagnosis of orbital cellulitis? (Select all that apply.)
a. Blood cultures
b. Complete blood count
c. CT scan of orbits
d. Lumbar puncture
e. Visual acuity testing ---------CORRECT ANSWER-----------------ANS: B, C
A complete blood count will help distinguish infectious from noninfectious
orbital cellulitis.
A CT scan or the orbits is necessary to confirm the diagnosis. Blood cultures do
not confirm the diagnosis of orbital cellulitis but may be used to evaluate
whether septicemia is occurring. Lumbar puncture is indicated if meningitis is
suspected. Visual acuity testing may be used to monitor recovery.
A child sustains an ocular injury in which a shard of glass from a bottle penetrated
the eye wall. The emergency department provider notes that the shard has
remained in the eye. Which
term best describes this type of injury?
a. Intraocular foreign body
b. Penetrating eye injury
c. Perforating eye injury
, d. Ruptured globe injury ---------CORRECT ANSWER-----------------ANS: A
When a portion of the insulting object enters and remains in the eye, the injury
is correctly referred to as an intraocular foreign body. A penetrating injury
occurs when something penetrates through the eye wall without an exit wound.
A perforating injury occurs when the object has both an entry and an exit
wound. A ruptured globe injury occurs when blunt force causes the eye wall to
rupture.
A primary care provider notes painless, hard lesions on a patient's external ears
that expel a white crystalline substance when pressed. What diagnostic test is
indicated?
a. Biopsy of the lesions
b. Endocrine studies
c. Rheumatoid factor
d. Uric acid chemical profile ---------CORRECT ANSWER-----------------ANS: D
These lesions are consistent with gout and uric acid deposits. The provider
should evaluate this by ordering a uric acid chemical profile. Biopsy is indicated
for any small, crusted, ulcerated, or indurated lesion that does not heal.
Rheumatoid nodules indicate a need for rheumatoid profiles. Endocrine studies
are ordered for patients with calcification nodules.
During a routine physical examination, a provider notes a shiny, irregular, painless
lesion on the top of one ear auricle and suspects skin cancer. What will the
provider tell the patient
about this lesion?
a. A biopsy should be performed.
Questions and Correct Answers with
Rationales | Verified Answers | Brand New
Version!
An adult patient with a history of recurrent sinusitis and allergic rhinitis reports
chronic tearing in one eye, ocular discharge, and eyelid crusting. The provider
suspects nasolacrimal duct obstruction. Which initial treatment will the provider
recommend?
a. Antibiotic eye drops
b. Nasolacrimal duct probing
c. Systemic antibiotics
d. Warm compresses ---------CORRECT ANSWER-----------------ANS: D
This is most likely acquired nasolacrimal duct obstruction. Initial treatment
should include warm compresses. Antibiotics are only used if infection is
present. Nasolacrimal duct probing is not useful for acquired conditions;
definitive treatment usually requires surgery.
A patient is diagnosed with dacryocystitis. The provider notes a painful lacrimal
sac abscess that appears to be coming to a head. Which treatment will be useful
initially?
a. Eyelid scrubs with baby shampoo
b. Incision and drainage
c. Lacrimal bypass surgery
d. Topical antibiotic ointment ---------CORRECT ANSWER-----------------ANS: B
,When an abscess is present and coming to a head, incision and drainage may be
useful. Definitive treatment with lacrimal bypass surgery will be performed
once the acute episode has resolved. Eyelid scrubs and topical ointments are
not effective.
Which is the most common cause of orbital cellulitis in all age groups?
a. Bacteremic spread from remote infections
b. Inoculation from local trauma or bug bites
c. Local spread from the ethmoid sinus
d. Paranasal sinus inoculation ---------CORRECT ANSWER-----------------ANS: C
Because the membrane separating the ethmoid sinus from the orbit is literally
paper-thin, this is the most common source of orbital infection in all age groups.
Bacteremic spread, inoculation from localized trauma, and paranasal sinus
spread all may occur, but are less common.
A child's optic assessment data include unilateral eyelid edema, warmth, and
erythema but no pain with ocular movement is reported. Which characteristic is
most likely true about this
child's infection?
a. Decreased visual acuity may occur.
b. Increased intraocular pressure will be present.
c. Optic nerve compromise is a complication.
d. The eye is typically spared without conjunctivitis. ---------CORRECT ANSWER------
-----------ANS: D
,This child has symptoms of preseptal cellulitis in which the eye is typically
spared. The other findings are consistent with orbital cellulitis.
A patient is experiencing eyelid swelling with erythema and warmth and reports
pain with eye movement. Which diagnostic tests will be performed to confirm a
diagnosis of orbital cellulitis? (Select all that apply.)
a. Blood cultures
b. Complete blood count
c. CT scan of orbits
d. Lumbar puncture
e. Visual acuity testing ---------CORRECT ANSWER-----------------ANS: B, C
A complete blood count will help distinguish infectious from noninfectious
orbital cellulitis.
A CT scan or the orbits is necessary to confirm the diagnosis. Blood cultures do
not confirm the diagnosis of orbital cellulitis but may be used to evaluate
whether septicemia is occurring. Lumbar puncture is indicated if meningitis is
suspected. Visual acuity testing may be used to monitor recovery.
A child sustains an ocular injury in which a shard of glass from a bottle penetrated
the eye wall. The emergency department provider notes that the shard has
remained in the eye. Which
term best describes this type of injury?
a. Intraocular foreign body
b. Penetrating eye injury
c. Perforating eye injury
, d. Ruptured globe injury ---------CORRECT ANSWER-----------------ANS: A
When a portion of the insulting object enters and remains in the eye, the injury
is correctly referred to as an intraocular foreign body. A penetrating injury
occurs when something penetrates through the eye wall without an exit wound.
A perforating injury occurs when the object has both an entry and an exit
wound. A ruptured globe injury occurs when blunt force causes the eye wall to
rupture.
A primary care provider notes painless, hard lesions on a patient's external ears
that expel a white crystalline substance when pressed. What diagnostic test is
indicated?
a. Biopsy of the lesions
b. Endocrine studies
c. Rheumatoid factor
d. Uric acid chemical profile ---------CORRECT ANSWER-----------------ANS: D
These lesions are consistent with gout and uric acid deposits. The provider
should evaluate this by ordering a uric acid chemical profile. Biopsy is indicated
for any small, crusted, ulcerated, or indurated lesion that does not heal.
Rheumatoid nodules indicate a need for rheumatoid profiles. Endocrine studies
are ordered for patients with calcification nodules.
During a routine physical examination, a provider notes a shiny, irregular, painless
lesion on the top of one ear auricle and suspects skin cancer. What will the
provider tell the patient
about this lesion?
a. A biopsy should be performed.
