WALDEN NURS 6531 Final Updated Exam 2026 WITH Recent Newest
Verified And Well Analyzed Exam Questions (Actual Exam 2026-2027)
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What is the purpose of clinical research trials in the spectrum of translational
research? p. 6
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or behavior -
ANSWER-ANS: C
Clinical research trials are concerned with determining the safety and
effectiveness of interventions. Adoption of interventions and practices is part of
clinical implementation. Determination of the basis of disease and treatment
options is part of the preclinical research phase. Exploration of the fundamental
mechanisms of biology, disease, or behavior is part
of the basic research stage.
1. Which symptoms may occur with vestibular neuritis? (Select all that apply.)
a. Disequilibrium
b. Fever
c. Hearing loss
d. Nausea and vomiting
e. Tinnitus -ANSWER-ANS: A, D, E
,Vestibular neuritis can cause severe vertigo, disequilibrium, nausea, vomiting, and
tinnitus, but not fever or hearing loss.
A patient reports a feeling of fullness and pain in both ears and the practitioner
elicits exquisite pain when manipulating the external ear structures. What is the
likely diagnosis?
a. Acute otitis externa
b. Acute otitis media
c. Chronic otitis externa
d. Otitis media with effusion -ANSWER-ANS: A
This patient's symptoms are classic for acute otitis externa. Chronic otitis externa
more commonly presents with itching. Acute otitis media is accompanied by fever
and tympanic membrane inflammation, but not external canal inflammation.
Otitis media with effusion causes a sense of fullness but not pain.
A patient has an initial episode otitis external associated with swimming. The
patient's ear canal is mildly inflamed, and the tympanic membrane is not
involved. Which medication will
be ordered?
a. Cipro HC
b. Fluconazole
c. Neomycin
d. Vinegar and alcohol -ANSWER-ANS: A
In the absence of a culture, the provider should choose a medication that is
effective against both P. aeruginosa and S. aureus. Cipro HC covers both
organisms and also contains a corticosteroid for inflammation. Fluconazole is an
oral antifungal medication used when fungal infection is present. Neomycin alone
,does not cover these organisms. Vinegar and alcohol are used to treat mild fungal
infections.
Which are risk factors for developing otitis externa? (Select all that apply.)
a. Cooler, low-humidity environments
b. Exposure to someone with otitis externa
c. Having underlying diabetes mellitus
d. Use of ear plugs and hearing aids
e. Vigorous external canal hygiene -ANSWER-ANS: C, D, E
Otitis externa is a cellulitis of the external canal that develops when the integrity
of the skin is compromised. Diabetes mellitus predisposes patients to skin
disorders. Using devices that
cause moisture retention and irritation will increase the risk. Vigorous cleansing
removes protective cerumen. Warm, high-humidity environments increase risk.
The disease is not contagious.
A pediatric patient's assessment confirms the patient has otalgia, a fever of
38.8°C, and a recent history of upper respiratory examination. The examiner is
unable to visualize the tympanic membranes in the right ear because of the
presence of cerumen in the ear canal. The left tympanic membrane is dull gray
with fluid levels present. What is the correct action?
a. Perform a tympanogram on the right ear.
b. Recommend symptomatic treatment for fever and pain.
c. Remove the cerumen and visualize the tympanic membrane.
d. Treat empirically with amoxicillin 80 to 90 mg/kg/day. -ANSWER-ANS: C
The AAP 2013 guidelines strongly recommend visualization of the tympanic
membrane to accurately diagnose otitis media and not to treat based on
symptoms alone. The practitioner should attempt to remove the cerumen to
, visualize the tympanic membrane. A tympanogram cannot be performed when
cerumen is blocking the canal. Because the child may have an acute ear infection,
antibiotics may be necessary.
Which patient may be given symptomatic treatment with 24 hours follow-up
assessment without initial antibiotic therapy?
a. A 36-month-old with fever of 38.5°C, mild otalgia, and red, non-bulging TM
b. A 4-year-old, afebrile child with bilateral otorrhea
c. A 5-year-old with fever of 38.0°C, severe otalgia, and red, bulging TM
d. A 6-month-old with fever of 39.2°C, poor sleep and appetite and bulging TM -
ANSWER-ANS: A
Children older than 24 months with fever less than 39°C and nonsevere symptoms
may be watched for 24 hours with symptomatic treatment. Children with
otorrhea, those with severe AOM, and any children with fever greater than 39°C
should be given antibiotics.
Which symptoms in children are evaluated using a parent-reported scoring
system to determine the severity of pain in children with otitis media? (Select all
that apply.)
a. Appetite
b. Difficulty sleeping
c. Level of cooperation
d. Poor hearing
e. Tugging on ears -ANSWER-ANS: A, B, E
Decreased appetite, difficulty sleeping, and tugging on ears are part of the Acute
Otitis Media Severity of Symptom Scale used to evaluate pediatric pain. Children
may refuse to cooperate for reasons other than pain. Poor hearing is not part of
the pain assessment.
Verified And Well Analyzed Exam Questions (Actual Exam 2026-2027)
Correct Detailed & Verified ANSWERS (100% Accurate Solutions)
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Pass!!
What is the purpose of clinical research trials in the spectrum of translational
research? p. 6
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or behavior -
ANSWER-ANS: C
Clinical research trials are concerned with determining the safety and
effectiveness of interventions. Adoption of interventions and practices is part of
clinical implementation. Determination of the basis of disease and treatment
options is part of the preclinical research phase. Exploration of the fundamental
mechanisms of biology, disease, or behavior is part
of the basic research stage.
1. Which symptoms may occur with vestibular neuritis? (Select all that apply.)
a. Disequilibrium
b. Fever
c. Hearing loss
d. Nausea and vomiting
e. Tinnitus -ANSWER-ANS: A, D, E
,Vestibular neuritis can cause severe vertigo, disequilibrium, nausea, vomiting, and
tinnitus, but not fever or hearing loss.
A patient reports a feeling of fullness and pain in both ears and the practitioner
elicits exquisite pain when manipulating the external ear structures. What is the
likely diagnosis?
a. Acute otitis externa
b. Acute otitis media
c. Chronic otitis externa
d. Otitis media with effusion -ANSWER-ANS: A
This patient's symptoms are classic for acute otitis externa. Chronic otitis externa
more commonly presents with itching. Acute otitis media is accompanied by fever
and tympanic membrane inflammation, but not external canal inflammation.
Otitis media with effusion causes a sense of fullness but not pain.
A patient has an initial episode otitis external associated with swimming. The
patient's ear canal is mildly inflamed, and the tympanic membrane is not
involved. Which medication will
be ordered?
a. Cipro HC
b. Fluconazole
c. Neomycin
d. Vinegar and alcohol -ANSWER-ANS: A
In the absence of a culture, the provider should choose a medication that is
effective against both P. aeruginosa and S. aureus. Cipro HC covers both
organisms and also contains a corticosteroid for inflammation. Fluconazole is an
oral antifungal medication used when fungal infection is present. Neomycin alone
,does not cover these organisms. Vinegar and alcohol are used to treat mild fungal
infections.
Which are risk factors for developing otitis externa? (Select all that apply.)
a. Cooler, low-humidity environments
b. Exposure to someone with otitis externa
c. Having underlying diabetes mellitus
d. Use of ear plugs and hearing aids
e. Vigorous external canal hygiene -ANSWER-ANS: C, D, E
Otitis externa is a cellulitis of the external canal that develops when the integrity
of the skin is compromised. Diabetes mellitus predisposes patients to skin
disorders. Using devices that
cause moisture retention and irritation will increase the risk. Vigorous cleansing
removes protective cerumen. Warm, high-humidity environments increase risk.
The disease is not contagious.
A pediatric patient's assessment confirms the patient has otalgia, a fever of
38.8°C, and a recent history of upper respiratory examination. The examiner is
unable to visualize the tympanic membranes in the right ear because of the
presence of cerumen in the ear canal. The left tympanic membrane is dull gray
with fluid levels present. What is the correct action?
a. Perform a tympanogram on the right ear.
b. Recommend symptomatic treatment for fever and pain.
c. Remove the cerumen and visualize the tympanic membrane.
d. Treat empirically with amoxicillin 80 to 90 mg/kg/day. -ANSWER-ANS: C
The AAP 2013 guidelines strongly recommend visualization of the tympanic
membrane to accurately diagnose otitis media and not to treat based on
symptoms alone. The practitioner should attempt to remove the cerumen to
, visualize the tympanic membrane. A tympanogram cannot be performed when
cerumen is blocking the canal. Because the child may have an acute ear infection,
antibiotics may be necessary.
Which patient may be given symptomatic treatment with 24 hours follow-up
assessment without initial antibiotic therapy?
a. A 36-month-old with fever of 38.5°C, mild otalgia, and red, non-bulging TM
b. A 4-year-old, afebrile child with bilateral otorrhea
c. A 5-year-old with fever of 38.0°C, severe otalgia, and red, bulging TM
d. A 6-month-old with fever of 39.2°C, poor sleep and appetite and bulging TM -
ANSWER-ANS: A
Children older than 24 months with fever less than 39°C and nonsevere symptoms
may be watched for 24 hours with symptomatic treatment. Children with
otorrhea, those with severe AOM, and any children with fever greater than 39°C
should be given antibiotics.
Which symptoms in children are evaluated using a parent-reported scoring
system to determine the severity of pain in children with otitis media? (Select all
that apply.)
a. Appetite
b. Difficulty sleeping
c. Level of cooperation
d. Poor hearing
e. Tugging on ears -ANSWER-ANS: A, B, E
Decreased appetite, difficulty sleeping, and tugging on ears are part of the Acute
Otitis Media Severity of Symptom Scale used to evaluate pediatric pain. Children
may refuse to cooperate for reasons other than pain. Poor hearing is not part of
the pain assessment.
