WALDEN NURS 6531 Final EXAM || MOST RECENT
EXAM 2026|2027 ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM | JUST RELEASED!!
A patient reports persistent nasal blockage, nasal discharge,
and facial pain lasting on the right side for the past 5 months.
There is no history of sneezing or eye involvement. The patient
has a history of seasonal allergies and takes a non-sedating
antihistamine. What does the provider suspect is the cause of
these symptoms?
a. Allergic rhinitis
b. Autoimmune vasculitides
c. Chronic rhinosinusitis
d. Rhinitis medicamentosa - ANSWER-ANS: C
Chronic rhinosinusitis is present when symptoms occur longer
than 12 weeks. Sneezing and itchy, watery eyes tend to occur
with allergic rhinitis. Autoimmune vasculitides affects upper
and lower respiratory tracts as well as the kidneys.
Rhinitis medicamentosa occurs with use of nasal
decongestants and not oral
antihistamines.
A provider determines that a patient has chronic
rhinosinusitis without nasal polyps. What is the first-line
treatment for this condition? a. Intranasal corticosteroids
,b. Oral decongestants
c. Systemic corticosteroids
d. Topical decongestants - ANSWER-ANS: A
Intranasal corticosteroids are the mainstay of treatment for
CRS. Oral decongestants should be used sparingly, only when
symptoms are intolerable. Topical decongestants can cause
rebound symptoms. Systemic steroids are not indicated.
A pregnant woman develops nasal congestion with chronic
nasal discharge.
What is the recommended treatment for this
patient? a. Intranasal corticosteroids
b. Prophylactic antibiotics
c. Saline lavage
d. Topical decongestants - ANSWER-ANS: C
Saline lavage is recommended for pregnancy rhinitis; the
condition will resolve after delivery.
There is no human data on the safety of intranasal
corticosteroids during pregnancy. Prophylactic antibiotics are
not indicated; this is not an infectious condition. Topical
decongestants can cause rebound symptoms.
A patient has bilateral bleeding from the nose with bleeding
into the pharynx.
What is the initial intervention for this patient?
a. Apply firm, continuous pressure to the nostrils.
b. Assess airway safety and vital signs.
c. Clear the blood with suction to identify site of bleeding.
,d. Have the patient sit up straight and tilt the head forward. -
ANSWER-ANS: B Bilateral epistaxis into the pharynx is more
indicative of a posterior bleed which is more likely to be
severe. The most important intervention is to ensure airway
safety and determine stability of vital signs. Other measures
are taken as needed.
A patient is in the emergency department with unilateral
epistaxis that continues to bleed after 15 minutes of pressure
on the anterior septum and application of a topical nasal
decongestant.
The provider is unable to visualize the site of the bleeding.
What is the next measure for this patient? a. Chemical
cautery
b. Electrocautery
c. Nasal packing
d. Petrolatum ointment - ANSWER-ANS: C
Nasal packing is used if bleeding continues after initial
measures. Chemical cautery and electrocautery are used only if
the site of bleeding is visualized. Petrolatum ointment is
applied once the bleeding is stopped.
A patient has recurrent epistaxis without localized signs of
irritation. Which laboratory tests may be performed to evaluate
this condition? (Select all that apply.)
a. BUN and creatinine
b. CBC with type and crossmatch
c. Liver function tests
d. PT and PTT
, e. PT/INR - ANSWER-ANS: B, D, E
A CBC with type and crossmatch is part of the diagnostic
workup along with coagulation studies. LFTs and renal function
tests are not used to evaluate recurrent epistaxis.
A child is hit with a baseball bat during a game and sustains an
injury to the nose, along with a transient loss of
consciousness. A health care provider at the game notes
bleeding from the child's nose and displacement of the septum.
What is the most important intervention initially?
a. Applying ice to the injured site to prevent airway occlusion
b. Immobilizing the child's head and neck and call 911
c. Placing nasal packing in both nares to stop the bleeding
d. Turning the child's head to the side to prevent aspiration of
blood - ANSWER-
ANS: B
Nasal trauma resulting in loss of consciousness and possible
neck injury are emergencies. The provider should take cervical
spine precautions and call 911 for transport to an emergency
room. The other interventions may be performed once the
child's head and neck are stable.
A provider performs a nasal speculum examination on a patient
who sustained nasal trauma in a motor vehicle accident. The
provider notes marked swelling of the nose, instability and
crepitus of the nasal septum with no other facial bony
abnormalities and observes a rounded bluish mass against the
nasal septum. Which action is necessary initially?
a. Computerized tomography (CT) scan of facial structures
EXAM 2026|2027 ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM | JUST RELEASED!!
A patient reports persistent nasal blockage, nasal discharge,
and facial pain lasting on the right side for the past 5 months.
There is no history of sneezing or eye involvement. The patient
has a history of seasonal allergies and takes a non-sedating
antihistamine. What does the provider suspect is the cause of
these symptoms?
a. Allergic rhinitis
b. Autoimmune vasculitides
c. Chronic rhinosinusitis
d. Rhinitis medicamentosa - ANSWER-ANS: C
Chronic rhinosinusitis is present when symptoms occur longer
than 12 weeks. Sneezing and itchy, watery eyes tend to occur
with allergic rhinitis. Autoimmune vasculitides affects upper
and lower respiratory tracts as well as the kidneys.
Rhinitis medicamentosa occurs with use of nasal
decongestants and not oral
antihistamines.
A provider determines that a patient has chronic
rhinosinusitis without nasal polyps. What is the first-line
treatment for this condition? a. Intranasal corticosteroids
,b. Oral decongestants
c. Systemic corticosteroids
d. Topical decongestants - ANSWER-ANS: A
Intranasal corticosteroids are the mainstay of treatment for
CRS. Oral decongestants should be used sparingly, only when
symptoms are intolerable. Topical decongestants can cause
rebound symptoms. Systemic steroids are not indicated.
A pregnant woman develops nasal congestion with chronic
nasal discharge.
What is the recommended treatment for this
patient? a. Intranasal corticosteroids
b. Prophylactic antibiotics
c. Saline lavage
d. Topical decongestants - ANSWER-ANS: C
Saline lavage is recommended for pregnancy rhinitis; the
condition will resolve after delivery.
There is no human data on the safety of intranasal
corticosteroids during pregnancy. Prophylactic antibiotics are
not indicated; this is not an infectious condition. Topical
decongestants can cause rebound symptoms.
A patient has bilateral bleeding from the nose with bleeding
into the pharynx.
What is the initial intervention for this patient?
a. Apply firm, continuous pressure to the nostrils.
b. Assess airway safety and vital signs.
c. Clear the blood with suction to identify site of bleeding.
,d. Have the patient sit up straight and tilt the head forward. -
ANSWER-ANS: B Bilateral epistaxis into the pharynx is more
indicative of a posterior bleed which is more likely to be
severe. The most important intervention is to ensure airway
safety and determine stability of vital signs. Other measures
are taken as needed.
A patient is in the emergency department with unilateral
epistaxis that continues to bleed after 15 minutes of pressure
on the anterior septum and application of a topical nasal
decongestant.
The provider is unable to visualize the site of the bleeding.
What is the next measure for this patient? a. Chemical
cautery
b. Electrocautery
c. Nasal packing
d. Petrolatum ointment - ANSWER-ANS: C
Nasal packing is used if bleeding continues after initial
measures. Chemical cautery and electrocautery are used only if
the site of bleeding is visualized. Petrolatum ointment is
applied once the bleeding is stopped.
A patient has recurrent epistaxis without localized signs of
irritation. Which laboratory tests may be performed to evaluate
this condition? (Select all that apply.)
a. BUN and creatinine
b. CBC with type and crossmatch
c. Liver function tests
d. PT and PTT
, e. PT/INR - ANSWER-ANS: B, D, E
A CBC with type and crossmatch is part of the diagnostic
workup along with coagulation studies. LFTs and renal function
tests are not used to evaluate recurrent epistaxis.
A child is hit with a baseball bat during a game and sustains an
injury to the nose, along with a transient loss of
consciousness. A health care provider at the game notes
bleeding from the child's nose and displacement of the septum.
What is the most important intervention initially?
a. Applying ice to the injured site to prevent airway occlusion
b. Immobilizing the child's head and neck and call 911
c. Placing nasal packing in both nares to stop the bleeding
d. Turning the child's head to the side to prevent aspiration of
blood - ANSWER-
ANS: B
Nasal trauma resulting in loss of consciousness and possible
neck injury are emergencies. The provider should take cervical
spine precautions and call 911 for transport to an emergency
room. The other interventions may be performed once the
child's head and neck are stable.
A provider performs a nasal speculum examination on a patient
who sustained nasal trauma in a motor vehicle accident. The
provider notes marked swelling of the nose, instability and
crepitus of the nasal septum with no other facial bony
abnormalities and observes a rounded bluish mass against the
nasal septum. Which action is necessary initially?
a. Computerized tomography (CT) scan of facial structures
