NUR 6111 – Advanced Practice Nursing I Exam 2 Original Study
Guide & Practice (Eye/ENT/URI/Pharyngitis/Diagnostics) William
Paterson University!
Typical Exam 2 Focus Areas
Based on publicly posted quizzes and exam bundles for NUR 6111 Exam 2, key domains
commonly include:
Eye: conjunctivitis (viral, bacterial, allergic), glaucoma red flags, vision changes.
ENT: acute otitis media (AOM), otitis externa, sinusitis (acute bacterial vs viral),
allergic rhinitis.
Pharyngitis/URI: group A strep (GAS) pharyngitis vs viral sore throat;
Centor/McIsaac criteria; testing and treatment.
Diagnostics & therapeutics: appropriate first-line antibiotics, when to image, when
to refer, key adverse effects and counseling points.
High-Yield Review Points (Original)
1) Conjunctivitis
Viral: watery discharge, gritty sensation, often follows URI; supportive care, hygiene.
Bacterial: purulent discharge, lids stuck in morning; topical antibiotics (e.g.,
erythromycin, trimethoprim-polymyxin).
Allergic: itching, bilateral, stringy discharge; antihistamine/mast-cell stabilizer drops,
avoid triggers.
Red flags (refer urgently): severe pain, photophobia, vision loss, contact lens wear
with pain, corneal opacity.
2) Glaucoma Awareness
Open-angle: gradual peripheral vision loss, often asymptomatic early; needs IOP
check and ophthalmology follow-up.
Acute angle-closure: sudden severe eye pain, headache, halos, nausea/vomiting,
mid-dilated fixed pupil; ophthalmic emergency.
,3) Otitis Media & Externa
AOM: acute onset, fever, otalgia, bulging erythematous TM; first-line often
amoxicillin (high dose) in many children; analgesia for all.
Otitis externa: pain with tragus/pinna manipulation, canal edema; topical antibiotic
+ steroid drops; keep ear dry.
4) Sinusitis
Viral URI: <10 days, improving or stable.
Acute bacterial rhinosinusitis (ABRS): persistent ≥10 days without improvement,
severe onset (high fever + purulent discharge/facial pain ≥3–4 days), or
“double-worsening.”
First-line for uncomplicated ABRS: amoxicillin-clavulanate in many adults; watchful
waiting may be appropriate in selected mild cases.
5) Pharyngitis
Viral: cough, rhinorrhea, hoarseness, conjunctivitis common; no antibiotics.
GAS (strep): fever, tonsillar exudates, tender anterior cervical nodes, absence of
cough; use rapid antigen test and/or culture; treat confirmed cases (e.g.,
penicillin/amoxicillin).
6) Diagnostics & Prescribing Principles
Use narrow-spectrum first-line when possible; tailor to allergies/local resistance.
Know when imaging is unnecessary (e.g., uncomplicated sinusitis, simple
conjunctivitis) vs when to refer (vision loss, suspected orbital cellulitis, severe AOM
complications).
Counsel on adherence, common side effects, and when to return.
Original 60-Question Practice Exam (Exam 2 Style)
Format: Single best answer (A–E). Answer in bold italics, rationale in italics.
Eye & Vision (Q1–15)
, Q1. A 22-year-old has bilateral red eyes, watery discharge, and gritty sensation after a cold.
Most likely diagnosis?
A. Bacterial conjunctivitis
B. Viral conjunctivitis
C. Allergic conjunctivitis
D. Acute glaucoma
E. Uveitis
B. Viral conjunctivitis
Watery discharge and URI association suggest viral etiology.
Q2. A 30-year-old has itchy, bilateral red eyes with stringy discharge and seasonal allergies.
Best initial therapy?
A. Oral antibiotics
B. Antihistamine/mast-cell stabilizer eye drops
C. Topical steroids for 2 weeks
D. Systemic steroids
E. No treatment
B. Antihistamine/mast-cell stabilizer eye drops
These treat allergic conjunctivitis.
Q3. A 25-year-old has purulent discharge and lids stuck together in the morning. Which
treatment is appropriate?
A. Oral antivirals
B. Topical antibiotic drops/ointment (e.g., erythromycin or trimethoprim-polymyxin)
C. Systemic steroids
D. No treatment
E. Oral antifungals
B. Topical antibiotic drops/ointment (e.g., erythromycin or trimethoprim-polymyxin)
Consistent with bacterial conjunctivitis.
Guide & Practice (Eye/ENT/URI/Pharyngitis/Diagnostics) William
Paterson University!
Typical Exam 2 Focus Areas
Based on publicly posted quizzes and exam bundles for NUR 6111 Exam 2, key domains
commonly include:
Eye: conjunctivitis (viral, bacterial, allergic), glaucoma red flags, vision changes.
ENT: acute otitis media (AOM), otitis externa, sinusitis (acute bacterial vs viral),
allergic rhinitis.
Pharyngitis/URI: group A strep (GAS) pharyngitis vs viral sore throat;
Centor/McIsaac criteria; testing and treatment.
Diagnostics & therapeutics: appropriate first-line antibiotics, when to image, when
to refer, key adverse effects and counseling points.
High-Yield Review Points (Original)
1) Conjunctivitis
Viral: watery discharge, gritty sensation, often follows URI; supportive care, hygiene.
Bacterial: purulent discharge, lids stuck in morning; topical antibiotics (e.g.,
erythromycin, trimethoprim-polymyxin).
Allergic: itching, bilateral, stringy discharge; antihistamine/mast-cell stabilizer drops,
avoid triggers.
Red flags (refer urgently): severe pain, photophobia, vision loss, contact lens wear
with pain, corneal opacity.
2) Glaucoma Awareness
Open-angle: gradual peripheral vision loss, often asymptomatic early; needs IOP
check and ophthalmology follow-up.
Acute angle-closure: sudden severe eye pain, headache, halos, nausea/vomiting,
mid-dilated fixed pupil; ophthalmic emergency.
,3) Otitis Media & Externa
AOM: acute onset, fever, otalgia, bulging erythematous TM; first-line often
amoxicillin (high dose) in many children; analgesia for all.
Otitis externa: pain with tragus/pinna manipulation, canal edema; topical antibiotic
+ steroid drops; keep ear dry.
4) Sinusitis
Viral URI: <10 days, improving or stable.
Acute bacterial rhinosinusitis (ABRS): persistent ≥10 days without improvement,
severe onset (high fever + purulent discharge/facial pain ≥3–4 days), or
“double-worsening.”
First-line for uncomplicated ABRS: amoxicillin-clavulanate in many adults; watchful
waiting may be appropriate in selected mild cases.
5) Pharyngitis
Viral: cough, rhinorrhea, hoarseness, conjunctivitis common; no antibiotics.
GAS (strep): fever, tonsillar exudates, tender anterior cervical nodes, absence of
cough; use rapid antigen test and/or culture; treat confirmed cases (e.g.,
penicillin/amoxicillin).
6) Diagnostics & Prescribing Principles
Use narrow-spectrum first-line when possible; tailor to allergies/local resistance.
Know when imaging is unnecessary (e.g., uncomplicated sinusitis, simple
conjunctivitis) vs when to refer (vision loss, suspected orbital cellulitis, severe AOM
complications).
Counsel on adherence, common side effects, and when to return.
Original 60-Question Practice Exam (Exam 2 Style)
Format: Single best answer (A–E). Answer in bold italics, rationale in italics.
Eye & Vision (Q1–15)
, Q1. A 22-year-old has bilateral red eyes, watery discharge, and gritty sensation after a cold.
Most likely diagnosis?
A. Bacterial conjunctivitis
B. Viral conjunctivitis
C. Allergic conjunctivitis
D. Acute glaucoma
E. Uveitis
B. Viral conjunctivitis
Watery discharge and URI association suggest viral etiology.
Q2. A 30-year-old has itchy, bilateral red eyes with stringy discharge and seasonal allergies.
Best initial therapy?
A. Oral antibiotics
B. Antihistamine/mast-cell stabilizer eye drops
C. Topical steroids for 2 weeks
D. Systemic steroids
E. No treatment
B. Antihistamine/mast-cell stabilizer eye drops
These treat allergic conjunctivitis.
Q3. A 25-year-old has purulent discharge and lids stuck together in the morning. Which
treatment is appropriate?
A. Oral antivirals
B. Topical antibiotic drops/ointment (e.g., erythromycin or trimethoprim-polymyxin)
C. Systemic steroids
D. No treatment
E. Oral antifungals
B. Topical antibiotic drops/ointment (e.g., erythromycin or trimethoprim-polymyxin)
Consistent with bacterial conjunctivitis.
