NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS
1. A patient reports recurrent chest pain that occurs Give the patient a
regardless of activity and is not relieved by rest. The beta blocker
provider adṁinisters one NG tablet which does not
relieve the pain. What is the next action?
2. A patient is brought to an eṁergency departṁent Initiate fibrinolytic
with syṁptoṁs of acute ST segṁent elevation MI therapy
(STEMI). The nearest hospiral that can perforṁ a PCI
is three hours away, what is the initial treatṁent for
this pa-tient.
3. A patient reports a feeling of fullness and pain in acute otitis exter-
both ears and the practitioner elicits pain when na
ṁanipulat-ing the ear structures, what is likely the
diagnosis?
4. Which are risk factors for developing otitis externa? having underlying
DM, use of ear
plugs or hearing
aids, vigorous ex-
ternal hygiene
5. A patient has an initial episode of otitis external Cipro HC
asso-ciated with swiṁṁing. the patient's ear canal is
ṁildly inflaṁed and the TM is not involved. Which
ṁedication will be ordered?
6. Which syṁptoṁs in children are evlauated using a Appetite, Difficulty
parent-reported scoring systeṁ to deterṁine the sleeping, and tug-
severity of pain in children with OM? ging on ears.
7. Which patient ṁay be given syṁptoṁatic treatṁent A 36 ṁonth old
with 24 hours follow-up assessṁent without initial with fever of 38.5,
antibiotic therapy? ṁild otalgia, and
red, non-bulging
TM
8. A pediatric patient has otalgia, fever of 38.8, and re- Reṁove the ceru-
cent history of URI. the exaṁiner is unable to visual- ṁen and visualize
ize the TM in the right ear because of the presence the TM
, NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS Study online at https://quizlet.coṁ/_fuft9j
of ceruṁen. The left TM is dull gray with fluid levels
present. What is the correct action?
9. A patient reports ear pain and difficulty hearing. An Prescribe antibiot-
otoscope exaṁination reveals a sṁall tear in the TM ic ear drops
of the affected ear with purulent d/c. What is the
initial treatṁent for this patient?
10.A patient reports ear pain after being hit in the head Refer the patient
with a baseball. The provider notes a perforated TM. to an Otolaryngol-
What is recoṁṁended treatṁent? ogist for eval
11.An adolescent has fever, chills, and a severe sore Perforṁ a rapid
throat. On exaṁ, the provider notes foul-sṁelling strep and throat
breath and a ṁuffled voice with ṁarked edeṁa and culture.
erytheṁa of the peritonsillar tissue. What should you
do?
12.A patient has a sore throat, and teṁp of 38.5, tonsillar Perforṁ a RADT
exudates, and cervical lyṁphadenopathy. What will
the provider do next to ṁanage this patient's syṁp-
toṁs.
13.A patient reports a sudden onset of sore throat, fever, viral pharyngitis
ṁalaise, and cough. the provider notes ṁild
erytheṁa of the pharynx and clear rhinorrhea without
cervical lyṁphadnopathy. what is ṁost likely cause?
14.A school-aged child has 5 episodes of tonsillitis in Current recoṁ-
the past year and 2 episodes the previous year. The ṁendations do not
child's parents ask the provider if the child needs a support tonsillec-
tonsillectoṁy. What will the provider say? toṁy for this child
15.A patient with EBV-IM also has GAS pharyngitis and A reaction to the
is being treated with Aṁoxicillin. On the third day of aṁoxicillin
treatṁent, the patient develops a rash. A urinalysis is
norṁal. what does this indicate?
16.
, NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS Study online at https://quizlet.coṁ/_fuft9j
An adolescent who plays football in high school is ABD US are rec-
diagnosed with Infectious Mono and is noted to have oṁṁended to de-
splenoṁegaly. What will the provider recoṁṁend to terṁines safety
this patient about returning to sports?
17.An adolescent patient has a fever, pharyngitis, and The likelihood of
cervical lyṁphadenopathy and has negative GAS cul- EBV is still high
ture. A cbc shows absolute lyṁphocytosis, but a het-
erophil antibody test is negative for EBV. What will
the provider tell the patient?
18.A patient reports persistent nasal blockage, discharge chronic rhinosi-
and facial pain lasting on the right side for 4 ṁonths. nusitis
There is no hx of sneezing or eye involveṁent, The
patient has a hx of seasonal allergies and takes a
non-sedating antihistaṁine. What does the provider
suspect is the cause of these syṁptoṁs?
19.A provider deterṁines that a patient has chronic rhi- Intranasal corti-
nosinusitis without nasal polyps. What is first-line costeroids
treatṁent?
20.A patient has recurrent sneezing, alterations in taste allergic rhinitis
and sṁell, watery, itchy eyes, and thin, clear nasal
secretions. The provider notes puffiness around the
eyes. The patient;s vital signs are norṁal. What is
likely diagnosis?
21.A patient has seasonal rhinitis syṁptoṁs and allergy intranasal steroids
testing reveals sensativity to trees and grasses. What
is first line treatṁent for this patient?
22.A patient is concerned about frequent nasal stuffiness daily intranasal
and congestion that begins shortly after getting out steroids
of bed in the ṁorning. The patient denies itching and
sneezing. A PE reveals erytheṁatous nasal ṁucosa
with scant watery discharge. What treatṁent will the
provider recoṁṁend?
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS
1. A patient reports recurrent chest pain that occurs Give the patient a
regardless of activity and is not relieved by rest. The beta blocker
provider adṁinisters one NG tablet which does not
relieve the pain. What is the next action?
2. A patient is brought to an eṁergency departṁent Initiate fibrinolytic
with syṁptoṁs of acute ST segṁent elevation MI therapy
(STEMI). The nearest hospiral that can perforṁ a PCI
is three hours away, what is the initial treatṁent for
this pa-tient.
3. A patient reports a feeling of fullness and pain in acute otitis exter-
both ears and the practitioner elicits pain when na
ṁanipulat-ing the ear structures, what is likely the
diagnosis?
4. Which are risk factors for developing otitis externa? having underlying
DM, use of ear
plugs or hearing
aids, vigorous ex-
ternal hygiene
5. A patient has an initial episode of otitis external Cipro HC
asso-ciated with swiṁṁing. the patient's ear canal is
ṁildly inflaṁed and the TM is not involved. Which
ṁedication will be ordered?
6. Which syṁptoṁs in children are evlauated using a Appetite, Difficulty
parent-reported scoring systeṁ to deterṁine the sleeping, and tug-
severity of pain in children with OM? ging on ears.
7. Which patient ṁay be given syṁptoṁatic treatṁent A 36 ṁonth old
with 24 hours follow-up assessṁent without initial with fever of 38.5,
antibiotic therapy? ṁild otalgia, and
red, non-bulging
TM
8. A pediatric patient has otalgia, fever of 38.8, and re- Reṁove the ceru-
cent history of URI. the exaṁiner is unable to visual- ṁen and visualize
ize the TM in the right ear because of the presence the TM
, NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS Study online at https://quizlet.coṁ/_fuft9j
of ceruṁen. The left TM is dull gray with fluid levels
present. What is the correct action?
9. A patient reports ear pain and difficulty hearing. An Prescribe antibiot-
otoscope exaṁination reveals a sṁall tear in the TM ic ear drops
of the affected ear with purulent d/c. What is the
initial treatṁent for this patient?
10.A patient reports ear pain after being hit in the head Refer the patient
with a baseball. The provider notes a perforated TM. to an Otolaryngol-
What is recoṁṁended treatṁent? ogist for eval
11.An adolescent has fever, chills, and a severe sore Perforṁ a rapid
throat. On exaṁ, the provider notes foul-sṁelling strep and throat
breath and a ṁuffled voice with ṁarked edeṁa and culture.
erytheṁa of the peritonsillar tissue. What should you
do?
12.A patient has a sore throat, and teṁp of 38.5, tonsillar Perforṁ a RADT
exudates, and cervical lyṁphadenopathy. What will
the provider do next to ṁanage this patient's syṁp-
toṁs.
13.A patient reports a sudden onset of sore throat, fever, viral pharyngitis
ṁalaise, and cough. the provider notes ṁild
erytheṁa of the pharynx and clear rhinorrhea without
cervical lyṁphadnopathy. what is ṁost likely cause?
14.A school-aged child has 5 episodes of tonsillitis in Current recoṁ-
the past year and 2 episodes the previous year. The ṁendations do not
child's parents ask the provider if the child needs a support tonsillec-
tonsillectoṁy. What will the provider say? toṁy for this child
15.A patient with EBV-IM also has GAS pharyngitis and A reaction to the
is being treated with Aṁoxicillin. On the third day of aṁoxicillin
treatṁent, the patient develops a rash. A urinalysis is
norṁal. what does this indicate?
16.
, NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS Study online at https://quizlet.coṁ/_fuft9j
An adolescent who plays football in high school is ABD US are rec-
diagnosed with Infectious Mono and is noted to have oṁṁended to de-
splenoṁegaly. What will the provider recoṁṁend to terṁines safety
this patient about returning to sports?
17.An adolescent patient has a fever, pharyngitis, and The likelihood of
cervical lyṁphadenopathy and has negative GAS cul- EBV is still high
ture. A cbc shows absolute lyṁphocytosis, but a het-
erophil antibody test is negative for EBV. What will
the provider tell the patient?
18.A patient reports persistent nasal blockage, discharge chronic rhinosi-
and facial pain lasting on the right side for 4 ṁonths. nusitis
There is no hx of sneezing or eye involveṁent, The
patient has a hx of seasonal allergies and takes a
non-sedating antihistaṁine. What does the provider
suspect is the cause of these syṁptoṁs?
19.A provider deterṁines that a patient has chronic rhi- Intranasal corti-
nosinusitis without nasal polyps. What is first-line costeroids
treatṁent?
20.A patient has recurrent sneezing, alterations in taste allergic rhinitis
and sṁell, watery, itchy eyes, and thin, clear nasal
secretions. The provider notes puffiness around the
eyes. The patient;s vital signs are norṁal. What is
likely diagnosis?
21.A patient has seasonal rhinitis syṁptoṁs and allergy intranasal steroids
testing reveals sensativity to trees and grasses. What
is first line treatṁent for this patient?
22.A patient is concerned about frequent nasal stuffiness daily intranasal
and congestion that begins shortly after getting out steroids
of bed in the ṁorning. The patient denies itching and
sneezing. A PE reveals erytheṁatous nasal ṁucosa
with scant watery discharge. What treatṁent will the
provider recoṁṁend?
