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INTRODUCTION
NR 545 is an advanced nursing course focusing on clinical and classroom strategies,
integrating evidence-based research into clinical decision-making, and covering advanced
pathophysiology and pharmacology . The final exam includes content from weeks 1-8, with
questions drawn from readings, discussion content, course lectures, and interactive learning
activities . Questions can include pathophysiology, health assessment (normal and abnormal),
and pharmacologic treatment .
SECTION 1: EENT DISORDERS (Questions 1-20)
Question 1: Which salivary gland secretes saliva through Stensen's ducts?
A) Submandibular gland
B) Sublingual gland
C) Parotid gland
D) Minor salivary glands
Correct Answer: C
,Rationale: The parotid gland secretes saliva through Stensen's ducts, which open into the oral
cavity near the second upper molar . The submandibular gland secretes through Wharton's
duct, and the sublingual gland secretes through multiple small ducts .
Key Concept: Parotid gland = Stensen's ducts.
Difficulty: Easy
Question 2: What is epistaxis?
A) Inflammation of the nasal passages
B) Bleeding from the nose
C) Infection of the sinuses
D) Loss of smell
Correct Answer: B
Rationale: Epistaxis is the medical term for bleeding from the nose . It can be caused by
trauma, dry air, hypertension, or bleeding disorders. Treatment includes direct pressure,
vasoconstrictors, and in severe cases, nasal packing or cauterization.
Key Concept: Epistaxis = nosebleed.
Difficulty: Easy
Question 3: What is glaucoma?
, A) Clouding of the lens of the eye
B) A condition characterized by increased intraocular pressure and progressive vision loss
C) Separation of the retina from the choroid
D) Inflammation of the conjunctiva
Correct Answer: B
Rationale: Glaucoma is a group of eye diseases characterized by increased intraocular
pressure and progressive vision loss due to damage to the optic nerve . It is often called the
"silent thief of sight" because symptoms may be absent in early stages .
Key Concept: Glaucoma = increased IOP + progressive vision loss.
Difficulty: Easy
Question 4: What are the signs and symptoms of open-angle glaucoma?
A) Sudden onset, headache, blurry vision, pain in the eye
B) Gradual loss of vision with few symptoms
C) Flashes of light and floaters
D) Blurring, diplopia, photophobia
Correct Answer: B
Rationale: Open-angle glaucoma presents with gradual loss of vision and few early symptoms .
Closed-angle glaucoma