• NU664A Exam 09/07/2026
NU664A Exam 2026/2027 ACTUAL COMPLETE
370 QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALE
A 15 mo failed treatment with amoxicllin for AOM. At the 2 week recheck, the TM remained red with distorted
landmarks, and the child had continued nasal congestion, poor sleeping, and a fever 101 for the past 2 days. The
next best step would be to treat with:
a. 10 day Augmentin course
b. 3 week cephalosporin course
c. higher dose of Amoxicillin and topical antibiotics
d. ceftriaxone and an antihistamine –
Correct Answer :a. 10 day Augmentin course
P 1
, • NU664A Exam 09/07/2026
A 2 yo is seen 1 week after beginning treatment for right AOM. The toddler was initially improving but now
complaints of right ear pain and has a fever of 101. The most likely diagnosis would be
a. mastoiditis
b. viral illness
c. recurrent AOM
d. steatoma –
Correct Answer :a. mastoiditis
A 2 yo with a history of chronic SOM is noted to have a pearly white opacity in the upper outer quadrant of his
TM. There are currently no symptoms and hearing appears adequate. The most likely diagnosis and management
would be:
a. tympanosclerosis, no treatment
b. persistent perforation, topical antibiotic drops
c. foreign body, ear wash for removal
d. cholesteatoma, ENT referral –
Correct Answer :d. cholesteatoma, ENT referral
Which foreign body in the nose needs immediate removal?
a. bean
b. bead
c. stone
d. battery –
Correct Answer :d. battery
P 2
, • NU664A Exam 09/07/2026
-corrosive substances
Conductive hearing loss can be caused by:
a. brain tumor
b. ototoxic drug exposure
c. loud noises
d. serous otitis –
Correct Answer :d. serous otitis
-damage to external ear canal
Which of the following is congruent with the APRN consensus model?
a. APRN licensure occurs at the level of role and population foci
b. APRN education programs must be at the doctorate level
c. National certification by a recognized a APRN certifying body as optional
d. Accreditation by the US Department of education is the minimum requirement for APRN programs. –
Correct Answer :a. APRN licensure occurs at the level of role and population foci
Which of the following leading health indicators from healthy people 2020 was getting worse at the mid course
review?
a. infant deaths
b. child obesity
c. substance abuse
d. Adolescent mental health. - Correct Answer :d. Adolescent mental health.
The NP role was initially established to:
A. Reduce the nursing shortage and improve access to care
P 3
, • NU664A Exam 09/07/2026
B. Improve working conditions of nurses while improving access to care
C. Improve access to care and partially solve physician shortage
D. Improve nursing's image through expansion of the role - Correct Answer :C. Improve access to care and
partially solve physician shortage
Early NP-related research focused on:
A. The response of policy makers to the nursing shortage
B. The effectiveness of the NP as a primary caregiver
C. An effort to demonstrate quality and effectiveness of NPs
D. The role of the NP as a physician extender - Correct Answer :C. An effort to demonstrate quality and
effectiveness of NPs
standards of practice are
a. Authoritative statements used to measure quality.
b. Used to measure outcome, but are not authoritative.
c. Designed for legal purposes.
d. Not designed for legal purposes and cannot be used to measure quality. - Correct Answer :a. Authoritative
statements used to measure quality.
Quality improvement activities include
a. Patient satisfaction surveys only
b. Peer review, patient satisfaction, surveys, and chart audits
c. Defining 4 practice domains
d. Systems to decrease risk of injury to patients - Correct Answer :b. Peer review, patient satisfaction, surveys,
and chart audits
Most risk management programs are based on the assumption that:
a. many injuries to patients are preventable
b. most legal liability is a result of poor documentation
c. most injuries to patients are not preventable
P 4
NU664A Exam 2026/2027 ACTUAL COMPLETE
370 QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALE
A 15 mo failed treatment with amoxicllin for AOM. At the 2 week recheck, the TM remained red with distorted
landmarks, and the child had continued nasal congestion, poor sleeping, and a fever 101 for the past 2 days. The
next best step would be to treat with:
a. 10 day Augmentin course
b. 3 week cephalosporin course
c. higher dose of Amoxicillin and topical antibiotics
d. ceftriaxone and an antihistamine –
Correct Answer :a. 10 day Augmentin course
P 1
, • NU664A Exam 09/07/2026
A 2 yo is seen 1 week after beginning treatment for right AOM. The toddler was initially improving but now
complaints of right ear pain and has a fever of 101. The most likely diagnosis would be
a. mastoiditis
b. viral illness
c. recurrent AOM
d. steatoma –
Correct Answer :a. mastoiditis
A 2 yo with a history of chronic SOM is noted to have a pearly white opacity in the upper outer quadrant of his
TM. There are currently no symptoms and hearing appears adequate. The most likely diagnosis and management
would be:
a. tympanosclerosis, no treatment
b. persistent perforation, topical antibiotic drops
c. foreign body, ear wash for removal
d. cholesteatoma, ENT referral –
Correct Answer :d. cholesteatoma, ENT referral
Which foreign body in the nose needs immediate removal?
a. bean
b. bead
c. stone
d. battery –
Correct Answer :d. battery
P 2
, • NU664A Exam 09/07/2026
-corrosive substances
Conductive hearing loss can be caused by:
a. brain tumor
b. ototoxic drug exposure
c. loud noises
d. serous otitis –
Correct Answer :d. serous otitis
-damage to external ear canal
Which of the following is congruent with the APRN consensus model?
a. APRN licensure occurs at the level of role and population foci
b. APRN education programs must be at the doctorate level
c. National certification by a recognized a APRN certifying body as optional
d. Accreditation by the US Department of education is the minimum requirement for APRN programs. –
Correct Answer :a. APRN licensure occurs at the level of role and population foci
Which of the following leading health indicators from healthy people 2020 was getting worse at the mid course
review?
a. infant deaths
b. child obesity
c. substance abuse
d. Adolescent mental health. - Correct Answer :d. Adolescent mental health.
The NP role was initially established to:
A. Reduce the nursing shortage and improve access to care
P 3
, • NU664A Exam 09/07/2026
B. Improve working conditions of nurses while improving access to care
C. Improve access to care and partially solve physician shortage
D. Improve nursing's image through expansion of the role - Correct Answer :C. Improve access to care and
partially solve physician shortage
Early NP-related research focused on:
A. The response of policy makers to the nursing shortage
B. The effectiveness of the NP as a primary caregiver
C. An effort to demonstrate quality and effectiveness of NPs
D. The role of the NP as a physician extender - Correct Answer :C. An effort to demonstrate quality and
effectiveness of NPs
standards of practice are
a. Authoritative statements used to measure quality.
b. Used to measure outcome, but are not authoritative.
c. Designed for legal purposes.
d. Not designed for legal purposes and cannot be used to measure quality. - Correct Answer :a. Authoritative
statements used to measure quality.
Quality improvement activities include
a. Patient satisfaction surveys only
b. Peer review, patient satisfaction, surveys, and chart audits
c. Defining 4 practice domains
d. Systems to decrease risk of injury to patients - Correct Answer :b. Peer review, patient satisfaction, surveys,
and chart audits
Most risk management programs are based on the assumption that:
a. many injuries to patients are preventable
b. most legal liability is a result of poor documentation
c. most injuries to patients are not preventable
P 4
