, PREMIUM STUDY GUIDE
THE A+ ADVANTANGE: ACE YOUR 2026/2027 NURS 5433 FNP II
FINAL EXAMINATION COMPLETE STUDY GUIDE WITH
COMPREHENSIVE QUESTIONSA AND ANSWERS
⩥ Corneal abrasion follows up needed. Answer: -return in 24-48 hours
to assess healing and status for large abrasions >4mm
-smaller abrasions do not require f/u if s/s improve
-follow up if no improvement in 24-48 hours
⩥ Pinguecula s/s. Answer: yellowish green growth on nasal aspect of the
conjunctiva
⩥ Pterygium s/s. Answer: vascular rise lesion that extends from
conjunctiva to nasal cornea
⩥ Pinguecula/Pterygium patho Answer:
-lesions of the conjunctiva that result from hyperplasia
-caused by chronic sun exposure and environmental irritants
⩥ Pingueculum/Pterygium risk factors Answer: job working outside in
wind with blowing dirt
Pingueculum/Pterygium treatment Answer:
-lubricants and steroid therapy
2
, ⩥
-should not be removed unless absolutely necessary d/t risk of viral
problems
-best treatment is a conservative approach unless they start growing over
the pupil
⩥ Dry eye risk factors Answer:
-Acquired disorders: sjogren's syndrome (disorder of the immune
system that attacks its own healthy cells that produce saliva and tears),
infection, and trauma
-Bell's palsy damages the facial nerve and they cannot close eyelid
-Meds that cause decreased tear production: anticholinergics such as
antihistamines, beta-adrenergic blockers, and oxybutynin
-Menopausal women due to lack of estrogen
-patient's who sit at a computer for long due to decreased blink rates
⩥ Dry eye treatment Answer:
-Level 1: avoid irritant/cause
-Level 2: ocular lubricants, artificial tears, anti-inflammatory agents
(cyclosporine A), topical corticosteroids, or typical systemic omega 3
fatty acids)
-Level 3: autologous serum, special contact lenses, impermanent punctual
occlusion; refer to a specialist
-Level 4: surgery
THE A+ ADVANTANGE: ACE YOUR 2026/2027 NURS 5433 FNP II
FINAL EXAMINATION COMPLETE STUDY GUIDE WITH
COMPREHENSIVE QUESTIONSA AND ANSWERS
⩥ Corneal abrasion follows up needed. Answer: -return in 24-48 hours
to assess healing and status for large abrasions >4mm
-smaller abrasions do not require f/u if s/s improve
-follow up if no improvement in 24-48 hours
⩥ Pinguecula s/s. Answer: yellowish green growth on nasal aspect of the
conjunctiva
⩥ Pterygium s/s. Answer: vascular rise lesion that extends from
conjunctiva to nasal cornea
⩥ Pinguecula/Pterygium patho Answer:
-lesions of the conjunctiva that result from hyperplasia
-caused by chronic sun exposure and environmental irritants
⩥ Pingueculum/Pterygium risk factors Answer: job working outside in
wind with blowing dirt
Pingueculum/Pterygium treatment Answer:
-lubricants and steroid therapy
2
, ⩥
-should not be removed unless absolutely necessary d/t risk of viral
problems
-best treatment is a conservative approach unless they start growing over
the pupil
⩥ Dry eye risk factors Answer:
-Acquired disorders: sjogren's syndrome (disorder of the immune
system that attacks its own healthy cells that produce saliva and tears),
infection, and trauma
-Bell's palsy damages the facial nerve and they cannot close eyelid
-Meds that cause decreased tear production: anticholinergics such as
antihistamines, beta-adrenergic blockers, and oxybutynin
-Menopausal women due to lack of estrogen
-patient's who sit at a computer for long due to decreased blink rates
⩥ Dry eye treatment Answer:
-Level 1: avoid irritant/cause
-Level 2: ocular lubricants, artificial tears, anti-inflammatory agents
(cyclosporine A), topical corticosteroids, or typical systemic omega 3
fatty acids)
-Level 3: autologous serum, special contact lenses, impermanent punctual
occlusion; refer to a specialist
-Level 4: surgery
