, STUDY GUIDE
THE A+ ADVANTANGE: ACE YOUR 2026/2027 NURS 5433 FNP II
FINAL EXAMINATION COMPLETE STUDY GUIDE WITH
COMPREHENSIVE QUESTIONSA AND ANSWERS
⩥ A 19-year-old presents with a complaint of bilaterally itchy, red eyes
with tearing that occurs intermittently throughout the year and is often
accompanied by a rope like eye discharge and clear nasal discharge. This
is most consistent with what diagnosis? Answer: allergic conjunctivitis
⩥ Treatment for allergic conjunctivitis. Answer: Corticosteroid
ophthalmic drops
⩥ Treatment for viral conjunctivitis. Answer: no drops needed
⩥ Common cause of anterior epistaxis. Answer: localized nasal mucosa
trauma
⩥ 1st line intervention for epistaxis. Answer: Firm pressure to the area
superior to the nasal alar cartilage
⩥ Ms Murphy is a 58-year-old woman presenting with a sudden left
sided headache that is most painful in her left eye. Her vision is blurred,
and the left pupil is slightly dilated and poorly reactive. The left
2
,⩥
conjunctiva is markedly injected, and the eyeball is firm. Vision screen
with the Snellen chart is 20/30 OD; and 20/90 OS. What is the most
likely diagnosis? Answer: angle-closure glaucoma
⩥ Mrs. Allen is a 67-year-old female with type 2 DM who complains of
seeing flashing lights and floaters, decreased visual acuity, and
metamorphopsia in her left eye. What is the most likely diagnosis?
Answer: Retinal detachment
⩥ Which of the following is most likely to be found on the funduscopic
exam in a patient with untreated POAG? Answer: excessive cupping of
the optic disk
⩥ A 22-year-old female presents with a "pimple" on her right eyelid.
Exam reveals a 2mm pustule on the lateral border of the right eyelid
margin. What is this most consistent with? Answer: Hordeolum
⩥ A 22-year-old female presents with a 'bump" on her right eyelid. Exam
reveals a 2 mm hard, nontender swelling on the lateral border of the right
eyelid margin. What is this most consistent with? Answer: chalazion
What is an independent risk factor for oral cancer? Answer: human
papillomavirus type 16
⩥ What are top 3 causative pathogens for otitis externa? Answer:
3
, STUDY GUIDE
Pseudomonas aeruginosa, proteus Enterobacteriaceae, and staph aureus
⩥ What is an appropriate antibiotic therapy for otitis externa with
accompanying cellulitis suitable for outpatient therapy? Answer:
fluoroquinolone
⩥ What are the top 3 causative pathogens for otitis media? Answer:
Strep pneumoniae, haemophilus influenzae, moraxella catarrhalis
⩥ What is expected finding in AOM? Answer: Tympanic membrane
immobility
⩥ A 25 year old patient has a 3 day hx of left ear pain that began after
one week of URI symptoms. On physical exam, you find that she has
AOM. She is allergic to PCN with a flat pink rash only. She took an oral
antimicrobial for the tx of a UTI 2 weeks ago. What is the most
appropriate oral antimicrobial option for this patient? Answer:
cefpodoxime
Drug resistant S. Pneumoniae is least likely to exhibit resistance to
which of the following microbial classes? Answer: respiratory
fluoroquinolones
4
THE A+ ADVANTANGE: ACE YOUR 2026/2027 NURS 5433 FNP II
FINAL EXAMINATION COMPLETE STUDY GUIDE WITH
COMPREHENSIVE QUESTIONSA AND ANSWERS
⩥ A 19-year-old presents with a complaint of bilaterally itchy, red eyes
with tearing that occurs intermittently throughout the year and is often
accompanied by a rope like eye discharge and clear nasal discharge. This
is most consistent with what diagnosis? Answer: allergic conjunctivitis
⩥ Treatment for allergic conjunctivitis. Answer: Corticosteroid
ophthalmic drops
⩥ Treatment for viral conjunctivitis. Answer: no drops needed
⩥ Common cause of anterior epistaxis. Answer: localized nasal mucosa
trauma
⩥ 1st line intervention for epistaxis. Answer: Firm pressure to the area
superior to the nasal alar cartilage
⩥ Ms Murphy is a 58-year-old woman presenting with a sudden left
sided headache that is most painful in her left eye. Her vision is blurred,
and the left pupil is slightly dilated and poorly reactive. The left
2
,⩥
conjunctiva is markedly injected, and the eyeball is firm. Vision screen
with the Snellen chart is 20/30 OD; and 20/90 OS. What is the most
likely diagnosis? Answer: angle-closure glaucoma
⩥ Mrs. Allen is a 67-year-old female with type 2 DM who complains of
seeing flashing lights and floaters, decreased visual acuity, and
metamorphopsia in her left eye. What is the most likely diagnosis?
Answer: Retinal detachment
⩥ Which of the following is most likely to be found on the funduscopic
exam in a patient with untreated POAG? Answer: excessive cupping of
the optic disk
⩥ A 22-year-old female presents with a "pimple" on her right eyelid.
Exam reveals a 2mm pustule on the lateral border of the right eyelid
margin. What is this most consistent with? Answer: Hordeolum
⩥ A 22-year-old female presents with a 'bump" on her right eyelid. Exam
reveals a 2 mm hard, nontender swelling on the lateral border of the right
eyelid margin. What is this most consistent with? Answer: chalazion
What is an independent risk factor for oral cancer? Answer: human
papillomavirus type 16
⩥ What are top 3 causative pathogens for otitis externa? Answer:
3
, STUDY GUIDE
Pseudomonas aeruginosa, proteus Enterobacteriaceae, and staph aureus
⩥ What is an appropriate antibiotic therapy for otitis externa with
accompanying cellulitis suitable for outpatient therapy? Answer:
fluoroquinolone
⩥ What are the top 3 causative pathogens for otitis media? Answer:
Strep pneumoniae, haemophilus influenzae, moraxella catarrhalis
⩥ What is expected finding in AOM? Answer: Tympanic membrane
immobility
⩥ A 25 year old patient has a 3 day hx of left ear pain that began after
one week of URI symptoms. On physical exam, you find that she has
AOM. She is allergic to PCN with a flat pink rash only. She took an oral
antimicrobial for the tx of a UTI 2 weeks ago. What is the most
appropriate oral antimicrobial option for this patient? Answer:
cefpodoxime
Drug resistant S. Pneumoniae is least likely to exhibit resistance to
which of the following microbial classes? Answer: respiratory
fluoroquinolones
4
