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A 10-year-old presents to the office with his mother with complaints of itchy and
red eyes for 1 day. He reports watery drainage in both eyes associated with
constant itching. He has no fever or constitutional symptoms. The patient has a
sibling that just started day care recently. Upon examination, vision is 20/20 OU
with glasses. He has mild to moderate conjunctival hyperemia with bilateral
preauricular lymph nodes that are inflamed. What is the most likely diagnosis?
Viral conjunctivitis
A 64-year-old has had a corneal infection for several weeks. He asks why the
infection is still present. How do you respond?
Because the cornea doesn't have a blood supply, an infection can be fought off as
usual
A 47-year-old presents to the clinic with a red eye. How would the NP
differentiate between iritis and conjunctivitis?
Ciliary flush
pg. 1
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A 54-year-old presents to the office with a painful red eye without discharge.
What is the most likely initial diagnosis?
Iritis
An 82-year-old presents with several eye complaints. She states that her eyes are
always dry and look sunken in. What is the most likely cause?
Normal age-related changes
A 46-year-old is diagnosed with viral conjunctivitis. What treatment should be
included?
Supportive measures and lubricant eye drops
A 25-year-old presents with bleeding in my eye for 1 day. He awoke this morning
with a dark area of redness in his eye. He has no visual loss or changes. He denies
constitutional symptoms, pruritus, drainage, or recent trauma. The redness
presents on physical exam as a dark red area in the patient's sclera of the right
eye only and takes up less than 50% of the eye. The patient's remaining sclera is
clear and white. He also notes he was drinking alcohol last night and vomited
afterward. What is the best treatment?
Reassurance that this lesion will resolve without any treatment in 2 to 4 weeks.
pg. 2
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A patient comes into the clinic complaining of pain in her right eye. On
examination, the nurse practitioner (NP) sees a pustule at the lid margin that is
painful to touch, red, and swollen. What is the most likely diagnosis?
Hordeolum (stye)
A patient has been treated for glaucoma for five (5) years. Which of the following
will provide an indication of the level of progression during the funduscopic
examination for this patient?
Estimating cup-to-disk ratio
The NP should instruct a patient diagnosed with glaucoma that the purpose of
medication is to:
Lower the intraocular pressure
pg. 3
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NR 601 Midterm Exam
Chapter 1: Principles of Primary Care of Older Adults
Which one of the following is most true about aging changes?
Stage 3 and 4 sleep decreases.
An old woman who is cared for by attentive, cautious, concerned family is
particularly likely to suffer from which one of the following complications after an
episode of gastroenteritis?
Immobility related to overconcern
Which one of the following is most true about psychological aging?
Ageism can lead to isolation and depression.
Of the following conditions, which one is most common and most often
preventable?
Iatrogenic disease
pg. 4
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NR 601 / NR 602 Midterm Exam ALL NEW
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A 10-year-old presents to the office with his mother with complaints of itchy and
red eyes for 1 day. He reports watery drainage in both eyes associated with
constant itching. He has no fever or constitutional symptoms. The patient has a
sibling that just started day care recently. Upon examination, vision is 20/20 OU
with glasses. He has mild to moderate conjunctival hyperemia with bilateral
preauricular lymph nodes that are inflamed. What is the most likely diagnosis?
Viral conjunctivitis
A 64-year-old has had a corneal infection for several weeks. He asks why the
infection is still present. How do you respond?
Because the cornea doesn't have a blood supply, an infection can be fought off as
usual
A 47-year-old presents to the clinic with a red eye. How would the NP
differentiate between iritis and conjunctivitis?
Ciliary flush
pg. 1
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A 54-year-old presents to the office with a painful red eye without discharge.
What is the most likely initial diagnosis?
Iritis
An 82-year-old presents with several eye complaints. She states that her eyes are
always dry and look sunken in. What is the most likely cause?
Normal age-related changes
A 46-year-old is diagnosed with viral conjunctivitis. What treatment should be
included?
Supportive measures and lubricant eye drops
A 25-year-old presents with bleeding in my eye for 1 day. He awoke this morning
with a dark area of redness in his eye. He has no visual loss or changes. He denies
constitutional symptoms, pruritus, drainage, or recent trauma. The redness
presents on physical exam as a dark red area in the patient's sclera of the right
eye only and takes up less than 50% of the eye. The patient's remaining sclera is
clear and white. He also notes he was drinking alcohol last night and vomited
afterward. What is the best treatment?
Reassurance that this lesion will resolve without any treatment in 2 to 4 weeks.
pg. 2
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A patient comes into the clinic complaining of pain in her right eye. On
examination, the nurse practitioner (NP) sees a pustule at the lid margin that is
painful to touch, red, and swollen. What is the most likely diagnosis?
Hordeolum (stye)
A patient has been treated for glaucoma for five (5) years. Which of the following
will provide an indication of the level of progression during the funduscopic
examination for this patient?
Estimating cup-to-disk ratio
The NP should instruct a patient diagnosed with glaucoma that the purpose of
medication is to:
Lower the intraocular pressure
pg. 3
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NR 601 Midterm Exam
Chapter 1: Principles of Primary Care of Older Adults
Which one of the following is most true about aging changes?
Stage 3 and 4 sleep decreases.
An old woman who is cared for by attentive, cautious, concerned family is
particularly likely to suffer from which one of the following complications after an
episode of gastroenteritis?
Immobility related to overconcern
Which one of the following is most true about psychological aging?
Ageism can lead to isolation and depression.
Of the following conditions, which one is most common and most often
preventable?
Iatrogenic disease
pg. 4
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