NSG 6420 FINAL EXAM REVIEW (2021/2022) QUESTIONS AND ANSWERS

1. A patient presents with acute otitis externa with obstruction of the ear canal severe enough to prevent patient self administration of pharmacologic treatment. What is the most effective means to administer topical agent solutions. A. Oral/systemic antibiotics B. Aural toileting or wicking or a combination of both C. A nebulizer machine D. Surgical debridement 2. Otitis media, hypothyroid disease, deviated nasal septum, and chronic sinusitis are differential diagnoses for what condition? A. Mumps B. Rhinitis C. Dental Abscess D. Viral influenza 3. Which of the following would NOT be included as part of the focused SOAP note for a patient who suffers from allergic rhinitis? A. Review of the HEENT physical examination B. Discussion of health promotion issues C. Patient Vital signs D. Referral for additional allergy testing 4.A patient diagnosed with bacterial conjunctivitis. Which of the following education and counseling notes would NOT be appropriate for this patient? A. Contact lenses should be discarded and new lenses should not be worn until symptoms subside B. Clean all linens thoroughly C. Patient may return to work upon completing the initial dose of antibiotics D. Any eye make up should be replaced 5. Incubation period for Group A beta-hemolytic streptococcus? A. 24-72 hours B. 12-24 hours C. 72-96 D. +96 6. Which of the following demographic groups would NOT be considered at risk for complications of influenza? A. young children B. pregnant women C. Suffering from heart, kidney, or neurologic disease D. those who did not get the influenza vaccine 7. A patient is diagnosed acute bronchitis. What is the most appropriate antibiotic treatment for this patient? A. Penicillin B. Oflaxacin C. Metronidazol D. Antibiotics are not recommended 8. According to the National Asthma education and prevention program (NAAEPP), which treatment would be an example of a Step 1 preferred treatment for an adult with persistent asthma? A. Short acting beta 2 antagonist prn (SABA) B. Medium dose ICS and LABA C. low dose ICS and LABA D. high dose ICS and LABA and oral corticosteroid 9. Which of the following would be appropriate in the plan for a patient diagnosed with COPD? A. Start HCTZ 12.5 mg daily. Discussed diet and exercise including review of DASH diet. B. Demonstrate proper use of inhalers. Discuss importance of influenza vaccine. Prescribed albuterol. 2 puffs every 4 hrs prn for SOB C. Reviewed consequences of untreated condition. Encourage limited caloric intake to 1.800 daily. Prescribe lisinopril 1mg daily. D. Pt prescribed amoxicillin 500 mg po. Refrain from work or school until symptoms improve. 10. Assessment findings include increased AP diameter, hypoxemia, expiratory wheezing, cyanosis, chest tightness, and pursed lip breathing. Based on the symptoms presented what is the most likely diagnosis? A. COPD B. Pharyngitis C. Hypertension D. Alpha thalassemia