1 | P a g e | © copyright 2024/2025 | Grade A+
NUR 676 Final Exam Questions and
Answers (100% Pass)
A patient reports recurrent chest pain that occurs regardless of activity and is
not relieved by rest. The provider administers one NG tablet which does not
relieve the pain. What is the next action?
✓ Give the patient a beta blocker
A patient is brought to an emergency department with symptoms of acute ST
segment elevation MI (STEMI). The nearest hospiral that can perform a PCI is
three hours away, what is the initial treatment for this patient.
✓ Initiate fibrinolytic therapy
A patient reports a feeling of fullness and pain in both ears and the
practitioner elicits pain when manipulating the ear structures, what is likely
the diagnosis?
✓ acute otitis externa
Which are risk factors for developing otitis externa?
✓ having underlying DM, use of ear plugs or hearing aids, vigorous
external hygiene
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
A patient has an initial episode of otitis external associated with swimming.
the patient's ear canal is mildly inflamed and the TM is not involved. Which
medication will be ordered?
✓ Cipro HC
Which symptoms in children are evlauated using a parent-reported scoring
system to determine the severity of pain in children with OM?
✓ Appetite, Difficulty sleeping, and tugging on ears.
Which patient may be given symptomatic treatment with 24 hours follow-up
assessment without initial antibiotic therapy?
✓ A 36 month old with fever of 38.5, mild otalgia, and red, non-bulging
TM
A pediatric patient has otalgia, fever of 38.8, and recent history of URI. the
examiner is unable to visualize the TM in the right ear because of the
presence of cerumen. The left TM is dull gray with fluid levels present. What is
the correct action?
✓ Remove the cerumen and visualize the TM
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
A patient reports ear pain and difficulty hearing. An otoscope examination
reveals a small tear in the TM of the affected ear with purulent d/c. What is the
initial treatment for this patient?
✓ Prescribe antibiotic ear drops
A patient reports ear pain after being hit in the head with a baseball. The
provider notes a perforated TM. What is recommended treatment?
✓ Refer the patient to an Otolaryngologist for eval
An adolescent has fever, chills, and a severe sore throat. On exam, the
provider notes foul-smelling breath and a muffled voice with marked edema
and erythema of the peritonsillar tissue. What should you do?
✓ Perform a rapid strep and throat culture.
A patient has a sore throat, and temp of 38.5, tonsillar exudates, and cervical
lymphadenopathy. What will the provider do next to manage this patient's
symptoms.
✓ Perform a RADT
A patient reports a sudden onset of sore throat, fever, malaise, and cough.
the provider notes mild erythema of the pharynx and clear rhinorrhea without
cervical lymphadnopathy. what is most likely cause?
Master01 | September, 2024/2025 | Latest update
NUR 676 Final Exam Questions and
Answers (100% Pass)
A patient reports recurrent chest pain that occurs regardless of activity and is
not relieved by rest. The provider administers one NG tablet which does not
relieve the pain. What is the next action?
✓ Give the patient a beta blocker
A patient is brought to an emergency department with symptoms of acute ST
segment elevation MI (STEMI). The nearest hospiral that can perform a PCI is
three hours away, what is the initial treatment for this patient.
✓ Initiate fibrinolytic therapy
A patient reports a feeling of fullness and pain in both ears and the
practitioner elicits pain when manipulating the ear structures, what is likely
the diagnosis?
✓ acute otitis externa
Which are risk factors for developing otitis externa?
✓ having underlying DM, use of ear plugs or hearing aids, vigorous
external hygiene
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
A patient has an initial episode of otitis external associated with swimming.
the patient's ear canal is mildly inflamed and the TM is not involved. Which
medication will be ordered?
✓ Cipro HC
Which symptoms in children are evlauated using a parent-reported scoring
system to determine the severity of pain in children with OM?
✓ Appetite, Difficulty sleeping, and tugging on ears.
Which patient may be given symptomatic treatment with 24 hours follow-up
assessment without initial antibiotic therapy?
✓ A 36 month old with fever of 38.5, mild otalgia, and red, non-bulging
TM
A pediatric patient has otalgia, fever of 38.8, and recent history of URI. the
examiner is unable to visualize the TM in the right ear because of the
presence of cerumen. The left TM is dull gray with fluid levels present. What is
the correct action?
✓ Remove the cerumen and visualize the TM
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
A patient reports ear pain and difficulty hearing. An otoscope examination
reveals a small tear in the TM of the affected ear with purulent d/c. What is the
initial treatment for this patient?
✓ Prescribe antibiotic ear drops
A patient reports ear pain after being hit in the head with a baseball. The
provider notes a perforated TM. What is recommended treatment?
✓ Refer the patient to an Otolaryngologist for eval
An adolescent has fever, chills, and a severe sore throat. On exam, the
provider notes foul-smelling breath and a muffled voice with marked edema
and erythema of the peritonsillar tissue. What should you do?
✓ Perform a rapid strep and throat culture.
A patient has a sore throat, and temp of 38.5, tonsillar exudates, and cervical
lymphadenopathy. What will the provider do next to manage this patient's
symptoms.
✓ Perform a RADT
A patient reports a sudden onset of sore throat, fever, malaise, and cough.
the provider notes mild erythema of the pharynx and clear rhinorrhea without
cervical lymphadnopathy. what is most likely cause?
Master01 | September, 2024/2025 | Latest update
