NURS 620 Exam 1 Questions And Verified
Detailed Answers
Acute bacterial conjunctivitis is most commonly caused by the following
microorganisms except which?
A. Haemophilus influenzae
B. Pseudomonas aeruginosa
C. Staphylococcus aureus
D. Streptococcus pneumoniae - ANSWER B. Pseudomonas aeruginosa
What is the easiest way clinically to differentiate otitis externa from otitis media?
A. With otitis media, there is usually tenderness on palpation over the mastoid process.
B. With otitis externa, movement or pressure on the pinna is exquisitely painful.
C. The swelling is usually tender with otitis media.
D. Usually, there is bilateral pain in the ears with otitis media. - ANSWER B. With otitis
externa, the movement or pressure on the pinna is extremely painful.
Diagnosis of acute otitis media is made if there is the presence of:
A. Fluid in the middle ear without signs or symptoms of an ear infection.
B. Fluid in the middle ear accompanied by otalgia and fever.
C. Middle ear fluid present for 3 months or longer.
D. Three to five episodes of otitis media within a span of 6 months. - ANSWER B.
Presence of middle ear fluid with otalgia and fever.
,During the examination of a client diagnosed with bacterial conjunctivitis, the nurse
practitioner observes:
A. Mild itching, moderate tearing, and mucoid discharge
B. Mild tearing, moderate itching, and purulent discharge.
C. Severe itching, moderate tearing, and scant amount of discharge.
D. Mild pruritis, moderate lacrimation, and profuse exudate. - ANWER D. Mild pruritis,
moderate lacrimation, and profuse exudate.
The antibiotic of choice for beta-lactamase coverage of otitis media:
A. Azithromycin
B. Amoxicillin
C. Prednisone
D. Amoxicillin and potassium clavulanate - ANSWER D. Amoxicillin and potassium
clavulanate
An acutely presenting, erythematous, tender lump within the eyelid is called:
A. Hordeolum
B. Blepharitis
C. Chalazion
D. Iritis - ANSWER A. Hordeolum
One distinguishing characteristic between conjunctivitis and iritis is:
A. Slow progression
, B. Eye irritation
C. No change in or slightly blurred vision
D. A ciliary flush - ANSWER D. A ciliary flush
Medical treatment for a patient diagnosed with allergic conjunctivitis could best be
addressed with the use of:
A. Ophthalmic antihistamines
B. Bacitracin-polymyxin
C. Ophthalmic corticosteroids
D. Ophthalmic cromolyn - ANSWER A. Ophthalmic antihistamines
The clinician is examining a patient who is complaining of hearing loss. A tuning fork is
placed over the patient's mastoid process by the clinician. Once the sound fades away,
the fork without restriking is placed over the external auditory meatus. The clinician
asks if when the sound fades away. What type of test is this?
A. Rinne test
B. Weber test
C. ABR test
D. Schwabach test - ANSWER A. Rinne test
The presence of "cotton wool" spots may be detected as diabetic retinopathy advances.
Cotton wool spots are representations of:
A. Blood vessel proliferation
B. Nerve fiber layer infarctions
C. Venous beading
D. Retinal hemorrhage - ANSWER B. Nerve fiber layer infarctions
Detailed Answers
Acute bacterial conjunctivitis is most commonly caused by the following
microorganisms except which?
A. Haemophilus influenzae
B. Pseudomonas aeruginosa
C. Staphylococcus aureus
D. Streptococcus pneumoniae - ANSWER B. Pseudomonas aeruginosa
What is the easiest way clinically to differentiate otitis externa from otitis media?
A. With otitis media, there is usually tenderness on palpation over the mastoid process.
B. With otitis externa, movement or pressure on the pinna is exquisitely painful.
C. The swelling is usually tender with otitis media.
D. Usually, there is bilateral pain in the ears with otitis media. - ANSWER B. With otitis
externa, the movement or pressure on the pinna is extremely painful.
Diagnosis of acute otitis media is made if there is the presence of:
A. Fluid in the middle ear without signs or symptoms of an ear infection.
B. Fluid in the middle ear accompanied by otalgia and fever.
C. Middle ear fluid present for 3 months or longer.
D. Three to five episodes of otitis media within a span of 6 months. - ANSWER B.
Presence of middle ear fluid with otalgia and fever.
,During the examination of a client diagnosed with bacterial conjunctivitis, the nurse
practitioner observes:
A. Mild itching, moderate tearing, and mucoid discharge
B. Mild tearing, moderate itching, and purulent discharge.
C. Severe itching, moderate tearing, and scant amount of discharge.
D. Mild pruritis, moderate lacrimation, and profuse exudate. - ANWER D. Mild pruritis,
moderate lacrimation, and profuse exudate.
The antibiotic of choice for beta-lactamase coverage of otitis media:
A. Azithromycin
B. Amoxicillin
C. Prednisone
D. Amoxicillin and potassium clavulanate - ANSWER D. Amoxicillin and potassium
clavulanate
An acutely presenting, erythematous, tender lump within the eyelid is called:
A. Hordeolum
B. Blepharitis
C. Chalazion
D. Iritis - ANSWER A. Hordeolum
One distinguishing characteristic between conjunctivitis and iritis is:
A. Slow progression
, B. Eye irritation
C. No change in or slightly blurred vision
D. A ciliary flush - ANSWER D. A ciliary flush
Medical treatment for a patient diagnosed with allergic conjunctivitis could best be
addressed with the use of:
A. Ophthalmic antihistamines
B. Bacitracin-polymyxin
C. Ophthalmic corticosteroids
D. Ophthalmic cromolyn - ANSWER A. Ophthalmic antihistamines
The clinician is examining a patient who is complaining of hearing loss. A tuning fork is
placed over the patient's mastoid process by the clinician. Once the sound fades away,
the fork without restriking is placed over the external auditory meatus. The clinician
asks if when the sound fades away. What type of test is this?
A. Rinne test
B. Weber test
C. ABR test
D. Schwabach test - ANSWER A. Rinne test
The presence of "cotton wool" spots may be detected as diabetic retinopathy advances.
Cotton wool spots are representations of:
A. Blood vessel proliferation
B. Nerve fiber layer infarctions
C. Venous beading
D. Retinal hemorrhage - ANSWER B. Nerve fiber layer infarctions
