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NSG 554/ NSG554 EXAM 2: (NEW 2026/ 2027 UPDATE)
| QUESTIONS & ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)- WILKES
1. A patient presents with chronic eye itching, tearing, and a stringy discharge. On
examination, the nurse notes large "cobblestone" papillae on the upper tarsal
conjunctiva. This finding is most consistent with:
A. Bacterial conjunctivitis
B. Viral conjunctivitis
C. Vernal keratoconjunctivitis
D. Pinguecula
CORRECT ANSWER: C. Vernal keratoconjunctivitis
Rationale: Vernal keratoconjunctivitis is a chronic, seasonal allergic condition,
often occurring in spring. A classic examination finding is the presence of large,
cobblestone-shaped papillae on the upper tarsal conjunctiva.
2. The nurse is educating a patient with external otitis (otitis externa). Which
statement by the patient indicates a correct understanding of the teaching?
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A. "I should keep my ears moist to promote healing."
B. "I will use a cotton swab to gently clean my ear canal daily."
C. "I need to avoid getting water in my ear while swimming or showering."
D. "This condition is caused by a virus and will resolve on its own."
CORRECT ANSWER: C. "I need to avoid getting water in my ear while
swimming or showering."
Rationale: Otitis externa, often called "swimmer's ear," is an infection of the
external ear canal, frequently caused by bacteria or fungi. Keeping the ear dry is
essential for treatment and prevention. Manipulating the ear with cotton swabs
can introduce pathogens and exacerbate the condition.
3. A patient complains of hearing loss. The Weber test is performed by placing a
tuning fork on the patient's forehead. The patient reports the sound is louder in
the poorer hearing ear. This finding is characteristic of which type of hearing
loss?
A. Sensorineural hearing loss
B. Conductive hearing loss
C. Mixed hearing loss
D. Central hearing loss
CORRECT ANSWER: B. Conductive hearing loss
NSG 554/ NSG554 EXAM 2: (NEW 2026/ 2027 UPDATE)
| QUESTIONS & ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)- WILKES
1. A patient presents with chronic eye itching, tearing, and a stringy discharge. On
examination, the nurse notes large "cobblestone" papillae on the upper tarsal
conjunctiva. This finding is most consistent with:
A. Bacterial conjunctivitis
B. Viral conjunctivitis
C. Vernal keratoconjunctivitis
D. Pinguecula
CORRECT ANSWER: C. Vernal keratoconjunctivitis
Rationale: Vernal keratoconjunctivitis is a chronic, seasonal allergic condition,
often occurring in spring. A classic examination finding is the presence of large,
cobblestone-shaped papillae on the upper tarsal conjunctiva.
2. The nurse is educating a patient with external otitis (otitis externa). Which
statement by the patient indicates a correct understanding of the teaching?
, 2|Page
A. "I should keep my ears moist to promote healing."
B. "I will use a cotton swab to gently clean my ear canal daily."
C. "I need to avoid getting water in my ear while swimming or showering."
D. "This condition is caused by a virus and will resolve on its own."
CORRECT ANSWER: C. "I need to avoid getting water in my ear while
swimming or showering."
Rationale: Otitis externa, often called "swimmer's ear," is an infection of the
external ear canal, frequently caused by bacteria or fungi. Keeping the ear dry is
essential for treatment and prevention. Manipulating the ear with cotton swabs
can introduce pathogens and exacerbate the condition.
3. A patient complains of hearing loss. The Weber test is performed by placing a
tuning fork on the patient's forehead. The patient reports the sound is louder in
the poorer hearing ear. This finding is characteristic of which type of hearing
loss?
A. Sensorineural hearing loss
B. Conductive hearing loss
C. Mixed hearing loss
D. Central hearing loss
CORRECT ANSWER: B. Conductive hearing loss
