NUR 676 Final Exam questions with correct
answers
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? |- |
VERIFIED |ANSWER✔✔-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. |- |VERIFIED |ANSWER✔✔-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? |- |VERIFIED |ANSWER✔✔-acute |otitis |
externa
Which |are |risk |factors |for |developing |otitis |externa? |- |VERIFIED |ANSWER✔✔-having |underlying |DM, |
use |of |ear |plugs |or |hearing |aids, |vigorous |external |hygiene
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? |- |VERIFIED |
ANSWER✔✔-Cipro |HC
Which |symptoms |in |children |are |evlauated |using |a |parent-reported |scoring |system |to |determine |the |
severity |of |pain |in |children |with |OM? |- |VERIFIED |ANSWER✔✔-Appetite, |Difficulty |sleeping, |and |
tugging |on |ears.
Which |patient |may |be |given |symptomatic |treatment |with |24 |hours |follow-up |assessment |without |
initial |antibiotic |therapy? |- |VERIFIED |ANSWER✔✔-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? |- |VERIFIED |ANSWER✔✔-Remove |the |cerumen |and |
visualize |the |TM
, 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? |- |VERIFIED |
ANSWER✔✔-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? |- |VERIFIED |ANSWER✔✔-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? |- |VERIFIED |ANSWER✔✔-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. |- |VERIFIED |ANSWER✔✔-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? |- |VERIFIED |ANSWER✔✔-viral |pharyngitis
A |school-aged |child |has |5 |episodes |of |tonsillitis |in |the |past |year |and |2 |episodes |the |previous |year. |
The |child's |parents |ask |the |provider |if |the |child |needs |a |tonsillectomy. |What |will |the |provider |say? |- |
VERIFIED |ANSWER✔✔-Current |recommendations |do |not |support |tonsillectomy |for |this |child
A |patient |with |EBV-IM |also |has |GAS |pharyngitis |and |is |being |treated |with |Amoxicillin. |On |the |third |
day |of |treatment, |the |patient |develops |a |rash. |A |urinalysis |is |normal. |what |does |this |indicate? |- |
VERIFIED |ANSWER✔✔-A |reaction |to |the |amoxicillin
An |adolescent |who |plays |football |in |high |school |is |diagnosed |with |Infectious |Mono |and |is |noted |to |
have |splenomegaly. |What |will |the |provider |recommend |to |this |patient |about |returning |to |sports? |- |
VERIFIED |ANSWER✔✔-ABD |US |are |recommended |to |determines |safety
answers
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? |- |
VERIFIED |ANSWER✔✔-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. |- |VERIFIED |ANSWER✔✔-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? |- |VERIFIED |ANSWER✔✔-acute |otitis |
externa
Which |are |risk |factors |for |developing |otitis |externa? |- |VERIFIED |ANSWER✔✔-having |underlying |DM, |
use |of |ear |plugs |or |hearing |aids, |vigorous |external |hygiene
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? |- |VERIFIED |
ANSWER✔✔-Cipro |HC
Which |symptoms |in |children |are |evlauated |using |a |parent-reported |scoring |system |to |determine |the |
severity |of |pain |in |children |with |OM? |- |VERIFIED |ANSWER✔✔-Appetite, |Difficulty |sleeping, |and |
tugging |on |ears.
Which |patient |may |be |given |symptomatic |treatment |with |24 |hours |follow-up |assessment |without |
initial |antibiotic |therapy? |- |VERIFIED |ANSWER✔✔-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? |- |VERIFIED |ANSWER✔✔-Remove |the |cerumen |and |
visualize |the |TM
, 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? |- |VERIFIED |
ANSWER✔✔-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? |- |VERIFIED |ANSWER✔✔-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? |- |VERIFIED |ANSWER✔✔-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. |- |VERIFIED |ANSWER✔✔-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? |- |VERIFIED |ANSWER✔✔-viral |pharyngitis
A |school-aged |child |has |5 |episodes |of |tonsillitis |in |the |past |year |and |2 |episodes |the |previous |year. |
The |child's |parents |ask |the |provider |if |the |child |needs |a |tonsillectomy. |What |will |the |provider |say? |- |
VERIFIED |ANSWER✔✔-Current |recommendations |do |not |support |tonsillectomy |for |this |child
A |patient |with |EBV-IM |also |has |GAS |pharyngitis |and |is |being |treated |with |Amoxicillin. |On |the |third |
day |of |treatment, |the |patient |develops |a |rash. |A |urinalysis |is |normal. |what |does |this |indicate? |- |
VERIFIED |ANSWER✔✔-A |reaction |to |the |amoxicillin
An |adolescent |who |plays |football |in |high |school |is |diagnosed |with |Infectious |Mono |and |is |noted |to |
have |splenomegaly. |What |will |the |provider |recommend |to |this |patient |about |returning |to |sports? |- |
VERIFIED |ANSWER✔✔-ABD |US |are |recommended |to |determines |safety
