NUR 676 Final Exam - Questions With Verified
Solutions
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? Right Ans - 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. Right Ans -
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? Right Ans - acute otitis externa
Which are risk factors for developing otitis externa? Right Ans - 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? Right Ans - Cipro HC
Which symptoms in children are evlauated using a parent-reported scoring
system to determine the severity of pain in children with OM? Right Ans -
Appetite, Difficulty sleeping, and tugging on ears.
Which patient may be given symptomatic treatment with 24 hours follow-up
assessment without initial antibiotic therapy? Right Ans - 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? Right Ans - 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? Right Ans - 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? Right
Ans - 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? Right Ans -
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. Right Ans - 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? Right Ans - 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? Right Ans - 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? Right Ans - 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? Right Ans - ABD US are
recommended to determines safety
Solutions
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? Right Ans - 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. Right Ans -
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? Right Ans - acute otitis externa
Which are risk factors for developing otitis externa? Right Ans - 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? Right Ans - Cipro HC
Which symptoms in children are evlauated using a parent-reported scoring
system to determine the severity of pain in children with OM? Right Ans -
Appetite, Difficulty sleeping, and tugging on ears.
Which patient may be given symptomatic treatment with 24 hours follow-up
assessment without initial antibiotic therapy? Right Ans - 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? Right Ans - 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? Right Ans - 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? Right
Ans - 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? Right Ans -
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. Right Ans - 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? Right Ans - 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? Right Ans - 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? Right Ans - 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? Right Ans - ABD US are
recommended to determines safety
