NURS 676 FINAL EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 170 QUESTIONS AND CORRECT
DETAILED 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? - (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. - (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? - (answer) acute otitis externa
Which are risk factors for developing otitis externa? - (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? - (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? - (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? - (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? - (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? - (answer) Prescribe
antibiotic ear drops
, NURS 676 FINAL EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 170 QUESTIONS AND CORRECT
DETAILED ANSWERS
A patient reports ear pain after being hit in the head with a baseball. The provider notes a perforated
TM. What is recommended treatment? - (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? - (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. - (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? - (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? - (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? - (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? - (answer)
ABD US are recommended to determines safety
An adolescent patient has a fever, pharyngitis, and cervical lymphadenopathy and has negative GAS
culture. A cbc shows absolute lymphocytosis, but a heterophil antibody test is negative for EBV. What
will the provider tell the patient? - (answer) The likelihood of EBV is still high
A patient reports persistent nasal blockage, discharge and facial pain lasting on the right side for 4
months. There is no hx of sneezing or eye involvement, The patient has a hx of seasonal allergies and
DETAILED 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? - (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. - (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? - (answer) acute otitis externa
Which are risk factors for developing otitis externa? - (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? - (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? - (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? - (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? - (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? - (answer) Prescribe
antibiotic ear drops
, NURS 676 FINAL EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 170 QUESTIONS AND CORRECT
DETAILED ANSWERS
A patient reports ear pain after being hit in the head with a baseball. The provider notes a perforated
TM. What is recommended treatment? - (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? - (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. - (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? - (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? - (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? - (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? - (answer)
ABD US are recommended to determines safety
An adolescent patient has a fever, pharyngitis, and cervical lymphadenopathy and has negative GAS
culture. A cbc shows absolute lymphocytosis, but a heterophil antibody test is negative for EBV. What
will the provider tell the patient? - (answer) The likelihood of EBV is still high
A patient reports persistent nasal blockage, discharge and facial pain lasting on the right side for 4
months. There is no hx of sneezing or eye involvement, The patient has a hx of seasonal allergies and
