NURS 629 Exam Practice QUESTIONS WITH
COMPLETE SOLUTIONS (100 % CORRECT AND
VERIFIED) ALREADY PASSED!!
Otitis media pathogens - ...(ANSWERS)....Caused by: S. Pneumoniae (most
common); H. Influenzae, M. Catarrhils
Otitis media Symptoms: - ...(ANSWERS)....Fever, Pain, discharge from ear, tugging
at ear, irritability, crying, lethargy, decreased appetite, decreased sleep, Recent
URI
Objective findings in otitis media - ...(ANSWERS)....Red, bulging OM; Retracted
with pus; no movement of TM, Inability to see landmarks; occasional hole in TM
Treatment for AOM + Conjunctivitis d/t : H. Influenzae -
...(ANSWERS)....Amoxicillin-clavulanate 80-90 mg/kg/day BID x 10 days
Treatment for AOM d/t S. Pneumoniae (most common): -
...(ANSWERS)....Amoxicillin 80-90 mg/kg/day BID x 10 days (high dose)
Treatment for AOM with PCN Allergy: Non-Type 1: - ...(ANSWERS)....Cefdinir,
Cefuroxime
Treatment for AOM with PCN Allergy: Type 1: - ...(ANSWERS)....Azithromycin,
clarithromycin OR Ceftriaxone 1-3 days
,Predisposing factors of otitis externa: - ...(ANSWERS)....Frequent moisture, local
trauma, aggressive cleaning, Allergies/skin conditions
Causative organisms for otitis externa: - ...(ANSWERS)....Psuedomonas aeruginosa
(20-60%); Staphylococcus Aureus (10-70%); 10% fungal infection
Symptoms of otitis externa: - ...(ANSWERS)....Discharge from ear, recent history
of swimming or placing something in the ear, low-grade fever, pain with
movement of tragus, decreased hearing, redness around ear
Objective findings of otitis externa: - ...(ANSWERS)....Otalgia ( inner or outer ear
pain), discharge, fullness, itching, pain with movement of tragus, redness around
ear, decreased hearing.
Treatment of pain and therapeutic management of otitis externa: -
...(ANSWERS)....Warm compresses, Auralgan, prednisone, Tylenol/ibuprofen,
Wick (abx applied to wick )
When to wick with otitis externa: - ...(ANSWERS)....If lumen is reduced to >50%,
wicks can help ensure delivery of topical abx to medial canal.
Treatment of otitis externa: - ...(ANSWERS)....Topical fluroquinolones
(Ciprofloxacin, Ofloxacin), ibuprofen and apap for pain, neomycin/polymixin
b/hydrocortison otic (antibiotic/steroid)
,Hallmark sign of otitis externa: - ...(ANSWERS)....Traction of pinna elicits pain
When do we begin hearing tests in clinic for children - ...(ANSWERS)....4 years old
What is a normal audiology test result and how are results read -
...(ANSWERS)....Normal -10 to +15 The higher the number, the greater the loss,
Severe loss 71-90 (learning disability, limited vocabulary), Profound loss 90
Risk factors related to elevated cholesterol - ...(ANSWERS)....Obesity, Diabetes,
Hypertension, Family history: Coronary heart disease prior to age 55,
Hyperlipidemia, Diabetes
Clinical findings for tetralogy of Fallot: - ...(ANSWERS)....Cyanosis: caused by
blood low in oxygen, Shortness of breath and rapid breathing, especially during
feeding or exercise, Loss of consciousness, Clubbing of fingers and toes, Poor
weight gain, delayed growth, Polycythemia, metabolic acidosis, Systolic murmur
at 2nd left ICS & holosystolic murmur at LLSB
What criteria would you have to consider inpatient admission in a patient with
pneumonia - ...(ANSWERS)....Infants less than 4 months old, Infant with poor
feeding, grunting, O2 saturation <92%, respiratory rate >70 , Older child with
grunting, inability to tolerate oral intake, oxygen saturation ≤ 92 percent,
respiratory rate > 50 breaths per minute, Any age: Comorbidities (e.g., chronic
lung disease, asthma, unrepaired or incompletely repaired congenital heart
disease, diabetes mellitus, neuromuscular disease)
, Visual acuity of a 2-month-old - ...(ANSWERS)....• Vision is 20/400 • Fix and follow
objects
Viral conjunctivitis etiology (causative agent): - ...(ANSWERS)....Adenovirus is the
most common cause. Other causes: HSV, herpes zoster, and varicella
Viral conjunctivitis symptoms: - ...(ANSWERS)....o Watery discharge (profuse and
clear), foreign body sensation, redness o URI symptoms are common including
sore throat and fever o Itchy conjunctiva and swollen eye lids o Often bilateral
Viral conjunctivitis Clinical findings - ...(ANSWERS)....o Normal visual acuity,
PERRLA, EOMI, Fundus normal o Mucoid-profuse watery discharge o Mild, diffuse
injection and itching o *Preauricular lymphadenopathy
Viral conjunctivitis Treatment: - ...(ANSWERS)....Symptomatic Only - Warm or
cool compresses, Strict hand hygiene
Pharyngitis - ...(ANSWERS)....Typically viral
Causative organism for bacterial pharyngitis - ...(ANSWERS)....Group A Beta
Hemolytic strep
Subjective findings for strep pharyngitis: - ...(ANSWERS)....Rapid onset of sore
throat, abdominal pain, headache, dysphasiay
COMPLETE SOLUTIONS (100 % CORRECT AND
VERIFIED) ALREADY PASSED!!
Otitis media pathogens - ...(ANSWERS)....Caused by: S. Pneumoniae (most
common); H. Influenzae, M. Catarrhils
Otitis media Symptoms: - ...(ANSWERS)....Fever, Pain, discharge from ear, tugging
at ear, irritability, crying, lethargy, decreased appetite, decreased sleep, Recent
URI
Objective findings in otitis media - ...(ANSWERS)....Red, bulging OM; Retracted
with pus; no movement of TM, Inability to see landmarks; occasional hole in TM
Treatment for AOM + Conjunctivitis d/t : H. Influenzae -
...(ANSWERS)....Amoxicillin-clavulanate 80-90 mg/kg/day BID x 10 days
Treatment for AOM d/t S. Pneumoniae (most common): -
...(ANSWERS)....Amoxicillin 80-90 mg/kg/day BID x 10 days (high dose)
Treatment for AOM with PCN Allergy: Non-Type 1: - ...(ANSWERS)....Cefdinir,
Cefuroxime
Treatment for AOM with PCN Allergy: Type 1: - ...(ANSWERS)....Azithromycin,
clarithromycin OR Ceftriaxone 1-3 days
,Predisposing factors of otitis externa: - ...(ANSWERS)....Frequent moisture, local
trauma, aggressive cleaning, Allergies/skin conditions
Causative organisms for otitis externa: - ...(ANSWERS)....Psuedomonas aeruginosa
(20-60%); Staphylococcus Aureus (10-70%); 10% fungal infection
Symptoms of otitis externa: - ...(ANSWERS)....Discharge from ear, recent history
of swimming or placing something in the ear, low-grade fever, pain with
movement of tragus, decreased hearing, redness around ear
Objective findings of otitis externa: - ...(ANSWERS)....Otalgia ( inner or outer ear
pain), discharge, fullness, itching, pain with movement of tragus, redness around
ear, decreased hearing.
Treatment of pain and therapeutic management of otitis externa: -
...(ANSWERS)....Warm compresses, Auralgan, prednisone, Tylenol/ibuprofen,
Wick (abx applied to wick )
When to wick with otitis externa: - ...(ANSWERS)....If lumen is reduced to >50%,
wicks can help ensure delivery of topical abx to medial canal.
Treatment of otitis externa: - ...(ANSWERS)....Topical fluroquinolones
(Ciprofloxacin, Ofloxacin), ibuprofen and apap for pain, neomycin/polymixin
b/hydrocortison otic (antibiotic/steroid)
,Hallmark sign of otitis externa: - ...(ANSWERS)....Traction of pinna elicits pain
When do we begin hearing tests in clinic for children - ...(ANSWERS)....4 years old
What is a normal audiology test result and how are results read -
...(ANSWERS)....Normal -10 to +15 The higher the number, the greater the loss,
Severe loss 71-90 (learning disability, limited vocabulary), Profound loss 90
Risk factors related to elevated cholesterol - ...(ANSWERS)....Obesity, Diabetes,
Hypertension, Family history: Coronary heart disease prior to age 55,
Hyperlipidemia, Diabetes
Clinical findings for tetralogy of Fallot: - ...(ANSWERS)....Cyanosis: caused by
blood low in oxygen, Shortness of breath and rapid breathing, especially during
feeding or exercise, Loss of consciousness, Clubbing of fingers and toes, Poor
weight gain, delayed growth, Polycythemia, metabolic acidosis, Systolic murmur
at 2nd left ICS & holosystolic murmur at LLSB
What criteria would you have to consider inpatient admission in a patient with
pneumonia - ...(ANSWERS)....Infants less than 4 months old, Infant with poor
feeding, grunting, O2 saturation <92%, respiratory rate >70 , Older child with
grunting, inability to tolerate oral intake, oxygen saturation ≤ 92 percent,
respiratory rate > 50 breaths per minute, Any age: Comorbidities (e.g., chronic
lung disease, asthma, unrepaired or incompletely repaired congenital heart
disease, diabetes mellitus, neuromuscular disease)
, Visual acuity of a 2-month-old - ...(ANSWERS)....• Vision is 20/400 • Fix and follow
objects
Viral conjunctivitis etiology (causative agent): - ...(ANSWERS)....Adenovirus is the
most common cause. Other causes: HSV, herpes zoster, and varicella
Viral conjunctivitis symptoms: - ...(ANSWERS)....o Watery discharge (profuse and
clear), foreign body sensation, redness o URI symptoms are common including
sore throat and fever o Itchy conjunctiva and swollen eye lids o Often bilateral
Viral conjunctivitis Clinical findings - ...(ANSWERS)....o Normal visual acuity,
PERRLA, EOMI, Fundus normal o Mucoid-profuse watery discharge o Mild, diffuse
injection and itching o *Preauricular lymphadenopathy
Viral conjunctivitis Treatment: - ...(ANSWERS)....Symptomatic Only - Warm or
cool compresses, Strict hand hygiene
Pharyngitis - ...(ANSWERS)....Typically viral
Causative organism for bacterial pharyngitis - ...(ANSWERS)....Group A Beta
Hemolytic strep
Subjective findings for strep pharyngitis: - ...(ANSWERS)....Rapid onset of sore
throat, abdominal pain, headache, dysphasiay
