Maryville NURS 620 Adult 1 EXAM
1 QUESTIONS AND ANSWERS
100% PASS
if rapid strep test is negative what is the first thing you should do?—ANSWER-send out
culture
when examining lab from a person with mono what would the NP expect to find?—
ANSWER-Lymphocytosis
EBV is transmitted through which route?—ANSWER-oral pharyngeal secretions (saliva)
Sx of mono usually present how many days after initially infected?—ANSWER-30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med
to avoid—ANSWER-beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated lesion
with induration what do you suspect—ANSWER-oral cancer
which vision sx is common in open angel glaucoma—ANSWER-peripheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step—
ANSWER-refer to eye dr (retinal detachment)
, An acutely presenting, erythematous, tender lump within the eyelid—ANSWER-Hordeolum
(stye)
A granulomatous infection of a Meibomian gland, presenting in the form of painless swelling
on the eyelid—ANSWER-Chalazion
what maneuver can be performed to help manage sx of vertigo?—ANSWER-Epley maneuver
What can help diagnose vertigo—ANSWER-Dix-Hallpack test
A pt is started on antibiotics for strep a few days later the mono spot comes back positive
what is the first thing to do?—ANSWER-discontinue antibiotics
peripheral vision loss that has worsened over the last few months—ANSWER-open-angle
glaucoma (peripheral loss over time)
Risk factor for otitis externa?—ANSWER-Exposure to water, excessive use of headphones, Q-
tips, impacted cerumen and earplugs
Risk factor for otitis media?—ANSWER-Young children, allergies, craniofacial abnormalities,
smokers, hx of URI, acid reflux, immunodeficiency
A red flag for pt complaining of red eye?—ANSWER-severe headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with
treatment failure after 7 days of 1st line abx (PCN)?—ANSWER-Doxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and sore
throat; exam shows pharyngeal erythema, pale swollen turbinates, clear rhinorrhea; T 99,
most appropriate treatment plan—ANSWER-saline nasal spray and clariton
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
1 QUESTIONS AND ANSWERS
100% PASS
if rapid strep test is negative what is the first thing you should do?—ANSWER-send out
culture
when examining lab from a person with mono what would the NP expect to find?—
ANSWER-Lymphocytosis
EBV is transmitted through which route?—ANSWER-oral pharyngeal secretions (saliva)
Sx of mono usually present how many days after initially infected?—ANSWER-30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med
to avoid—ANSWER-beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated lesion
with induration what do you suspect—ANSWER-oral cancer
which vision sx is common in open angel glaucoma—ANSWER-peripheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step—
ANSWER-refer to eye dr (retinal detachment)
, An acutely presenting, erythematous, tender lump within the eyelid—ANSWER-Hordeolum
(stye)
A granulomatous infection of a Meibomian gland, presenting in the form of painless swelling
on the eyelid—ANSWER-Chalazion
what maneuver can be performed to help manage sx of vertigo?—ANSWER-Epley maneuver
What can help diagnose vertigo—ANSWER-Dix-Hallpack test
A pt is started on antibiotics for strep a few days later the mono spot comes back positive
what is the first thing to do?—ANSWER-discontinue antibiotics
peripheral vision loss that has worsened over the last few months—ANSWER-open-angle
glaucoma (peripheral loss over time)
Risk factor for otitis externa?—ANSWER-Exposure to water, excessive use of headphones, Q-
tips, impacted cerumen and earplugs
Risk factor for otitis media?—ANSWER-Young children, allergies, craniofacial abnormalities,
smokers, hx of URI, acid reflux, immunodeficiency
A red flag for pt complaining of red eye?—ANSWER-severe headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with
treatment failure after 7 days of 1st line abx (PCN)?—ANSWER-Doxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and sore
throat; exam shows pharyngeal erythema, pale swollen turbinates, clear rhinorrhea; T 99,
most appropriate treatment plan—ANSWER-saline nasal spray and clariton
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
