NR667 FNP CAPSTONE WEEK 1
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ What is epidemic keratoconjunctivitis transmitted?.
Answer: contact with infected eye secretions
◍ orbital/periorbital Cellulitis is caused by:.
Answer: -staph aureus-group A streptococcus-steptococcus pneumoneae-h.
influenzae-fungus
◍ Blepharitis contributing factors:.
Answer: -chemical/environmental exposure-eye make up-contact lenses
◍ Otitis externa patho:.
Answer: -exposure to moisture, aggressive cleaning-allergies/skin
conditionbacterial:*Staph. epidermidis*pseudomonas sp.*staph
aureus*Candida and aspergillus in chronic.
◍ Diabetic retinopathy:.
Answer: -need yearly exam-3
stages*background-preproliferative-proliferative
◍ cerumen impcation:.
Answer: -scoop-water irrigation-10% sodium bicarb gttsusually easy to
remove in office
◍ LPN's Accountability.
Answer: Uphold clinical standards, educate, communicate, and collaborate
with healthcare team.
◍ Anterior epistaxis:.
Answer: -Kiesselbach's plexus90% of bleeds
,◍ How often does medication reconciliation have to be done ?.
Answer: Every 24 hrs
◍ What antibx may be used in GABHS pharyngitis if there is a pcn allergy?.
Answer: -first-generation cephalosporins-clindamycin-macrolides
◍ Angular cheilosis:.
Answer: -dry and burning sensation at corner of mouth-epithelium looks
wrinkled and macerated-wrinkles deepen with fissures appear ulcerated but
do not bleed-causes: candida albicans; staph, strep-riboflavin
deficiency-referral-petrolatum ointment
◍ Canker sore classification:.
Answer: -occasional-acute: persists for weeks; may have GI
disorder-chronic: for years
◍ OME patho:.
Answer: -dysfunction of eustachian tube preventing drainage-preceding
cold, allergies, sinus congestion-smokers higher risk-may develop after
AOM and last for weeks/months
◍ Otitis media with effusion:.
Answer: -transudation of plasma from middle ear blood vessels, leading to
chronic effusion in absence of s/s of acute infection
◍ What are first line antibx for rhinosinusitis?.
Answer: -amoxicillin w/wo clavulanate
◍ internal hordeolum:.
Answer: inflammation of meibomian glands
◍ Erythroplakia tx:.
Answer: -dc irritants-14 day observe for healing-referral
◍ blepharitis management:.
Answer: -warm compress-lid scrub with baby shampoo-lid massage to
empty meibomian glands-remove contacts and disinfect
,◍ external hordeolum:.
Answer: inflammation of hair follicle of eyelash
◍ Allergic rhinitis:.
Answer: -itching-epiphoria (stringy, watery discharge)-sneezing, coughing,
sore/burning throat
◍ gingivitis tx:.
Answer: -dental visits to remove -plaque control-power
toothbrush-flossing-topical antimicrobial mouthwash-chlorhexidine
◍ lesions:.
Answer: -95% on lower lip-carcinoma of tongue/floor of mouth metastasize
and poor prognosis
◍ dry eye treatment level 4.
Answer: -systemic anti-inflammatories-surgical interventions; correct
abnormalities, graft mucous membranes, transplant salivary gland duct
◍ Safety Needs.
Answer: Security, Freedom from harm, ProtectionData collected can be real
or imagined by the patient.
◍ Symptomatic treatment for rhinosinusitis:.
Answer: -analgesics-intranasal corticosteroids-saline nasal irrigation
◍ GAS (strep throat) diagnostics:.
Answer: -throat culture is gold standard-RADT ; less
sensitive-CBC-leukocytosis-centor scoring
◍ Edentulousness:.
Answer: -loss of 21 natural teeth-trouble chewing, undesirable diets, trouble
enunciating-poor esthetics-lower self esteem-may have dentures that can
cause lesions
◍ Esteem Needs.
Answer: respect and recognition
◍ Corneal/FB presentation:.
, Answer: -pain-redness-tearing-photophobia-FB sensation
◍ chronic sinusitis:.
Answer: -may need imaging-immunological abnormalities-ENT
referall-antibiotic resistance?
◍ acute herpatic gingivostomatitis:.
Answer: -rare but in older adults if debilitated-red shiny gingiva adjacent to
mucosa-gray vesicle initially then ulcers-regional lymphadenopathy with
high fever-heals in a week-differentiated by diffuse gingival involvement
◍ squamous cell carcinoma risk factors:.
Answer: -cause uknown-more often in tobacco and ETOH-heavy
smokers-viral-diet, marijuana use-genetic-oral cancer carries 20% increased
risk for secondary primary cancer
◍ diabetic retinopathy mgmt:.
Answer: -prevention-only med to slow progression is lisinopril-laster
therapy with proliferative or significant macular edema
◍ Sympathomimetic nasal decongestant:.
Answer: -pseudophedrine, amphetamine, phenylephine-activate sympathetic
nerves through presynaptic release of endogenous norepinephrine. binds to
alpha-receptors and causes vasoconstriction. Rebound may be through weak
affinity toward beta-adrenoreceptors
◍ Ethical decisions In healthcare are made by who?.
Answer: Multidisciplinary teams consisting of nurses, physicians, clergy,
social work and allied health members.
◍ squamous cell carcinoma:.
Answer: -more common in men-4th decade of life-seen -90% of malignant
oral cavity tumors-blacks more than whites
◍ Chlamydial and gonococcal conjunctivitis mgmt:.
Answer: -topical and systemic:PCN and doxycyclineOcular:optho
mgmtgentamicinofloxacin
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ What is epidemic keratoconjunctivitis transmitted?.
Answer: contact with infected eye secretions
◍ orbital/periorbital Cellulitis is caused by:.
Answer: -staph aureus-group A streptococcus-steptococcus pneumoneae-h.
influenzae-fungus
◍ Blepharitis contributing factors:.
Answer: -chemical/environmental exposure-eye make up-contact lenses
◍ Otitis externa patho:.
Answer: -exposure to moisture, aggressive cleaning-allergies/skin
conditionbacterial:*Staph. epidermidis*pseudomonas sp.*staph
aureus*Candida and aspergillus in chronic.
◍ Diabetic retinopathy:.
Answer: -need yearly exam-3
stages*background-preproliferative-proliferative
◍ cerumen impcation:.
Answer: -scoop-water irrigation-10% sodium bicarb gttsusually easy to
remove in office
◍ LPN's Accountability.
Answer: Uphold clinical standards, educate, communicate, and collaborate
with healthcare team.
◍ Anterior epistaxis:.
Answer: -Kiesselbach's plexus90% of bleeds
,◍ How often does medication reconciliation have to be done ?.
Answer: Every 24 hrs
◍ What antibx may be used in GABHS pharyngitis if there is a pcn allergy?.
Answer: -first-generation cephalosporins-clindamycin-macrolides
◍ Angular cheilosis:.
Answer: -dry and burning sensation at corner of mouth-epithelium looks
wrinkled and macerated-wrinkles deepen with fissures appear ulcerated but
do not bleed-causes: candida albicans; staph, strep-riboflavin
deficiency-referral-petrolatum ointment
◍ Canker sore classification:.
Answer: -occasional-acute: persists for weeks; may have GI
disorder-chronic: for years
◍ OME patho:.
Answer: -dysfunction of eustachian tube preventing drainage-preceding
cold, allergies, sinus congestion-smokers higher risk-may develop after
AOM and last for weeks/months
◍ Otitis media with effusion:.
Answer: -transudation of plasma from middle ear blood vessels, leading to
chronic effusion in absence of s/s of acute infection
◍ What are first line antibx for rhinosinusitis?.
Answer: -amoxicillin w/wo clavulanate
◍ internal hordeolum:.
Answer: inflammation of meibomian glands
◍ Erythroplakia tx:.
Answer: -dc irritants-14 day observe for healing-referral
◍ blepharitis management:.
Answer: -warm compress-lid scrub with baby shampoo-lid massage to
empty meibomian glands-remove contacts and disinfect
,◍ external hordeolum:.
Answer: inflammation of hair follicle of eyelash
◍ Allergic rhinitis:.
Answer: -itching-epiphoria (stringy, watery discharge)-sneezing, coughing,
sore/burning throat
◍ gingivitis tx:.
Answer: -dental visits to remove -plaque control-power
toothbrush-flossing-topical antimicrobial mouthwash-chlorhexidine
◍ lesions:.
Answer: -95% on lower lip-carcinoma of tongue/floor of mouth metastasize
and poor prognosis
◍ dry eye treatment level 4.
Answer: -systemic anti-inflammatories-surgical interventions; correct
abnormalities, graft mucous membranes, transplant salivary gland duct
◍ Safety Needs.
Answer: Security, Freedom from harm, ProtectionData collected can be real
or imagined by the patient.
◍ Symptomatic treatment for rhinosinusitis:.
Answer: -analgesics-intranasal corticosteroids-saline nasal irrigation
◍ GAS (strep throat) diagnostics:.
Answer: -throat culture is gold standard-RADT ; less
sensitive-CBC-leukocytosis-centor scoring
◍ Edentulousness:.
Answer: -loss of 21 natural teeth-trouble chewing, undesirable diets, trouble
enunciating-poor esthetics-lower self esteem-may have dentures that can
cause lesions
◍ Esteem Needs.
Answer: respect and recognition
◍ Corneal/FB presentation:.
, Answer: -pain-redness-tearing-photophobia-FB sensation
◍ chronic sinusitis:.
Answer: -may need imaging-immunological abnormalities-ENT
referall-antibiotic resistance?
◍ acute herpatic gingivostomatitis:.
Answer: -rare but in older adults if debilitated-red shiny gingiva adjacent to
mucosa-gray vesicle initially then ulcers-regional lymphadenopathy with
high fever-heals in a week-differentiated by diffuse gingival involvement
◍ squamous cell carcinoma risk factors:.
Answer: -cause uknown-more often in tobacco and ETOH-heavy
smokers-viral-diet, marijuana use-genetic-oral cancer carries 20% increased
risk for secondary primary cancer
◍ diabetic retinopathy mgmt:.
Answer: -prevention-only med to slow progression is lisinopril-laster
therapy with proliferative or significant macular edema
◍ Sympathomimetic nasal decongestant:.
Answer: -pseudophedrine, amphetamine, phenylephine-activate sympathetic
nerves through presynaptic release of endogenous norepinephrine. binds to
alpha-receptors and causes vasoconstriction. Rebound may be through weak
affinity toward beta-adrenoreceptors
◍ Ethical decisions In healthcare are made by who?.
Answer: Multidisciplinary teams consisting of nurses, physicians, clergy,
social work and allied health members.
◍ squamous cell carcinoma:.
Answer: -more common in men-4th decade of life-seen -90% of malignant
oral cavity tumors-blacks more than whites
◍ Chlamydial and gonococcal conjunctivitis mgmt:.
Answer: -topical and systemic:PCN and doxycyclineOcular:optho
mgmtgentamicinofloxacin
