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NURS 676 MIDTERM EXAM
2026/2027 ACTUAL QUESTIONS
WITH VERIFIED 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
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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
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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
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
NURS 676 MIDTERM EXAM
2026/2027 ACTUAL QUESTIONS
WITH VERIFIED 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
,2 | Page
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
, 3 | Page
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
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
