NUR 676 FINAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS NEW 2026
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 takes a non-sedating antihistamine. What does the
provider suspect is the cause of these symptoms? -
ANSWER >>>chronic rhinosinusitis
A provider determines that a patient has chronic rhinosinusitis
without nasal polyps. What is first-line treatment? -
ANSWER >>>Intranasal corticosteroids
A patient has recurrent sneezing, alterations in taste and smell,
watery, itchy eyes, and thin, clear nasal secretions. The provider
notes puffiness around the eyes. The patient;s vital signs are
normal. What is likely diagnosis? - ANSWER >>>allergic rhinitis
A patient has seasonal rhinitis symptoms and allergy testing
reveals sensativity to trees and grasses. What is first line
, treatment for this patient? - ANSWER >>>intranasal steroids
A patient is concerned about frequent nasal stuffiness and
congestion that begins shortly after getting out of bed in the
morning. The patient denies itching and sneezing. A PE reveals
erythematous nasal mucosa with scant watery discharge. What
treatment will the provider recommend? - ANSWER >>>daily
intranasal steroids
What are potential complications of chronic or recurrent sinusitis?
- ANSWER>>>Meningitis, orbital infection, and osteomyleitis.
A patient has nasal congestion, fever, purulent drainage, HA, and
facial pain and begins treatment with augmentin. At a follow up
visit 10 days later after treatment, the patient continues to have
symptoms. What is next course of action? - ANSWER >>>A
second course of augmentin
Which symptoms in a patient with abdominal pain are suggestive
of appendicitis? - ANSWER >>>Abdominal rigidity along with pain,
pain accompanied by low grade fever, pain occurring prior to
nausea and vomiting.
A patient has sudden onset of RUQ pain and epigastric pain with
fever, nausea, vomiting. The ED provider notes yellowing of the
sclera. What is probable cause of findings? -
SOLUTIONS NEW 2026
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 takes a non-sedating antihistamine. What does the
provider suspect is the cause of these symptoms? -
ANSWER >>>chronic rhinosinusitis
A provider determines that a patient has chronic rhinosinusitis
without nasal polyps. What is first-line treatment? -
ANSWER >>>Intranasal corticosteroids
A patient has recurrent sneezing, alterations in taste and smell,
watery, itchy eyes, and thin, clear nasal secretions. The provider
notes puffiness around the eyes. The patient;s vital signs are
normal. What is likely diagnosis? - ANSWER >>>allergic rhinitis
A patient has seasonal rhinitis symptoms and allergy testing
reveals sensativity to trees and grasses. What is first line
, treatment for this patient? - ANSWER >>>intranasal steroids
A patient is concerned about frequent nasal stuffiness and
congestion that begins shortly after getting out of bed in the
morning. The patient denies itching and sneezing. A PE reveals
erythematous nasal mucosa with scant watery discharge. What
treatment will the provider recommend? - ANSWER >>>daily
intranasal steroids
What are potential complications of chronic or recurrent sinusitis?
- ANSWER>>>Meningitis, orbital infection, and osteomyleitis.
A patient has nasal congestion, fever, purulent drainage, HA, and
facial pain and begins treatment with augmentin. At a follow up
visit 10 days later after treatment, the patient continues to have
symptoms. What is next course of action? - ANSWER >>>A
second course of augmentin
Which symptoms in a patient with abdominal pain are suggestive
of appendicitis? - ANSWER >>>Abdominal rigidity along with pain,
pain accompanied by low grade fever, pain occurring prior to
nausea and vomiting.
A patient has sudden onset of RUQ pain and epigastric pain with
fever, nausea, vomiting. The ED provider notes yellowing of the
sclera. What is probable cause of findings? -
