NUR 676 Final Exam
Questions And 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?
✓~ 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.
✓~ 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?
✓~ acute otitis externa
Which are risk factors for developing otitis externa?
,✓~ having underlying DM, use of ear plugs or hearing aids, vigorous external
hygiene
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?
✓~ Cipro HC
Which symptoms in children are evlauated using a parent-reported scoring
system to determine the severity of pain in children with OM?
✓~ Appetite, Difficulty sleeping, and tugging on ears.
Which patient may be given symptomatic treatment with 24 hours follow-up
assessment without initial antibiotic therapy?
✓~ 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?
, ✓~ Remove the cerumen and visualize the TM
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?
✓~ 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?
✓~ 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?
✓~ 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.
Questions And 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?
✓~ 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.
✓~ 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?
✓~ acute otitis externa
Which are risk factors for developing otitis externa?
,✓~ having underlying DM, use of ear plugs or hearing aids, vigorous external
hygiene
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?
✓~ Cipro HC
Which symptoms in children are evlauated using a parent-reported scoring
system to determine the severity of pain in children with OM?
✓~ Appetite, Difficulty sleeping, and tugging on ears.
Which patient may be given symptomatic treatment with 24 hours follow-up
assessment without initial antibiotic therapy?
✓~ 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?
, ✓~ Remove the cerumen and visualize the TM
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?
✓~ 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?
✓~ 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?
✓~ 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.
