©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM
Advanced Nursing NSG 6001 Exam
Questions With Correct Answers
Chalazion - answer✔A chronic sterile, lipogranulomatous inflammation lesion of the mibomian
gland.
What causes a Chalazion - answer✔meibomian glands secrete the oil layer of the tear film in the
eye. NOT AN INFECTION. More common in adults.
What are the risk factors of a Chalazion - answer✔Chronic Blepharitis, Seborrhea, Viral
infection, rosacea
Clinical presentation of Chalazion - answer✔Chronic swelling at the inner eye lid. (NOT ON
THE LASH LINE)
Swollen, palpable nodule in lid margin of the eye.
NONTENDER.
Discomfort or irritation due to swelling, feeling of foreign body in the eye, swelling of the
eyelid.
Treatment of Chalazion - answer✔Small lesions may not need any treatment.
, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM
Usually absorbs spontaneously in 2-8 weeks
Drains through the inner surface of the eyelid
May need intralesion steroid injection
Warm compress 3-5 times per day
Gentle massage of eyelid (do not try and pop it)
Abx not indicated unless lesion is associated with Blepharitis
Optho referral if develops cellulitis or does not respond to treatment.
Patient education for Chalazion - answer✔- Patient can wear contact lenses. They should be
cleaned with disinfectant. Disposable lenses do not need to be discarded any sooner than
schedule.
- Discard eye makeup.
- Good hand hygiene
Hordeolum - answer✔"STYE"
An acute INFECTION of a glands in the eyelid, may be associated with blepharitis.
- On the lash line
Causes of Hordeolum - answer✔staph aureus is the most common associated organism, can
progress to cellulitis or abcess
, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM
- more common in children
Clinical presentation of Hordeolum - answer✔Gradual enlarging localized nodule
- in 2-4 days will start draining
-painful, tender
-lid erythema, warmth, tearing
Treatment of hordeolum - answer✔- warm compresses for 5-10 min TID
- bactricacin or erythromcyin eye ointment
- Eyelid scrub (same as blepharitis)
- Good hand hygiene
- Monitor for Cellulitis- systemic antibiotics, optho referral
Otitis Externa - answer✔A cellulitis of the EXTERNAL AUDITORY CANAL that may extend
into the auricle
Risk factors for Otitis Externa - answer✔Removal of protective cerumen, vigorous cleaning of
external canal, maceration of skin from accumulation of moisture infection. (Staph,
pseudomonas)
Clinical presentation of Otitis Externa - answer✔Pain of affected ear and auricle, fullness in ear,
itching, drainage from ear, hearing loss, fever
12/3/2024 11:27AM
Advanced Nursing NSG 6001 Exam
Questions With Correct Answers
Chalazion - answer✔A chronic sterile, lipogranulomatous inflammation lesion of the mibomian
gland.
What causes a Chalazion - answer✔meibomian glands secrete the oil layer of the tear film in the
eye. NOT AN INFECTION. More common in adults.
What are the risk factors of a Chalazion - answer✔Chronic Blepharitis, Seborrhea, Viral
infection, rosacea
Clinical presentation of Chalazion - answer✔Chronic swelling at the inner eye lid. (NOT ON
THE LASH LINE)
Swollen, palpable nodule in lid margin of the eye.
NONTENDER.
Discomfort or irritation due to swelling, feeling of foreign body in the eye, swelling of the
eyelid.
Treatment of Chalazion - answer✔Small lesions may not need any treatment.
, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM
Usually absorbs spontaneously in 2-8 weeks
Drains through the inner surface of the eyelid
May need intralesion steroid injection
Warm compress 3-5 times per day
Gentle massage of eyelid (do not try and pop it)
Abx not indicated unless lesion is associated with Blepharitis
Optho referral if develops cellulitis or does not respond to treatment.
Patient education for Chalazion - answer✔- Patient can wear contact lenses. They should be
cleaned with disinfectant. Disposable lenses do not need to be discarded any sooner than
schedule.
- Discard eye makeup.
- Good hand hygiene
Hordeolum - answer✔"STYE"
An acute INFECTION of a glands in the eyelid, may be associated with blepharitis.
- On the lash line
Causes of Hordeolum - answer✔staph aureus is the most common associated organism, can
progress to cellulitis or abcess
, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM
- more common in children
Clinical presentation of Hordeolum - answer✔Gradual enlarging localized nodule
- in 2-4 days will start draining
-painful, tender
-lid erythema, warmth, tearing
Treatment of hordeolum - answer✔- warm compresses for 5-10 min TID
- bactricacin or erythromcyin eye ointment
- Eyelid scrub (same as blepharitis)
- Good hand hygiene
- Monitor for Cellulitis- systemic antibiotics, optho referral
Otitis Externa - answer✔A cellulitis of the EXTERNAL AUDITORY CANAL that may extend
into the auricle
Risk factors for Otitis Externa - answer✔Removal of protective cerumen, vigorous cleaning of
external canal, maceration of skin from accumulation of moisture infection. (Staph,
pseudomonas)
Clinical presentation of Otitis Externa - answer✔Pain of affected ear and auricle, fullness in ear,
itching, drainage from ear, hearing loss, fever
