NR 302 Week 4 Edapt
Complete Quiz Review
(Questions & Solutions)
2025
1
, 1. MCQ
During a well-child visit a 4-year-old refuses otoscopy. Which maneuver
makes the external auditory canal as straight as possible for this age?
A. Pull pinna up and back
B. Pull pinna straight back only
C. Pull pinna down and back
D. Flex the child’s head toward the chest
ANS: C
Rationale: In children <3 years the canal slopes upward; gently pulling
the auricle down and back aligns the canal for visualization .
---
2. FITB
Visual acuity recorded as 20/40 means the patient sees at _____ feet
what a person with normal vision sees at 40 feet.
ANS: 20
Rationale: The first number is the testing distance; the second is the
distance at which the normal eye discerns the same line.
---
3. T/F
Accommodation testing normally elicits both pupillary constriction and
ocular convergence.
ANS: True
Rationale: Parasympathetic CN III fibers constrict pupils while the
medial recti converge the eyes.
---
2
, 4. MR – Select all that apply
Which findings increase suspicion for acute bacterial sinusitis rather
than a viral URI?
[ ] A. Facial pain persisting >10 days
[ ] B. Anosmia lasting <24 h
[ ] C. Purulent nasal discharge
[ ] D. Maxillary toothache
[ ] E. Fever >101 °F (38.3 °C)
ANSs: A, C, D, E
Rationale: Persistence >10 days, purulence, unilateral tooth pain, and
high fever fulfill IDSA “double-sickening” or severe-illness criteria;
isolated transient anosmia is nonspecific.
---
5. MCQ
While assessing a stye (hordeolum) on the right upper lid, the nurse
palpates an enlarged, tender pre-auricular node. Which statement is
most accurate?
A. This node drains scalp infections.
B. It commonly drains superficial eyelid & conjunctival regions.
C. Such drainage indicates thyroiditis.
D. Pre-auricular nodes are normally non-palpable in adults.
ANS: B
Rationale: Pre-auricular nodes receive lymph from the lateral eyelids,
conjunctiva, and temporal scalp.
---
6. FITB
A difference in pupil size of ≥ 0.4 mm is termed ____________ if it is
constant in all lighting conditions.
3
Complete Quiz Review
(Questions & Solutions)
2025
1
, 1. MCQ
During a well-child visit a 4-year-old refuses otoscopy. Which maneuver
makes the external auditory canal as straight as possible for this age?
A. Pull pinna up and back
B. Pull pinna straight back only
C. Pull pinna down and back
D. Flex the child’s head toward the chest
ANS: C
Rationale: In children <3 years the canal slopes upward; gently pulling
the auricle down and back aligns the canal for visualization .
---
2. FITB
Visual acuity recorded as 20/40 means the patient sees at _____ feet
what a person with normal vision sees at 40 feet.
ANS: 20
Rationale: The first number is the testing distance; the second is the
distance at which the normal eye discerns the same line.
---
3. T/F
Accommodation testing normally elicits both pupillary constriction and
ocular convergence.
ANS: True
Rationale: Parasympathetic CN III fibers constrict pupils while the
medial recti converge the eyes.
---
2
, 4. MR – Select all that apply
Which findings increase suspicion for acute bacterial sinusitis rather
than a viral URI?
[ ] A. Facial pain persisting >10 days
[ ] B. Anosmia lasting <24 h
[ ] C. Purulent nasal discharge
[ ] D. Maxillary toothache
[ ] E. Fever >101 °F (38.3 °C)
ANSs: A, C, D, E
Rationale: Persistence >10 days, purulence, unilateral tooth pain, and
high fever fulfill IDSA “double-sickening” or severe-illness criteria;
isolated transient anosmia is nonspecific.
---
5. MCQ
While assessing a stye (hordeolum) on the right upper lid, the nurse
palpates an enlarged, tender pre-auricular node. Which statement is
most accurate?
A. This node drains scalp infections.
B. It commonly drains superficial eyelid & conjunctival regions.
C. Such drainage indicates thyroiditis.
D. Pre-auricular nodes are normally non-palpable in adults.
ANS: B
Rationale: Pre-auricular nodes receive lymph from the lateral eyelids,
conjunctiva, and temporal scalp.
---
6. FITB
A difference in pupil size of ≥ 0.4 mm is termed ____________ if it is
constant in all lighting conditions.
3
