ADVANCED NURSING NSG 6001
EXAM 2025 QUESTIONS AND
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.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,Treatment of Chalazion - ....ANSWER ...-Small lesions may not need any
treatment.
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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, Causes of Hordeolum - ....ANSWER ...-staph aureus is the most common
associated organism, can progress to cellulitis or abcess
- 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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
EXAM 2025 QUESTIONS AND
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.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,Treatment of Chalazion - ....ANSWER ...-Small lesions may not need any
treatment.
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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, Causes of Hordeolum - ....ANSWER ...-staph aureus is the most common
associated organism, can progress to cellulitis or abcess
- 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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
