NUR 652 - FINAL EXAM STUDY GUIDE EXAM
QUESTIONS WITH VERIFIED ANSWERS LATEST
UPDATE
A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic by a
parent. An exam reveals three avulsed front teeth. Radiologic studies are negative for
facial fractures. What is the recommended treatment?
Refer the child to the dentist immediately for further evaluation
A child who was treated with amoxicillin and then amoxicillin-clavulanate for acute otitis
media is seen for follow-up. The primary care nurse practitioner notes dull-gray
tympanic membranes with a visible air-fluid level. The child is afebrile and without pain.
What is the next course of action?
Monitoring ear fluid levels for 3 months
A 13-year-old with cerebral palsy receives all nutrition via gastrostomy tube. What will
the primary care nurse practitioner recommend to promote dental health in this child?
Daily chlorhexidine gluconate
A primary care provider may suspect cataract formation in a patient with which finding?
Asymmetric red reflex
,A patient has chronically dry eyes, sometimes with a foreign body sensation, burning,
and itching. A Schirmer test is abnormal. What is the suspected cause of this patient's
symptoms?
Aqueous Deficiency
A teen who has otitis externa has severe swelling of the external auditory canal that
persists after 2 days of therapy with ototopical antibiotic/corticosteroid drops. What is
the next step in treatment for this child?
Insert a wick into the external auditory canal
A patient reports tooth pain in a lower molar and the provider notes a mobile tooth with
erythema and edema of the surrounding tissues without discharge. Which is the initial
course of action by the provider?
Prescribe amoxicillin and refer to a dentist in 2-3 days
An elderly patient has a permanent loss of the sense of smell and diminished taste.
What will be included in teaching this patient about managing these symptoms?
1. The importance of installing smoke detectors
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
A toddler exhibits exotropia of the right eye during a cover-uncover screen. The primary
nurse practitioner will refer to a pediatric ophthalmologist to initiate which treatment?
Patching of the unaffected eye for 2 hours each day
,An adolescent has localized bleeding of the gums when brushing the teeth. An exam of
the mouth reveals the presence of plaque and calculus on the teeth which are not loose.
What will the primary care nurse practitioner recommend?
Consistently brushing and flossing the teeth twice daily
A provider is recommending a cerumenolytic for a patient who has chronic cerumen
buildup. The provider notes that the patient has dry skin in the ear canal. Which
preparation is FDA approved for this use?
Carbamide peroxide
A parent asks about ways to promote dental health in school-aged children while on
family vacation that are convenient while camping and picnicking. What will the primary
care nurse practitioner recommend?
Offering gum containing xylitol after meals
A patient reports several episodes of acute vertigo, some lasting up to an hour with
associated nausea and vomiting. What is part of the initial diagnostic workup for this
patient?
Audiogram and MRI
A teen with a history of otitis externa asks about ways to prevent this condition. What
will the primary care nurse practitioner recommend?
Drying the ear canal with a hair dryer
, A 7-month-old infant has had two prior acute ear infections and is currently on the 10th
day of therapy with amoxicillin-clavulanate after a failed course of amoxicillin. The
primary care nurse practitioner notes marker middle ear effusion and erythema of the
TM. The child is irritable and has a temperature of 99.8. What is the next step in
management of this child's infection?
Refer the child to an otolaryngologist
A patient reports painful swelling in the mouth with increased pain at mealtimes. The
provider notes a mass in the salivary gland region. What is the likely cause of these
symptoms?
Sialolithiasis
A child complains of itching in both ears and is having trouble hearing. The primary care
nurse practitioner notes periauricular edema and marked swelling of the external
auditory canal and elicits severe pain when manipulating the external ear structures.
Which is an appropriate intervention?
Order ototopical antibiotic/corticosteroid drops
During a well child assessment of an African American infant, the primary care nurse
practitioner notes a dark red-brown light reflex in the left eye and a slightly brighter, red-
orange light reflex in the right eye. The nurse practitioner will...
Refer the infant to an ophthalmologist
Which Are Risk Factors For Development Of Cataracts?
1. Smoking
2. Advancing Age
3. UV Light
QUESTIONS WITH VERIFIED ANSWERS LATEST
UPDATE
A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic by a
parent. An exam reveals three avulsed front teeth. Radiologic studies are negative for
facial fractures. What is the recommended treatment?
Refer the child to the dentist immediately for further evaluation
A child who was treated with amoxicillin and then amoxicillin-clavulanate for acute otitis
media is seen for follow-up. The primary care nurse practitioner notes dull-gray
tympanic membranes with a visible air-fluid level. The child is afebrile and without pain.
What is the next course of action?
Monitoring ear fluid levels for 3 months
A 13-year-old with cerebral palsy receives all nutrition via gastrostomy tube. What will
the primary care nurse practitioner recommend to promote dental health in this child?
Daily chlorhexidine gluconate
A primary care provider may suspect cataract formation in a patient with which finding?
Asymmetric red reflex
,A patient has chronically dry eyes, sometimes with a foreign body sensation, burning,
and itching. A Schirmer test is abnormal. What is the suspected cause of this patient's
symptoms?
Aqueous Deficiency
A teen who has otitis externa has severe swelling of the external auditory canal that
persists after 2 days of therapy with ototopical antibiotic/corticosteroid drops. What is
the next step in treatment for this child?
Insert a wick into the external auditory canal
A patient reports tooth pain in a lower molar and the provider notes a mobile tooth with
erythema and edema of the surrounding tissues without discharge. Which is the initial
course of action by the provider?
Prescribe amoxicillin and refer to a dentist in 2-3 days
An elderly patient has a permanent loss of the sense of smell and diminished taste.
What will be included in teaching this patient about managing these symptoms?
1. The importance of installing smoke detectors
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
A toddler exhibits exotropia of the right eye during a cover-uncover screen. The primary
nurse practitioner will refer to a pediatric ophthalmologist to initiate which treatment?
Patching of the unaffected eye for 2 hours each day
,An adolescent has localized bleeding of the gums when brushing the teeth. An exam of
the mouth reveals the presence of plaque and calculus on the teeth which are not loose.
What will the primary care nurse practitioner recommend?
Consistently brushing and flossing the teeth twice daily
A provider is recommending a cerumenolytic for a patient who has chronic cerumen
buildup. The provider notes that the patient has dry skin in the ear canal. Which
preparation is FDA approved for this use?
Carbamide peroxide
A parent asks about ways to promote dental health in school-aged children while on
family vacation that are convenient while camping and picnicking. What will the primary
care nurse practitioner recommend?
Offering gum containing xylitol after meals
A patient reports several episodes of acute vertigo, some lasting up to an hour with
associated nausea and vomiting. What is part of the initial diagnostic workup for this
patient?
Audiogram and MRI
A teen with a history of otitis externa asks about ways to prevent this condition. What
will the primary care nurse practitioner recommend?
Drying the ear canal with a hair dryer
, A 7-month-old infant has had two prior acute ear infections and is currently on the 10th
day of therapy with amoxicillin-clavulanate after a failed course of amoxicillin. The
primary care nurse practitioner notes marker middle ear effusion and erythema of the
TM. The child is irritable and has a temperature of 99.8. What is the next step in
management of this child's infection?
Refer the child to an otolaryngologist
A patient reports painful swelling in the mouth with increased pain at mealtimes. The
provider notes a mass in the salivary gland region. What is the likely cause of these
symptoms?
Sialolithiasis
A child complains of itching in both ears and is having trouble hearing. The primary care
nurse practitioner notes periauricular edema and marked swelling of the external
auditory canal and elicits severe pain when manipulating the external ear structures.
Which is an appropriate intervention?
Order ototopical antibiotic/corticosteroid drops
During a well child assessment of an African American infant, the primary care nurse
practitioner notes a dark red-brown light reflex in the left eye and a slightly brighter, red-
orange light reflex in the right eye. The nurse practitioner will...
Refer the infant to an ophthalmologist
Which Are Risk Factors For Development Of Cataracts?
1. Smoking
2. Advancing Age
3. UV Light
