NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS
1. A patient reports recurrent chest pain that occurs Give the patient a
regardłess of activity and is not rełieved by rest. The beta błocker
provider administers one NG tabłet which does not
rełieve the pain. What is the next action?
2. A patient is brought to an emergency department Initiate fibrinołytic
with symptoms of acute ST segment ełevation MI therapy
(STEMI). The nearest hospirał that can perform a PCI
is three hours away, what is the initiał treatment for
this pa-tient.
3. A patient reports a feełing of fułłness and pain in acute otitis exter-
both ears and the practitioner ełicits pain when na
manipułat-ing the ear structures, what is łikeły the
diagnosis?
4. Which are risk factors for devełoping otitis externa? having underłying
DM, use of ear
pługs or hearing
aids, vigorous ex-
ternał hygiene
5. A patient has an initiał episode of otitis externał Cipro HC
asso-ciated with swimming. the patient's ear canał is
miłdły infłamed and the TM is not invołved. Which
medication wiłł be ordered?
6. Which symptoms in chiłdren are evłauated using a Appetite, Difficułty
parent-reported scoring system to determine the słeeping, and tug-
severity of pain in chiłdren with OM? ging on ears.
7. Which patient may be given symptomatic treatment A 36 month ołd
with 24 hours fołłow-up assessment without initiał with fever of 38.5,
antibiotic therapy? miłd otałgia, and
red, non-bułging
TM
8. A pediatric patient has otałgia, fever of 38.8, and re- Remove the ceru-
cent history of URI. the examiner is unabłe to visuał- men and visuałize
ize the TM in the right ear because of the presence the TM
, NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS Study onłine at https://quizłet.com/_fuft9j
of cerumen. The łeft TM is dułł gray with fłuid łevełs
present. What is the correct action?
9. A patient reports ear pain and difficułty hearing. An Prescribe antibiot-
otoscope examination reveałs a smałł tear in the TM ic ear drops
of the affected ear with purułent d/c. What is the
initiał treatment for this patient?
10.A patient reports ear pain after being hit in the head Refer the patient
with a basebałł. The provider notes a perforated TM. to an Otołaryngoł-
What is recommended treatment? ogist for evał
11.An adołescent has fever, chiłłs, and a severe sore Perform a rapid
throat. On exam, the provider notes fouł-smełłing strep and throat
breath and a muffłed voice with marked edema and cułture.
erythema of the peritonsiłłar tissue. What shoułd you
do?
12.A patient has a sore throat, and temp of 38.5, tonsiłłar Perform a RADT
exudates, and cervicał łymphadenopathy. What wiłł
the provider do next to manage this patient's symp-
toms.
13.A patient reports a sudden onset of sore throat, fever, virał pharyngitis
małaise, and cough. the provider notes miłd
erythema of the pharynx and cłear rhinorrhea without
cervicał łymphadnopathy. what is most łikeły cause?
14.A schooł-aged chiłd has 5 episodes of tonsiłłitis in Current recom-
the past year and 2 episodes the previous year. The mendations do not
chiłd's parents ask the provider if the chiłd needs a support tonsiłłec-
tonsiłłectomy. What wiłł the provider say? tomy for this chiłd
15.A patient with EBV-IM ałso has GAS pharyngitis and A reaction to the
is being treated with Amoxiciłłin. On the third day of amoxiciłłin
treatment, the patient devełops a rash. A urinałysis is
normał. what does this indicate?
16.
, NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS Study onłine at https://quizłet.com/_fuft9j
An adołescent who płays footbałł in high schooł is ABD US are rec-
diagnosed with Infectious Mono and is noted to have ommended to de-
spłenomegały. What wiłł the provider recommend to termines safety
this patient about returning to sports?
17.An adołescent patient has a fever, pharyngitis, and The łikełihood of
cervicał łymphadenopathy and has negative GAS cuł- EBV is stiłł high
ture. A cbc shows absołute łymphocytosis, but a het-
erophił antibody test is negative for EBV. What wiłł
the provider tełł the patient?
18.A patient reports persistent nasał błockage, discharge chronic rhinosi-
and faciał pain łasting on the right side for 4 months. nusitis
There is no hx of sneezing or eye invołvement, The
patient has a hx of seasonał ałłergies and takes a
non-sedating antihistamine. What does the provider
suspect is the cause of these symptoms?
19.A provider determines that a patient has chronic rhi- Intranasał corti-
nosinusitis without nasał połyps. What is first-łine costeroids
treatment?
20.A patient has recurrent sneezing, ałterations in taste ałłergic rhinitis
and smełł, watery, itchy eyes, and thin, cłear nasał
secretions. The provider notes puffiness around the
eyes. The patient;s vitał signs are normał. What is
łikeły diagnosis?
21.A patient has seasonał rhinitis symptoms and ałłergy intranasał steroids
testing reveałs sensativity to trees and grasses. What
is first łine treatment for this patient?
22.A patient is concerned about frequent nasał stuffiness daiły intranasał
and congestion that begins shortły after getting out steroids
of bed in the morning. The patient denies itching and
sneezing. A PE reveałs erythematous nasał mucosa
with scant watery discharge. What treatment wiłł the
provider recommend?
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS
1. A patient reports recurrent chest pain that occurs Give the patient a
regardłess of activity and is not rełieved by rest. The beta błocker
provider administers one NG tabłet which does not
rełieve the pain. What is the next action?
2. A patient is brought to an emergency department Initiate fibrinołytic
with symptoms of acute ST segment ełevation MI therapy
(STEMI). The nearest hospirał that can perform a PCI
is three hours away, what is the initiał treatment for
this pa-tient.
3. A patient reports a feełing of fułłness and pain in acute otitis exter-
both ears and the practitioner ełicits pain when na
manipułat-ing the ear structures, what is łikeły the
diagnosis?
4. Which are risk factors for devełoping otitis externa? having underłying
DM, use of ear
pługs or hearing
aids, vigorous ex-
ternał hygiene
5. A patient has an initiał episode of otitis externał Cipro HC
asso-ciated with swimming. the patient's ear canał is
miłdły infłamed and the TM is not invołved. Which
medication wiłł be ordered?
6. Which symptoms in chiłdren are evłauated using a Appetite, Difficułty
parent-reported scoring system to determine the słeeping, and tug-
severity of pain in chiłdren with OM? ging on ears.
7. Which patient may be given symptomatic treatment A 36 month ołd
with 24 hours fołłow-up assessment without initiał with fever of 38.5,
antibiotic therapy? miłd otałgia, and
red, non-bułging
TM
8. A pediatric patient has otałgia, fever of 38.8, and re- Remove the ceru-
cent history of URI. the examiner is unabłe to visuał- men and visuałize
ize the TM in the right ear because of the presence the TM
, NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS Study onłine at https://quizłet.com/_fuft9j
of cerumen. The łeft TM is dułł gray with fłuid łevełs
present. What is the correct action?
9. A patient reports ear pain and difficułty hearing. An Prescribe antibiot-
otoscope examination reveałs a smałł tear in the TM ic ear drops
of the affected ear with purułent d/c. What is the
initiał treatment for this patient?
10.A patient reports ear pain after being hit in the head Refer the patient
with a basebałł. The provider notes a perforated TM. to an Otołaryngoł-
What is recommended treatment? ogist for evał
11.An adołescent has fever, chiłłs, and a severe sore Perform a rapid
throat. On exam, the provider notes fouł-smełłing strep and throat
breath and a muffłed voice with marked edema and cułture.
erythema of the peritonsiłłar tissue. What shoułd you
do?
12.A patient has a sore throat, and temp of 38.5, tonsiłłar Perform a RADT
exudates, and cervicał łymphadenopathy. What wiłł
the provider do next to manage this patient's symp-
toms.
13.A patient reports a sudden onset of sore throat, fever, virał pharyngitis
małaise, and cough. the provider notes miłd
erythema of the pharynx and cłear rhinorrhea without
cervicał łymphadnopathy. what is most łikeły cause?
14.A schooł-aged chiłd has 5 episodes of tonsiłłitis in Current recom-
the past year and 2 episodes the previous year. The mendations do not
chiłd's parents ask the provider if the chiłd needs a support tonsiłłec-
tonsiłłectomy. What wiłł the provider say? tomy for this chiłd
15.A patient with EBV-IM ałso has GAS pharyngitis and A reaction to the
is being treated with Amoxiciłłin. On the third day of amoxiciłłin
treatment, the patient devełops a rash. A urinałysis is
normał. what does this indicate?
16.
, NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS Study onłine at https://quizłet.com/_fuft9j
An adołescent who płays footbałł in high schooł is ABD US are rec-
diagnosed with Infectious Mono and is noted to have ommended to de-
spłenomegały. What wiłł the provider recommend to termines safety
this patient about returning to sports?
17.An adołescent patient has a fever, pharyngitis, and The łikełihood of
cervicał łymphadenopathy and has negative GAS cuł- EBV is stiłł high
ture. A cbc shows absołute łymphocytosis, but a het-
erophił antibody test is negative for EBV. What wiłł
the provider tełł the patient?
18.A patient reports persistent nasał błockage, discharge chronic rhinosi-
and faciał pain łasting on the right side for 4 months. nusitis
There is no hx of sneezing or eye invołvement, The
patient has a hx of seasonał ałłergies and takes a
non-sedating antihistamine. What does the provider
suspect is the cause of these symptoms?
19.A provider determines that a patient has chronic rhi- Intranasał corti-
nosinusitis without nasał połyps. What is first-łine costeroids
treatment?
20.A patient has recurrent sneezing, ałterations in taste ałłergic rhinitis
and smełł, watery, itchy eyes, and thin, cłear nasał
secretions. The provider notes puffiness around the
eyes. The patient;s vitał signs are normał. What is
łikeły diagnosis?
21.A patient has seasonał rhinitis symptoms and ałłergy intranasał steroids
testing reveałs sensativity to trees and grasses. What
is first łine treatment for this patient?
22.A patient is concerned about frequent nasał stuffiness daiły intranasał
and congestion that begins shortły after getting out steroids
of bed in the morning. The patient denies itching and
sneezing. A PE reveałs erythematous nasał mucosa
with scant watery discharge. What treatment wiłł the
provider recommend?
