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
regardless of activity and is not relieved by rest. The beta blocker
provider administers one NG tablet ẅhich does not
relieve the pain. What is the next action?
2. A patient is brought to an emergency department Initiate fibrinolytic
ẅith symptoms of acute ST segment elevation MI therapy
(STEMI). The nearest hospiral that can perform a PCI
is three hours aẅay, ẅhat is the initial treatment for
this pa-tient.
3. A patient reports a feeling of fullness and pain in acute otitis exter-
both ears and the practitioner elicits pain ẅhen na
manipulat-ing the ear structures, ẅhat is likely the
diagnosis?
4. Which are risk factors for developing otitis externa? having underlying
DM, use of ear
plugs or hearing
aids, vigorous ex-
ternal hygiene
5. A patient has an initial episode of otitis external Cipro HC
asso-ciated ẅith sẅimming. the patient's ear canal is
mildly inflamed and the TM is not involved. Which
medication ẅill be ordered?
6. Which symptoms in children are evlauated using a Appetite, Difficulty
parent-reported scoring system to determine the sleeping, and tug-
severity of pain in children ẅith OM? ging on ears.
7. Which patient may be given symptomatic treatment A 36 month old
ẅith 24 hours folloẅ-up assessment ẅithout initial ẅith fever of 38.5,
antibiotic therapy? mild otalgia, and
red, non-bulging
TM
8. A pediatric patient has otalgia, fever of 38.8, and re- Remove the ceru-
cent history of URI. the examiner is unable to visual- men and visualize
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 online at https://quizlet.com/_fuft9j
of cerumen. The left TM is dull gray ẅith fluid levels
present. What is the correct action?
9. A patient reports ear pain and difficulty hearing. An Prescribe antibiot-
otoscope examination reveals a small tear in the TM ic ear drops
of the affected ear ẅith purulent d/c. What is the
initial treatment for this patient?
10.A patient reports ear pain after being hit in the head Refer the patient
ẅith a baseball. The provider notes a perforated TM. to an Otolaryngol-
What is recommended treatment? ogist for eval
11.An adolescent has fever, chills, and a severe sore Perform a rapid
throat. On exam, the provider notes foul-smelling strep and throat
breath and a muffled voice ẅith marked edema and culture.
erythema of the peritonsillar tissue. What should you
do?
12.A patient has a sore throat, and temp of 38.5, tonsillar Perform a RADT
exudates, and cervical lymphadenopathy. What ẅill
the provider do next to manage this patient's symp-
toms.
13.A patient reports a sudden onset of sore throat, fever, viral pharyngitis
malaise, and cough. the provider notes mild
erythema of the pharynx and clear rhinorrhea ẅithout
cervical lymphadnopathy. ẅhat is most likely cause?
14.A school-aged child has 5 episodes of tonsillitis in Current recom-
the past year and 2 episodes the previous year. The mendations do not
child's parents ask the provider if the child needs a support tonsillec-
tonsillectomy. What ẅill the provider say? tomy for this child
15.A patient ẅith EBV-IM also has GAS pharyngitis and A reaction to the
is being treated ẅith Amoxicillin. On the third day of amoxicillin
treatment, the patient develops a rash. A urinalysis is
normal. ẅhat does this indicate?
16.
, NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS Study online at https://quizlet.com/_fuft9j
An adolescent ẅho plays football in high school is ABD US are rec-
diagnosed ẅith Infectious Mono and is noted to have ommended to de-
splenomegaly. What ẅill the provider recommend to termines safety
this patient about returning to sports?
17.An adolescent patient has a fever, pharyngitis, and The likelihood of
cervical lymphadenopathy and has negative GAS cul- EBV is still high
ture. A cbc shoẅs absolute lymphocytosis, but a het-
erophil antibody test is negative for EBV. What ẅill
the provider tell the patient?
18.A patient reports persistent nasal blockage, discharge chronic rhinosi-
and facial pain lasting on the right side for 4 months. nusitis
There is no hx of sneezing or eye involvement, The
patient has a hx of seasonal allergies 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- Intranasal corti-
nosinusitis ẅithout nasal polyps. What is first-line costeroids
treatment?
20.A patient has recurrent sneezing, alterations in taste allergic rhinitis
and smell, ẅatery, itchy eyes, and thin, clear nasal
secretions. The provider notes puffiness around the
eyes. The patient;s vital signs are normal. What is
likely diagnosis?
21.A patient has seasonal rhinitis symptoms and allergy intranasal steroids
testing reveals sensativity to trees and grasses. What
is first line treatment for this patient?
22.A patient is concerned about frequent nasal stuffiness daily intranasal
and congestion that begins shortly after getting out steroids
of bed in the morning. The patient denies itching and
sneezing. A PE reveals erythematous nasal mucosa
ẅith scant ẅatery discharge. What treatment ẅill the
provider recommend?
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS
1. A patient reports recurrent chest pain that occurs Give the patient a
regardless of activity and is not relieved by rest. The beta blocker
provider administers one NG tablet ẅhich does not
relieve the pain. What is the next action?
2. A patient is brought to an emergency department Initiate fibrinolytic
ẅith symptoms of acute ST segment elevation MI therapy
(STEMI). The nearest hospiral that can perform a PCI
is three hours aẅay, ẅhat is the initial treatment for
this pa-tient.
3. A patient reports a feeling of fullness and pain in acute otitis exter-
both ears and the practitioner elicits pain ẅhen na
manipulat-ing the ear structures, ẅhat is likely the
diagnosis?
4. Which are risk factors for developing otitis externa? having underlying
DM, use of ear
plugs or hearing
aids, vigorous ex-
ternal hygiene
5. A patient has an initial episode of otitis external Cipro HC
asso-ciated ẅith sẅimming. the patient's ear canal is
mildly inflamed and the TM is not involved. Which
medication ẅill be ordered?
6. Which symptoms in children are evlauated using a Appetite, Difficulty
parent-reported scoring system to determine the sleeping, and tug-
severity of pain in children ẅith OM? ging on ears.
7. Which patient may be given symptomatic treatment A 36 month old
ẅith 24 hours folloẅ-up assessment ẅithout initial ẅith fever of 38.5,
antibiotic therapy? mild otalgia, and
red, non-bulging
TM
8. A pediatric patient has otalgia, fever of 38.8, and re- Remove the ceru-
cent history of URI. the examiner is unable to visual- men and visualize
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 online at https://quizlet.com/_fuft9j
of cerumen. The left TM is dull gray ẅith fluid levels
present. What is the correct action?
9. A patient reports ear pain and difficulty hearing. An Prescribe antibiot-
otoscope examination reveals a small tear in the TM ic ear drops
of the affected ear ẅith purulent d/c. What is the
initial treatment for this patient?
10.A patient reports ear pain after being hit in the head Refer the patient
ẅith a baseball. The provider notes a perforated TM. to an Otolaryngol-
What is recommended treatment? ogist for eval
11.An adolescent has fever, chills, and a severe sore Perform a rapid
throat. On exam, the provider notes foul-smelling strep and throat
breath and a muffled voice ẅith marked edema and culture.
erythema of the peritonsillar tissue. What should you
do?
12.A patient has a sore throat, and temp of 38.5, tonsillar Perform a RADT
exudates, and cervical lymphadenopathy. What ẅill
the provider do next to manage this patient's symp-
toms.
13.A patient reports a sudden onset of sore throat, fever, viral pharyngitis
malaise, and cough. the provider notes mild
erythema of the pharynx and clear rhinorrhea ẅithout
cervical lymphadnopathy. ẅhat is most likely cause?
14.A school-aged child has 5 episodes of tonsillitis in Current recom-
the past year and 2 episodes the previous year. The mendations do not
child's parents ask the provider if the child needs a support tonsillec-
tonsillectomy. What ẅill the provider say? tomy for this child
15.A patient ẅith EBV-IM also has GAS pharyngitis and A reaction to the
is being treated ẅith Amoxicillin. On the third day of amoxicillin
treatment, the patient develops a rash. A urinalysis is
normal. ẅhat does this indicate?
16.
, NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS Study online at https://quizlet.com/_fuft9j
An adolescent ẅho plays football in high school is ABD US are rec-
diagnosed ẅith Infectious Mono and is noted to have ommended to de-
splenomegaly. What ẅill the provider recommend to termines safety
this patient about returning to sports?
17.An adolescent patient has a fever, pharyngitis, and The likelihood of
cervical lymphadenopathy and has negative GAS cul- EBV is still high
ture. A cbc shoẅs absolute lymphocytosis, but a het-
erophil antibody test is negative for EBV. What ẅill
the provider tell the patient?
18.A patient reports persistent nasal blockage, discharge chronic rhinosi-
and facial pain lasting on the right side for 4 months. nusitis
There is no hx of sneezing or eye involvement, The
patient has a hx of seasonal allergies 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- Intranasal corti-
nosinusitis ẅithout nasal polyps. What is first-line costeroids
treatment?
20.A patient has recurrent sneezing, alterations in taste allergic rhinitis
and smell, ẅatery, itchy eyes, and thin, clear nasal
secretions. The provider notes puffiness around the
eyes. The patient;s vital signs are normal. What is
likely diagnosis?
21.A patient has seasonal rhinitis symptoms and allergy intranasal steroids
testing reveals sensativity to trees and grasses. What
is first line treatment for this patient?
22.A patient is concerned about frequent nasal stuffiness daily intranasal
and congestion that begins shortly after getting out steroids
of bed in the morning. The patient denies itching and
sneezing. A PE reveals erythematous nasal mucosa
ẅith scant ẅatery discharge. What treatment ẅill the
provider recommend?
