NURS 676 MIDTERM FINAL PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
◉ A patient reports persistent nasal blockage, discharge and facial
pain lasting on the right side for 4 months. 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?
Answer: chronic rhinosinusitis
◉ A provider determines that a patient has chronic rhinosinusitis
without nasal polyps. What is first-line treatment?
Answer: Intranasal corticosteroids
◉ A patient has recurrent sneezing, alterations in taste and smell,
watery, 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?
Answer: allergic rhinitis
◉ A patient has seasonal rhinitis symptoms and allergy testing
reveals sensativity to trees and grasses. What is first line treatment
for this patient?
Answer: intranasal steroids
, ◉ A patient is concerned about frequent nasal stuffiness and
congestion that begins shortly after getting out of bed in the
morning. The patient denies itching and sneezing. A PE reveals
erythematous nasal mucosa with scant watery discharge. What
treatment will the provider recommend?
Answer: daily intranasal steroids
◉ What are potential complications of chronic or recurrent
sinusitis?
Answer: Meningitis, orbital infection, and osteomyleitis.
◉ A patient has nasal congestion, fever, purulent drainage, HA, and
facial pain and begins treatment with augmentin. At a follow up visit
10 days later after treatment, the patient continues to have
symptoms. What is next course of action?
Answer: A second course of augmentin
◉ Which symptoms in a patient with abdominal pain are suggestive
of appendicitis?
Answer: Abdominal rigidity along with pain, pain accompanied by
low grade fever, pain occurring prior to nausea and vomiting.
COMPLETE QUESTIONS AND ANSWERS
◉ A patient reports persistent nasal blockage, discharge and facial
pain lasting on the right side for 4 months. 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?
Answer: chronic rhinosinusitis
◉ A provider determines that a patient has chronic rhinosinusitis
without nasal polyps. What is first-line treatment?
Answer: Intranasal corticosteroids
◉ A patient has recurrent sneezing, alterations in taste and smell,
watery, 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?
Answer: allergic rhinitis
◉ A patient has seasonal rhinitis symptoms and allergy testing
reveals sensativity to trees and grasses. What is first line treatment
for this patient?
Answer: intranasal steroids
, ◉ A patient is concerned about frequent nasal stuffiness and
congestion that begins shortly after getting out of bed in the
morning. The patient denies itching and sneezing. A PE reveals
erythematous nasal mucosa with scant watery discharge. What
treatment will the provider recommend?
Answer: daily intranasal steroids
◉ What are potential complications of chronic or recurrent
sinusitis?
Answer: Meningitis, orbital infection, and osteomyleitis.
◉ A patient has nasal congestion, fever, purulent drainage, HA, and
facial pain and begins treatment with augmentin. At a follow up visit
10 days later after treatment, the patient continues to have
symptoms. What is next course of action?
Answer: A second course of augmentin
◉ Which symptoms in a patient with abdominal pain are suggestive
of appendicitis?
Answer: Abdominal rigidity along with pain, pain accompanied by
low grade fever, pain occurring prior to nausea and vomiting.
