MARYVILLE NURS 620 ADULT 1 EXAM
1 2025 QUESTIONS AND ANSWERS
If rapid strep test is negative what is the first thing you should do? - ANS send out culture
when examining lab from a person with mono what would the NP expect to find? -
ANS Lymphocytosis
EBV is transmitted through which route? - ANS oral pharyngeal secretions (saliva)
Sx of mono usually present how many days after initially infected? - ANS 30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med to
avoid - ANS beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated lesion
with induration what do you suspect - ANS oral cancer
which vision sx is common in open angel glaucoma - ANS peripheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step -
ANS refer to eye dr (retinal detachment)
An acutely presenting, erythematous, tender lump within the eyelid - ANS Hordeolum (stye)
1 @COPYRIGHT THEBRIGHT 2025/2026
, A granulomatous infection of a Meibomian gland, presenting in the form of painless swelling on
the eyelid - ANS Chalazion
what maneuver can be performed to help manage sx of vertigo? - ANS Epley maneuver
What can help diagnose vertigo - ANS Dix-Hallpack test
A pt is started on antibiotics for strep a few days later the mono spot comes back positive what
is the first thing to do? - ANS discontinue antibiotics
peripheral vision loss that has worsened over the last few months - ANS open-angle
glaucoma (peripheral loss over time)
Risk factor for otitis externa? - ANS Exposure to water, excessive use of headphones, Q-tips,
impacted cerumen and earplugs
Risk factor for otitis media? - ANS Young children, allergies, craniofacial abnormalities,
smokers, hx of URI, acid reflux, immunodeficiency
A red flag for pt complaining of red eye? - ANS severe headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with
treatment failure after 7 days of 1st line abx (PCN)? - ANS Doxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and sore
throat; exam shows pharyngeal erythema, pale swollen turbinates, clear rhinorrhea; T 99, most
appropriate treatment plan - ANS saline nasal spray and clariton
2 @COPYRIGHT THEBRIGHT 2025/2026
1 2025 QUESTIONS AND ANSWERS
If rapid strep test is negative what is the first thing you should do? - ANS send out culture
when examining lab from a person with mono what would the NP expect to find? -
ANS Lymphocytosis
EBV is transmitted through which route? - ANS oral pharyngeal secretions (saliva)
Sx of mono usually present how many days after initially infected? - ANS 30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med to
avoid - ANS beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated lesion
with induration what do you suspect - ANS oral cancer
which vision sx is common in open angel glaucoma - ANS peripheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step -
ANS refer to eye dr (retinal detachment)
An acutely presenting, erythematous, tender lump within the eyelid - ANS Hordeolum (stye)
1 @COPYRIGHT THEBRIGHT 2025/2026
, A granulomatous infection of a Meibomian gland, presenting in the form of painless swelling on
the eyelid - ANS Chalazion
what maneuver can be performed to help manage sx of vertigo? - ANS Epley maneuver
What can help diagnose vertigo - ANS Dix-Hallpack test
A pt is started on antibiotics for strep a few days later the mono spot comes back positive what
is the first thing to do? - ANS discontinue antibiotics
peripheral vision loss that has worsened over the last few months - ANS open-angle
glaucoma (peripheral loss over time)
Risk factor for otitis externa? - ANS Exposure to water, excessive use of headphones, Q-tips,
impacted cerumen and earplugs
Risk factor for otitis media? - ANS Young children, allergies, craniofacial abnormalities,
smokers, hx of URI, acid reflux, immunodeficiency
A red flag for pt complaining of red eye? - ANS severe headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with
treatment failure after 7 days of 1st line abx (PCN)? - ANS Doxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and sore
throat; exam shows pharyngeal erythema, pale swollen turbinates, clear rhinorrhea; T 99, most
appropriate treatment plan - ANS saline nasal spray and clariton
2 @COPYRIGHT THEBRIGHT 2025/2026
