NURS 620 Maryville Exam 3 Ques ons and answers
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In trea ng a pa ent with allergic conjunc vi s, the most appropriate treatment op on is:
a) Bacitracin-polymyxin
b) Cor costeroid ophthalmic drops
c) Opthalmological an histamines
d) Cromolyn ophthalmic drops - Ans c) Opthalmological an histamines
The clinician is assessing a pa ent complaining of hearing loss. The clinician places a tuning fork
over the pa ent's mastoid process, and when the sound fades away, the fork is placed without
restriking it over the external auditory meatus. The pa ent is asked to let the clinician know
when the sound fades away. This is an example of which type of test?
a) Auditory Brainstem Response (ABR) test
b) Schwabach test
c) Rinne test
d) Weber test - Ans c) Rinne test
As diabe c re nopathy progresses, the presence of "co-on wool" spots can be detected.
Co-on wool spots refer to:
a) Venous beading.
b) Re nal hemorrhage.
c) Nerve fiber layer infarc ons.
d) Blood vessel prolifera on. - Ans c) Nerve fiber layer infarc ons.
,One dis nguishing characteris c between conjunc vi s and iri s is:
a) No change in or slightly blurred vision
b) Slow progression
c) Eye discomfort
d) A ciliary flush - Ans d) A ciliary flush
An acutely presen ng, erythematous, tender lump within the eyelid is called:
a) Blephari s
b) Iri s
c) Hordeolum
d) Chalazion - Ans c) Hordeolum
The an bio c of choice for beta-lactamase coverage of o s media is:
a) Amoxicillin
b) Prednisone
c) Azithromycin
d) Amoxicillin and potassium clavulanate - Ans d) Amoxicillin and potassium clavulanate
In assessing a client with bacterial conjunc vi s, the nurse prac oner finds:
a)Minimal itching, moderate tearing, and mucoid exudate.
b) Severe itching, moderate tearing, and minimal discharge.
c) Minimal tearing, moderate itching, and profuse exudate.
d) Minimal itching, moderate tearing, and profuse exudate. - Ans d) Minimal itching,
moderate tearing, and profuse exudate.
,Acute o s media is diagnosed when there is:
a) Fluid in the middle ear accompanied by otalgia and fever.
b) Fluid in the middle ear without signs or symptoms of an ear infec on.
c) A diagnosis of three or more episodes of o s media within 1 year.
d) Fluid in the middle ear for at least 3 months. - Ans a) Fluid in the middle ear accompanied
by otalgia and fever.
What is the easiest way to differen ate between o s externa and o s media?
a) With o s media, tender swelling is usually visible.
b) With o s media, there is usually bilateral pain in the ears.
c) With o s externa, movement or pressure on the pinna is extremely painful.
d) With o s media, there is usually tenderness on palpa on over the mastoid process. - Ans
c) With o s externa, movement or pressure on the pinna is extremely painful.
Common causa ve organisms of acute bacterial conjunc vi s include all of the following
except what?
a) Pseudomonas aeruginosa
b) Staphylococcus aureus
c) Streptococcus pneumoniae
d) Haemophilus influenzae - Ans a) Pseudomonas aeruginosa
Tee, age 64, presents with a sore throat. Your assessment reveals tonsillar exudate, anterior
cervical adenopathy, presence of a fever, and absence of a cough. There is a high probability of
which causa ve agent?
a) Group A beta-hemoly c streptococcus
b) Rhinovirus
c) Haemophilus influenzae
, d) Epstein-Barr virus - Ans a) Group A beta-hemoly c streptococcus
Mark, age 18, has a persistent sore throat, fever, and malaise not relieved with penicillin
therapy. What would you order next?
a) A monospot test
b) A throat culture
c) A rapid an gen test
d) A Thayer-Mar n plate test - Ans a) A monospot test
John, age 19, has just been diagnosed with mononucleosis. Which of the following statements
is true?
a) John should avoid contact sports and heavy liBing.
b) Mono is rarely contagious.
c) Convalescence is usually only a few days and John should be back to normal in a week.
d) The offending organism is bacteria and should be treated with an bio cs. - Ans a) John
should avoid contact sports and heavy liBing.
Ma-hew, age 52, has chronic allergic rhini s and would like some medicine to relieve his
symptoms. He is taking cime dine (Tagamet) for gastroesophageal reflux disease. Which
medica on would you not order?
a) A first-genera on an histamine
b) A second-genera on an histamine
c) A decongestant
d) A topical nasal cor costeroid - Ans b) A second-genera on an histamine
A 25-year-old woman who has seasonal allergic rhini s likes to spend me outdoors. She asks
you when the pollen count is likely to be the lowest. You respond:
a) "Early in the morning."