NUR 676 Final Exam Questions And 100%
Correct Answers
A patient describes recurring chest pains unrelated to activity and not relieved by rest.
The provider administers one NG tablet, which provides no relief from pain. What is the
next action? -Answer Give the patient a beta blocker
A patient is brought to an emergency department with symptoms of acute ST segment
elevation MI. Nearest hospiral with the capability of performing a PCI is three hours
away, what is the initial treatment for this patient. - Answer Initiate fibrinolytic therapy
A patient presents with a feeling of fullness and pain in both ears and the examiner
reproduces his pain on manipulation of the ear, what is the probable diagnosis? -Answer
acute otitis externa
Which of the following are risk factors for developing otitis externa? -Answer underlying
DM, Use of ear plugs or hearing aids, vigorous external hygiene
A patient has an initial episode of otitis external associated with swimming. the patient's
ear canal is mildly inflamed and the TM is not involved. Which medication will be
ordered? - Answer Cipro HC
Which symptoms in children are evlauated using a parent-reported scoring system to
determine the severity of pain in children with OM? - Answer Appetite, Difficulty
sleeping, and tugging on ears.
Of the following patients, which one can be symptomatically treated with follow-up
examination in 24 hours without initial antibiotic treatment? A 36-month-old child with
fever of 38.5 and mild otalgia and red, non-bulging TM
, A pediatric patient is seen with complaints of otalgia, fever of 38.8, and a recent history
of URI. The examiner is not able to visualize the TM in the right ear secondary to
cerumen. The left TM is dull gray with fluid levels present. What is the appropriate
course of action? Answer: Remove the cerumen and visualize the TM
A patient presents with complaints of ear ache and reduced hearing ability. Upon
otoscopic examination, the TM of the affected ear reveals a small tear with purulent d/c.
What is the first course of action/treatment for this patient? -Answer Prescription of
antibiotic ear drops
Patient complains of ear pain after being struck on the head by a baseball. Provider
notes a perforated TM. What is the best course of treatment? -Answer Refer patient to
Otolaryngologist for eval
An adolescent has fever, chills, and severe sore throat. On exam the provider notes foul
smelling breath and muffled voice with marked edema and erythema of the peritonsillar
tissue. What do you do? -Answer Perform a rapid strep and throat culture.
A patient presents with a sore throat and temperature of 38.5, with tonsillar exudates,
and cervical lymphadenopathy. What is the next step in managing this patient's
symptoms? - Answer Perform a RADT
A patient complains of acute onset of sore throat, fever, malaise, and cough. The
provider examines the patient and finds mild erythema of the pharynx and clear
rhinorrhea without cervical lymphadnopathy. What is the most likely cause? - Answer
viral pharyngitis
A school-aged child has 5 episodes of tonsillitis in the past year and 2 episodes the prior
year. The child's parents ask the provider if the child needs a tonsillectomy. What will
the provider say? - Answer Current recommendations do not support tonsillectomy for
this child
A patient has both EBV-IM and GAS pharyngitis. It is being treated with Amoxicillin. The
third day into the treatment, the patient develops a rash. A urinalysis is normal. What
does this indicate? -Answer A reaction to the amoxicillin
Correct Answers
A patient describes recurring chest pains unrelated to activity and not relieved by rest.
The provider administers one NG tablet, which provides no relief from pain. What is the
next action? -Answer Give the patient a beta blocker
A patient is brought to an emergency department with symptoms of acute ST segment
elevation MI. Nearest hospiral with the capability of performing a PCI is three hours
away, what is the initial treatment for this patient. - Answer Initiate fibrinolytic therapy
A patient presents with a feeling of fullness and pain in both ears and the examiner
reproduces his pain on manipulation of the ear, what is the probable diagnosis? -Answer
acute otitis externa
Which of the following are risk factors for developing otitis externa? -Answer underlying
DM, Use of ear plugs or hearing aids, vigorous external hygiene
A patient has an initial episode of otitis external associated with swimming. the patient's
ear canal is mildly inflamed and the TM is not involved. Which medication will be
ordered? - Answer Cipro HC
Which symptoms in children are evlauated using a parent-reported scoring system to
determine the severity of pain in children with OM? - Answer Appetite, Difficulty
sleeping, and tugging on ears.
Of the following patients, which one can be symptomatically treated with follow-up
examination in 24 hours without initial antibiotic treatment? A 36-month-old child with
fever of 38.5 and mild otalgia and red, non-bulging TM
, A pediatric patient is seen with complaints of otalgia, fever of 38.8, and a recent history
of URI. The examiner is not able to visualize the TM in the right ear secondary to
cerumen. The left TM is dull gray with fluid levels present. What is the appropriate
course of action? Answer: Remove the cerumen and visualize the TM
A patient presents with complaints of ear ache and reduced hearing ability. Upon
otoscopic examination, the TM of the affected ear reveals a small tear with purulent d/c.
What is the first course of action/treatment for this patient? -Answer Prescription of
antibiotic ear drops
Patient complains of ear pain after being struck on the head by a baseball. Provider
notes a perforated TM. What is the best course of treatment? -Answer Refer patient to
Otolaryngologist for eval
An adolescent has fever, chills, and severe sore throat. On exam the provider notes foul
smelling breath and muffled voice with marked edema and erythema of the peritonsillar
tissue. What do you do? -Answer Perform a rapid strep and throat culture.
A patient presents with a sore throat and temperature of 38.5, with tonsillar exudates,
and cervical lymphadenopathy. What is the next step in managing this patient's
symptoms? - Answer Perform a RADT
A patient complains of acute onset of sore throat, fever, malaise, and cough. The
provider examines the patient and finds mild erythema of the pharynx and clear
rhinorrhea without cervical lymphadnopathy. What is the most likely cause? - Answer
viral pharyngitis
A school-aged child has 5 episodes of tonsillitis in the past year and 2 episodes the prior
year. The child's parents ask the provider if the child needs a tonsillectomy. What will
the provider say? - Answer Current recommendations do not support tonsillectomy for
this child
A patient has both EBV-IM and GAS pharyngitis. It is being treated with Amoxicillin. The
third day into the treatment, the patient develops a rash. A urinalysis is normal. What
does this indicate? -Answer A reaction to the amoxicillin
