NR 602 MIDTERM EXAM NEWEST
ACTUAL EXAM 2025 COMPLETE 300
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADE
What would the nurse practitioner do if there is a chemical
injury to the eye Correct Answer Initiate irrigation of the
affected eye with normal saline, obtain history of chemical
and pH if possible. Consult ophthalmology for further
evaluation and management.
What would the nurse practitioner do if there's a suspected
open globe injury based on history? Correct Answer Do
not manipulate the eye. Place an eye shield and
administer analgesics an anti-medics. Update tetanus in
initiate broad-spectrum antibiotics. Do not allow the client
to take anything by mouth and place on bedrest. Consult
ophthalmology.
What is lab work up for a child with bilateral congenital
cataracts? Correct Answer Work up, includes titers for
toxoplasmosis, rubella, cytomegalovirus, herpes, syphilis,
and cerium, calcium and phosphorus levels. Also urine
testing for reducing substances.
A 12-year-old female is being seen by the primary
pediatric nurse practitioner. She states that she has for
diabetes control and states that her parents forget to
remind her to check her blood sugars. What action is
,correct? Correct Answer Help the child develop a strategy
to remember without parental prompts
16-year-old female client is being seen for weight
management. The adolescent said I know I need to lose
weight but I did not want to give up on my favorite food.
When using motivational interviewing techniques, how will
the nurse practitioner respond Correct Answer Do you
think there are any food you could limit or do without for a
while?
What is the best antibiotic therapy to use for human bites?
Correct Answer Amoxicillin for 7 to 10 days or alternative
cephalexin or clindamycin
What is the best anabiotic to use for animal bites? Correct
Answer Amoxicillin for 7 to 10 days or alternative
cefuroxime, fluoroquinolone or trimethoprim-
sulfamethoxazole plus clinda or metronidazole
If cataracts are detected at birth, when is the best time to
take them out for the best outcome? Correct Answer In the
first two weeks of life
What are the recommendations for children at risk for
retinoblastoma's? Correct Answer Children at high risk
require cereal, dilated fund disexaminations, binop,
theologist, familiar with retinable blastomas monthly for the
first 12 months of life, every two months from age 12 to 24
months, every three months from ages 24 to 36 months,
,every four months for age 36 to 48 months, and then
every six months from ages 48 months to seven years
How often should a child be screened if the child is
intermediate risk for retinoblastoma Correct Answer
Monthly for the first three months of life, every two months
from ages 3 to 12 months, every three months from ages
24 to 36 months, every four months from ages 36 to 48
months, and then every six months from ages 48 months
to seven years
How often should children be screened for RB1 mutation
after seven years of age Correct Answer Every one to two
years
What are common clinical findings for retinoblastoma?
Correct Answer Strabismus is the most common finding,
decrease visual activity, UNI or bilateral white pupil,
described often as an intermittent glow, glint, glean, or
glare by parents.
Other symptoms include abnormal, red reflex, nystagmus,
glaucoma, orbital, cellulitis, and photophobia, hyphema,
hypopyon, signs of global rupture are possible
This has a 95% cure rate in the United States
What is a common cause of acute otitis media? Correct
Answer Typically caused by a viral infection, arising from
another infection, such as an upper respiratory tract
infection, or the flu. Is this calls from eustachian tube
dysfunction?
, What will patients with middle ear infections often
experience Correct Answer Pain and diminished hearing,
redness, or bulging of the tympanic membrane. As the ear
infection progresses, the eardrum may become
perforated, and the patient may experience increased pain
and fluid discharge.
What is otitis media with effusion? Correct Answer Fluid in
middle ear without signs or symptoms of ear infection
What are causes of otitis media with effusion? Correct
Answer Upper respiratory infection, barotrauma, allergies,
recent, acute, otitis media infection.
What are symptoms of otitis media with effusion? Correct
Answer Mild pain conductive hearing loss may be present.
Air bubble seen behind the TM.
Acute otitis externa also called swimmers ear Correct
Answer This is the infection and inflammation of the
auricle, external acoustic meatus or both. This may be
spread to surrounding bone and tissue.
What is treatment for otitis externa? Correct Answer
Ciprodex drops for greater than six months of age.
Floxin Otic this has no steroid
What is treatment for acute otitis media? Correct Answer
First line is amoxicillin. Second line is ceftriaxone.
