NURS 620 MARYVILLE UNIVERSITY EXAM 1
PRACTICE QUIZES
In treating a patient with allergic conjunctivitis, the most appropriate treatment option is:
a) Bacitracin-polymyxin
b) Corticosteroid ophthalmic drops
c) Opthalmological antihistamines
d) Cromolyn ophthalmic drops - Answers -c) Opthalmological antihistamines
The clinician is assessing a patient complaining of hearing loss. The clinician places a
tuning fork over the patient's mastoid process, and when the sound fades away, the fork
is placed without restriking it over the external auditory meatus. The patient 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 - Answers -c) Rinne test
As diabetic retinopathy progresses, the presence of "cotton wool" spots can be
detected. Cotton wool spots refer to:
a) Venous beading.
b) Retinal hemorrhage.
c) Nerve fiber layer infarctions.
d) Blood vessel proliferation. - Answers -c) Nerve fiber layer infarctions.
One distinguishing characteristic between conjunctivitis and iritis is:
a) No change in or slightly blurred vision
b) Slow progression
c) Eye discomfort
d) A ciliary flush - Answers -d) A ciliary flush
An acutely presenting, erythematous, tender lump within the eyelid is called:
a) Blepharitis
b) Iritis
c) Hordeolum
d) Chalazion - Answers -c) Hordeolum
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 antigen test
d) A Thayer-Martin plate test - Answers -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 lifting.
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 antibiotics. - Answers
-a) John should avoid contact sports and heavy lifting.
Matthew, age 52, has chronic allergic rhinitis and would like some medicine to relieve
his symptoms. He is taking cimetidine (Tagamet) for gastroesophageal reflux disease.
Which medication would you not order?
a) A first-generation antihistamine
b) A second-generation antihistamine
c) A decongestant
d) A topical nasal corticosteroid - Answers -b) A second-generation antihistamine
A 25-year-old woman who has seasonal allergic rhinitis likes to spend time outdoors.
She asks you when the pollen count is likely to be the lowest. You respond:
a) "Early in the morning."
b) "After a rain shower."
c) "When the sky is overcast."
d) "During breezy times of the day." - Answers -b) "After a rain shower."
You prescribe nasal corticosteroid spray for a patient with allergic rhinitis. What is the
anticipated onset of symptom relief with its use?
a) Immediately with the first spray
b) 1 to 2 days
c) A few days to a week
d) 2 or more weeks - Answers -c) A few days to a week
Which of the following medications is most appropriate for allergic rhinitis therapy in an
acutely symptomatic 24-year-old machine operator?
a) Loratidine
b) Diphenhydramine
c) Nasal cromolyn
d) Flunisolide nasal spray - Answers -a) Loratidine
Oral decongestants should be discouraged in patients with:
a) Chronic bronchitis
b) Migraine headache
c) Allergic rhinitis
d) Cardiovascular disease - Answers -d) Cardiovascular disease
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