CNM 586 CERTIFIED NURSE
MIDWIVES’ UNIT 1 EXAM
QUESTIONS AND ACCURATE
SOLUTIONS RATED A.
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A 75 yo pt c/o intense eye pain and generalized HA, after watching
a movie in the theater. The NP records the following findings OD with
red sclera and dilated pupil, OD > OS, decreased VA OD, OS WNL, no
temporal tenderness. These findings are most appropriately suggest:
A. Acute glaucoma,
B. Open angle glaucoma,
C. Temporal arteritis,
D. retinal detachment ⬛ acute glaucoma
A NP suspects that a scratchy feeling in a pt's eye is a corneal
abrasion. There is photophobia and erythema, but no drainage or
change in visual
,acuity. PERRLA is noted. An appropriate NP intervention at this time
would include:
A. immediate referral
B. instillation of anesthetic ocular drops,
C. opthalmic antibiotic gtts and patching the eye
D. instillation of mydriatic gtts ⬛ instillation of anesthetic ocular
drops
A pt is suspected to have bacterial conjunctivitis OU. The NP
performs flourescein test and notes a dendritic appearance on the
cornea. This is probably:
A. glaucoma,
B herpes,
C a neisseria gonorrhea infection
D. hyphema ⬛ herpes
On exam of a pt with epistaxis the NP note that there is oozing of
blood from the Kisselbach's plexus. This is:
A. often managed by pinching the nasal ala together for 10 minutes
while the pt leans backward
B. can be managed with pheylephrine 0.125-1% solution 1 or 2 sprays
C. requires immediate ENT consult
D. signaling an intrinsic coagulation defect ⬛ can
be managed w/phenylephrine 0.125-1% solution 1 or 2
sprays
A nurse practitioner is examining the eyes of a 5-year-old. On
shining a light onto the cornea so that it is seen on both eyes, the
NP notes that is it at the 10 o'clock in the right eye and 2 O'clock
in the left eye. Interpretation of this finding is:
, A. nystagmus
B. Myopia
C. Normal
D. Strabismus ⬛ strabismus
An 11 y/o is brought to NP clinic with an ear ache. On otoscopic
exam the ear canal is tender, narrowed, and pale Pulling on the
tragus elicits discomfort. The TM is pearly gray with a cone of light
at 7 o'clock. Weber is without lateralization, Rhine AC > BC. These
findings suggest the following diagnosis:
A. Otitis externa
B. Purulent otitis media
C. Serous otitis media
D. Labyrinthitis ⬛ Otitis externa
The following statement of strabismus is true except:
A. Esotropia may be intermittent up to age 6 months
B. Exotropia is normal after age 2 months
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