NURS 6531 Final EXAM 2024

Sharon, age 29, is pregnant for the first time. She complains of nasal stuffiness and occasional epistaxis. What do you do? A. Order lab tests, such as a CBC with differential, hemoglobin and hematocrit B. Prescribe an antihistamine C. You do nothing except for client teaching D. Refer the client to an ear, nose and throat specialist - C. You do nothing except for client teaching - Can occur with pregnancy because of increased vascularization in the upper respiratory tract David, age 32, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action? A. Prescribe nasal steroids and oral decongestants B. Prescribe antibiotic eardrops C. Prescribe systemic eardrops D. Refer David to an ear, nose, and throat specialist - A. Prescribe nasal steroids and oral decongestants A sexual history of oral-genital contact in a client presenting with pharyngitis is significant when which of the following organisms is suspected? A. Escherichia coli B. Haemophilus influenzae C. Neisseria gonorrhoeae D. Streptococcus pneumoniae - C. Neisseria gonorrhoeae - Neisseria gonorrhoeae pharyngitis is a common sexually transmitted disease The most common cause of sensorineural hearing loss is A. Trauma B. Tympanic membrane sclerosis and scarring C. Otosclerosis D. Presbycusis - D. Presbycusis How do you describe the cervical lymphadenopathy associated with asymptomatic HIV infection? A. Movable, discrete, soft, and nontender lymph nodes B. Enlarged, warm, tender, firm, but freely movable lymph nodes C. Hard, unilateral, nontender, and fixed lymph nodes D. Firm but not hard, nontender, and mobile lymph nodes - D. Firm but not hard, nontender, and mobile lymph nodes You diagnose acute epiglottitis in Sally, age 5, and immediately send her to the local emergency room. Which of the following symptoms would indicate that an airway obstruction is imminent? A. Reddened face B. Screaming C. Grabbing her throat D. Stridor - D. Stridor Purulent matter in the anterior chamber of the eye is called A. Hyphema B. Hypopyon C. Anisocoria D. Pterygium - B. Hypopyon A 42-year-old stockbroker comes to your office for evaluation of a pulsating headache over the left temporal region and he rates the pain as an 8 on a scale of 1-10. The pain has been constant for the past several hours and is accompanied by nausea and sensitivity to light. He has had frequent headaches for many years but not as severe and they are usually relieved by over-the-counter medicines. He is unclear as to a precipitating event but notes that he has had visual disturbances before each headache and has been under a lot of stress in his job. Based on this description, what is the most likely diagnosis of this type of headache? A. Tension B. Migraine C. Cluster D. Temporal arteritis - B. Migraine The trachea deviates toward the affected side in all of the following except A. Aortic aneurysm B. Unilateral thyroid lobe enlargement C. Large atelectasis D. Pneumothorax - C. Large atelectasis