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Nurs 620 Exam 1: Questions & Detailed Solutions

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Nurs 620 Exam 1: Questions & Detailed Solutions

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  • November 18, 2024
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Nurs 620 Exam 1: Questions & Detailed Solutions

Common causative organisms of acute bacterial conjunctivitis include all of
the following except what?

A. Haemophilus influenzae
B. Pseudomonas aeruginosa
C. Staphylococcus aureus
D. Streptococcus pneumoniae Right Ans - B. Pseudomonas aeruginosa

What is the easiest way to differentiate between otitis externa and otitis
media?

A. With otitis media, there is usually tenderness on palpation over the mastoid
process.
B. With otitis externa, movement or pressure on the pinna is extremely
painful.
C. With otitis media, tender swelling is usually visible.
D. With otitis media, there is usually bilateral pain in the ears. Right Ans - B.
With otitis externa, movement or pressure on the pinna is extremely painful.

Acute otitis media is diagnosed when there is:

A. Fluid in the middle ear without signs or symptoms of ear infection.
B. Fluid in the middle ear accompanied by otalgia and fever.
C. Fluid in the middle ear for at least 3 months.
D. A diagnosis of three or more episodes of otitis media within 1 year. Right
Ans - B. Fluid in the middle ear accompanied by otalgia and fever.

In assessing a client with bacterial conjunctivitis, the nurse practitioner finds:

A. Minimal itching, moderate tearing, and mucoid exudate
B. Minimal tearing, moderate itching, and profuse exudate.
C. Severe itching, moderate tearing, and minimal discharge.
D. Minimal itching, moderate tearing, and profuse exudate. Right Ans - D.
Minimal itching, moderate tearing, and profuse exudate.

The antibiotic of choice for beta-lactamase coverage of otitis media is:

,A. Azithromycin
B. Amoxicillin
C. Prednisone
D. Amoxicillin and potassium clavulanate Right Ans - D. Amoxicillin and
potassium clavulanate

An acutely presenting, erythematous, tender lump within the eyelid is called:

A. Hordeolum
B. Blepharitis
C. Chalazion
D. Iritis Right Ans - A. Hordeolum

One distinguishing characteristic between conjunctivitis and iritis is:

A. Slow progression
B. Eye Discomfort
C. No change in or slightly blurred vision
D. A ciliary flush Right Ans - D. A ciliary flush

In treating a patient with allergic conjunctivitis, the most appropriate
treatment option is:

A. Ophthalmological antihistamines
B. Bacitracin-polymyxin
C. Corticosteroid ophthalmic drops
D. Cromolyn ophthalmic drops Right Ans - A. Ophthalmological
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. Rinne test
B. Weber test
C. Auditory Brainstem Response (ABR) test
D. Schwabach test Right Ans - A. Rinne test

, As diabetic retinopathy progresses, the presence of "cotton wool" spots can be
detected. Cotton wool spots refer to:

A. Blood vessel proliferation
B. Nerve fiber layer infarctions
C. Venous beading
D. Retinal hemorrhage Right Ans - B. Nerve fiber layer infarctions

Acute otitis media is diagnosed when there is:

A. Fluid in the middle ear without signs or symptoms of an ear infection.
B. A diagnosis of three or more episodes of otitis media within 1 year.
C. Fluid in the middle ear accompanied by otalgia and fever.
D. Fluid within the middle ear for at least 3 months Right Ans - C. Fluid in
the middle ear accompanied by otalgia and fever.

Martin, age 24, presents with an erythematous ear canal, pain, and a recent
history of swimming. What do you suspect?
A. Acute otitis media
B. Chronic otitis media
C. External otitis
D. Temporomandibular joint syndrome Right Ans - C. External otitis

When Judith, age 15, asks you to explain the 20/50 vision in her right eye, you
respond:

A. "You can see at 20 ft with your left eye what most people can see at 50 ft."
B. "You can see at 20 ft with your right eye what most people can see at 50 ft."
C. "You can see at 50 ft with your right eye what most people can see at 20 ft."
D. "You can see at 50 ft with the left eye what most people can see at 20 ft."
Right Ans - B. "You can see at 20 ft with your right eye what most people can
see at 50 ft."

You have made a diagnosis of acute sinusitis based on Martha's history and
the fact that she complains of pain behind her eye. Which sinuses are affected?

A. Maxillary
B. Ethmoid

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