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NR 602 Final Exam Practice Questions and Answers 100% Pass

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NR 602 Final Exam Practice Questions and Answers 100% Pass A mother presents with her 3 month old child and complains of goopy eye that is sometimes matted shut after naps. Upon exam the conjunctiva is clear with some mild crusting to eye lashes. What is the diagnosis and patient teaching? - A...

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  • November 25, 2024
  • 45
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR602
  • NR602
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EmillyCharlotte
NR 602 Final Exam Practice Questions and
Answers 100% Pass


A mother presents with her 3 month old child and complains of goopy eye

that is sometimes matted shut after naps. Upon exam the conjunctiva is

clear with some mild crusting to eye lashes. What is the diagnosis and

patient teaching? - ANSWER✔✔-Probable lacrimal duct obstruction.




-The baby will likely grow out if it somewhere between six and 12 months.


-You can do a daily lacrimal duct massage and warm compresses to help

open up the duct.


-Watch for Periorbital cellulitis or bacterial conjunctivitis.


Nine-year-old patient presents with tender, swollen, erythemic bump to

eyelid. What is the diagnosis and patient education? - ANSWER✔✔-

Hordeolum (stye)




Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 1/45

,-warm moist compress


- scrub eye lashes with baby shampoo BID


- eye will feel better when stye pops, if doesn't will refer to optho.


What is blepharitis? - ANSWER✔✔-inflammation of the eyelid




- caused by blocked oil gland, allergies, or excessive bacteria


What is the treatment for blepharitis? - ANSWER✔✔-Cleanse with baby

shampoo TID


- Warm, moist compress




- resistant can prescribe Doxy or Tertracycline but not to pediatrics who

don't have adult teeth, can cause discoloration. Pediatrics can have Bactrim.


A 9 year old patient presents with acute swelling and erythema to eyelid

with flaky, scaly debris to eyelid margins. Patient reports gritty, burning

feeling to eyes. She has already attempted warm compresses and washing




Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 2/45

,eyelids with baby soap with minimal relief. What is the diagnosis and

treatment? - ANSWER✔✔-Patient has anterior blepharitis




Treat with erythromycin ointment, ointment has longer contact with eye.




Can use azithromycin ointment x 4 weeks for long term treatment




Can use doxycycline or tetracycline for chronic in kids >8 years or

Azithromycin oral for kids <8


What organism is likely to cause viral conjunctivitis? - ANSWER✔✔--

Adenovirus


-HSV


-Herpes


What organism is likely to cause bacterial conjunctivitis? - ANSWER✔✔--

Staph aureus


-strep pneumoniae

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, -H. Influenza


A 10-year-old patient presents with unilateral conjunctivitis with watery

discharge x 2 days along with itching of the eye. Mother denies any other

associated symptoms. What is the diagnosis and treatment? -

ANSWER✔✔-Viral Conjunctivitis




Patient should apply cold compresses for comfort




*Bacterial conjunctivitis has purulent discharge.


What is herpes keratitis? - ANSWER✔✔-Herpes viral infection to the eye

caused by HSV.


A 19-year-old male presents with blurred vision, watery discharge,

photophobia, and eye redness. Upon exam you note fern-like lines under

the woods lamp. What is the diagnosis and tx? - ANSWER✔✔-Herpes

Keratitis




Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 4/45

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