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NURS 676 FINAL EXAM NEWEST 2024 COMPLETE 90
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+
A patient reports ear pain and difficulty hearing. An otoscope examination reveals a small tear in the TM of the affected ear with purulent d/c. What is the initial treatment for this patient? - Correct Answer - Prescribe antibiotic ear drops
A patient reports ear pain after being hit in the head with a baseball. The provider notes a perforated TM. What is recommended treatment? - Correct Answer - Refer the patient to an Otolaryngologist for eval
An adolescent has fever, chills, and a severe sore throat. On exam, the provider notes foul-smelling breath and a muffled voice with marked edema and erythema of the peritonsillar tissue. What should you do? - Correct Answer - Perform a rapid strep and throat culture.
A patient has a sore throat, and temp of 38.5, tonsillar exudates, and cervical lymphadenopathy. What will the provider do next to manage this patient's symptoms. - Correct Answer - Perform a RADT
A patient reports a sudden onset of sore throat, fever, malaise, and cough. the provider notes mild erythema of the pharynx and clear rhinorrhea without cervical lymphadenopathy. what is most likely cause? - Correct Answer - viral pharyngitis
A school-aged child has 5 episodes of tonsillitis in the past year and 2 episodes the previous year. The child's parents ask the provider if the child needs a tonsillectomy.What will the provider say? - Correct Answer - Current recommendations do not support tonsillectomy for this child
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pg. 2 A patient with EBV-IM also has GAS pharyngitis and is being treated with Amoxicillin.On the third day of treatment, the patient develops a rash. A urinalysis is normal. what does this indicate? - Correct Answer - A reaction to the amoxicillin
An adolescent who plays football in high school is diagnosed with Infectious Mono and is noted to have splenomegaly. What will the provider recommend to this patient about returning to sports? - Correct Answer - ABD US are recommended to determines safety
An adolescent patient has a fever, pharyngitis, and cervical lymphadenopathy and has negative GAS culture. A cbc shows absolute lymphocytosis, but a heterophil antibody test is negative for EBV. What will the provider tell the patient? - Correct Answer - The likelihood of EBV is still high
A patient reports persistent nasal blockage, discharge and facial pain lasting on the right side for 4 months. There is no hx of sneezing or eye involvement, The patient has a hx of seasonal allergies and takes a non-sedating antihistamine. What does the provider suspect is the cause of these symptoms? - Correct Answer - chronic rhinosinusitis
A provider determines that a patient has chronic rhinosinusitis without nasal polyps.What is first-line treatment? - Correct Answer - Intranasal corticosteroids
A patient has recurrent sneezing, alterations in taste and smell, watery, itchy eyes, and thin, clear nasal secretions. The provider notes puffiness around the eyes. The patient’s vital signs are normal. What is likely diagnosis? - Correct Answer - allergic rhinitis
A patient has seasonal rhinitis symptoms and allergy testing reveals sensitivity to trees and grasses. What is first line treatment for this patient? - Correct Answer - intranasal steroids A patient with asthma has been given three bronchodilator treatments but continues to have wheezing and shortness of breath. The nurse caring for the patient notes an oxygen saturation on 90% of room air. What condition is indicated? - Correct Answer - notify patient's physician immediately
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