Page | 1
NUR 635 FINAL EXAM 2025/2026
UPDATED EXAM WITH VERIFIED
SOLUTIONS.
David presents to the clinic with symptoms of allergic
conjunctivitis. He is prescribed cromolyn sodium (Opticrom) eye
drops. The education regarding using cromolyn eye drops
includes:
A. He should not wear his soft contacts while using the cromolyn
eye drops.
B. Cromolyn drops are instilled once a day to prevent allergy
symptoms.
C. Long-term use may cause glaucoma.
D. He may experience bradycardia as an adverse effect. - correct
answer -A. He should not wear his soft contacts while using the
cromolyn eye drops.
Ciprofloxacin otic drops are contraindicated in a patient with? -
correct answer -Perforated tympanic membrane
First-line therapy for a patient with acute otitis externa (swimmer's
ear) and an intact tympanic membrane includes:
, Page | 2
a. swim-ear drops.
b. ciprofloxacin and hydrocortisone drops.
c. amoxicillin.
d. gentamicin ophthlamic drops - correct answer -b. ciprofloxacin
and hydrocortisone drops.
A patient shows signs and symptoms of conjunctivitis. Which
aminoglycoside would the nurse expect to be ordered?
a. Amikacin [Amikin]
b. Kanamycin [Kantrex]
c. Neomycin [Neomycin]
d. Paromomycin [Humatin] - correct answer -c. Neomycin
[Neomycin]
A 6-year-old child presents with crying due to ear pain. Tympanic
membranes are erythematous, bulging, and immobile, but intact.
In addition to antibiotic therapy, what will the provider recommend
for pain management?
a) Low dose aspirin
b) Lidocaine ear drops
c) Prednisone
d) A tympanostomy to relieve pressure in the middle ear - correct
answer -b) Lidocaine ear drops
, Page | 3
An 18-month-old child with a 24-hour history of fever and otalgia
is seen in the clinic. The child's parents tell the provider that the
child was inconsolable during the night. The provider examines
the child and notes a bulging, immobile, erythematous tympanic
membrane. What action will the provider take to provide the child
with effective care?
a) Institute watchful waiting and ask the parent to return to the
clinic if the child's symptoms worsen.
b) Discuss a referral to an ear, nose, and throat specialist for
follow-up treatment.
c) Advise the parent to give analgesics for 3 days while observing
for worsening symptoms.
d) Prescribe amoxicillin at 45 mg/kg/dose twice daily. - correct
answer -d) Prescribe amoxicillin at 45 mg/kg/dose twice daily.
Patients with severe symptoms of AOM should begin treatment
with antibiotics upon diagnosis. For children 6 months to 2 years
of age, treatment should begin when the diagnosis is certain, as
evidenced by a bulging and immobile tympanic membrane (TM)
and distinct discomfort. Amoxicillin 45 mg/kg/dose twice daily is
indicated. Observation for 2 days is not recommended for this
child, because the diagnosis is certain; therefore, asking the
parent to return in 2 days or to give only symptomatic treatment is
incorrect. Referral to an ear, nose, and throat (ENT) specialist is
not recommended unless the child has recurrent AOM or if
treatments repeatedly fail.
, Page | 4
A patient will begin initial treatment for severe acne. Which
regimen will the nurse expect the provider to order?
a. Clindamycin/benzoyl peroxide (BenzaClin) and tretinoin (Retin-
A)
b. Doxycycline (Vibramycin) and tretinoin (Retin-A)
c. Erythromycin (Ery-Tab) and benzoyl peroxide
d. Topical clindamycin and isotretinoin (Accutane) - correct
answer -b. Doxycycline (Vibramycin) and tretinoin (Retin-A)
ANS: B Oral antibiotics are used for moderate to severe acne and
are usually combined with a topical retinoid. Combination
clindamycin/benzoyl peroxide and tretinoin are used for mild to
moderate acne. Erythromycin can be used as an oral antibiotic
but would need to be combined with a topical retinoid. Isotretinoin
is used for severe acne that has not responded to other
treatments.
A patient begins using timolol [Timoptic] to treat primary open-
angle glaucoma (POAG). The nurse gives a dose and notes that
the patient develops shortness of breath. The nurse assesses the
patient and auscultates wheezes in both lungs. The nurse will ask
this patient about a history of which condition?
a. Asthma
b. Atrioventricular heart block
c. Pulmonary hypertension
d. Sinus bradycardia - correct answer -a. Asthma
NUR 635 FINAL EXAM 2025/2026
UPDATED EXAM WITH VERIFIED
SOLUTIONS.
David presents to the clinic with symptoms of allergic
conjunctivitis. He is prescribed cromolyn sodium (Opticrom) eye
drops. The education regarding using cromolyn eye drops
includes:
A. He should not wear his soft contacts while using the cromolyn
eye drops.
B. Cromolyn drops are instilled once a day to prevent allergy
symptoms.
C. Long-term use may cause glaucoma.
D. He may experience bradycardia as an adverse effect. - correct
answer -A. He should not wear his soft contacts while using the
cromolyn eye drops.
Ciprofloxacin otic drops are contraindicated in a patient with? -
correct answer -Perforated tympanic membrane
First-line therapy for a patient with acute otitis externa (swimmer's
ear) and an intact tympanic membrane includes:
, Page | 2
a. swim-ear drops.
b. ciprofloxacin and hydrocortisone drops.
c. amoxicillin.
d. gentamicin ophthlamic drops - correct answer -b. ciprofloxacin
and hydrocortisone drops.
A patient shows signs and symptoms of conjunctivitis. Which
aminoglycoside would the nurse expect to be ordered?
a. Amikacin [Amikin]
b. Kanamycin [Kantrex]
c. Neomycin [Neomycin]
d. Paromomycin [Humatin] - correct answer -c. Neomycin
[Neomycin]
A 6-year-old child presents with crying due to ear pain. Tympanic
membranes are erythematous, bulging, and immobile, but intact.
In addition to antibiotic therapy, what will the provider recommend
for pain management?
a) Low dose aspirin
b) Lidocaine ear drops
c) Prednisone
d) A tympanostomy to relieve pressure in the middle ear - correct
answer -b) Lidocaine ear drops
, Page | 3
An 18-month-old child with a 24-hour history of fever and otalgia
is seen in the clinic. The child's parents tell the provider that the
child was inconsolable during the night. The provider examines
the child and notes a bulging, immobile, erythematous tympanic
membrane. What action will the provider take to provide the child
with effective care?
a) Institute watchful waiting and ask the parent to return to the
clinic if the child's symptoms worsen.
b) Discuss a referral to an ear, nose, and throat specialist for
follow-up treatment.
c) Advise the parent to give analgesics for 3 days while observing
for worsening symptoms.
d) Prescribe amoxicillin at 45 mg/kg/dose twice daily. - correct
answer -d) Prescribe amoxicillin at 45 mg/kg/dose twice daily.
Patients with severe symptoms of AOM should begin treatment
with antibiotics upon diagnosis. For children 6 months to 2 years
of age, treatment should begin when the diagnosis is certain, as
evidenced by a bulging and immobile tympanic membrane (TM)
and distinct discomfort. Amoxicillin 45 mg/kg/dose twice daily is
indicated. Observation for 2 days is not recommended for this
child, because the diagnosis is certain; therefore, asking the
parent to return in 2 days or to give only symptomatic treatment is
incorrect. Referral to an ear, nose, and throat (ENT) specialist is
not recommended unless the child has recurrent AOM or if
treatments repeatedly fail.
, Page | 4
A patient will begin initial treatment for severe acne. Which
regimen will the nurse expect the provider to order?
a. Clindamycin/benzoyl peroxide (BenzaClin) and tretinoin (Retin-
A)
b. Doxycycline (Vibramycin) and tretinoin (Retin-A)
c. Erythromycin (Ery-Tab) and benzoyl peroxide
d. Topical clindamycin and isotretinoin (Accutane) - correct
answer -b. Doxycycline (Vibramycin) and tretinoin (Retin-A)
ANS: B Oral antibiotics are used for moderate to severe acne and
are usually combined with a topical retinoid. Combination
clindamycin/benzoyl peroxide and tretinoin are used for mild to
moderate acne. Erythromycin can be used as an oral antibiotic
but would need to be combined with a topical retinoid. Isotretinoin
is used for severe acne that has not responded to other
treatments.
A patient begins using timolol [Timoptic] to treat primary open-
angle glaucoma (POAG). The nurse gives a dose and notes that
the patient develops shortness of breath. The nurse assesses the
patient and auscultates wheezes in both lungs. The nurse will ask
this patient about a history of which condition?
a. Asthma
b. Atrioventricular heart block
c. Pulmonary hypertension
d. Sinus bradycardia - correct answer -a. Asthma
