NURS 5433 FAMILY 2 EXAMS SET FULL
SOLUTION SOLVED QUESTIONS 2026
GRADED A+.
⫸ Bacterial conjunctivitis patho Answer: inflammation of the
conjunctiva (front part of eye) caused by strep, h flu, or m catarrhalis
(same bacteria caused by upper resp infection
⫸ Conjunctivitis risk factors Answer: -Bacterial: direct contact with
patient and their secretions, or with contaminated object and surface
(highly contagious)
-Viral: highly contagious; 2nd eye usually involved within 24-48
hours
-Allergic: wind, contact with allergen, often coexists with allergic
rhinitis
⫸ Conjunctivitis differential diagnosis Answer: foreign body, uveitis,
iritis, scleritis, corneal abrasion, dacryocystitis, hyphema, angle-
closure glaucoma, subconjunctival hemorrhage, periorbital cellulitis
⫸ Conjunctivitis diagnostic testing Answer: -1st: always test visual
acuity
-Snelling test
-if there are any visual acuity changes, refer to ophthamalogist
-dilated pupil exam to check the optic nerve for dysfunction and
anterior chamber inflammation
,⫸ Bacterial conjunctivitis treatment Answer: -Antibiotic therapy:
gatifloxacin, levofloxacin, moxifloxacin
-chlamydial and gonococcal tx: both systemically and topically treat
(systemic antibiotics - PCN and doxycycline)
⫸ Conjunctivitis follow up instructions Answer: -follow up in 24
hours to assess effectiveness of tx
-allergic: improvement in 2-3 days expected
-bacterial or viral: improve in 2-4 days
-may return to work or school after 24 hours of topical therapy
⫸ Viral Conjunctivitis patho Answer: inflammation of the
conjunctiva caused by adenovirus, coxsackie virus, varicella, herpes,
and herpes zoster
⫸ Viral Conjunctivitis diagnostic tests Answer: Fluorescein stain with
dendrites present (r/o corneal abrasion) if dendrites present, refer out
immediately
⫸ Viral Conjunctivitis patient education Answer: avoid herpes in the
eye because it can cause blindness
⫸ Allergic Conjunctivitis patho Answer: 1. intermittent (seasonal)-
IgE mediated; common triggers depend on time of year and
geographic location; april-may: tree pollen; june-july: grass pollen;
july-aug: mold spores and weed pollen
, 2. persistent (perennial)- IgE mediated; common triggers are house
dust mites (present in all geographic locations)
⫸ Allergic Conjunctivitis treatment Answer: decongestant
antihistamine drops (Naphocon-A, vasocon-A), mast cell stabilizers
(palatal or optivar)
⫸ Allergic Conjunctivitis patient teaching Answer: do not wear
contact lenses and discard old makeup
⫸ Corneal abrasion patho Answer: -complete or partial loss of
epithelial layers
-caused by over exposure to sun or from foreign bodies
-can become infected and patient can lose eyesight if
undiagnosed/untreated
-most commonly caused by fingernails, paws, tree branches, rust,
wood, glass, and fiberglass
⫸ Corneal abrasion risk factors Answer: history of trauma, contact
lens use, men ages 20-34, construction or manufacturing jobs, lack of
eye protection, sports or playing with small objects, chronic dry eyes
⫸ Corneal abrasion differential diagnosis Answer: 1. emergent:
angle-closure glaucoma, hyphema, iritis, keratitis, scleritis
2. nonemergent: stye, chalazion, blepharitis, subconjunctival
hemorrhage, conjunctivitis, overwearing of contacts, corneal foreign
body
SOLUTION SOLVED QUESTIONS 2026
GRADED A+.
⫸ Bacterial conjunctivitis patho Answer: inflammation of the
conjunctiva (front part of eye) caused by strep, h flu, or m catarrhalis
(same bacteria caused by upper resp infection
⫸ Conjunctivitis risk factors Answer: -Bacterial: direct contact with
patient and their secretions, or with contaminated object and surface
(highly contagious)
-Viral: highly contagious; 2nd eye usually involved within 24-48
hours
-Allergic: wind, contact with allergen, often coexists with allergic
rhinitis
⫸ Conjunctivitis differential diagnosis Answer: foreign body, uveitis,
iritis, scleritis, corneal abrasion, dacryocystitis, hyphema, angle-
closure glaucoma, subconjunctival hemorrhage, periorbital cellulitis
⫸ Conjunctivitis diagnostic testing Answer: -1st: always test visual
acuity
-Snelling test
-if there are any visual acuity changes, refer to ophthamalogist
-dilated pupil exam to check the optic nerve for dysfunction and
anterior chamber inflammation
,⫸ Bacterial conjunctivitis treatment Answer: -Antibiotic therapy:
gatifloxacin, levofloxacin, moxifloxacin
-chlamydial and gonococcal tx: both systemically and topically treat
(systemic antibiotics - PCN and doxycycline)
⫸ Conjunctivitis follow up instructions Answer: -follow up in 24
hours to assess effectiveness of tx
-allergic: improvement in 2-3 days expected
-bacterial or viral: improve in 2-4 days
-may return to work or school after 24 hours of topical therapy
⫸ Viral Conjunctivitis patho Answer: inflammation of the
conjunctiva caused by adenovirus, coxsackie virus, varicella, herpes,
and herpes zoster
⫸ Viral Conjunctivitis diagnostic tests Answer: Fluorescein stain with
dendrites present (r/o corneal abrasion) if dendrites present, refer out
immediately
⫸ Viral Conjunctivitis patient education Answer: avoid herpes in the
eye because it can cause blindness
⫸ Allergic Conjunctivitis patho Answer: 1. intermittent (seasonal)-
IgE mediated; common triggers depend on time of year and
geographic location; april-may: tree pollen; june-july: grass pollen;
july-aug: mold spores and weed pollen
, 2. persistent (perennial)- IgE mediated; common triggers are house
dust mites (present in all geographic locations)
⫸ Allergic Conjunctivitis treatment Answer: decongestant
antihistamine drops (Naphocon-A, vasocon-A), mast cell stabilizers
(palatal or optivar)
⫸ Allergic Conjunctivitis patient teaching Answer: do not wear
contact lenses and discard old makeup
⫸ Corneal abrasion patho Answer: -complete or partial loss of
epithelial layers
-caused by over exposure to sun or from foreign bodies
-can become infected and patient can lose eyesight if
undiagnosed/untreated
-most commonly caused by fingernails, paws, tree branches, rust,
wood, glass, and fiberglass
⫸ Corneal abrasion risk factors Answer: history of trauma, contact
lens use, men ages 20-34, construction or manufacturing jobs, lack of
eye protection, sports or playing with small objects, chronic dry eyes
⫸ Corneal abrasion differential diagnosis Answer: 1. emergent:
angle-closure glaucoma, hyphema, iritis, keratitis, scleritis
2. nonemergent: stye, chalazion, blepharitis, subconjunctival
hemorrhage, conjunctivitis, overwearing of contacts, corneal foreign
body
