NURS 620 EXAM 1 PRACTICE QUESTIONS WITH
100% CORRECT ANSWERS
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
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.
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.
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.
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
,D. Amoxicillin and potassium clavulanate
An acutely presenting, erythematous, tender lump within the eyelid is called:
A. Hordeolum
B. Blepharitis
C. Chalazion
D. Iritis
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
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
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
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
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
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
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."
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
C. Frontal
D. Sphenoid
C. Frontal
Sam, age 4, is brought into the clinic by his father. His tympanic membrane is perforated
from otitis media. His father asks about repair of the eardrum. How do you respond?
A. "The eardrum, in most cases, heals within several weeks."
B. "We need to schedule Sam for a surgical repair."
100% CORRECT ANSWERS
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
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.
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.
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.
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
,D. Amoxicillin and potassium clavulanate
An acutely presenting, erythematous, tender lump within the eyelid is called:
A. Hordeolum
B. Blepharitis
C. Chalazion
D. Iritis
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
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
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
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
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
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
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."
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
C. Frontal
D. Sphenoid
C. Frontal
Sam, age 4, is brought into the clinic by his father. His tympanic membrane is perforated
from otitis media. His father asks about repair of the eardrum. How do you respond?
A. "The eardrum, in most cases, heals within several weeks."
B. "We need to schedule Sam for a surgical repair."
