1 | Page
Advanced Nursing NSG 6001 Questions and Correct
Answers/ Latest Update / Already Graded
Chalazion
Ans: A chronic sterile, lipogranulomatous inflammation lesion of the mibomian
gland.
What causes a Chalazion
Ans: meibomian glands secrete the oil layer of the tear film in the eye. NOT
AN INFECTION. More common in adults.
What are the risk factors of a Chalazion
Ans: Chronic Blepharitis, Seborrhea, Viral infection, rosacea
Clinical presentation of Chalazion
Ans: Chronic swelling at the inner eye lid. (NOT ON THE LASH LINE)
Swollen, palpable nodule in lid margin of the eye.
NONTENDER.
Discomfort or irritation due to swelling, feeling of foreign body in the eye,
swelling of the eyelid.
Treatment of Chalazion
© 2025/ 2026 | ® All rights reserved
, 2 | Page
Ans: Small lesions may not need any treatment.
Usually absorbs spontaneously in 2-8 weeks
Drains through the inner surface of the eyelid
May need intralesion steroid injection
Warm compress 3-5 times per day
Gentle massage of eyelid (do not try and pop it)
Abx not indicated unless lesion is associated with Blepharitis
Optho referral if develops cellulitis or does not respond to treatment.
Patient education for Chalazion
Ans: - Patient can wear contact lenses. They should be cleaned with
disinfectant. Disposable lenses do not need to be discarded any sooner than
schedule.
- Discard eye makeup.
- Good hand hygiene
Hordeolum
Ans: "STYE"
An acute INFECTION of a glands in the eyelid, may be associated with blepharitis.
- On the lash line
Causes of Hordeolum
Ans: staph aureus is the most common associated organism, can progress to
cellulitis or abcess
- more common in children
Clinical presentation of Hordeolum
© 2025/ 2026 | ® All rights reserved
, 3 | Page
Ans: Gradual enlarging localized nodule
- in 2-4 days will start draining
-painful, tender
-lid erythema, warmth, tearing
Treatment of hordeolum
Ans: - warm compresses for 5-10 min TID
- bactricacin or erythromcyin eye ointment
- Eyelid scrub (same as blepharitis)
- Good hand hygiene
- Monitor for Cellulitis- systemic antibiotics, optho referral
Otitis Externa
Ans: A cellulitis of the EXTERNAL AUDITORY CANAL that may extend into
the auricle
Risk factors for Otitis Externa
Ans: Removal of protective cerumen, vigorous cleaning of external canal,
maceration of skin from accumulation of moisture infection. (Staph,
pseudomonas)
Clinical presentation of Otitis Externa
Ans: Pain of affected ear and auricle, fullness in ear, itching, drainage from ear,
hearing loss, fever
Physical exam of Otits Externa
© 2025/ 2026 | ® All rights reserved
Advanced Nursing NSG 6001 Questions and Correct
Answers/ Latest Update / Already Graded
Chalazion
Ans: A chronic sterile, lipogranulomatous inflammation lesion of the mibomian
gland.
What causes a Chalazion
Ans: meibomian glands secrete the oil layer of the tear film in the eye. NOT
AN INFECTION. More common in adults.
What are the risk factors of a Chalazion
Ans: Chronic Blepharitis, Seborrhea, Viral infection, rosacea
Clinical presentation of Chalazion
Ans: Chronic swelling at the inner eye lid. (NOT ON THE LASH LINE)
Swollen, palpable nodule in lid margin of the eye.
NONTENDER.
Discomfort or irritation due to swelling, feeling of foreign body in the eye,
swelling of the eyelid.
Treatment of Chalazion
© 2025/ 2026 | ® All rights reserved
, 2 | Page
Ans: Small lesions may not need any treatment.
Usually absorbs spontaneously in 2-8 weeks
Drains through the inner surface of the eyelid
May need intralesion steroid injection
Warm compress 3-5 times per day
Gentle massage of eyelid (do not try and pop it)
Abx not indicated unless lesion is associated with Blepharitis
Optho referral if develops cellulitis or does not respond to treatment.
Patient education for Chalazion
Ans: - Patient can wear contact lenses. They should be cleaned with
disinfectant. Disposable lenses do not need to be discarded any sooner than
schedule.
- Discard eye makeup.
- Good hand hygiene
Hordeolum
Ans: "STYE"
An acute INFECTION of a glands in the eyelid, may be associated with blepharitis.
- On the lash line
Causes of Hordeolum
Ans: staph aureus is the most common associated organism, can progress to
cellulitis or abcess
- more common in children
Clinical presentation of Hordeolum
© 2025/ 2026 | ® All rights reserved
, 3 | Page
Ans: Gradual enlarging localized nodule
- in 2-4 days will start draining
-painful, tender
-lid erythema, warmth, tearing
Treatment of hordeolum
Ans: - warm compresses for 5-10 min TID
- bactricacin or erythromcyin eye ointment
- Eyelid scrub (same as blepharitis)
- Good hand hygiene
- Monitor for Cellulitis- systemic antibiotics, optho referral
Otitis Externa
Ans: A cellulitis of the EXTERNAL AUDITORY CANAL that may extend into
the auricle
Risk factors for Otitis Externa
Ans: Removal of protective cerumen, vigorous cleaning of external canal,
maceration of skin from accumulation of moisture infection. (Staph,
pseudomonas)
Clinical presentation of Otitis Externa
Ans: Pain of affected ear and auricle, fullness in ear, itching, drainage from ear,
hearing loss, fever
Physical exam of Otits Externa
© 2025/ 2026 | ® All rights reserved
