ANP-650 EXAM QUESTIONS WITH COMPLETE SOLUTIONS

ANP-650 EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
1. The |nurse |is |instructing |a |client |diagnosed |with |otitis |media |on |management |during |the
acute |phase. |Which |of |the |following |should |the |nurse |include |in |the |teaching? |(Select |all
|

that |apply.)
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1. Take |the |antibiotics |as |ordered.

2. Take |over-the-counter |analgesics |for |mild |pain |as |recommended.

3. It |is |okay |to |go |swimming.

4. It |is |okay |to |go |on |vacation |and |trips |that |require |flying.

5. If |excruciating |pain |develops, |seek |medical |care.

6. Limit |fluids. |- |ANSWER--ANS: |1, |2, |5

Clients |must |complete |the |medication |as |ordered |to |kill |the |infection. |Mild |analgesics |for |pain
|are |often |needed. |If |excruciating |ear |pain |develops, |the |client |should |seek |medical |care |to |rule

|out |perforation |of |the |eardrum. |It |is |important |to |keep |the |ear |dry, |so |the |client |should |not

|swim |at |this |time. |Flying |is |not |recommended |at |this |time. |Limiting |fluids |is |not |necessary |with

|otitis |media.




2. When |caring |for |a |client |with |total |hearing |loss, |the |nurse |is |instructing |the |client |about |the
|many |options |that |are |available |to |function |in |a |hearing |world. |Which |of |the |following |should
|the |nurse |include? |(Select |all |that |apply.)



1. Flashing |lights |for |alarms

2. TV |with |closed |captions

3. Talking |computer

4. Lip |reading |and |sign |language

5. Cell |phones |with |headsets

6. Loud |ringers |on |telephones |- |ANSWER--ANS: |1, |2, |4

Patients |who |have |no |hearing |have |access |to |various |mechanisms |to |alert |them |to |various
|sounds. |Flashing |lights |for |alarms |to |phones |and |doorbells, |TV |with |closed |captions |for |the

|hearing |impaired, |and |classes |in |lip |reading |and |sign |language |are |some |options. |Talking

|computers |and |cell |phones |with |headsets |are |advancements |for |the |hearing, |not |for |the

|hearing |impaired. |Loud |ringers |on |telephones |would |also |be |helpful |to |the |client |with |some

|hearing |and |not |a |total |hearing |loss.

,3. A |client |is |diagnosed |with |a |congenital |hearing |loss. |Which |causes |does |the |nurse |realize
are |reasons |for |this |type |of |hearing |loss? |(Select |all |that |apply.)
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1. Genetics

2. Natal |infections

3. Physical |deformities

4. Noise |levels

5. Maternal |ototoxic |drugs

6. Maternal |TORCH |infections |- |ANSWER--ANS: |1, |2, |3, |5, |6

Congenital |hearing |loss |can |be |derived |from |genetics, |natal |infections, |or |physical |deformities |of
|the |ear |in |addition |to |maternal |ototoxic |drug |use |and |maternal |TORCH |infections |that |include

|toxoplasmosis, |rubella, |cytomegalovirus, |and |herpes |virus |type |2. |Noise |levels |do |not |cause |a

|congenital |hearing |loss.




4. A |client |with |a |family |history |of |hearing |loss |asks |the |nurse |what |he |can |do |to |prevent
|this |disorder |as |he |ages. |Which |of |the |following |should |the |nurse |instruct |this |client? |(Select
|all |that |apply.)



1. Turn |down |radio |and |television |volume.

2. Avoid |noisy |areas |such |as |rock |concerts.

3. Wear |protective |devices.

4. Use |plain |cotton |balls |in |the |ears.

5. Avoid |sun |exposure.

6. Flush |the |ears |daily |with |mineral |oil. |- |ANSWER--ANS: |1, |2, |3

Measures |to |prevent |hearing |loss |include |turning |down |the |volume |on |the |radio |and |television,
|avoiding |noisy |areas |such |as |rock |concerts, |and |wearing |protective |devices. |Using |cotton |balls

|in |the |ears |does |not |decrease |noise |from |reaching |the |middle |ear. |Sun |exposure |does |not

|impact |hearing. |Flushing |the |ears |daily |with |mineral |oil |might |decrease |the |buildup |of |cerumen;

|however, |it |will |not |improve |hearing.

,5. Which |of |the |following |are |indications |that |a |client |has |been |exposed |to |excessive |noise?
(Select |all |that |apply.)
|



1. Raising |the |voice |to |talk |in |normal |conversation

2. Clear |drainage |from |the |ears

3. Inability |to |hear |a |conversation |2 |feet |away

4. Sounds |are |muffled

5. Ringing |of |the |ears

6. Short |periods |of |pain |in |the |ears |- |ANSWER--ANS: |1, |3, |4, |5, |6

Warning |signs |of |excessive |noise |exposure |include |raising |the |voice |to |talk |in |normal |conversation,
|inability |to |hear |a |conversation |2 |feet |away, |muffled |sounds, |ear |ringing, |and |short |periods |of

|ear |pain. |Clear |drainage |from |the |ears |does |not |occur |with |excessive |noise |exposure.




1.A |child |is |diagnosed |with |severe |allergic |rhinitis. |Which |of |the |following |manifestations
|would |the |nurse |most |likely |assess |in |this |client?



1. Edematous |neck |glands

2. Reduced |hearing

3. Pruritis

4. Frequent |wiping |of |the |nose |with |the |palm |of |the |hand |- |ANSWER--ANS: |4

Frequent |wiping |of |the |nose |with |the |palm |of |the |hand |is |one |symptom |seen |in |the
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|client
diagnosed |with |severe |allergic |rhinitis. |Edematous |neck |glands, |reduced |hearing, |and |pruritis |are
|not |manifestations |of |severe |allergic |rhinitis.




2.A |client |tells |the |nurse |that |she |experiences |a |stuffy |nose, |nasal |pain, |and |postnasal |drip
|every |time |she |works |in |her |companys |office. |Which |of |the |following |types |of |allergic |rhinitis |is

|this |client |most |likely |experiencing?



1. Infectious

2. Perennial

3. Occupational

4. Seasonal |- |ANSWER--ANS: |3

, Occupational |allergic |rhinitis |occurs |from |airborne |substances |in |the |workplace. |Seasonal |allergic
|rhinitis |occurs |during |a |specific |time |of |the |year. |Perennial |allergic |rhinitis |occurs |in |response |to

|exposure |to |environmental |allergens |that |can |occur |throughout |the |year. |Infectious |rhinitis |is |a

|nonallergic |type |of |rhinitis.




3.A |client |asks |the |nurse |if |there |is |an |antihistamine |that |does |not |cause |drowsiness. |Which |of |the
|following |medications |would |this |client |most |likely |prefer |to |treat |allergic |rhinitis?



1. Diphenhydramine

2. Chlorpheniramine | maleate

3. Clemastine

4. Fexofenadine |- |ANSWER--ANS: |4

Fexofenadine |(Allegra) |is |a |second-generation |antihistamine, |and |second-generation
|antihistamines |exhibit |less |sedation |than |first-generation |medications |such |as |diphenhydramine,

|chlorpheniramine |maleate, |and |clemastine.




4.A |client |diagnosed |with |hypertension |is |experiencing |allergic |rhinitis. |The |nurse |realizes |that |the
|medication |that |would |not |be |indicated |for |this |client |would |be:



1. loratadine.

2. montelukast.

3. pseudoephedrine.

4. zafirlukast. |- |ANSWER--ANS: |3



Pseudoephedrine |can |be |contraindicated |for |the |patient |with |hypertension. |Loratadine,
|montelukast, |and |zafirlukast |should |be |used |cautiously |for |patients |with |hepatic |impairment.




5. A |16-year-old |client |is |being |prescribed |a |medication |to |treat |acute |sinusitis. |The |nurse
realizes |that |this |client |should |not |be |prescribed:
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1. amoxicillin.

2. cefuroxime.