Maryville NURS 620 Exam 1 | Complete Exam
Questions and Answers with Rationales |
2026 Update | 100% Verified
In treating a patient with allergic conjunctivitis, the most appropriate treatment option is:
a) Bacitracin-polymyxin
b) Corticosteroid ophthalmic drops
c) Opthalmological antihistamines
d) Cromolyn ophthalmic drops -✓✓c) Opthalmological 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) Auditory Brainstem Response (ABR) test
b) Schwabach test
c) Rinne test
d) Weber test -✓✓c) Rinne test
As diabetic retinopathy progresses, the presence of "cotton wool" spots can be detected. Cotton
wool spots refer to:
a) Venous beading.
b) Retinal hemorrhage.
c) Nerve fiber layer infarctions.
d) Blood vessel proliferation. -✓✓c) Nerve fiber layer infarctions.
One distinguishing characteristic between conjunctivitis and iritis is:
a) No change in or slightly blurred vision
b) Slow progression
c) Eye discomfort
d) A ciliary flush -✓✓d) A ciliary flush
An acutely presenting, erythematous, tender lump within the eyelid is called:
a) Blepharitis
b) Iritis
c) Hordeolum
d) Chalazion -✓✓c) Hordeolum
The antibiotic of choice for beta-lactamase coverage of otitis media is:
a) Amoxicillin
b) Prednisone
c) Azithromycin
d) Amoxicillin and potassium clavulanate -✓✓d) Amoxicillin and potassium clavulanate
, In assessing a client with bacterial conjunctivitis, the nurse practitioner finds:
a)Minimal itching, moderate tearing, and mucoid exudate.
b) Severe itching, moderate tearing, and minimal discharge.
c) Minimal tearing, moderate itching, and profuse exudate.
d) Minimal itching, moderate tearing, and profuse exudate. -✓✓d) Minimal itching, moderate
tearing, and profuse exudate.
Acute otitis media is diagnosed when there is:
a) Fluid in the middle ear accompanied by otalgia and fever.
b) Fluid in the middle ear without signs or symptoms of an ear infection.
c) A diagnosis of three or more episodes of otitis media within 1 year.
d) Fluid in the middle ear for at least 3 months. -✓✓a) Fluid in the middle ear accompanied by
otalgia and fever.
What is the easiest way to differentiate between otitis externa and otitis media?
a) With otitis media, tender swelling is usually visible.
b) With otitis media, there is usually bilateral pain in the ears.
c) With otitis externa, movement or pressure on the pinna is extremely painful.
d) With otitis media, there is usually tenderness on palpation over the mastoid process. -✓✓c)
With otitis externa, movement or pressure on the pinna is extremely painful.
Common causative organisms of acute bacterial conjunctivitis include all of the following except
what?
a) Pseudomonas aeruginosa
b) Staphylococcus aureus
c) Streptococcus pneumoniae
d) Haemophilus influenzae -✓✓a) Pseudomonas aeruginosa
Tee, age 64, presents with a sore throat. Your assessment reveals tonsillar exudate, anterior
cervical adenopathy, presence of a fever, and absence of a cough. There is a high probability of
which causative agent?
a) Group A beta-hemolytic streptococcus
b) Rhinovirus
c) Haemophilus influenzae
d) Epstein-Barr virus -✓✓a) Group A beta-hemolytic streptococcus
Mark, age 18, has a persistent sore throat, fever, and malaise not relieved with penicillin therapy.
What would you order next?
a) A monospot test
b) A throat culture
c) A rapid antigen test
d) A Thayer-Martin plate test -✓✓a) A monospot test
John, age 19, has just been diagnosed with mononucleosis. Which of the following statements is
true?
Questions and Answers with Rationales |
2026 Update | 100% Verified
In treating a patient with allergic conjunctivitis, the most appropriate treatment option is:
a) Bacitracin-polymyxin
b) Corticosteroid ophthalmic drops
c) Opthalmological antihistamines
d) Cromolyn ophthalmic drops -✓✓c) Opthalmological 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) Auditory Brainstem Response (ABR) test
b) Schwabach test
c) Rinne test
d) Weber test -✓✓c) Rinne test
As diabetic retinopathy progresses, the presence of "cotton wool" spots can be detected. Cotton
wool spots refer to:
a) Venous beading.
b) Retinal hemorrhage.
c) Nerve fiber layer infarctions.
d) Blood vessel proliferation. -✓✓c) Nerve fiber layer infarctions.
One distinguishing characteristic between conjunctivitis and iritis is:
a) No change in or slightly blurred vision
b) Slow progression
c) Eye discomfort
d) A ciliary flush -✓✓d) A ciliary flush
An acutely presenting, erythematous, tender lump within the eyelid is called:
a) Blepharitis
b) Iritis
c) Hordeolum
d) Chalazion -✓✓c) Hordeolum
The antibiotic of choice for beta-lactamase coverage of otitis media is:
a) Amoxicillin
b) Prednisone
c) Azithromycin
d) Amoxicillin and potassium clavulanate -✓✓d) Amoxicillin and potassium clavulanate
, In assessing a client with bacterial conjunctivitis, the nurse practitioner finds:
a)Minimal itching, moderate tearing, and mucoid exudate.
b) Severe itching, moderate tearing, and minimal discharge.
c) Minimal tearing, moderate itching, and profuse exudate.
d) Minimal itching, moderate tearing, and profuse exudate. -✓✓d) Minimal itching, moderate
tearing, and profuse exudate.
Acute otitis media is diagnosed when there is:
a) Fluid in the middle ear accompanied by otalgia and fever.
b) Fluid in the middle ear without signs or symptoms of an ear infection.
c) A diagnosis of three or more episodes of otitis media within 1 year.
d) Fluid in the middle ear for at least 3 months. -✓✓a) Fluid in the middle ear accompanied by
otalgia and fever.
What is the easiest way to differentiate between otitis externa and otitis media?
a) With otitis media, tender swelling is usually visible.
b) With otitis media, there is usually bilateral pain in the ears.
c) With otitis externa, movement or pressure on the pinna is extremely painful.
d) With otitis media, there is usually tenderness on palpation over the mastoid process. -✓✓c)
With otitis externa, movement or pressure on the pinna is extremely painful.
Common causative organisms of acute bacterial conjunctivitis include all of the following except
what?
a) Pseudomonas aeruginosa
b) Staphylococcus aureus
c) Streptococcus pneumoniae
d) Haemophilus influenzae -✓✓a) Pseudomonas aeruginosa
Tee, age 64, presents with a sore throat. Your assessment reveals tonsillar exudate, anterior
cervical adenopathy, presence of a fever, and absence of a cough. There is a high probability of
which causative agent?
a) Group A beta-hemolytic streptococcus
b) Rhinovirus
c) Haemophilus influenzae
d) Epstein-Barr virus -✓✓a) Group A beta-hemolytic streptococcus
Mark, age 18, has a persistent sore throat, fever, and malaise not relieved with penicillin therapy.
What would you order next?
a) A monospot test
b) A throat culture
c) A rapid antigen test
d) A Thayer-Martin plate test -✓✓a) A monospot test
John, age 19, has just been diagnosed with mononucleosis. Which of the following statements is
true?
