Maryville NURS 620 Exam 1 | Latest
Questions and Answers | 2026 Update
when examining lab from a person with mono what would the NP expect to find? -
✓✓Lymphocytosis
EBV is transmitted through which route? -✓✓oral pharyngeal secretions (saliva)
Sx of mono usually present how many days after initially infected? -✓✓30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class of
med to avoid -✓✓beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated
lesion with induration what do you suspect -✓✓oral cancer
which vision sx is common in open angel glaucoma -✓✓peripheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step -
✓✓refer to eye dr (retinal detachment)
An acutely presenting, erythematous, tender lump within the eyelid -✓✓Hordeolum
(stye)
A granulomatous infection of a Meibomian gland, presenting in the form of painless
swelling on the eyelid -✓✓Chalazion
what maneuver can be performed to help manage sx of vertigo? -✓✓Epley maneuver
What can help diagnose vertigo -✓✓Dix-Hallpack test
A pt is started on antibiotics for strep a few days later the mono spot comes back
positive what is the first thing to do? -✓✓discontinue antibiotics
peripheral vision loss that has worsened over the last few months -✓✓open-angle
glaucoma (peripheral loss over time)
Risk factor for otitis externa? -✓✓Exposure to water, excessive use of headphones, Q-
tips, impacted cerumen and earplugs
Risk factor for otitis media? -✓✓Young children, allergies, craniofacial abnormalities,
smokers, hx of URI, acid reflux, immunodeficiency
, A red flag for pt complaining of red eye? -✓✓severe headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with
treatment failure after 7 days of 1st line abx (PCN)? -✓✓Doxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and
sore throat; exam shows pharyngeal erythema, pale swollen turbinates, clear
rhinorrhea; T 99, most appropriate treatment plan -✓✓saline nasal spray and clariton
painful ulcer in mouth that is round or oval with white or yellow center and red border -
✓✓canker sore
what symptoms are most indicative of mono -✓✓gradual onset of fatigue/malaise
POSTERIOR CERVICAL ADENOPATHY, fever and sore throat
excess salivation, necrotic ulceration with purulent gray exudate, bleeding gums, bad
breath, swollen puffy receding gums that are tender and bleed easily -✓✓gingivitis
toothache, bad breath, pus, fever, swollen lymph nodes -✓✓Dental abscess
symptoms of meniere's disease -✓✓loss of balance, tinnitus, vertigo
PE findings of meniere's disease -✓✓positive Romberg, abnormal gait, unilateral
hearing loss, sensorineural hearing loss (excessively longer air conduction vs bone
conduction)
most common in children, self limiting, local irritation r/t trauma or inflammation,
bleeding from Kiesselbach's plexus -✓✓Anterior epistaxis
nose bleed most common in elderly, heavier bleeding from arterial damage -
✓✓Posterior epistaxis
What would indicate prep for possible emergency surgery by making NPO and treating
VS. Protect eye to avoid pressure, limit patient activity, send to ER -✓✓retinal
detachment
If patient has mono and is placed on amoxicillin what are the effects on the patient? -
✓✓could cause a rash
Sudden eye pain, nausea, rainbow around lights, blurred vision -✓✓closed angle
glaucoma
What is the treatment for AOM if there is a PCN allergy -✓✓bactrim or azithromycin
Questions and Answers | 2026 Update
when examining lab from a person with mono what would the NP expect to find? -
✓✓Lymphocytosis
EBV is transmitted through which route? -✓✓oral pharyngeal secretions (saliva)
Sx of mono usually present how many days after initially infected? -✓✓30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class of
med to avoid -✓✓beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated
lesion with induration what do you suspect -✓✓oral cancer
which vision sx is common in open angel glaucoma -✓✓peripheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step -
✓✓refer to eye dr (retinal detachment)
An acutely presenting, erythematous, tender lump within the eyelid -✓✓Hordeolum
(stye)
A granulomatous infection of a Meibomian gland, presenting in the form of painless
swelling on the eyelid -✓✓Chalazion
what maneuver can be performed to help manage sx of vertigo? -✓✓Epley maneuver
What can help diagnose vertigo -✓✓Dix-Hallpack test
A pt is started on antibiotics for strep a few days later the mono spot comes back
positive what is the first thing to do? -✓✓discontinue antibiotics
peripheral vision loss that has worsened over the last few months -✓✓open-angle
glaucoma (peripheral loss over time)
Risk factor for otitis externa? -✓✓Exposure to water, excessive use of headphones, Q-
tips, impacted cerumen and earplugs
Risk factor for otitis media? -✓✓Young children, allergies, craniofacial abnormalities,
smokers, hx of URI, acid reflux, immunodeficiency
, A red flag for pt complaining of red eye? -✓✓severe headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with
treatment failure after 7 days of 1st line abx (PCN)? -✓✓Doxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and
sore throat; exam shows pharyngeal erythema, pale swollen turbinates, clear
rhinorrhea; T 99, most appropriate treatment plan -✓✓saline nasal spray and clariton
painful ulcer in mouth that is round or oval with white or yellow center and red border -
✓✓canker sore
what symptoms are most indicative of mono -✓✓gradual onset of fatigue/malaise
POSTERIOR CERVICAL ADENOPATHY, fever and sore throat
excess salivation, necrotic ulceration with purulent gray exudate, bleeding gums, bad
breath, swollen puffy receding gums that are tender and bleed easily -✓✓gingivitis
toothache, bad breath, pus, fever, swollen lymph nodes -✓✓Dental abscess
symptoms of meniere's disease -✓✓loss of balance, tinnitus, vertigo
PE findings of meniere's disease -✓✓positive Romberg, abnormal gait, unilateral
hearing loss, sensorineural hearing loss (excessively longer air conduction vs bone
conduction)
most common in children, self limiting, local irritation r/t trauma or inflammation,
bleeding from Kiesselbach's plexus -✓✓Anterior epistaxis
nose bleed most common in elderly, heavier bleeding from arterial damage -
✓✓Posterior epistaxis
What would indicate prep for possible emergency surgery by making NPO and treating
VS. Protect eye to avoid pressure, limit patient activity, send to ER -✓✓retinal
detachment
If patient has mono and is placed on amoxicillin what are the effects on the patient? -
✓✓could cause a rash
Sudden eye pain, nausea, rainbow around lights, blurred vision -✓✓closed angle
glaucoma
What is the treatment for AOM if there is a PCN allergy -✓✓bactrim or azithromycin
