NURS 629 Exam 3 Review | Questions
and Answers | 2026 Update | 100%
Correct
Otitis media pathogens -CORRECTANSWER Caused by: S. Pneumoniae (most
common); H. Influenzae, M. Catarrhils
Otitis media Symptoms: -CORRECTANSWER Fever, Pain, discharge from ear, tugging
at ear, irritability, crying, lethargy, decreased appetite, decreased sleep, Recent URI
Objective findings in otitis media -CORRECTANSWER Red, bulging OM; Retracted
with pus; no movement of TM, Inability to see landmarks; occasional hole in TM
Treatment for AOM + Conjunctivitis d/t : H. Influenzae -CORRECTANSWER
Amoxicillin-clavulanate 80-90 mg/kg/day BID x 10 days
Treatment for AOM d/t S. Pneumoniae (most common): -CORRECTANSWER
Amoxicillin 80-90 mg/kg/day BID x 10 days (high dose)
Treatment for AOM with PCN Allergy: Non-Type 1: -CORRECTANSWER Cefdinir,
Cefuroxime
,Treatment for AOM with PCN Allergy: Type 1: -CORRECTANSWER Azithromycin,
clarithromycin OR Ceftriaxone 1-3 days
Predisposing factors of otitis externa: -CORRECTANSWER Frequent moisture, local
trauma, aggressive cleaning, Allergies/skin conditions
Causative organisms for otitis externa: -CORRECTANSWER Psuedomonas aeruginosa
(20-60%); Staphylococcus Aureus (10-70%); 10% fungal infection
Symptoms of otitis externa: -CORRECTANSWER Discharge from ear, recent history of
swimming or placing something in the ear, low-grade fever, pain with movement of
tragus, decreased hearing, redness around ear
Objective findings of otitis externa: -CORRECTANSWER Otalgia ( inner or outer ear
pain), discharge, fullness, itching, pain with movement of tragus, redness around ear,
decreased hearing.
Treatment of pain and therapeutic management of otitis externa: -CORRECTANSWER
Warm compresses, Auralgan, prednisone, Tylenol/ibuprofen, Wick (abx applied to wick
)
When to wick with otitis externa: -CORRECTANSWER If lumen is reduced to >50%,
wicks can help ensure delivery of topical abx to medial canal.
,Treatment of otitis externa: -CORRECTANSWER Topical fluroquinolones
(Ciprofloxacin, Ofloxacin), ibuprofen and apap for pain, neomycin/polymixin
b/hydrocortison otic (antibiotic/steroid)
Hallmark sign of otitis externa: -CORRECTANSWER Traction of pinna elicits pain
When do we begin hearing tests in clinic for children -CORRECTANSWER 4 years old
What is a normal audiology test result and how are results read -CORRECTANSWER
Normal -10 to +15 The higher the number, the greater the loss, Severe loss 71-90
(learning disability, limited vocabulary), Profound loss 90
Risk factors related to elevated cholesterol -CORRECTANSWER Obesity, Diabetes,
Hypertension, Family history: Coronary heart disease prior to age 55, Hyperlipidemia,
Diabetes
Clinical findings for tetralogy of Fallot: -CORRECTANSWER Cyanosis: caused by blood
low in oxygen, Shortness of breath and rapid breathing, especially during feeding or
exercise, Loss of consciousness, Clubbing of fingers and toes, Poor weight gain,
delayed growth, Polycythemia, metabolic acidosis, Systolic murmur at 2nd left ICS &
holosystolic murmur at LLSB
, What criteria would you have to consider inpatient admission in a patient with
pneumonia -CORRECTANSWER Infants less than 4 months old, Infant with poor
feeding, grunting, O2 saturation <92%, respiratory rate >70 , Older child with grunting,
inability to tolerate oral intake, oxygen saturation ≤ 92 percent, respiratory rate > 50
breaths per minute, Any age: Comorbidities (e.g., chronic lung disease, asthma,
unrepaired or incompletely repaired congenital heart disease, diabetes mellitus,
neuromuscular disease)
Visual acuity of a 2-month-old -CORRECTANSWER • Vision is 20/400 • Fix and follow
objects
Viral conjunctivitis etiology (causative agent): -CORRECTANSWER Adenovirus is the
most common cause. Other causes: HSV, herpes zoster, and varicella
Viral conjunctivitis symptoms: -CORRECTANSWER o Watery discharge (profuse and
clear), foreign body sensation, redness o URI symptoms are common including sore
throat and fever o Itchy conjunctiva and swollen eye lids o Often bilateral
Viral conjunctivitis Clinical findings -CORRECTANSWER o Normal visual acuity,
PERRLA, EOMI, Fundus normal o Mucoid-profuse watery discharge o Mild, diffuse
injection and itching o *Preauricular lymphadenopathy
and Answers | 2026 Update | 100%
Correct
Otitis media pathogens -CORRECTANSWER Caused by: S. Pneumoniae (most
common); H. Influenzae, M. Catarrhils
Otitis media Symptoms: -CORRECTANSWER Fever, Pain, discharge from ear, tugging
at ear, irritability, crying, lethargy, decreased appetite, decreased sleep, Recent URI
Objective findings in otitis media -CORRECTANSWER Red, bulging OM; Retracted
with pus; no movement of TM, Inability to see landmarks; occasional hole in TM
Treatment for AOM + Conjunctivitis d/t : H. Influenzae -CORRECTANSWER
Amoxicillin-clavulanate 80-90 mg/kg/day BID x 10 days
Treatment for AOM d/t S. Pneumoniae (most common): -CORRECTANSWER
Amoxicillin 80-90 mg/kg/day BID x 10 days (high dose)
Treatment for AOM with PCN Allergy: Non-Type 1: -CORRECTANSWER Cefdinir,
Cefuroxime
,Treatment for AOM with PCN Allergy: Type 1: -CORRECTANSWER Azithromycin,
clarithromycin OR Ceftriaxone 1-3 days
Predisposing factors of otitis externa: -CORRECTANSWER Frequent moisture, local
trauma, aggressive cleaning, Allergies/skin conditions
Causative organisms for otitis externa: -CORRECTANSWER Psuedomonas aeruginosa
(20-60%); Staphylococcus Aureus (10-70%); 10% fungal infection
Symptoms of otitis externa: -CORRECTANSWER Discharge from ear, recent history of
swimming or placing something in the ear, low-grade fever, pain with movement of
tragus, decreased hearing, redness around ear
Objective findings of otitis externa: -CORRECTANSWER Otalgia ( inner or outer ear
pain), discharge, fullness, itching, pain with movement of tragus, redness around ear,
decreased hearing.
Treatment of pain and therapeutic management of otitis externa: -CORRECTANSWER
Warm compresses, Auralgan, prednisone, Tylenol/ibuprofen, Wick (abx applied to wick
)
When to wick with otitis externa: -CORRECTANSWER If lumen is reduced to >50%,
wicks can help ensure delivery of topical abx to medial canal.
,Treatment of otitis externa: -CORRECTANSWER Topical fluroquinolones
(Ciprofloxacin, Ofloxacin), ibuprofen and apap for pain, neomycin/polymixin
b/hydrocortison otic (antibiotic/steroid)
Hallmark sign of otitis externa: -CORRECTANSWER Traction of pinna elicits pain
When do we begin hearing tests in clinic for children -CORRECTANSWER 4 years old
What is a normal audiology test result and how are results read -CORRECTANSWER
Normal -10 to +15 The higher the number, the greater the loss, Severe loss 71-90
(learning disability, limited vocabulary), Profound loss 90
Risk factors related to elevated cholesterol -CORRECTANSWER Obesity, Diabetes,
Hypertension, Family history: Coronary heart disease prior to age 55, Hyperlipidemia,
Diabetes
Clinical findings for tetralogy of Fallot: -CORRECTANSWER Cyanosis: caused by blood
low in oxygen, Shortness of breath and rapid breathing, especially during feeding or
exercise, Loss of consciousness, Clubbing of fingers and toes, Poor weight gain,
delayed growth, Polycythemia, metabolic acidosis, Systolic murmur at 2nd left ICS &
holosystolic murmur at LLSB
, What criteria would you have to consider inpatient admission in a patient with
pneumonia -CORRECTANSWER Infants less than 4 months old, Infant with poor
feeding, grunting, O2 saturation <92%, respiratory rate >70 , Older child with grunting,
inability to tolerate oral intake, oxygen saturation ≤ 92 percent, respiratory rate > 50
breaths per minute, Any age: Comorbidities (e.g., chronic lung disease, asthma,
unrepaired or incompletely repaired congenital heart disease, diabetes mellitus,
neuromuscular disease)
Visual acuity of a 2-month-old -CORRECTANSWER • Vision is 20/400 • Fix and follow
objects
Viral conjunctivitis etiology (causative agent): -CORRECTANSWER Adenovirus is the
most common cause. Other causes: HSV, herpes zoster, and varicella
Viral conjunctivitis symptoms: -CORRECTANSWER o Watery discharge (profuse and
clear), foreign body sensation, redness o URI symptoms are common including sore
throat and fever o Itchy conjunctiva and swollen eye lids o Often bilateral
Viral conjunctivitis Clinical findings -CORRECTANSWER o Normal visual acuity,
PERRLA, EOMI, Fundus normal o Mucoid-profuse watery discharge o Mild, diffuse
injection and itching o *Preauricular lymphadenopathy
