NUR 652 - Final review | questions and answers
Terms in this set (273)
A 5-year-old child is hit in the face with a baseball Refer the child to the dentist immediately for further evaluation
bat and is brought to the clinic by a parent. An exam
reveals three avulsed front teeth. Radiologic studies are
negative for facial fractures. What is the recommended
treatment?
A child who was treated with amoxicillin and then Monitoring ear fluid levels for 3 months
amoxicillin-clavulanate for acute otitis media is seen for
follow-up. The primary care nurse practitioner notes dull-
gray tympanic membranes with a visible air-fluid
level.
The child is afebrile and without pain. What is the next
course of action?
A 13-year-old with cerebral palsy receives all nutrition Daily chlorhexidine gluconate
via gastrostomy tube. What will the primary care
nurse practitioner recommend to promote dental
health in this child?
A primary care provider may suspect cataract formation Asymmetric red reflex
in a patient with which finding?
A patient has chronically dry eyes, sometimes with a Aqueous Deficiency
foreign body sensation, burning, and itching. A Schirmer
test is abnormal. What is the suspected cause of this
patient's symptoms?
,A teen who has otitis externa has severe swelling of the Insert a wick into the external auditory canal
external auditory canal that persists after 2 days of
therapy with ototopical antibiotic/corticosteroid drops.
What is the next step in treatment for this child?
A patient reports tooth pain in a lower molar and the Prescribe amoxicillin and refer to a dentist in 2-3 days
provider notes a mobile tooth with erythema and edema
of the surrounding tissues without discharge. Which is the
initial course of action by the provider?
An elderly patient has a permanent loss of the sense of 1. The importance of installing smoke detectors
smell and diminished taste. What will be included in 2. Putting dates on food in the fridge
teaching this patient about managing these symptoms? 3.Eating regular meals at scheduled times
A toddler exhibits exotropia of the right eye during a Patching of the unaffected eye for 2 hours each day
cover-uncover screen. The primary nurse practitioner
will refer to a pediatric ophthalmologist to initiate
which treatment?
An adolescent has localized bleeding of the gums when Consistently brushing and flossing the teeth twice daily
brushing the teeth. An exam of the mouth reveals
the presence of plaque and calculus on the teeth
which are not loose. What will the primary care nurse
practitioner recommend?
A provider is recommending a cerumenolytic for a patient Carbamide peroxide
who has chronic cerumen buildup. The provider notes
that the patient has dry skin in the ear canal. Which
preparation is FDA approved for this use?
A parent asks about ways to promote dental health Offering gum containing xylitol after meals
in school-aged children while on family vacation that
are convenient while camping and picnicking. What
will the primary care nurse practitioner
recommend?
A patient reports several episodes of acute vertigo, some Audiogram and MRI
lasting up to an hour with associated nausea and
vomiting. What is part of the initial diagnostic workup for
this patient?
A teen with a history of otitis externa asks about ways to Drying the ear canal with a hair dryer
prevent this condition. What will the primary care nurse
practitioner recommend?
A 7-month-old infant has had two prior acute ear Refer the child to an otolayngologist
infections and is currently on the 10th day of therapy
with amoxicillin-clavulanate after a failed course of
amoxicillin. The primary care nurse practitioner notes
marker middle ear effusion and erythema of the TM. The
child is irritable and has a temperature of 99.8. What is
the next step in management of this child's infection?
, A patient reports painful swelling in the mouth with Sialolithiasis
increased pain at mealtimes. The provider notes a mass
in the salivary gland region. What is the likely cause of
these symptoms?
A child complains of itching in both ears and is Order ototopical antibiotic/corticosteroid drops
having trouble hearing. The primary care nurse
practitioner notes periauricular edema and marked
swelling of the external auditory canal and elicits severe
pain when manipulating the external ear structures.
Which is an appropriate intervention?
During a well child assessment of an African Refer the infant to an opthalmologist
American infant, the primary care nurse practitioner
notes a dark red-brown light reflex in the left eye and
a slightly brighter, red-orange light reflex in the right
eye. The nurse practitioner will...
Which are risk factors for development of cataracts? 1. Smoking
2. Advancing Age
3.UV Light
A preschool age child who attend daycare has a 2 Prescribe topical antibiotic drops
day history of matted eyelids in the morning and
burning and itching of the eyes. The primary care NP
notes yellow-green purulent discharge from both
eyes, conjunctival erythema and mild URI symptoms.
Which action is correct?
An 18-month-old child with no previous history of otitis An analgesic medication and watchful waiting
media awoke during the night with right ear pain. The
primary care NP notes an axillary temperature of
100.5 and an erythematous, bulging TM. A
tympanogram reveals a peak of +15-mm H2O. What is
the recommended treatment for this child?
A patient complains of otalgia and difficulty hearing from Ask the patient about previous problems with the ear
one ear. The provider performs an otoscopic exam
and notes a dark brown mass in the lower portion of
the external canal blocking the patient's TM. What is the
initial action?
The primary care NP is treating an infant with lacrimal Refer to an ophthalmologist
duct obstruction who has developed bacterial
conjunctivitis. After 2 weeks of treatment with topical
antibiotics along with massage and frequent cleaning
of secretions, the infant's symptoms have not improved.
Which action is correct?
A patient has a chronic swelling of the parotid gland that
Fine needle aspiration
is unresponsive to antibiotics and which has not increased
in size. Which diagnostic test is indicated?
Terms in this set (273)
A 5-year-old child is hit in the face with a baseball Refer the child to the dentist immediately for further evaluation
bat and is brought to the clinic by a parent. An exam
reveals three avulsed front teeth. Radiologic studies are
negative for facial fractures. What is the recommended
treatment?
A child who was treated with amoxicillin and then Monitoring ear fluid levels for 3 months
amoxicillin-clavulanate for acute otitis media is seen for
follow-up. The primary care nurse practitioner notes dull-
gray tympanic membranes with a visible air-fluid
level.
The child is afebrile and without pain. What is the next
course of action?
A 13-year-old with cerebral palsy receives all nutrition Daily chlorhexidine gluconate
via gastrostomy tube. What will the primary care
nurse practitioner recommend to promote dental
health in this child?
A primary care provider may suspect cataract formation Asymmetric red reflex
in a patient with which finding?
A patient has chronically dry eyes, sometimes with a Aqueous Deficiency
foreign body sensation, burning, and itching. A Schirmer
test is abnormal. What is the suspected cause of this
patient's symptoms?
,A teen who has otitis externa has severe swelling of the Insert a wick into the external auditory canal
external auditory canal that persists after 2 days of
therapy with ototopical antibiotic/corticosteroid drops.
What is the next step in treatment for this child?
A patient reports tooth pain in a lower molar and the Prescribe amoxicillin and refer to a dentist in 2-3 days
provider notes a mobile tooth with erythema and edema
of the surrounding tissues without discharge. Which is the
initial course of action by the provider?
An elderly patient has a permanent loss of the sense of 1. The importance of installing smoke detectors
smell and diminished taste. What will be included in 2. Putting dates on food in the fridge
teaching this patient about managing these symptoms? 3.Eating regular meals at scheduled times
A toddler exhibits exotropia of the right eye during a Patching of the unaffected eye for 2 hours each day
cover-uncover screen. The primary nurse practitioner
will refer to a pediatric ophthalmologist to initiate
which treatment?
An adolescent has localized bleeding of the gums when Consistently brushing and flossing the teeth twice daily
brushing the teeth. An exam of the mouth reveals
the presence of plaque and calculus on the teeth
which are not loose. What will the primary care nurse
practitioner recommend?
A provider is recommending a cerumenolytic for a patient Carbamide peroxide
who has chronic cerumen buildup. The provider notes
that the patient has dry skin in the ear canal. Which
preparation is FDA approved for this use?
A parent asks about ways to promote dental health Offering gum containing xylitol after meals
in school-aged children while on family vacation that
are convenient while camping and picnicking. What
will the primary care nurse practitioner
recommend?
A patient reports several episodes of acute vertigo, some Audiogram and MRI
lasting up to an hour with associated nausea and
vomiting. What is part of the initial diagnostic workup for
this patient?
A teen with a history of otitis externa asks about ways to Drying the ear canal with a hair dryer
prevent this condition. What will the primary care nurse
practitioner recommend?
A 7-month-old infant has had two prior acute ear Refer the child to an otolayngologist
infections and is currently on the 10th day of therapy
with amoxicillin-clavulanate after a failed course of
amoxicillin. The primary care nurse practitioner notes
marker middle ear effusion and erythema of the TM. The
child is irritable and has a temperature of 99.8. What is
the next step in management of this child's infection?
, A patient reports painful swelling in the mouth with Sialolithiasis
increased pain at mealtimes. The provider notes a mass
in the salivary gland region. What is the likely cause of
these symptoms?
A child complains of itching in both ears and is Order ototopical antibiotic/corticosteroid drops
having trouble hearing. The primary care nurse
practitioner notes periauricular edema and marked
swelling of the external auditory canal and elicits severe
pain when manipulating the external ear structures.
Which is an appropriate intervention?
During a well child assessment of an African Refer the infant to an opthalmologist
American infant, the primary care nurse practitioner
notes a dark red-brown light reflex in the left eye and
a slightly brighter, red-orange light reflex in the right
eye. The nurse practitioner will...
Which are risk factors for development of cataracts? 1. Smoking
2. Advancing Age
3.UV Light
A preschool age child who attend daycare has a 2 Prescribe topical antibiotic drops
day history of matted eyelids in the morning and
burning and itching of the eyes. The primary care NP
notes yellow-green purulent discharge from both
eyes, conjunctival erythema and mild URI symptoms.
Which action is correct?
An 18-month-old child with no previous history of otitis An analgesic medication and watchful waiting
media awoke during the night with right ear pain. The
primary care NP notes an axillary temperature of
100.5 and an erythematous, bulging TM. A
tympanogram reveals a peak of +15-mm H2O. What is
the recommended treatment for this child?
A patient complains of otalgia and difficulty hearing from Ask the patient about previous problems with the ear
one ear. The provider performs an otoscopic exam
and notes a dark brown mass in the lower portion of
the external canal blocking the patient's TM. What is the
initial action?
The primary care NP is treating an infant with lacrimal Refer to an ophthalmologist
duct obstruction who has developed bacterial
conjunctivitis. After 2 weeks of treatment with topical
antibiotics along with massage and frequent cleaning
of secretions, the infant's symptoms have not improved.
Which action is correct?
A patient has a chronic swelling of the parotid gland that
Fine needle aspiration
is unresponsive to antibiotics and which has not increased
in size. Which diagnostic test is indicated?
