NR511 MIDTERM DUNPHY QUESTIONS WITH ACCURATE
ANSWERS
. Prevalence of psoriasis is highest in which group? a. Scandinavians b. African
Americans c. Asians d. Native Americans correct answer a. Scandinavians
.A client is receiving tests to diagnose glaucoma. Which of the following diagnostic
tests will be used to identify this disorder in the client? (Select all that apply.)
1.Visual acuity 2.Visual field test 3.Tonometry 4.Weber test 5.Rinne test
6.Electroencephalogram correct answer 1.Visual acuity 2.Visual field test
3.Tonometry
A 2-week-old infant can fixate on an object but cannot follow a light or bright toy.
The nurse would:
a. Consider this a normal finding. b. Assess the pupillary light reflex for possible
blindness. c. Continue with the examination, and assess visual fields. d. Expect
that a 2-week-old infant should be able to fixate and follow an object. correct
answer a. Consider this a normal finding.
A 16-year-old client is being prescribed a medication to treat acute sinusitis. The
nurse realizes that this client should not be prescribed: 1.amoxicillin.
2.cefuroxime. 3.ciprofloxacin. 4.erythromycin. correct answer 3.ciprofloxacin
A 17-year-old student is a swimmer on her high schools swim team. She has had
three bouts of otitis externa this season and wants to know what to do to prevent
it. The nurse instructs her to:
a. Use a cotton-tipped swab to dry the ear canals thoroughly after each swim. b.
Use rubbing alcohol or 2% acetic acid eardrops after every swim. c. Irrigate the
ears with warm water and a bulb syringe after each swim. d. Rinse the ears with a
,warmed solution of mineral oil and hydrogen peroxide correct answer b. Use
rubbing alcohol or 2% acetic acid eardrops after every swim.
A 31-year-old patient tells the nurse that he has noticed a progressive loss in his
hearing. He says that it does seem to help when people speak louder or if he turns
up the volume of a television or radio. The most likely cause of his hearing loss is:
a. Otosclerosis. b. Presbycusis. c. Trauma to the bones. d. Frequent ear infections.
correct answer a. Otosclerosis
A 31-year-old patient tells the nurse that he has noticed pain in his left ear when
people speak loudly to him. The nurse knows that this finding:
a. Is normal for people of his age. b. Is a characteristic of recruitment. c. May
indicate a middle ear infection. d. Indicates that the patient has a cerumen
impaction correct answer b. Is a characteristic of recruitment.
A 52-year-old patient describes the presence of occasional floaters or spots
moving in front of his eyes. The nurse should:
a. Examine the retina to determine the number of floaters. b. Presume the patient
has glaucoma and refer him for further testing. c. Consider these to be abnormal
findings, and refer him to an ophthalmologist. d. Know that floaters are usually
insignificant and are caused by condensed vitreous fibers correct answer d. Know
that floaters are usually insignificant and are caused by condensed vitreous fibers
A 60-year-old man is at the clinic for an eye examination. The nurse suspects that
he has ptosis of one eye. How should the nurse check for this?
a. Perform the confrontation test. b. Assess the individuals near vision. c. Observe
the distance between the palpebral fissures. d. Perform the corneal light test, and
look for symmetry of the light reflex correct answer c. Observe the distance
between the palpebral fissures.
,A 65-year-old man presents to the clinician with complaints of increasing bilateral
peripheral vision loss, poor night vision, and frequent prescription changes that
started 6 months previously. Recently, he has also been seeing halos around
lights. The clinician suspects chronic open-angle glaucoma. Which of the following
statements is true concerning the diagnosis of chronic open-angle glaucoma?
a. The presence of increased intraocular pressure measured by tonometry is
definitive for the diagnosis of open-angle glaucoma. b. The clinician can
definitively diagnosis open-angle glaucoma based on the subjective complaints of
the patient. c. Physical diagnosis relies on gonioscopic evaluation of the angle by
an ophthalmologist. d. Early diagnosis is essential in order to reverse any damage
that has occurred to the optic nerve. correct answer c. Physical diagnosis relies on
gonioscopic evaluation of the angle by an ophthalmologist
A 70-year-old patient tells the nurse that he has noticed that he is having trouble
hearing, especially in large groups. He says that he cant always tell where the
sound is coming from and the words often sound mixed up. What might the nurse
suspect as the cause for this change?
a. Atrophy of the apocrine glands b. Cilia becoming coarse and stiff c. Nerve
degeneration in the inner ear d. Scarring of the tympanic membrane correct
answer c. Nerve degeneration in the inner ear
A broad-spectrum bactericidal agent would be expected to: a. destroy many
gram-positive and gram-negative bacteria. b. destroy all pathogenic microbes in
contact with the agent. c. reduce the replication of many bacteria. d. inhibit the
growth of most spores and acid-fast bacteria correct answer a. destroy many
gram-positive and gram-negative bacteria
A bulla is: a. A vesicle larger than 1 cm in diameter b. An elevated solid mass with
a hard texture; the shape and borders can be regular or irregular c. A superficial
elevated lesion filled with purulent fluid d. Thinning of the skin (epidermis and
, dermis) that appears white or translucent correct answer a. A vesicle larger than 1
cm in diameter
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 correct answer 4.Frequent wiping of the nose with the palm of
the hand
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 correct answer 4.Fexofenadine
A client complains of a slight itching, slight pain, and a scratching sound in the ear.
The nurse suspects that an insect may have entered the ear. Which of the
following should not be done?
1.Add water to flush out the insect. 2.Add mineral oil to kill the insect. 3.Add
lidocaine to kill the insect. 4.Call an otologist for a referral. correct answer 1.Add
water to flush out the insect.
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. correct answer
3.pseudoephedrine.
A client diagnosed with viral rhinitis tells the nurse that she has been using a
decongestant nasal spray for several weeks and the symptoms are getting worse.
Which of the following does the nurse suspect is occurring with this client?
ANSWERS
. Prevalence of psoriasis is highest in which group? a. Scandinavians b. African
Americans c. Asians d. Native Americans correct answer a. Scandinavians
.A client is receiving tests to diagnose glaucoma. Which of the following diagnostic
tests will be used to identify this disorder in the client? (Select all that apply.)
1.Visual acuity 2.Visual field test 3.Tonometry 4.Weber test 5.Rinne test
6.Electroencephalogram correct answer 1.Visual acuity 2.Visual field test
3.Tonometry
A 2-week-old infant can fixate on an object but cannot follow a light or bright toy.
The nurse would:
a. Consider this a normal finding. b. Assess the pupillary light reflex for possible
blindness. c. Continue with the examination, and assess visual fields. d. Expect
that a 2-week-old infant should be able to fixate and follow an object. correct
answer a. Consider this a normal finding.
A 16-year-old client is being prescribed a medication to treat acute sinusitis. The
nurse realizes that this client should not be prescribed: 1.amoxicillin.
2.cefuroxime. 3.ciprofloxacin. 4.erythromycin. correct answer 3.ciprofloxacin
A 17-year-old student is a swimmer on her high schools swim team. She has had
three bouts of otitis externa this season and wants to know what to do to prevent
it. The nurse instructs her to:
a. Use a cotton-tipped swab to dry the ear canals thoroughly after each swim. b.
Use rubbing alcohol or 2% acetic acid eardrops after every swim. c. Irrigate the
ears with warm water and a bulb syringe after each swim. d. Rinse the ears with a
,warmed solution of mineral oil and hydrogen peroxide correct answer b. Use
rubbing alcohol or 2% acetic acid eardrops after every swim.
A 31-year-old patient tells the nurse that he has noticed a progressive loss in his
hearing. He says that it does seem to help when people speak louder or if he turns
up the volume of a television or radio. The most likely cause of his hearing loss is:
a. Otosclerosis. b. Presbycusis. c. Trauma to the bones. d. Frequent ear infections.
correct answer a. Otosclerosis
A 31-year-old patient tells the nurse that he has noticed pain in his left ear when
people speak loudly to him. The nurse knows that this finding:
a. Is normal for people of his age. b. Is a characteristic of recruitment. c. May
indicate a middle ear infection. d. Indicates that the patient has a cerumen
impaction correct answer b. Is a characteristic of recruitment.
A 52-year-old patient describes the presence of occasional floaters or spots
moving in front of his eyes. The nurse should:
a. Examine the retina to determine the number of floaters. b. Presume the patient
has glaucoma and refer him for further testing. c. Consider these to be abnormal
findings, and refer him to an ophthalmologist. d. Know that floaters are usually
insignificant and are caused by condensed vitreous fibers correct answer d. Know
that floaters are usually insignificant and are caused by condensed vitreous fibers
A 60-year-old man is at the clinic for an eye examination. The nurse suspects that
he has ptosis of one eye. How should the nurse check for this?
a. Perform the confrontation test. b. Assess the individuals near vision. c. Observe
the distance between the palpebral fissures. d. Perform the corneal light test, and
look for symmetry of the light reflex correct answer c. Observe the distance
between the palpebral fissures.
,A 65-year-old man presents to the clinician with complaints of increasing bilateral
peripheral vision loss, poor night vision, and frequent prescription changes that
started 6 months previously. Recently, he has also been seeing halos around
lights. The clinician suspects chronic open-angle glaucoma. Which of the following
statements is true concerning the diagnosis of chronic open-angle glaucoma?
a. The presence of increased intraocular pressure measured by tonometry is
definitive for the diagnosis of open-angle glaucoma. b. The clinician can
definitively diagnosis open-angle glaucoma based on the subjective complaints of
the patient. c. Physical diagnosis relies on gonioscopic evaluation of the angle by
an ophthalmologist. d. Early diagnosis is essential in order to reverse any damage
that has occurred to the optic nerve. correct answer c. Physical diagnosis relies on
gonioscopic evaluation of the angle by an ophthalmologist
A 70-year-old patient tells the nurse that he has noticed that he is having trouble
hearing, especially in large groups. He says that he cant always tell where the
sound is coming from and the words often sound mixed up. What might the nurse
suspect as the cause for this change?
a. Atrophy of the apocrine glands b. Cilia becoming coarse and stiff c. Nerve
degeneration in the inner ear d. Scarring of the tympanic membrane correct
answer c. Nerve degeneration in the inner ear
A broad-spectrum bactericidal agent would be expected to: a. destroy many
gram-positive and gram-negative bacteria. b. destroy all pathogenic microbes in
contact with the agent. c. reduce the replication of many bacteria. d. inhibit the
growth of most spores and acid-fast bacteria correct answer a. destroy many
gram-positive and gram-negative bacteria
A bulla is: a. A vesicle larger than 1 cm in diameter b. An elevated solid mass with
a hard texture; the shape and borders can be regular or irregular c. A superficial
elevated lesion filled with purulent fluid d. Thinning of the skin (epidermis and
, dermis) that appears white or translucent correct answer a. A vesicle larger than 1
cm in diameter
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 correct answer 4.Frequent wiping of the nose with the palm of
the hand
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 correct answer 4.Fexofenadine
A client complains of a slight itching, slight pain, and a scratching sound in the ear.
The nurse suspects that an insect may have entered the ear. Which of the
following should not be done?
1.Add water to flush out the insect. 2.Add mineral oil to kill the insect. 3.Add
lidocaine to kill the insect. 4.Call an otologist for a referral. correct answer 1.Add
water to flush out the insect.
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. correct answer
3.pseudoephedrine.
A client diagnosed with viral rhinitis tells the nurse that she has been using a
decongestant nasal spray for several weeks and the symptoms are getting worse.
Which of the following does the nurse suspect is occurring with this client?
