NUR 621 Module 4 Exam | Questions & Answers | 2026 Update |
Comprehensive Nursing Study Guide | Utica College | PDF
The nurse practitioner performs a well-baby assessment of a 5-day-old newborn and notes fever,
mild conjunctivitis, corneal opacity, and serosanguinous discharge in the right eye. Which course
of action is correct? Question 1Select one: a. Give oral erythromycin 30 to 50 mg/kg/day for 2
weeks. b. Admit the infant to the hospital immediately. c. Teach the parent how to perform tear
duct massage. d. Administer intramuscular ceftriaxone 50 mg/kg.
ChatGPT said:
The correct answer is:
b. Admit the infant to the hospital immediately.
Rationale:
• A 5-day-old newborn with fever + conjunctivitis + corneal opacity + serosanguinous
discharge is showing signs highly suspicious for ophthalmia neonatorum (gonococcal
conjunctivitis).
• This is a sight-threatening and life-threatening emergency because it can rapidly cause
corneal perforation, blindness, and systemic sepsis/meningitis.
• Immediate hospitalization is required for systemic evaluation, IV antibiotics, and
ophthalmology consultation.
• a. Oral erythromycin: Used for chlamydial conjunctivitis, not appropriate here.
• c. Tear duct massage: For congenital nasolacrimal duct obstruction, not an acute
infection with fever/corneal opacity.
• d. Single IM ceftriaxone: Appropriate therapy for gonococcal infection, but in a neonate
with fever + eye involvement, this must be done in the hospital with close monitoring
and IV therapy.
Key pearl: Neonate + fever + conjunctivitis + corneal opacity = emergency → hospitalize
immediately.
Do you want me to also build you a newborn eye infection quick chart (gonorrhea vs
chlamydia vs chemical vs HSV) for your health assessment quiz prep?
You said:
A patient presents with edematous and erythematous lid margins and closer visual inspection
with a Wood’s lamp reveals scaling. Which of the following conditions could be the diagnosis?
Question 2Select one: a. Blepharitis b. Iritis c. Chalazion d. Hordeolum
ChatGPT said:
The correct answer is:
a. Blepharitis
,Rationale:
, • Blepharitis: Inflammation of the eyelid margins → erythema, edema, crusting/scaling,
itching, burning, and sometimes recurrent conjunctivitis. Wood’s lamp can help highlight
scaling along lid margins.
• Iritis: Inflammation of the iris → pain, photophobia, decreased vision, but not scaling
lids.
• Chalazion: Chronic, nontender meibomian gland obstruction → firm lump, no
erythematous scaling.
• Hordeolum (stye): Acute painful red pustule on lid margin, usually staph infection, not
diffuse scaling.
Key pearl: Crusty/scaly lid margins = blepharitis.
Would you like me to also make you a “red/swollen eyelid quick-differentiation chart”
(blepharitis vs hordeolum vs chalazion vs cellulitis) for your quiz prep?
You said:
If untreated, glaucoma can lead to: Question 3Select one: a. Infection b. Cataracts c. Macular
degeneration d. Optic nerve damage
ChatGPT said:
The correct answer is:
d. Optic nerve damage
Rationale:
• Glaucoma: Progressive increase in intraocular pressure (IOP) damages the optic nerve,
leading to peripheral vision loss and eventually blindness if untreated.
• a. Infection: Not a complication of glaucoma itself.
• b. Cataracts: Separate condition; may coexist with glaucoma but not caused by it.
• c. Macular degeneration: A different retinal disease affecting central vision, not caused
by glaucoma.
Key pearl: Glaucoma = optic nerve damage → tunnel vision.
Do you want me to also make you a quick comparison chart (glaucoma vs cataracts vs
macular degeneration) for your health assessment quiz?
You said:
Which of the following medical specialists deals with the diagnosis and treatment of all eye-
related diseases and disorders? Question 4Select one: a. Otolaryngologists b. Ophthalmic
technician c. Optician d. Ophthalmologist
ChatGPT said:
Comprehensive Nursing Study Guide | Utica College | PDF
The nurse practitioner performs a well-baby assessment of a 5-day-old newborn and notes fever,
mild conjunctivitis, corneal opacity, and serosanguinous discharge in the right eye. Which course
of action is correct? Question 1Select one: a. Give oral erythromycin 30 to 50 mg/kg/day for 2
weeks. b. Admit the infant to the hospital immediately. c. Teach the parent how to perform tear
duct massage. d. Administer intramuscular ceftriaxone 50 mg/kg.
ChatGPT said:
The correct answer is:
b. Admit the infant to the hospital immediately.
Rationale:
• A 5-day-old newborn with fever + conjunctivitis + corneal opacity + serosanguinous
discharge is showing signs highly suspicious for ophthalmia neonatorum (gonococcal
conjunctivitis).
• This is a sight-threatening and life-threatening emergency because it can rapidly cause
corneal perforation, blindness, and systemic sepsis/meningitis.
• Immediate hospitalization is required for systemic evaluation, IV antibiotics, and
ophthalmology consultation.
• a. Oral erythromycin: Used for chlamydial conjunctivitis, not appropriate here.
• c. Tear duct massage: For congenital nasolacrimal duct obstruction, not an acute
infection with fever/corneal opacity.
• d. Single IM ceftriaxone: Appropriate therapy for gonococcal infection, but in a neonate
with fever + eye involvement, this must be done in the hospital with close monitoring
and IV therapy.
Key pearl: Neonate + fever + conjunctivitis + corneal opacity = emergency → hospitalize
immediately.
Do you want me to also build you a newborn eye infection quick chart (gonorrhea vs
chlamydia vs chemical vs HSV) for your health assessment quiz prep?
You said:
A patient presents with edematous and erythematous lid margins and closer visual inspection
with a Wood’s lamp reveals scaling. Which of the following conditions could be the diagnosis?
Question 2Select one: a. Blepharitis b. Iritis c. Chalazion d. Hordeolum
ChatGPT said:
The correct answer is:
a. Blepharitis
,Rationale:
, • Blepharitis: Inflammation of the eyelid margins → erythema, edema, crusting/scaling,
itching, burning, and sometimes recurrent conjunctivitis. Wood’s lamp can help highlight
scaling along lid margins.
• Iritis: Inflammation of the iris → pain, photophobia, decreased vision, but not scaling
lids.
• Chalazion: Chronic, nontender meibomian gland obstruction → firm lump, no
erythematous scaling.
• Hordeolum (stye): Acute painful red pustule on lid margin, usually staph infection, not
diffuse scaling.
Key pearl: Crusty/scaly lid margins = blepharitis.
Would you like me to also make you a “red/swollen eyelid quick-differentiation chart”
(blepharitis vs hordeolum vs chalazion vs cellulitis) for your quiz prep?
You said:
If untreated, glaucoma can lead to: Question 3Select one: a. Infection b. Cataracts c. Macular
degeneration d. Optic nerve damage
ChatGPT said:
The correct answer is:
d. Optic nerve damage
Rationale:
• Glaucoma: Progressive increase in intraocular pressure (IOP) damages the optic nerve,
leading to peripheral vision loss and eventually blindness if untreated.
• a. Infection: Not a complication of glaucoma itself.
• b. Cataracts: Separate condition; may coexist with glaucoma but not caused by it.
• c. Macular degeneration: A different retinal disease affecting central vision, not caused
by glaucoma.
Key pearl: Glaucoma = optic nerve damage → tunnel vision.
Do you want me to also make you a quick comparison chart (glaucoma vs cataracts vs
macular degeneration) for your health assessment quiz?
You said:
Which of the following medical specialists deals with the diagnosis and treatment of all eye-
related diseases and disorders? Question 4Select one: a. Otolaryngologists b. Ophthalmic
technician c. Optician d. Ophthalmologist
ChatGPT said:
