NUR 621 Module 6 Exam | Questions & Answers | 2026 Update |
Comprehensive Nursing Study Guide | Utica College | PDF
A 3-year-old child has had one episode of acute otitis media 3 weeks prior with a normal
tympanogram just after treatment with amoxicillin. In the clinic today, the child has a type B
tympanogram, a temperature of 102.5°F, and a bulging tympanic membrane. What will the nurse
practitioner order? Question 1Select one: a. Intramuscular ceftriaxone b. Amoxicillin-clavulanate
twice daily c. Amoxicillin twice daily d. A referral for tympanocentesis
ChatGPT said:
For a 3-year-old with recurrent acute otitis media (AOM) just 3 weeks after amoxicillin
treatment:
• First-line therapy for initial AOM = high-dose amoxicillin.
• But if infection recurs within 30 days of prior amoxicillin, guidelines recommend
amoxicillin-clavulanate (to cover β-lactamase producing organisms like H. influenzae
and M. catarrhalis).
Options:
• a. IM ceftriaxone → Used if unable to tolerate PO, resistant infection, or
treatment failure.
• b. Amoxicillin-clavulanate → Correct choice for recurrent AOM within 30 days.
• c. Amoxicillin → Already failed recently.
• d. Tympanocentesis → Rare, only for severe/refractory cases.
Correct answer: b. Amoxicillin-clavulanate twice daily
Want me to also give you a pediatric AOM “first vs second-line” antibiotic cheat sheet
for your exam?
You said:
A child with a history of otitis externa asks about ways to prevent this condition. What will the
nurse practitioner recommend? Question 2Select one: a. Using cerumenolytic agents daily b.
Cleaning ear canals well after swimming c. Swimming only in chlorinated pools d. Drying the
ear canal with a hair dryer
ChatGPT said:
For otitis externa (“swimmer’s ear”) prevention:
• Key is to keep the ear canal dry after swimming/bathing.
• Best recommendation: drying the ear canal gently (e.g., with a hair dryer on low/cool
setting).
Options:
,• a. Cerumenolytic daily → Overuse disrupts protective wax, ↑ risk.
, • b. Cleaning canals well → Can traumatize skin, ↑ infection risk.
• c. Swimming only in chlorinated pools → Doesn’t eliminate risk.
• d. Drying ear canal with hair dryer → Correct preventive strategy.
Correct answer: d. Drying the ear canal with a hair dryer
Want me to also give you a “top 3 otitis externa prevention tips” list for quick recall?
You said:
What is the initial treatment for uncomplicated anterior epistaxis? Question 3Select one: a.
Applying firm and continuous pressure superior to the nasal alar cartilages for 10 to 15 minutes
b. Tilting the head back so the blood does not run out of the nose c. Letting the nose bleed clot
and leaning the head forward d. Applying firm and continuous pressure to the nostril for 5
minutes
ChatGPT said:
For uncomplicated anterior epistaxis (most common nosebleed):
• First-line treatment = firm, continuous pressure to the soft part of the nose (nasal
alae) for 10–15 minutes, while leaning forward.
Options:
• a. Firm pressure superior to alar cartilages for 10–15 min → Correct.
• b. Tilting head back → Risk of swallowing blood/aspiration.
• c. Letting clot form while leaning forward → Not adequate initial management.
• d. Pressure for 5 min → Too short; must be 10–15 min.
Correct answer: a. Applying firm and continuous pressure superior to the
nasal alar cartilages for 10 to 15 minutes
Want me to also make you a stepwise “epistaxis management flowchart” (first aid →
topical meds → cautery → packing) for exam prep?
You said:
A school-age child has a history of chronic otitis media and is seen in the clinic with vertigo. The
nurse practitioner notes profuse purulent otorrhea from both pressure-equalizing tubes and a
pearly-white lesion on one tympanic membrane. Which condition is most likely? Question
4Select one: a. Otitis externa b. Cholesteatoma c. Otitis media with effusion d. Mastoiditis
ChatGPT said:
Key clues in this case:
Comprehensive Nursing Study Guide | Utica College | PDF
A 3-year-old child has had one episode of acute otitis media 3 weeks prior with a normal
tympanogram just after treatment with amoxicillin. In the clinic today, the child has a type B
tympanogram, a temperature of 102.5°F, and a bulging tympanic membrane. What will the nurse
practitioner order? Question 1Select one: a. Intramuscular ceftriaxone b. Amoxicillin-clavulanate
twice daily c. Amoxicillin twice daily d. A referral for tympanocentesis
ChatGPT said:
For a 3-year-old with recurrent acute otitis media (AOM) just 3 weeks after amoxicillin
treatment:
• First-line therapy for initial AOM = high-dose amoxicillin.
• But if infection recurs within 30 days of prior amoxicillin, guidelines recommend
amoxicillin-clavulanate (to cover β-lactamase producing organisms like H. influenzae
and M. catarrhalis).
Options:
• a. IM ceftriaxone → Used if unable to tolerate PO, resistant infection, or
treatment failure.
• b. Amoxicillin-clavulanate → Correct choice for recurrent AOM within 30 days.
• c. Amoxicillin → Already failed recently.
• d. Tympanocentesis → Rare, only for severe/refractory cases.
Correct answer: b. Amoxicillin-clavulanate twice daily
Want me to also give you a pediatric AOM “first vs second-line” antibiotic cheat sheet
for your exam?
You said:
A child with a history of otitis externa asks about ways to prevent this condition. What will the
nurse practitioner recommend? Question 2Select one: a. Using cerumenolytic agents daily b.
Cleaning ear canals well after swimming c. Swimming only in chlorinated pools d. Drying the
ear canal with a hair dryer
ChatGPT said:
For otitis externa (“swimmer’s ear”) prevention:
• Key is to keep the ear canal dry after swimming/bathing.
• Best recommendation: drying the ear canal gently (e.g., with a hair dryer on low/cool
setting).
Options:
,• a. Cerumenolytic daily → Overuse disrupts protective wax, ↑ risk.
, • b. Cleaning canals well → Can traumatize skin, ↑ infection risk.
• c. Swimming only in chlorinated pools → Doesn’t eliminate risk.
• d. Drying ear canal with hair dryer → Correct preventive strategy.
Correct answer: d. Drying the ear canal with a hair dryer
Want me to also give you a “top 3 otitis externa prevention tips” list for quick recall?
You said:
What is the initial treatment for uncomplicated anterior epistaxis? Question 3Select one: a.
Applying firm and continuous pressure superior to the nasal alar cartilages for 10 to 15 minutes
b. Tilting the head back so the blood does not run out of the nose c. Letting the nose bleed clot
and leaning the head forward d. Applying firm and continuous pressure to the nostril for 5
minutes
ChatGPT said:
For uncomplicated anterior epistaxis (most common nosebleed):
• First-line treatment = firm, continuous pressure to the soft part of the nose (nasal
alae) for 10–15 minutes, while leaning forward.
Options:
• a. Firm pressure superior to alar cartilages for 10–15 min → Correct.
• b. Tilting head back → Risk of swallowing blood/aspiration.
• c. Letting clot form while leaning forward → Not adequate initial management.
• d. Pressure for 5 min → Too short; must be 10–15 min.
Correct answer: a. Applying firm and continuous pressure superior to the
nasal alar cartilages for 10 to 15 minutes
Want me to also make you a stepwise “epistaxis management flowchart” (first aid →
topical meds → cautery → packing) for exam prep?
You said:
A school-age child has a history of chronic otitis media and is seen in the clinic with vertigo. The
nurse practitioner notes profuse purulent otorrhea from both pressure-equalizing tubes and a
pearly-white lesion on one tympanic membrane. Which condition is most likely? Question
4Select one: a. Otitis externa b. Cholesteatoma c. Otitis media with effusion d. Mastoiditis
ChatGPT said:
Key clues in this case:
