NUR 635 FINAL EXAM QUESTIONS WITH VERIFIED SOLUTIONS | LATEST UPDATE 2026/2027 | GRADED A+ | GUARANTEED SUCCESS.

NUR 635 FINAL EXAM QUESTIONS WITH VERIFIED SOLUTIONS | LATEST UPDATE 2026/2027 | GRADED A+ | GUARANTEED SUCCESS. David presents to the clinic with symptoms of allergic conjunctivitis. He is prescribed cromolyn sodium (Opticrom) eye drops. The education regarding using cromolyn eye drops includes: A. He should not wear his soft contacts while using the cromolyn eye drops. B. Cromolyn drops are instilled once a day to prevent allergy symptoms. C. Long-term use may cause glaucoma. D. He may experience bradycardia as an adverse effect. - correct answer -A. He should not wear his soft contacts while using the cromolyn eye drops. Ciprofloxacin otic drops are contraindicated in a patient with? - correct answer Perforated tympanic membrane First-line therapy for a patient with acute otitis externa (swimmer's ear) and an intact tympanic membrane includes: a. swim-ear drops. b. ciprofloxacin and hydrocortisone drops. Page | 2 c. amoxicillin. d. gentamicin ophthlamic drops - correct answer -b. ciprofloxacin and hydrocortisone drops. An 18-month-old child with a 24-hour history of fever and otalgia is seen in the clinic. The child's parents tell the provider that the child was inconsolable during the night. The provider examines the child and notes a bulging, immobile, erythematous tympanic membrane. What action will the provider take to provide the child with effective care? a) Institute watchful waiting and ask the parent to return to the clinic if the child's symptoms worsen. b) Discuss a referral to an ear, nose, and throat specialist for follow-up treatment. c) Advise the parent to give analgesics for 3 days while observing for worsening symptoms. d) Prescribe amoxicillin at 45 mg/kg/dose twice daily. - correct answer -d) Prescribe amoxicillin at 45 mg/kg/dose twice daily. Patients with severe symptoms of AOM should begin treatment with antibiotics upon diagnosis. For children 6 months to 2 years of age, treatment should begin when the diagnosis is certain, as evidenced by a bulging and immobile tympanic membrane (TM) and distinct discomfort. Amoxicillin 45 mg/kg/dose twice daily is indicated. Observation for 2 days is not recommended for this child, because the Page | 3 diagnosis is certain; therefore, asking the parent to return in 2 days or to give only symptomatic treatment is incorrect. Referral to an ear, nose, and throat (ENT) specialist is not recommended unless the child has recurrent AOM or if treatments repeatedly fail. A 6-year-old child presents with crying due to ear pain. Tympanic membranes are erythematous, bulging, and immobile, but intact. In addition to antibiotic therapy, what will the provider recommend for pain management? a) Low dose aspirin b) Lidocaine ear drops c) Prednisone d) A tympanostomy to relieve pressure in the middle ear - correct answer -b) Lidocaine ear drops A patient will begin initial treatment for severe acne. Which regimen will the nurse expect the provider to order? a. Clindamycin/benzoyl peroxide (BenzaClin) and tretinoin (RetinA) b. Doxycycline (Vibramycin) and tretinoin (Retin-A) c. Erythromycin (Ery-Tab) and benzoyl peroxide Page | 4 d. Topical clindamycin and isotretinoin (Accutane) - correct answer -b. Doxycycline (Vibramycin) and tretinoin (Retin-A) ANS: B Oral antibiotics are used for moderate to severe acne and are usually combined with a topical retinoid. Combination clindamycin/benzoyl peroxide and tretinoin are used for mild to moderate acne. Erythromycin can be used as an oral antibiotic but would need to be combined with a topical retinoid. Isotretinoin is used for severe acne that has not responded to other treatments. A patient begins using timolol [Timoptic] to treat primary openangle glaucoma (POAG). The nurse gives a dose and notes that the patient develops shortness of breath. The nurse assesses the patient and auscultates wheezes in both lungs. The nurse will ask this patient about a history of which condition? a. Asthma b. Atrioventricular heart block c. Pulmonary hypertension d. Sinus bradycardia - correct answer -a. Asthma Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and lymphadenopathy. Initial evaluation and treatment includes: 1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5 days 2. Ruling out a hypersensitivity reaction that may lead to multiorgan failure 3. Rapid strep test and symptomatic care if strep test is negative Page | 5 4. Observation only, with further assessment if she worsens - correct answer -2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to medication noncompliance. He was treated with IM long-acting haloperidol. Besides monitoring his schizophrenia symptoms, the patient should be assessed by his primary care provider: 1. For excessive weight loss 2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS) 3. Monthly for tolerance to the haloperidol 4. Only by the mental health provider, as most NPs in primary care do not care for mentally ill patients - correct answer -2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS) Digoxin levels need to be monitored closely when the following medication is started: 1. Loratadine 2. Diphenhydramine 3. Ipratropium 4. Albuterol - correct answer -4. Albuterol