NURS 6531 Board Vitals HEENT Quiz (100% Correct Answers)

NURS 6531 Board Vitals HEENT Quiz (100% Correct Answers) 1. When examining the eyes, the nurse practitioner determines that the pupils change size when the client focuses from a close object to a distant object. This is interpreted as: a. Normal visual accommodation b. Intact extra ocular motor response c. Appropriate consensual response d. Visual acuity within normal limits 2. A 21-year-old man presents to his health care provider for a 2-week history of ear pain and pruritus. On further questioning, he reports ear fullness and trouble hearing. He is a senior in college on a swimming scholarship. He has had these episodes in the past but not to this extent. On physical exam, his TM is difficult to visualize, but it is mobile without any inflammation. There is pain on palpation of the tragus. Pain is also elicited with traction of the pinna. Which of the following treatments should be prescribed for this patient? a. Hydrocortisone/neomycin/polymyxin B b. Amoxicillin c. Amoxicillin/clavulanate d. Tacrolimus cream 3. An elderly client presents to the nurse practitioner’s office with fever and complaints of right facial pain, copious yellow nasal drainage, and acute pain and headache when bending over. The symptoms have been occurring for about 5 days. There is not trans illumination of the right maxillary sinus and that area is very tender to palpation. The client’s diagnosis is: a. Chronic sinusitis b. Acute sinusitis c. Dental abscess d. Temporal arteritis 4. Which of the following organisms is least likely to cause otitis media? a. Moraxella catarrhalis b. Streptococcus pneumonia c. Chlamydia trachomatis d. Haemophilus influenzae 5. An adult make client is being evaluated at an EENT clinic for a complaint of a sore throat. He has difficulty swallowing and has some mouth pain. On exam the nurse practitioner finds that the clients’ mouth, tongue, and pharynx are coated with white curd-like plaques that are difficult to remove and leave a red surface when scraped with a tongue blade. What would be the best action for the nurse practitioner to take at this time? a. Refer him to an ear, nose, and throat specialist for evaluation b. Prescribe Amoxicillin 500 mg PO Tid x 10 days c. Encourage the client to have the HIV screening done d. Recommend clear fluids only for the next few days 6. A 19-year-old female presents with a one-week of red and itchy eyes. She mentions that she’s noticed a stringy white discharge and extra tearing from both eyes. She reports that her vision is unchanged and denies pain. She denies any recent illnesses or use of contact lenses. Based on her history, what is the most likely diagnosis? a. Allergic conjunctivitis b. Corneal abrasion c. Viral conjunctivitis d. Bacterial conjunctivitis