Week 2 - NR511. Week 2 Davis Edge Questions With answers 2022

Week 2 - NR511. Week 2 Davis Edge
Questions With answers 2022
Week 2 Practice Questions



1. Jill, a 34-year-old bank teller, presents with symptoms of hay fever. She complains of nasal congestion,

runny nose with clear mucus, and itchy nose and eyes. On physical assessment, you observe that she has pale

nasal turbinates. What is your diagnosis?

 Allergic rhinitis (The symptoms of hay fever, also called allergic rhinitis, are similar to those of viral

rhinitis but usually persist and are seasonal in nature. When assessing the nasal mucosa, you will

observe that the turbinates are usually pale or violaceous because of venous engorgement)

 Viral rhinitis (with viral rhinitis, the turbinates are typically erythematous)

 Nasal polyps (With nasal polyps, there are usually yellowish, boggy masses of hypertrophic mucosa)

 Nasal vestibulitis from folliculitis (Nasal vestibulitis usually results from folliculitis of the hairs that

line the nares)

2. A 75-year-old African American male presents to your family practice office complaining of visual impairment.

He has worn corrective lenses for many years but has noticed that his vision has gotten progressively worse the past

6 months. He denies pain. He states his vision is worse in both eyes in the peripheral aspects of his visual field. He

also notes trouble driving at night and halos around street lights at night. You test his intraocular pressure, and it is

23 mm Hg. What is his most likely diagnosis?

 Open-angle glaucoma (This is the typical presentation of chronic, or open-angle, glaucoma)

 Angle-closure glaucoma (This is an acute, painful form of glaucoma)

 Cataracts (This is a loss of central vision)

 Macular degeneration (This also affects central vision)

3. Which of the following is not a cause of conductive hearing loss?

 Presbycusis (This is a cause of sensorineural hearing loss)

 Cerumen impaction.

 Otitis media.


Week 2 - NR511. Week 2 Davis Edge
Questions With answers 2022

,Week 2 - NR511. Week 2 Davis Edge
Questions With answers 2022
 Otosclerosis.

4. Which of the following is not a complication of untreated group A streptococcal pharyngitis?

 Glomerulonephritis.

 Rheumatic heart disease.

 Scarlet fever.

 Hemolytic anemia (This is a complication of mononucleosis)

5. Alexandra, age 34, was treated with oral antibiotics 2 weeks ago for a urinary tract infection. She is seen in the

office today for a follow-up visit. On physical examination, the nurse practitioner notices that she has some painless,

white, slightly raised patches in her mouth. This is probably caused by:

 Herpes simplex (Herpes simplex (a viral infection) sores are usually discrete and not spread over a

large area)

 Aphthous ulcers (Aphthous ulcers (canker sores) are extremely painful)

 Candidiasis (Painless, white, slightly raised patches in a client’s mouth are probably caused by candidiasis

(thrush)

 Oral cancer (Cancerous lesions are usually discrete and not spread over a large area)

6. Mattie, age 64, presents with blurred vision in 1 eye and states that it felt like “a curtain came down over my eye.”

She doesn’t have any pain or redness. What do you suspect?

 Retinal detachment (The classic sign of retinal detachment is a client stating that “a curtain came down

over my eye.” Typically, the person presents with blurred vision in 1 eye that becomes progressively worse,

with no pain or redness)

 Acute angle-closure glaucoma (In older adults with acute angle-closure glaucoma, there is a rapid onset,

with severe pain and profound visual loss. The eye is red, with a steamy cornea and a dilated pupil)

 Open-angle glaucoma (In older adults with open-angle glaucoma, there is an insidious onset, a gradual loss

of peripheral vision over a period of years, and a perception of “halos” around lights)

 Cataract (With a cataract, there is blurred vision that is progressive over months or years and no pain or



Week 2 - NR511. Week 2 Davis Edge
Questions With answers 2022

,Week 2 - NR511. Week 2 Davis Edge
Questions With answers 2022
redness)

7. While doing a face, head, and neck examination on a 16-year-old patient, you note that the palpebral fissures are

abnormally narrow. What are you examining?

 The nasolabial folds (The nasolabial folds are the skin creases that extend from the angle of the nose to the

corners of the mouth)

 The openings between the margins of the upper and lower eyelids (The palpebral fissures are the openings

between the margins of the upper and lower eyelids. Someone who appears to be squinting is said to have

narrow palpebral fissures)

 The thyroid gland in relation to the trachea (The thyroid is a butterfly-shaped gland located in the front of

the neck, just below the Adam’s apple; it is wrapped around the trachea)

 The distance between the trigeminal nerve branches (The trigeminal nerve is the fifth cranial nerve located

within the brain. It is composed of 3 branches—ophthalmic, maxillary, and mandibular—and is primarily

responsible for transmitting sensations from the face to the brain. It is also the nerve that controls the

muscles used for chewing)

8. When the Weber test is performed with a tuning fork to assess hearing and there is no lateralization, the nurse

practitioner should document this finding as:

 Conductive deafness (With conductive deafness, sound lateralizes to the defective ear because it is

transmitted through bone rather than air)

 Perceptive deafness (With perceptive deafness, sound lateralizes to the better ear)

 A normal finding (A Weber test assesses hearing by bone conduction. With normal hearing, sound is heard

equally well in both ears, meaning there is no lateralization)

 Nerve damage (Damage to cranial nerve VIII (CN VIII), the vestibulocochlear nerve, causes symptoms of

hearing loss, vertigo, and loss of equilibrium)

9. What significant finding(s) in a 3-year-old child with otitis media with effusion would prompt more aggressive

treatment and referral?


Week 2 - NR511. Week 2 Davis Edge
Questions With answers 2022

, Week 2 - NR511. Week 2 Davis Edge
Questions With answers 2022
 There is a change in the child’s hearing threshold to greater than 25 dB (If a child with otitis media with

effusion has a change in the hearing threshold greater than 25 dB and has notable speech and language

delays, more aggressive treatment is indicated. When the child’s hearing examination reveals a change in

the hearing threshold, it is extremely important that the provider evaluate the child’s achievement of

developmental milestones in speech and language. Any abnormal findings warrant referral)

 The child has become a fussy eater.

 The child’s speech and language skills seem slightly delayed.

 Persistent rhinitis is present.

10. A 25-year-old client who plays in a band complains that he finds it difficult to understand his fellow musicians

at the end of a night of performing, a problem that is compounded by the noisy environment of the club. These

symptoms are most characteristic of which of the following?

 Sensorineural loss (Sensorineural loss comes from exposure to loud noises, inner ear infections, tumors,

congenital and familial disorders, and aging. The results of the Weber and Rinne tests will assist in the

diagnosis)

 Conductive loss (The etiology of conductive loss includes ear infection, presence of a foreign body,

perforated drum, and otosclerosis of the ossicles)

 Tinnitus (Tinnitus is ringing in the ears. The client does not complain of this symptom)

 Vertigo (Vertigo is dizziness associated with inner ear dysfunction. The client does not complain of

this symptom)

11. A 64-year-old obese woman comes in complaining of difficulty swallowing for the past 3 weeks. She states that

“some foods get stuck” and she has been having “heartburn” at night when she lies down, especially if she has had a

heavy meal. Occasionally, she awakes at night coughing. She denies weight gain and/or weight loss, vomiting, or

change in bowel movements or color of stools. She denies alcohol and tobacco use. There is no pertinent family

history or findings on review of systems (ROS). Physical examination is normal, with no abdominal tenderness, and

the stool is occult blood (OB) negative. What is the most likely diagnosis?



Week 2 - NR511. Week 2 Davis Edge
Questions With answers 2022