Maryville NURS 620 Adult 1 EXAM 2 2024/2025 (DETAILED)
if rapid strep test is negative what is the first thing you should do? (CORRECT
ANSWER)send out culture
when examining lab from a person with mono what would the NP expect to find?
(CORRECT ANSWER)Lymphocytosis
EBV is transmitted through which route? (CORRECT ANSWER)oral pharyngeal
secretions (saliva)
Sx of mono usually present how many days after initially infected? (CORRECT
ANSWER)30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class
of med to avoid (CORRECT ANSWER)beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white
ulcerated lesion with induration what do you suspect (CORRECT ANSWER)oral
cancer
which vision sx is common in open angel glaucoma (CORRECT
ANSWER)peripheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step
(CORRECT ANSWER)refer to eye dr (retinal detachment)
An acutely presenting, erythematous, tender lump within the eyelid (CORRECT
ANSWER)Hordeolum (stye)
A granulomatous infection of a Meibomian gland, presenting in the form of painless
swelling on the eyelid (CORRECT ANSWER)Chalazion
what maneuver can be performed to help manage sx of vertigo? (CORRECT
ANSWER)Epley maneuver
What can help diagnose vertigo (CORRECT ANSWER)Dix-Hallpack test
A pt is started on antibiotics for strep a few days later the mono spot comes back
positive what is the first thing to do? (CORRECT ANSWER)discontinue antibiotics
peripheral vision loss that has worsened over the last few months (CORRECT
ANSWER)open-angle glaucoma (peripheral loss over time)
Risk factor for otitis externa? (CORRECT ANSWER)Exposure to water, excessive
use of headphones, Q-tips, impacted cerumen and earplugs
Risk factor for otitis media? (CORRECT ANSWER)Young children, allergies,
craniofacial abnormalities, smokers, hx of URI, acid reflux, immunodeficiency
, A red flag for pt complaining of red eye? (CORRECT ANSWER)severe headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with
treatment failure after 7 days of 1st line abx (PCN)? (CORRECT
ANSWER)Doxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing,
and sore throat; exam shows pharyngeal erythema, pale swollen turbinates, clear
rhinorrhea; T 99, most appropriate treatment plan (CORRECT ANSWER)saline
nasal spray and clariton
painful ulcer in mouth that is round or oval with white or yellow center and red border
(CORRECT ANSWER)canker sore
what symptoms are most indicative of mono (CORRECT ANSWER)gradual onset of
fatigue/malaise POSTERIOR CERVICAL ADENOPATHY, fever and sore throat
excess salivation, necrotic ulceration with purulent gray exudate, bleeding gums, bad
breath, swollen puffy receding gums that are tender and bleed easily (CORRECT
ANSWER)gingivitis
toothache, bad breath, pus, fever, swollen lymph nodes (CORRECT
ANSWER)Dental abscess
symptoms of meniere's disease (CORRECT ANSWER)loss of balance, tinnitus,
vertigo
PE findings of meniere's disease (CORRECT ANSWER)positive Romberg, abnormal
gait, unilateral hearing loss, sensorineural hearing loss (excessively longer air
conduction vs bone conduction)
most common in children, self limiting, local irritation r/t trauma or inflammation,
bleeding from Kiesselbach's plexus (CORRECT ANSWER)Anterior epistaxis
nose bleed most common in elderly, heavier bleeding from arterial damage
(CORRECT ANSWER)Posterior epistaxis
What would indicate prep for possible emergency surgery by making NPO and
treating VS. Protect eye to avoid pressure, limit patient activity, send to ER
(CORRECT ANSWER)retinal detachment
If patient has mono and is placed on amoxicillin what are the effects on the patient?
(CORRECT ANSWER)could cause a rash
Sudden eye pain, nausea, rainbow around lights, blurred vision (CORRECT
ANSWER)closed angle glaucoma
What is the treatment for AOM if there is a PCN allergy (CORRECT
ANSWER)bactrim or azithromycin
if rapid strep test is negative what is the first thing you should do? (CORRECT
ANSWER)send out culture
when examining lab from a person with mono what would the NP expect to find?
(CORRECT ANSWER)Lymphocytosis
EBV is transmitted through which route? (CORRECT ANSWER)oral pharyngeal
secretions (saliva)
Sx of mono usually present how many days after initially infected? (CORRECT
ANSWER)30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class
of med to avoid (CORRECT ANSWER)beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white
ulcerated lesion with induration what do you suspect (CORRECT ANSWER)oral
cancer
which vision sx is common in open angel glaucoma (CORRECT
ANSWER)peripheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step
(CORRECT ANSWER)refer to eye dr (retinal detachment)
An acutely presenting, erythematous, tender lump within the eyelid (CORRECT
ANSWER)Hordeolum (stye)
A granulomatous infection of a Meibomian gland, presenting in the form of painless
swelling on the eyelid (CORRECT ANSWER)Chalazion
what maneuver can be performed to help manage sx of vertigo? (CORRECT
ANSWER)Epley maneuver
What can help diagnose vertigo (CORRECT ANSWER)Dix-Hallpack test
A pt is started on antibiotics for strep a few days later the mono spot comes back
positive what is the first thing to do? (CORRECT ANSWER)discontinue antibiotics
peripheral vision loss that has worsened over the last few months (CORRECT
ANSWER)open-angle glaucoma (peripheral loss over time)
Risk factor for otitis externa? (CORRECT ANSWER)Exposure to water, excessive
use of headphones, Q-tips, impacted cerumen and earplugs
Risk factor for otitis media? (CORRECT ANSWER)Young children, allergies,
craniofacial abnormalities, smokers, hx of URI, acid reflux, immunodeficiency
, A red flag for pt complaining of red eye? (CORRECT ANSWER)severe headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with
treatment failure after 7 days of 1st line abx (PCN)? (CORRECT
ANSWER)Doxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing,
and sore throat; exam shows pharyngeal erythema, pale swollen turbinates, clear
rhinorrhea; T 99, most appropriate treatment plan (CORRECT ANSWER)saline
nasal spray and clariton
painful ulcer in mouth that is round or oval with white or yellow center and red border
(CORRECT ANSWER)canker sore
what symptoms are most indicative of mono (CORRECT ANSWER)gradual onset of
fatigue/malaise POSTERIOR CERVICAL ADENOPATHY, fever and sore throat
excess salivation, necrotic ulceration with purulent gray exudate, bleeding gums, bad
breath, swollen puffy receding gums that are tender and bleed easily (CORRECT
ANSWER)gingivitis
toothache, bad breath, pus, fever, swollen lymph nodes (CORRECT
ANSWER)Dental abscess
symptoms of meniere's disease (CORRECT ANSWER)loss of balance, tinnitus,
vertigo
PE findings of meniere's disease (CORRECT ANSWER)positive Romberg, abnormal
gait, unilateral hearing loss, sensorineural hearing loss (excessively longer air
conduction vs bone conduction)
most common in children, self limiting, local irritation r/t trauma or inflammation,
bleeding from Kiesselbach's plexus (CORRECT ANSWER)Anterior epistaxis
nose bleed most common in elderly, heavier bleeding from arterial damage
(CORRECT ANSWER)Posterior epistaxis
What would indicate prep for possible emergency surgery by making NPO and
treating VS. Protect eye to avoid pressure, limit patient activity, send to ER
(CORRECT ANSWER)retinal detachment
If patient has mono and is placed on amoxicillin what are the effects on the patient?
(CORRECT ANSWER)could cause a rash
Sudden eye pain, nausea, rainbow around lights, blurred vision (CORRECT
ANSWER)closed angle glaucoma
What is the treatment for AOM if there is a PCN allergy (CORRECT
ANSWER)bactrim or azithromycin
