NR 602 FINAL EXAM/NR 602 WEEK 8 FINAL EXAM
2025/2026 ACTUAL EXAM COMPLETE FORM A AND B
200 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
1.A mother presents with her 3 month old child and complains of goopy
eye that is sometimes matted shut after naps. Upon exam the
conjunctiva is clear with some mild crusting to eye lashes. What is the
diagnosis and patient teaching? ..ANSWER..Probable lacrimal duct
obstruction.
-The baby will likely grow out if it somewhere between six and 12
months.
-You can do a daily lacrimal duct massage and warm compresses to
help open up the duct.
-Watch for Periorbital cellulitis or bacterial conjunctivitis.
2.Nine-year-old patient presents with tender, swollen, erythemic bump
to eyelid. What is the diagnosis and patient education?
..ANSWER..Hordeolum (stye)
-warm moist compress
- scrub eye lashes with baby shampoo BID
- eye will feel better when stye pops, if doesn't will refer to optho.
3.What is blepharitis? ..ANSWER..inflammation of the eyelid
- caused by blocked oil gland, allergies, or excessive bacteria
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,4.What is the treatment for blepharitis? ..ANSWER..Cleanse with baby
shampoo TID
- Warm, moist compress
- resistant can prescribe Doxy or Tertracycline but not to pediatrics who
don't have adult teeth, can cause discoloration. Pediatrics can have
Bactrim.
5.A 9 year old patient presents with acute swelling and erythema to
eyelid with flaky, scaly debris to eyelid margins. Patient reports gritty,
burning feeling to eyes. She has already attempted warm compresses
and washing eyelids with baby soap with minimal relief. What is the
diagnosis and treatment? ..ANSWER..Patient has anterior blepharitis
Treat with erythromycin ointment, ointment has longer contact with
eye.
Can use azithromycin ointment x 4 weeks for long term treatment
Can use doxycycline or tetracycline for chronic in kids >8 years or
Azithromycin oral for kids <8
6.What organism is likely to cause viral conjunctivitis? ..ANSWER..-
Adenovirus
-HSV
-Herpes
7.What organism is likely to cause bacterial conjunctivitis? ..ANSWER..-
Staph aureus
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,-strep pneumoniae
-H. Influenza
8.A 10-year-old patient presents with unilateral conjunctivitis with
watery discharge x 2 days along with itching of the eye. Mother denies
any other associated symptoms. What is the diagnosis and treatment?
..ANSWER..Viral Conjunctivitis
Patient should apply cold compresses for comfort
*Bacterial conjunctivitis has purulent discharge.
9.What is herpes keratitis? ..ANSWER..Herpes viral infection to the eye
caused by HSV.
10.A 19-year-old male presents with blurred vision, watery discharge,
photophobia, and eye redness. Upon exam you note fern-like lines
under the woods lamp. What is the diagnosis and tx? ..ANSWER..Herpes
Keratitis
Tx: Antivirals
11.A 16-year-old female presents with complaints of sudden onset of
red, watery, and painful left eye. She reports possible foreign body to
eye. Upon inspection you visualize a n erythemic lesion to the eye.
When using woods lamp you note a small superficial laceration. What is
the dx and tx? ..ANSWER..Corneal abrasion, refer to optho emergently
or send to ER.
12.A mother brings her nine-year-old overweight son to the clinic with
complaints of pain to the groin, knee, and right hip. She reports patient
has been walking with a limp for the last couple days but unable to
ambulate today. Mother denies any recent trauma. Upon inspection
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, there is external rotation of the right foot. What is the dx and tx?
..ANSWER..Slipped capital femoral epiphysis
Refer to ER, will need surgery.
-most common in adolescent, obese males.
13.Father presents with his four-year-old son and states that patient
has been limping since this morning and was crying all night
complaining of left hip pain. Upon exam you appreciate decreased
range of motion of left hip but no external rotation or signs of trauma.
What is the probable diagnostics, and treatment? ..ANSWER..Toxic
transient syndrome- most common cause of limp in peds.
Order: CBC, ESR, and X-ray. WBC and ESR will be elevated. X-RAY will be
normal.
-advise father that will resolve in 2-6 weeks.
- patient needs bed rest, NWB to left leg, and NSAIDS.
- return if develops fever, swelling, pain that is unrelieved by rest or
medication
14.What degree is scoliosis is considered functional? ..ANSWER..5-10
degrees, continue to monitor.
15.What degree of scoliosis is considered mild? ..ANSWER..<20
degrees, monitor every 3-4 months
16.A 13-year-old female presents to the office after having an x-ray
order by you for her scoliosis. The reading on the x-ray reports a 30°
curvature. What is the treatment plan? ..ANSWER..Milwaukee brace for
23 hours per day
Back exercises
4|Page
2025/2026 ACTUAL EXAM COMPLETE FORM A AND B
200 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
1.A mother presents with her 3 month old child and complains of goopy
eye that is sometimes matted shut after naps. Upon exam the
conjunctiva is clear with some mild crusting to eye lashes. What is the
diagnosis and patient teaching? ..ANSWER..Probable lacrimal duct
obstruction.
-The baby will likely grow out if it somewhere between six and 12
months.
-You can do a daily lacrimal duct massage and warm compresses to
help open up the duct.
-Watch for Periorbital cellulitis or bacterial conjunctivitis.
2.Nine-year-old patient presents with tender, swollen, erythemic bump
to eyelid. What is the diagnosis and patient education?
..ANSWER..Hordeolum (stye)
-warm moist compress
- scrub eye lashes with baby shampoo BID
- eye will feel better when stye pops, if doesn't will refer to optho.
3.What is blepharitis? ..ANSWER..inflammation of the eyelid
- caused by blocked oil gland, allergies, or excessive bacteria
1|Page
,4.What is the treatment for blepharitis? ..ANSWER..Cleanse with baby
shampoo TID
- Warm, moist compress
- resistant can prescribe Doxy or Tertracycline but not to pediatrics who
don't have adult teeth, can cause discoloration. Pediatrics can have
Bactrim.
5.A 9 year old patient presents with acute swelling and erythema to
eyelid with flaky, scaly debris to eyelid margins. Patient reports gritty,
burning feeling to eyes. She has already attempted warm compresses
and washing eyelids with baby soap with minimal relief. What is the
diagnosis and treatment? ..ANSWER..Patient has anterior blepharitis
Treat with erythromycin ointment, ointment has longer contact with
eye.
Can use azithromycin ointment x 4 weeks for long term treatment
Can use doxycycline or tetracycline for chronic in kids >8 years or
Azithromycin oral for kids <8
6.What organism is likely to cause viral conjunctivitis? ..ANSWER..-
Adenovirus
-HSV
-Herpes
7.What organism is likely to cause bacterial conjunctivitis? ..ANSWER..-
Staph aureus
2|Page
,-strep pneumoniae
-H. Influenza
8.A 10-year-old patient presents with unilateral conjunctivitis with
watery discharge x 2 days along with itching of the eye. Mother denies
any other associated symptoms. What is the diagnosis and treatment?
..ANSWER..Viral Conjunctivitis
Patient should apply cold compresses for comfort
*Bacterial conjunctivitis has purulent discharge.
9.What is herpes keratitis? ..ANSWER..Herpes viral infection to the eye
caused by HSV.
10.A 19-year-old male presents with blurred vision, watery discharge,
photophobia, and eye redness. Upon exam you note fern-like lines
under the woods lamp. What is the diagnosis and tx? ..ANSWER..Herpes
Keratitis
Tx: Antivirals
11.A 16-year-old female presents with complaints of sudden onset of
red, watery, and painful left eye. She reports possible foreign body to
eye. Upon inspection you visualize a n erythemic lesion to the eye.
When using woods lamp you note a small superficial laceration. What is
the dx and tx? ..ANSWER..Corneal abrasion, refer to optho emergently
or send to ER.
12.A mother brings her nine-year-old overweight son to the clinic with
complaints of pain to the groin, knee, and right hip. She reports patient
has been walking with a limp for the last couple days but unable to
ambulate today. Mother denies any recent trauma. Upon inspection
3|Page
, there is external rotation of the right foot. What is the dx and tx?
..ANSWER..Slipped capital femoral epiphysis
Refer to ER, will need surgery.
-most common in adolescent, obese males.
13.Father presents with his four-year-old son and states that patient
has been limping since this morning and was crying all night
complaining of left hip pain. Upon exam you appreciate decreased
range of motion of left hip but no external rotation or signs of trauma.
What is the probable diagnostics, and treatment? ..ANSWER..Toxic
transient syndrome- most common cause of limp in peds.
Order: CBC, ESR, and X-ray. WBC and ESR will be elevated. X-RAY will be
normal.
-advise father that will resolve in 2-6 weeks.
- patient needs bed rest, NWB to left leg, and NSAIDS.
- return if develops fever, swelling, pain that is unrelieved by rest or
medication
14.What degree is scoliosis is considered functional? ..ANSWER..5-10
degrees, continue to monitor.
15.What degree of scoliosis is considered mild? ..ANSWER..<20
degrees, monitor every 3-4 months
16.A 13-year-old female presents to the office after having an x-ray
order by you for her scoliosis. The reading on the x-ray reports a 30°
curvature. What is the treatment plan? ..ANSWER..Milwaukee brace for
23 hours per day
Back exercises
4|Page
