NUR 652 - FINAL EXAM STUDY GUIDE QUESTIONS
WITH COMPLETE ANSWERS!!
A 5-year-old child is hit in the face with a baseball bat and is brought to the
clinic by a parent. An exam reveals three avulsed front teeth. Radiologic studies
are negative for facial fractures. What is the recommended treatment? Answer
- Refer the child to the dentist immediately for further evaluation
A child who was treated with amoxicillin and then amoxicillin-clavulanate for
acute otitis media is seen for follow-up. The primary care nurse practitioner
notes dull-gray tympanic membranes with a visible air-fluid level. The child is
afebrile and without pain. What is the next course of action? Answer -
Monitoring ear fluid levels for 3 months
A 13-year-old with cerebral palsy receives all nutrition via gastrostomy tube.
What will the primary care nurse practitioner recommend to promote dental
health in this child? Answer - Daily chlorhexidine gluconate
A primary care provider may suspect cataract formation in a patient with which
finding? Answer - Asymmetric red reflex
A patient has chronically dry eyes, sometimes with a foreign body sensation,
burning, and itching. A Schirmer test is abnormal. What is the suspected cause
of this patient's symptoms? Answer - Aqueous Deficiency
A teen who has otitis externa has severe swelling of the external auditory canal
that persists after 2 days of therapy with ototopical antibiotic/corticosteroid
drops. What is the next step in treatment for this child? Answer - Insert a wick
into the external auditory canal
,A patient reports tooth pain in a lower molar and the provider notes a mobile
tooth with erythema and edema of the surrounding tissues without discharge.
Which is the initial course of action by the provider? Answer - Prescribe
amoxicillin and refer to a dentist in 2-3 days
An elderly patient has a permanent loss of the sense of smell and diminished
taste. What will be included in teaching this patient about managing these
symptoms? Answer - 1. The importance of installing smoke detectors
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
A toddler exhibits exotropia of the right eye during a cover-uncover screen. The
primary nurse practitioner will refer to a pediatric ophthalmologist to initiate
which treatment? Answer - Patching of the unaffected eye for 2 hours each
day
An adolescent has localized bleeding of the gums when brushing the teeth. An
exam of the mouth reveals the presence of plaque and calculus on the teeth
which are not loose. What will the primary care nurse practitioner
recommend? Answer - Consistently brushing and flossing the teeth twice daily
A provider is recommending a cerumenolytic for a patient who has chronic
cerumen buildup. The provider notes that the patient has dry skin in the ear
canal. Which preparation is FDA approved for this use? Answer - Carbamide
peroxide
A parent asks about ways to promote dental health in school-aged children
while on family vacation that are convenient while camping and picnicking.
What will the primary care nurse practitioner recommend? Answer - Offering
gum containing xylitol after meals
, A patient reports several episodes of acute vertigo, some lasting up to an hour
with associated nausea and vomiting. What is part of the initial diagnostic
workup for this patient? Answer - Audiogram and MRI
A teen with a history of otitis externa asks about ways to prevent this
condition. What will the primary care nurse practitioner recommend? Answer
- Drying the ear canal with a hair dryer
A 7-month-old infant has had two prior acute ear infections and is currently on
the 10th day of therapy with amoxicillin-clavulanate after a failed course of
amoxicillin. The primary care nurse practitioner notes marker middle ear
effusion and erythema of the TM. The child is irritable and has a temperature
of 99.8. What is the next step in management of this child's infection? Answer
- Refer the child to an otolayngologist
A patient reports painful swelling in the mouth with increased pain at
mealtimes. The provider notes a mass in the salivary gland region. What is the
likely cause of these symptoms? Answer - Sialolithiasis
A child complains of itching in both ears and is having trouble hearing. The
primary care nurse practitioner notes periauricular edema and marked swelling
of the external auditory canal and elicits severe pain when manipulating the
external ear structures. Which is an appropriate intervention? Answer - Order
ototopical antibiotic/corticosteroid drops
During a well child assessment of an African American infant, the primary care
nurse practitioner notes a dark red-brown light reflex in the left eye and a
slightly brighter, red-orange light reflex in the right eye. The nurse practitioner
will... Answer - Refer the infant to an opthalmologist
Which are risk factors for development of cataracts? Answer - 1. Smoking
WITH COMPLETE ANSWERS!!
A 5-year-old child is hit in the face with a baseball bat and is brought to the
clinic by a parent. An exam reveals three avulsed front teeth. Radiologic studies
are negative for facial fractures. What is the recommended treatment? Answer
- Refer the child to the dentist immediately for further evaluation
A child who was treated with amoxicillin and then amoxicillin-clavulanate for
acute otitis media is seen for follow-up. The primary care nurse practitioner
notes dull-gray tympanic membranes with a visible air-fluid level. The child is
afebrile and without pain. What is the next course of action? Answer -
Monitoring ear fluid levels for 3 months
A 13-year-old with cerebral palsy receives all nutrition via gastrostomy tube.
What will the primary care nurse practitioner recommend to promote dental
health in this child? Answer - Daily chlorhexidine gluconate
A primary care provider may suspect cataract formation in a patient with which
finding? Answer - Asymmetric red reflex
A patient has chronically dry eyes, sometimes with a foreign body sensation,
burning, and itching. A Schirmer test is abnormal. What is the suspected cause
of this patient's symptoms? Answer - Aqueous Deficiency
A teen who has otitis externa has severe swelling of the external auditory canal
that persists after 2 days of therapy with ototopical antibiotic/corticosteroid
drops. What is the next step in treatment for this child? Answer - Insert a wick
into the external auditory canal
,A patient reports tooth pain in a lower molar and the provider notes a mobile
tooth with erythema and edema of the surrounding tissues without discharge.
Which is the initial course of action by the provider? Answer - Prescribe
amoxicillin and refer to a dentist in 2-3 days
An elderly patient has a permanent loss of the sense of smell and diminished
taste. What will be included in teaching this patient about managing these
symptoms? Answer - 1. The importance of installing smoke detectors
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
A toddler exhibits exotropia of the right eye during a cover-uncover screen. The
primary nurse practitioner will refer to a pediatric ophthalmologist to initiate
which treatment? Answer - Patching of the unaffected eye for 2 hours each
day
An adolescent has localized bleeding of the gums when brushing the teeth. An
exam of the mouth reveals the presence of plaque and calculus on the teeth
which are not loose. What will the primary care nurse practitioner
recommend? Answer - Consistently brushing and flossing the teeth twice daily
A provider is recommending a cerumenolytic for a patient who has chronic
cerumen buildup. The provider notes that the patient has dry skin in the ear
canal. Which preparation is FDA approved for this use? Answer - Carbamide
peroxide
A parent asks about ways to promote dental health in school-aged children
while on family vacation that are convenient while camping and picnicking.
What will the primary care nurse practitioner recommend? Answer - Offering
gum containing xylitol after meals
, A patient reports several episodes of acute vertigo, some lasting up to an hour
with associated nausea and vomiting. What is part of the initial diagnostic
workup for this patient? Answer - Audiogram and MRI
A teen with a history of otitis externa asks about ways to prevent this
condition. What will the primary care nurse practitioner recommend? Answer
- Drying the ear canal with a hair dryer
A 7-month-old infant has had two prior acute ear infections and is currently on
the 10th day of therapy with amoxicillin-clavulanate after a failed course of
amoxicillin. The primary care nurse practitioner notes marker middle ear
effusion and erythema of the TM. The child is irritable and has a temperature
of 99.8. What is the next step in management of this child's infection? Answer
- Refer the child to an otolayngologist
A patient reports painful swelling in the mouth with increased pain at
mealtimes. The provider notes a mass in the salivary gland region. What is the
likely cause of these symptoms? Answer - Sialolithiasis
A child complains of itching in both ears and is having trouble hearing. The
primary care nurse practitioner notes periauricular edema and marked swelling
of the external auditory canal and elicits severe pain when manipulating the
external ear structures. Which is an appropriate intervention? Answer - Order
ototopical antibiotic/corticosteroid drops
During a well child assessment of an African American infant, the primary care
nurse practitioner notes a dark red-brown light reflex in the left eye and a
slightly brighter, red-orange light reflex in the right eye. The nurse practitioner
will... Answer - Refer the infant to an opthalmologist
Which are risk factors for development of cataracts? Answer - 1. Smoking
