NR566 Final Exam Practice Questions
Week 5: Eyes, Ears, Nose, and Skin
1. A patient with seasonal allergies is prescribed a first-generation antihistamine.
Which side effect should the NP warn the patient about? a) Hypertension b)
Significant sedation and anticholinergic effects c) Tachypnea d) Excessive
tearing
2. Which of the following is a second-generation antihistamine preferred for
its non-sedating properties? a) Diphenhydramine b) Loratadine c) Hydroxyzine
d) Chlorpheniramine
3. When educating a patient on intranasal cromolyn sodium, the NP should
state that it is most effective when: a) Used only when symptoms are severe
b) Administered as a rescue inhaler c) Used prophylactically before allergen
exposure d) Taken orally with a high-fat meal
4. What is the primary mechanism of action for sympathomimetics used in
allergic rhinitis? a) Mast cell stabilization b) Blockade of H1 receptors c)
Activation of alpha-1 adrenergic receptors causing vasoconstriction d) Inhibition
of leukotrienes
5. Which medication is indicated for the treatment of both Influenza A and B?
a) Amoxicillin b) Oseltamivir c) Acyclovir d) Cromolyn
6. A patient using prostaglandin analogs for glaucoma should be monitored
for which unique side effect? a) Temporary blindness b) Heightened brown
pigmentation of the iris c) Increased systemic blood pressure d) Hearing loss
,7. Which drug is used for the treatment of chronic dry eye by suppressing the
immune response? a) Latanoprost b) Cyclosporine c) Naphazoline d) Timolol
8. What is the first-line antibiotic for a child with Acute Otitis Media (AOM)
according to clinical guidelines? a) Azithromycin b) Amoxicillin c)
Ciprofloxacin d) Ceftriaxone
9. In a patient with persistent AOM that failed initial therapy, the NP should
prescribe: a) A higher dose of Amoxicillin b) Amoxicillin-Clavulanate
(Augmentin) c) Topical Neomycin d) Watchful waiting for 48 hours
10. A patient with severe cystic acne is starting Isotretinoin. Which of the following is
a strict contraindication? a) History of asthma b) Pregnancy c) Peanut allergy d)
Use of topical moisturizers
11. What is the black box warning associated with topical calcineurin inhibitors
like Tacrolimus? a) Risk of sudden cardiac death b) Risk of skin cancer and
lymphoma c) Risk of tendon rupture d) Risk of permanent hair loss
12. Which treatment is typically first-line for localized Impetigo? a) Oral
Cephalexin b) Topical Mupirocin c) IV Vancomycin d) Topical Hydrocortisone
13. Ustekinumab is contraindicated in patients with: a) Type 2 Diabetes b) Active
tuberculosis or serious infections c) Hypertension d) Seasonal allergies
14. When applying topical glucocorticoids, the NP should educate the patient
to: a) Apply a thick layer to ensure absorption b) Use occlusive dressings over
high-potency creams c) Apply a thin film only to the affected area d) Use the
highest potency available for facial rashes
, 15. Pimecrolimus cream is used for which condition? a) Bacterial infections b)
Atopic dermatitis (Eczema) c) Fungal infections d) Viral warts
16. First-line treatment for common warts (Verruca vulgaris) usually includes:
a) Oral acyclovir b) Salicylic acid or cryotherapy c) Topical mupirocin d)
Intranasal steroids
17. Which antihistamine is safest for an elderly patient due to low sedative
potential? a) Promethazine b) Fexofenadine c) Diphenhydramine d)
Hydroxyzine
18. Intranasal corticosteroids are primarily indicated for: a) Acute bacterial
sinusitis b) Allergic rhinitis prophylaxis and treatment c) Viral cough d) Reversing
anaphylaxis
19. Ocular decongestants should be used cautiously because they can cause:
a) Rebound congestion/hyperemia b) Permanent vision loss c) Cataracts d)
Excessive hair growth
20. Cyclosporine ophthalmic emulsion (Restasis) works by: a) Constricting
blood vessels in the eye b) Increasing tear production via anti-inflammatory
effects c) Paralyzing the ciliary muscle d) Dilating the pupil
21. Which medication is a mast-cell stabilizer used for allergic conjunctivitis?
a) Timolol b) Cromolyn eye drops c) Latanoprost d) Gentamicin
22. Glucocorticoids used for nonendocrine disorders can lead to which long-
term side effect? a) Hypoglycemia b) Osteoporosis c) Weight loss d)
Hypotension
Week 5: Eyes, Ears, Nose, and Skin
1. A patient with seasonal allergies is prescribed a first-generation antihistamine.
Which side effect should the NP warn the patient about? a) Hypertension b)
Significant sedation and anticholinergic effects c) Tachypnea d) Excessive
tearing
2. Which of the following is a second-generation antihistamine preferred for
its non-sedating properties? a) Diphenhydramine b) Loratadine c) Hydroxyzine
d) Chlorpheniramine
3. When educating a patient on intranasal cromolyn sodium, the NP should
state that it is most effective when: a) Used only when symptoms are severe
b) Administered as a rescue inhaler c) Used prophylactically before allergen
exposure d) Taken orally with a high-fat meal
4. What is the primary mechanism of action for sympathomimetics used in
allergic rhinitis? a) Mast cell stabilization b) Blockade of H1 receptors c)
Activation of alpha-1 adrenergic receptors causing vasoconstriction d) Inhibition
of leukotrienes
5. Which medication is indicated for the treatment of both Influenza A and B?
a) Amoxicillin b) Oseltamivir c) Acyclovir d) Cromolyn
6. A patient using prostaglandin analogs for glaucoma should be monitored
for which unique side effect? a) Temporary blindness b) Heightened brown
pigmentation of the iris c) Increased systemic blood pressure d) Hearing loss
,7. Which drug is used for the treatment of chronic dry eye by suppressing the
immune response? a) Latanoprost b) Cyclosporine c) Naphazoline d) Timolol
8. What is the first-line antibiotic for a child with Acute Otitis Media (AOM)
according to clinical guidelines? a) Azithromycin b) Amoxicillin c)
Ciprofloxacin d) Ceftriaxone
9. In a patient with persistent AOM that failed initial therapy, the NP should
prescribe: a) A higher dose of Amoxicillin b) Amoxicillin-Clavulanate
(Augmentin) c) Topical Neomycin d) Watchful waiting for 48 hours
10. A patient with severe cystic acne is starting Isotretinoin. Which of the following is
a strict contraindication? a) History of asthma b) Pregnancy c) Peanut allergy d)
Use of topical moisturizers
11. What is the black box warning associated with topical calcineurin inhibitors
like Tacrolimus? a) Risk of sudden cardiac death b) Risk of skin cancer and
lymphoma c) Risk of tendon rupture d) Risk of permanent hair loss
12. Which treatment is typically first-line for localized Impetigo? a) Oral
Cephalexin b) Topical Mupirocin c) IV Vancomycin d) Topical Hydrocortisone
13. Ustekinumab is contraindicated in patients with: a) Type 2 Diabetes b) Active
tuberculosis or serious infections c) Hypertension d) Seasonal allergies
14. When applying topical glucocorticoids, the NP should educate the patient
to: a) Apply a thick layer to ensure absorption b) Use occlusive dressings over
high-potency creams c) Apply a thin film only to the affected area d) Use the
highest potency available for facial rashes
, 15. Pimecrolimus cream is used for which condition? a) Bacterial infections b)
Atopic dermatitis (Eczema) c) Fungal infections d) Viral warts
16. First-line treatment for common warts (Verruca vulgaris) usually includes:
a) Oral acyclovir b) Salicylic acid or cryotherapy c) Topical mupirocin d)
Intranasal steroids
17. Which antihistamine is safest for an elderly patient due to low sedative
potential? a) Promethazine b) Fexofenadine c) Diphenhydramine d)
Hydroxyzine
18. Intranasal corticosteroids are primarily indicated for: a) Acute bacterial
sinusitis b) Allergic rhinitis prophylaxis and treatment c) Viral cough d) Reversing
anaphylaxis
19. Ocular decongestants should be used cautiously because they can cause:
a) Rebound congestion/hyperemia b) Permanent vision loss c) Cataracts d)
Excessive hair growth
20. Cyclosporine ophthalmic emulsion (Restasis) works by: a) Constricting
blood vessels in the eye b) Increasing tear production via anti-inflammatory
effects c) Paralyzing the ciliary muscle d) Dilating the pupil
21. Which medication is a mast-cell stabilizer used for allergic conjunctivitis?
a) Timolol b) Cromolyn eye drops c) Latanoprost d) Gentamicin
22. Glucocorticoids used for nonendocrine disorders can lead to which long-
term side effect? a) Hypoglycemia b) Osteoporosis c) Weight loss d)
Hypotension
