VISE NR 661 Exam Questions With Complete Solutions
Acute bronchitis Presentation: Correct Answer inflammation of
the bronchioles bronchi and trachea usually follows an upper
respiratory infection or exposure to chemical irritants. The cause
is usually by adenovirus/rhinovirus Cough, NON-productive,
then productive may be purulent. URI symptoms, fatigue, fever
(usually COPD pt), crackles/wheezes, chest wall pain.
Acute laryngopharyngitis Presentation: Correct Answer Sore
throat,
tonsillar exudate,
malaise,
cervical adenopathy,
fever,
nausea,
absence of cough,
petechiae on soft palate,
beefy red tonsils,
sandpaper rash (strep),
conjunctivitis,
nasal congestion,
hoarseness,
cough,
diarrhea,
viral rash (virus)
Acute maxillary sinusitis Presentation: Correct Answer
Congestion,
purulent nasal
discharge,
,headache,
sore throat,
pressure over sinuses,
cough,
halitosis,
postnasal discharge,
periorbital edema
Symptoms > 10 days is a bacterial infection
Allergic Rhinitis Presentation: Correct Answer S&S:
intermittent allergies,
Seasonal allergies.
Pale boggy turbinates'.
Red conjunctivitis.
Clear nasal discharge sneezing nasal stuffiness
mucosal edema
Anxiety Presentation: Correct Answer complaints of
apprehension,
restlessness,
edginess,
distractibility insomnia;
Somatic complaints like fatigue, paresthesia, near syncope,
dizziness, palpitation, tachycardia chest pain/tightness, dyspnea,
hyperventilation, nausea vomiting diarrhea. Etc
Assessment of Hip Pain Correct Answer Assess: pain history
including PMH FMH of RA or OA & gait (heels and toes):
●Onset (eg, sudden, gradual, traumatic or
nontraumatic)Provocative and palliating factors (eg, increased
pain with weight-bearing)
, ●Quality
●Radiation (eg, to or from the low back)
●Site (lateral, anterior, posterior hip or other joints; focal
weakness- r/o radiculopathy)
●Symptoms (paresthesia, mechanical catching, systemic-fever,
etc; Trendelenburg; rash/
psoriasis hx= r/o psoriatic arthritis; GI- r/o IBD; Iritis/uveitis r/o
inflame i.e. spondylarthritis; leg length?)
●Time course (overall duration, length of episodes)
Asthma Presentation: Correct Answer chronic, i
nflammatory respiratory disease-causing reversible airway
constriction (narrowing of the airway) and hyperresponsiveness.
Expiratory Wheezing,
non-productive cough in the earliest symptoms,
SOB,
Tachypnea,
tachycardia,
Accessory muscle use, sudden nocturnal dyspnea, decreased
exercise tolerance
Back pain Presentation: Correct Answer back pain complaint.
Maybe localized, referred, or radiating.
Determine OLDCARTS, any pre-existing conditions, past
surgeries or trauma which may be contributing.
BPH
Presentation: Correct Answer benign enlargement of the
prostate gland creating a narrowing of the urethral
lumen and leading to increased prostatic smooth muscle tone.