NUR 524 EXAM 1 & 2 NEWEST
2024 ACTUAL EXAM QUESTIONS
WITH ANSWERS 100% RATED BY
EXPERTS HIGHSCORE BRAND
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What medication would you give for bacterial sinusitis? - CORRECT
ANSWER>>>>Amoxicillin
Augmentin (Aminopenicillin Antibiotic - Beta-lactamase Inhibitor Combinations)
Someone with sinusitis >7 days or with a course that got better and then worse and they
have a penicillin allergy? What antibiotic would you give? - CORRECT
ANSWER>>>>Doxycycline
Patient comes in and wants management recommendations for allergic rhinitis. What
recommendations would you give first? - CORRECT ANSWER>>>>Stay away from
triggers
Patient says nasal irrigation should not be recommended because causes nose bleeds-
educate patient that this is inaccurate - CORRECT ANSWER>>>>Nasal irrigations help
hydrate and flush out some of the allergens
True or False: Patient says cannot use nasal decongestant spray for longer than 5 days
because it can cause trigger congestion. - CORRECT ANSWER>>>>This is true-no
longer than 5 days
True or False: Oral decongestants can cause hypertension (sudafed, claritin, zyrtec) -
CORRECT ANSWER>>>>true
Pt has dry, non-productive cough, fever, sore throat, and look put together, have 98%
spo2, with possible bronchitis. What is your treatment? - CORRECT
ANSWER>>>>supportive care
no antibiotic
What are the CENTOR criteria? - CORRECT ANSWER>>>>Centor Criteria clinical
prediction rules
Criteria (1 point for each positive)
Tonsillar exudates
Swollen and tender anterior cervical lymph nodes
Lack of cough
History of fever (>100.4)
,Centor Criteria scoring and what to test. - CORRECT ANSWER>>>>Scores (American
College of Physicians-Internal medicine)
0-1: no testing indicated
2-3: test for RADT and culture
4: presumptive diagnosis of GAS and confirmatory testing not required
Know how to read a Snellen chart. What does a 20/15 vision mean? - CORRECT
ANSWER>>>>You can see what normal people can see at 20 feet where the majority
of people can see at 15 feet
Pt presents with a "bloody eye". What does this mean? What can use for relieving
discomfort? - CORRECT ANSWER>>>>Small hemorrhage that is not dangerous and
clears up on its own
Can use artificial tears to help with discomfort
Pt presents with a really bad sore throat for the past 6 days, what is on your differential
diagnosis? - CORRECT ANSWER>>>>Post nasal drip
Strep throat
Tonsillitis
Epiglottitis
Viral pharyngitis
GERD
MONO
Pt presents ℅ minor ear fullness but can only hear out of one side. It appears to have
excess cerumen. You cannot see the membrane. What are you going to do? -
CORRECT ANSWER>>>>Refer to ENT-you cannot rule out possible membrane
rupture and should not attempt irrigation.
Who is at high risk for mycoplasma? - CORRECT ANSWER>>>>HIV
Immunosuppressed people
College age kids
What do you usually find in otitis media? - CORRECT ANSWER>>>>Pain, bulging,
cloudy eardrum, redness
What are you going to observe/assess in both adults and peds with acute otitis media? -
CORRECT ANSWER>>>>Membrane mobility -if infection present you will not have
mobility
What are the pathogens for otitis media? - CORRECT ANSWER>>>>S. pneumoniae
H. influenza
M. cataralas
Do you always treat with antibiotics with otitis media? - CORRECT ANSWER>>>>No
Serous otitis does not warrant antibiotics
, Treatment for allergic rhinitis? - CORRECT ANSWER>>>>Avoid allergens
Nasal irrigation
Humidifier
Nasal steroid such as Flonase, Nasacort
If I am going to prescribe a nasal steroid, how long does it take to kick in? - CORRECT
ANSWER>>>>One week
If symptoms are very severe and cannot wait a week for nasal steroid to kick in for
congestion to kick in, what do you give? - CORRECT ANSWER>>>>Claratin, zyrtec,
allegra
antihistamine (reduce response of histamine mediated symptoms by binding to
receptor)
What is the differential for allergies vs conjunctivitis? - CORRECT
ANSWER>>>>Allergies:
clear and stringy drainage
Itchiness
Conjunctivitis:
green, sticky drainage
Pt presents with upper respiratory symptoms for ten days, still has fatigue, nasal
drainage, cough, sore throat, possible fever. What is your differential? - CORRECT
ANSWER>>>>COVID
Bronchitis
Sinusitis
When do you treat someone with Paxlovid? - CORRECT ANSWER>>>>First 48 hours
What are the bacterial organisms for sinusitis? - CORRECT ANSWER>>>>S
pneumonia
H influenza
M catarrhalis
If someone is already placed on antibiotics in the last six weeks and comes back for
further bacterial treatment, what class of meds do you use? - CORRECT
ANSWER>>>>Fluoroquinolones (-floxacin drugs)
Macular degeneration, is there a cure for it? - CORRECT ANSWER>>>>no
What is the treatment for macular degeneration? - CORRECT ANSWER>>>>supportive
If someone comes in post eye surgery, what would raise immediate concern? -
CORRECT ANSWER>>>>Sudden decrease in visual acuity is a concern
Send to ER
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