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Maryville NURS 620 Adult 1 EXAM 1: Questions With Complete Answers
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Maryville NURS 620 Adult 1 EXAM 1: Questions With Complete Answers
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Maryville NURS 620 Adult 1 EXAM 1: Questions WithComplete Answers
If rapid strep test is negative what is the first thing you should do? Right
Ans - send out culture
When examining lab from a person with mono what would the NP expect to
find? Right Ans - Lymphocytosis
EBV is transmitted through which route? Right Ans - oral pharyngeal
secretions (saliva)
Sx of mono usually present how many days after initially infected? Right
Ans - 30-50 days
If a pt is being treated for strep and tells you he or she has allergy to PCN what
class of med to avoid Right Ans - beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white
ulcerated lesion with induration what do you suspect Right Ans - oral
cancer
Which vision sx is common in open angel glaucoma Right Ans - peripheral
vision loss
pt presents with sudden vision changes with floaters and flashes, what is next
step Right Ans - refer to eye dr (retinal detachment)
An acutely presenting, erythematous, tender lump within the eyelid Right
Ans - Hordeolum (stye)
A granulomatous infection of a Meibomian gland, presenting in the form of
painless swelling on the eyelid Right Ans - Chalazion
what maneuver can be performed to help manage sx of vertigo? Right Ans -
Epley maneuver
What can help diagnose vertigo Right Ans - Dix-Hallpack test
, A pt is started on antibiotics for strep a few days later the mono spot comes
back positive what is the first thing to do? Right Ans - discontinue
antibiotics
peripheral vision loss that has worsened over the last few months Right
Ans - open-angle glaucoma (peripheral loss over time)
Risk factor for otitis externa? Right Ans - Exposure to water, excessive use
of headphones, Q-tips, impacted cerumen and earplugs
Risk factor for otitis media? Right Ans - Young children, allergies,
craniofacial abnormalities, smokers, hx of URI, acid reflux, immunodeficiency
A red flag for pt complaining of red eye? Right Ans - severe headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial
care with treatment failure after 7 days of 1st line abx (PCN)? Right Ans -
Doxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough,
sneezing, and sore throat; exam shows pharyngeal erythema, pale swollen
turbinates, clear rhinorrhea; T 99, most appropriate treatment plan Right
Ans - saline nasal spray and clariton
painful ulcer in mouth that is round or oval with white or yellow center and
red border Right Ans - canker sore
what symptoms are most indicative of mono Right Ans - gradual onset of
fatigue/malaise POSTERIOR CERVICAL ADENOPATHY, fever and sore throat
excess salivation, necrotic ulceration with purulent gray exudate, bleeding
gums, bad breath, swollen puffy receding gums that are tender and bleed
easily Right Ans - gingivitis
toothache, bad breath, pus, fever, swollen lymph nodes Right Ans - Dental
abscess
symptoms of meniere's disease Right Ans - loss of balance, tinnitus, vertigo
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