NR 511-Week 2 Davis Edge practice questions and answers

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1. Jill, a 34-year-old bank teller, presents with symptoms of hay fever. She complains of nasal congestion, runny nose with clear mucus, and itchy nose and eyes. On physical assessment, you observe th... at she has pale nasal turbinates. What is your diagnosis? • Allergic rhinitis (The symptoms of hay fever, also called allergic rhinitis, are similar to those of viral rhinitis but usually persist and are seasonal in nature. When assessing the nasal mucosa, you will observe that the turbinates are usually pale or violaceous because of venous engorgement) • Viral rhinitis (with viral rhinitis, the turbinates are typically erythematous) • Nasal polyps (With nasal polyps, there are usually yellowish, boggy masses of hypertrophic mucosa) • Nasal vestibulitis from folliculitis (Nasal vestibulitis usually results from folliculitis of the hairs that line the nares) 2. A 75-year-old African American male presents to your family practice office complaining of visual impairment. He has worn corrective lenses for many years but has noticed that his vision has gotten progressively worse the past 6 months. He denies pain. He states his vision is worse in both eyes in the peripheral aspects of his visual field. He also notes trouble driving at night and halos around street lights at night. You test his intraocular pressure, and it is 23 mm Hg. What is his most likely diagnosis? • Open-angle glaucoma (This is the typical presentation of chronic, or open-angle, glaucoma) • Angle-closure glaucoma (This is an acute, painful form of glaucoma) • Cataracts (This is a loss of central vision) • Macular degeneration (This also affects central vision) 3. Which of the following is not a cause of conductive hearing loss? • Presbycusis (This is a cause of sensorineural hearing loss) • Cerumen impaction. • Otitis media. • Otosclerosis. 4. Which of the following is not a complication of untreated group A streptococcal pharyngitis? • Glomerulonephritis. • Rheumatic heart disease. • Scarlet fever. • Hemolytic anemia (This is a complication of mononucleosis) 5. Alexandra, age 34, was treated with oral antibiotics 2 weeks ago for a urinary tract infection. She is seen in the office today for a follow-up visit. On physical examination, the nurse practitioner notices that she has some painless, white, slightly raised patches in her mouth. This is probably caused by: • Herpes simplex (Herpes simplex (a viral infection) sores are usually discrete and not spread over a large area) • Aphthous ulcers (Aphthous ulcers (canker sores) are extremely painful) • Candidiasis (Painless, white, slightly raised patches in a client’s mouth are probably caused by candidiasis (thrush) • Oral cancer (Cancerous lesions are usually discrete and not spread over a large area) 6. Mattie, age 64, presents with blurred vision in 1 eye and states that it felt like “a curtain came down over my eye.” She doesn’t have any pain or redness. What do you suspect? • Retinal detachment (The classic sign of retinal detachment is a client stating that “a curtain came down over my eye.” Typically, the person presents with blurred vision in 1 eye that becomes progressively worse, with no pain or redness) • Acute angle-closure glaucoma (In older adults with acute angle-closure glaucoma, there is a rapid onset, with severe pain and profound visual loss. The eye is red, with a steamy cornea and a dilated pupil) • Open-angle glaucoma (In older adults with open-angle glaucoma, there is an insidious onset, a gradual loss of peripheral vision over a period of years, and a perception of “halos” around lights) • Cataract (With a cataract, there is blurred vision that is progressive over months or years and no pain or redness) 7. While doing a face, head, and neck examination on a 16-year-old patient, you note that the palpebral fissures are abnormally narrow. What are you examining? CONTINUED....... [Show More]

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