Chamberlain College of Nursing - NR 661 Ears, Eyes, Nose, and Throat (EENT) Exam

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1. A 30 year old male has been diagnosed with non-allergic rhinitis. What finding is more likely in non-allergic rhinitis than allergic rhinitis? 2. The throat swab done to identify Streptococcal inf... ection was negative in a 12 year-old female with tonsillar exudate, fever, and sore throat. What statement is true regarding this? 3. What is the usual age for vision screening in young children? 4. Epstein-Barr virus is responsible for: 5. A patient with environmental allergies presents to your clinic. She takes an oral antihistamine every 24 hours. What is the most effective single maintenance medication for allergic rhinitis? 6. Conjunctivitis: 7. At what age would it be unusual to see thrush? 8. A patient presents with severe toothache. She reports sensitivity to heat and cold. There is visible pus around the painful area. What is this termed? 9. How long should a 6 year old with acute otitis media be treated with an antibiotic? 10. A patient is diagnosed with otitis externa. He complains of tragal pain, otic discharge, otic itching, and fever. What is the cardinal symptom of otitis externa? 11. A patient presents to a nurse practitioner clinic with paroxysmal sneezing, clear rhinorrhea, nasal congestion, facial pain. Which symptom below is NOT associated with allergic rhinitis? 12. An NP examines a screaming 2 year-old. A common finding is: 13. A patient diagnosed with Strept throat received a prescription for azithromycin. She has not improved in 48 hours. What course of action is acceptable? 14. A 93 year-old demented adult has been recently treated for an upper respiratory infection (URI) but drainage from the right nostril persists. What should the NP suspect? 15. A 32 year-old patient is a newly diagnosed diabetic. She has developed a sinus infection. Her symptoms have persisted for 10 days. Six weeks ago she was treated with amoxicillin for an upper respiratory infection. It cleared without incident. What should be recommended today? 16. AV nicking may be identified in a patient with what disease? 17. When examining the vessels of the eye: 18. The nurse practitioner performs a fundoscopic exam on a patient who has recently been diagnosed with hypertension. What is the significance of AV nicking? 19. A patient presents to clinic with a complaint of a red eye. Which assessment below rules out the most worrisome diagnoses? 20. Acute otitis media can be diagnosed by identifying which otic characteristic(s)? 21. A teenager with fever and pharyngitis has a negative rapid strept test. After 24 hours, the throat culture reveals "normal flora". Which conclusion can be made? 22. A 61 year-old male presents with a 12-hour history of an extremely painful left red eye. The patient complains of blurred vision, haloes around lights, and vomiting. It began yesterday evening. On examination, the eye is red, tender and inflamed. The cornea is hazy and pupil reacts poorly to light. The most likely diagnosis in this patient is: 23. Which antihistamine is preferred for treating allergic rhinitis in an older adult? 24. In a patient who is diagnosed with mastoiditis, which of the following is most likely? 25. A patient who presents with a complaint of sudden decreased visual acuity has a pupil that is about 4 mm, fixed. The affected eye is red. What might be the etiology? 26. Which of the following is most likely observed in a patient with allergic rhinitis? 27. A patient reports a penicillin allergy. What question regarding the allergy should the nurse practitioner ask to determine whether a cephalosporin can be safely prescribed? 28. A patient has been diagnosed with mononucleosis. Which statement is correct? 29. At what age should screening for oral health begin? 30. A 70 year-old male has a yellowish, triangular nodule on the side of the iris. This is probably: 31. When does a child's vision approximate 20/20? 32. The hearing loss associated with aging involves: 33. A patient has a penicillin allergy. He describes an anaphylactic reaction. Which medication class should be specifically avoided in him? 34. A 6 day-old has a mucopurulent eye discharge bilaterally. What historical finding explains the etiology of the discharge? 35. A patient describes a sensation that "there is a lump in his throat". He denies throat pain. On exam of the throat and neck, there are no abnormalities identified. What is the [Show More]

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