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How does an NP distinguish viral conjunctivitis from bacterial conjunctivitis? Viral conjunctivitis is:

NRNP-6568F/DRNP-6568/DRNP-6568F/NRNP-6568

NRNP6568 Synthesis in Advanced Nursing Practice Care of Patients in Family Care Settings

Week 3 Knowledge Check 

Question 1How does an NP distinguish viral conjunctivitis from bacterial conjunctivitis? Viral conjunctivitis is:

 

Selected Answer:           

 

 watery discharge, unilateral, older children and adenopathy

 

mucopurulent discharge, bilateral, and usually seen in preschoolers

 

usually seen in adults, mucopurulent discharge, and unilateral, no adenopathy

 

watery discharge, adults, unilateral, no adenopathy

 

Question 2The Centor criteria have been shown to be predictive of a positive diagnosis of _______ in adult patients.

 

Selected Answer:           

 

Staphylococcus

 

Group A streptococcal pharyngitis

 

Group B streptococcal pharyngitis

 

H. Influenza

 

Question 3The NP recognizes common symptoms for allergic rhinitis include:

 

Selected Answer:           

 

 Runny nose and itchy eyes

 

Bloody nasal discharge

 

Purulent nasal discharge

 

Cough and fever

 

Question 4Why has there been a dramatic decline in epiglottitis in children?

 

Selected Answer:           

 

 due to vaccination for Hemophilus organisms

 

due to vaccination for influenza virus

 

due to decreased vigilance of the strep bacteria

 

due to decreased incidence of chickenpox

 

Question 5Rhinitis medicamentosa is a condition in which nasal decongestants are overused and the patient’s congestion has worsened.

 

Selected Answer:           

 

True

 

False

 

Question 6Common symptoms of a hordeolum include warm, tender, and red eyelid.

 

Selected Answer:           

 

True

 

False

 

Question 7What is the recommended first-line antibiotic and dosage for children with acute otitis media?

 

Selected Answer:           

 

 amoxicillin 80-90 mg/kg/day

 

amoxicillin 80-90 mg/kg/day

 

ceftin 90 mg/kg/day

 

Penicillin VK 10 mg/kg/day

 

azithromycin  50 mg/kg/day

 

Question 8A 15 year old child with sore throat comes to clinic and rapid strep is positive for strep. The NP will more than likely treat patient with:

 

Selected Answer:           

 

 All of the above

 

PCN V 500 mg bid x10 days

 

Salt water gargles

 

Throat lozenges

 

All of the above

 

Question 9Treatment for viral pharyngitis include:

 

Selected Answer:           

 

Rest,  Antibiotics, and oral  fluid

 

Rest, antiviral Tamiflu,  and fluids

 

Rest, humidification, warm saline gargles, and throat lozenges

 

Rest, warm saline gargles, and antibiotics

 

Question 10What differentiates  chronic rhinosinusitis from allergic rhinitis.

 

Selected Answer:           

 

Chronic rhinosinusitis is characterized by sneezing and watery eyes

 

Allergic rhinitis has persistent nasal blockage

 

Allergic rhinitis has an acute onset

 

Chronic rhinosinusitis typically has a positive family history of similar problems.

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