NR511 Week 3 Quiz 2022 100% graded

Question 1  CO1 A 10-year-old presents to the office with his mother with complaints of itchy and red eyes for 1 day. He reports watery drainage in both eyes associated with constant itching. He has no fever or constitutional symptoms. The patient has a sibling that just started day care recently. Upon examination, vision is 20/20 OU with glasses. He has mild to moderate conjunctival hyperemia with bilateral preauricular lymph nodes that are inflamed. What is the most likely diagnosis?

  viral conjunctivitis

  bacterial conjunctivitis

  allergic conjunctivitis

  blepharitis

 Question 2  A 64-year-old has had a corneal infection for several weeks. He asks why the infection is still present. How do you respond?

  We can’t determine the causative agent.

  Systemic antibiotics have difficulty getting to that area of the eye.

  Because the infection was painless, it was not treated early enough.

 Because the cornea doesn’t have a blood supply, an infection can be fought off as usual.

 Question 3  A 47-year-old presents to the clinic with a red eye. How would the NP differentiate between iritis and conjunctivitis?

  ciliary flush

  eye discomfort

  slow progression

  no change in vision

 Question 4  A 54-year-old presents to the office with a painful red eye without discharge. What is the most likely initial diagnosis?

  iritis

  bacterial conjunctivitis

  viral conjunctivitis

  allergic conjunctivitis

 Question 5  An 82-year-old presents with several eye complaints. She states that her eyes are always dry and look sunken in. What is the most likely cause?

  normal age-related changes

  hypothyroidism

  Cushing syndrome

  detached retina

 Question 6 A 46-year-old is diagnosed with viral conjunctivitis. What treatment should be included?

  supportive measures and lubricant eye drops

  gentamicin ophthalmic ointment

  ciprofloxacin ophthalmic drops

  oral erythromycin x 14 days

 Question 7  A 25-year-old presents with bleeding in my eye for 1 day. He awoke this morning with a dark area of redness in his eye. He has no visual loss or changes. He denies constitutional symptoms, pruritus, drainage, or recent trauma. The redness presents on physical exam as a dark red area in the patient’s sclera of the right eye only and takes up less than 50% of the eye. The patient’s remaining sclera is clear and white. He also notes he was drinking alcohol last night and vomited afterward. What is the best treatment?

 reassurance that this lesion will resolve without any treatment in 2 to 4 weeks.

  topical steroids and close follow-up with an ophthalmologist.

  sending the patient to the emergency department for immediate ophthalmology consult.

  cold compresses and frequent handwashing.

 Question 8 A patient comes into the clinic complaining of pain in her right eye. On examination, the nurse practitioner (NP) sees a pustule at the lid margin that is painful to touch, red, and swollen. What is the most likely diagnosis?

  chalazion

  hordeolum (stye)

  dacryocystitis

  blepharitis

 Question 9 A patient has been treated for glaucoma for five (5) years. Which of the following will provide an indication of the level of progression during the funduscopic examination for this patient?

  checking the macula

  estimating cup-to-disk ratio

  verifying a red reflex

  extraocular movements

 Question 10  The NP should instruct a patient diagnosed with glaucoma that the purpose of medication is to:

  help dry up excess secretions

  lower the intraocular pressure

  strengthen the muscles of the eye

  improve the vision in the eye

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