David, a 28-year-old man, visits the clinic complaining of ear pain and a dull, immobile tympanic membrane in his right ear. He also mentions a recent upper respiratory tract Infection. Upon examination, you observe tender, enlarged postauricular lymph nodes. What condition should you suspect in David based on these findings?

Tonsillitis

Laryngitis

Acute Otitis Media

Allergic Rhinitis

Answer and Explanation

The Correct Answer is C

A.   Tonsillitis typically presents with sore throat, difficulty swallowing, and inflamed tonsils, but it does not involve ear pain or tympanic membrane abnormalities.
B.   Laryngitis presents with hoarseness or loss of voice due to inflammation of the larynx, not ear pain or tympanic membrane abnormalities.

C.   Acute otitis media commonly presents with ear pain, dull tympanic membrane, and may be preceded by an upper respiratory tract infection. Tender, enlarged postauricular lymph nodes can also be present.
D.   Allergic rhinitis typically presents with nasal congestion, sneezing, and itchy, watery eyes, but not with ear pain or tympanic membrane abnormalities.

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Correct Answer is A

Explanation

A. A cough assist machine can help Alice clear secretions from her airways, reducing the risk of respiratory complications associated with spinal muscular atrophy.

B. Orthopedic shoes may help with support and stability but do not directly address Alice's respiratory needs.
C. While a wheelchair may be necessary for mobility, it does not address Alice's respiratory needs.
D. High-frequency chest wall oscillation devices are used to help clear mucus from the airways but may not be as appropriate for Alice's age and condition as a cough assist machine.

A. Dry and scaling skin in the treated area. B. Increased frequency of asthma attacks. C. Reddish-brown discoloration of the skin D. Thinning of the treated skin.

Correct Answer is D

Explanation

A. Dry and scaling skin may occur as a side effect of topical corticosteroids, but thinning of the skin is a more concerning adverse effect.
B. While systemic corticosteroids can exacerbate asthma, topical corticosteroids are less likely to worsen asthma symptoms unless used excessively on the face or in high quantities.
C. Reddish-brown discoloration of the skin (hyperpigmentation) is a potential adverse effect of topical corticosteroids but is less common compared to skin thinning.
D. Thinning of the skin (skin atrophy) is a common adverse effect of high-potency topical corticosteroids, especially with prolonged use. This is of particular concern for David given his asthma history, as it may increase the risk of systemic absorption.

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Naxlex Comprehensive Predictor Exams

Alice, 4, shows delays in reaching milestones like sitting and walking. Chetic testing confirms the SMN1 gene deletion characteristic of Spinal Muscular Atrophy. A pulmonary function test shows reduced FVC. Which piece of equipment would most benefit Alice at this stage?

Correct Answer is A

Explanation

David, 22, has been using a high-potency topical corticosteroid for his atopic dermatitis for several weeks. He has a past medical history of asthma and mild seasonal allergies. What should the nurse assess for as an adverse effect?

Correct Answer is D

Explanation

John, a 35-year-old male involved in a motor vehicle accident, presents with a contusion across his chest from the seatbelt. Which two combined assessments should the nurse prioritize to detect potential complications?

Martha, a 55-year-old with a past medical history of hypertension, asks you about decreasing her risk for sun damage during her frequent beach trips. Which advice is most accurate?

Sophia, an outpatient clinic nurse, is assessing a 78-year-old patient, Robert, with chronic obstructive pulmonary disease (COPD). Which immunization should Sophia most strongly recommend that Robert receives annually?

Sarah, 20, has a history of atopic dermatitis and complains of worsening skin irritation. The physician orders a patch test. What should Sarah avoid before undergoing patch testing?

Henry, a 65-year-old man, is in the clinic for a routine check-up. During the assessment of his male genitalia, which position can Henry choose for the examination?

Martha, 70, complains of fatigue and anemia. She has a family history of Waldenstrom's macroglobulinemia. The healthcare provider orders Immunofixation Electrophoresis. Why is Immunofixation Electrophoresis important for Martha's case?

Sally, 33, has a family history of Charcot-Marie-Tooth disease. She presents with high-arched feet and hammer toes. Genetic testing reveals PMP22 gene duplication.

Sarah, a 68-year-old female who is on anticoagulant therapy for atrial fibrillation, presents with a contusion on her forearm after a fall. Which two combined assessments should the nurse prioritize in Sarah's care?