Susan, a 42-year-old woman, has a history of recurrent ear infections since childhood.She now presents with chronic ear pain, tenderness behind her left ear, and a low-grade fever. Her past medical history includes multiple episodes of otitis media during childhood. Based on her symptoms and history, what condition should you suspect in Susan?

Tonsillitis

Allergic Rhinitis

Eustachian Tube Dysfunction

Labyrinthitis

Answer and Explanation

The Correct Answer is C

A.   Tonsillitis presents with sore throat, difficulty swallowing, and inflamed tonsils, but it is not typically associated with ear pain, tenderness behind the ear, or a history of recurrent ear infections.
B.   Allergic rhinitis typically presents with nasal congestion, sneezing, and itchy, watery eyes, but it does not cause chronic ear pain or tenderness behind the ear.
C.   Chronic ear pain, tenderness behind the ear, and a history of recurrent ear infections suggest dysfunction of the Eustachian tube, which can lead to fluid accumulation and pressure changes in the middle ear.
D.   Labyrinthitis presents with vertigo, nausea, and hearing loss, which are not mentioned in Susan's symptoms.

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Correct Answer is D

Explanation

A. Colorectal cancer could be a concern but is not the immediate concern when a patient presents with black, tarry stools, which typically indicate upper gastrointestinal bleeding.
B. Antacids do not typically cause black, tarry stools.
C. Consuming too much fiber may cause changes in stool consistency but is not typically associated with black, tarry stools.
D. Black, tarry stools are often indicative of upper gastrointestinal bleeding, which can be serious and requires immediate medical attention.

A. Initiate mechanical ventilation B. Administer high-dose corticosteroids C. Administer neostigmine D. Provide supplemental oxygen

Correct Answer is A

Explanation

A. Emily is showing signs of myasthenic crisis, a life-threatening condition characterized by severe weakness of respiratory muscles. Initiating mechanical ventilation is the most immediate intervention to ensure adequate oxygenation and ventilation.
B. Administering high-dose corticosteroids may be part of the treatment for myasthenia gravis but would not address the immediate need for respiratory support.
C. Neostigmine is a medication used to treat myasthenia gravis but may not provide rapid relief in a crisis situation.
D. Providing supplemental oxygen may help temporarily but would not address the underlying respiratory muscle weakness and need for mechanical ventilation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Emily, a 32-year-old woman, mentioned during her routine check-up that she has been having black, tarry stools for the past week. Which of the following should be the - healthcare provider's immediate concern?

Correct Answer is D

Explanation

Emily, 25, shows signs of ptosis, dysphagia, and respiratory distress. The tensilon test is positive, and her ABG shows a PaO2 of 70 mmHg. What is the most immediate nursing intervention?

Correct Answer is A

Explanation

Lisa, a 29-year-old woman, is diagnosed with a subdural hematoma and is on an IV drip of mannitol at 50 mL/hr. Why is it crucial to maintain this slow infusion rate?

Mary, a 45-year-old woman, comes into the clinic complaining of a swollen and painful toe after stubbing it on a furniture leg. The nurse explains that the pain is most likely due to what mechanism in the inflammatory response?

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?

Sarah, a 75-year-old woman with a history of COPD, has recently been experiencing frequent respiratory infections. As the nurse teaches her about the impact of aging on the immune system, which change should be emphasized?

Karen, 35, comes in with recurring skin rashes and joint pain. The physician suspects an autoimmune disorder and orders an ELISA test to detect specific antibodies.

Nurse Sarah is triaging patients in the ER. Match each presenting symptom to the condition it is most commonly associated with.

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?

Nurse Helen is trying to identify the most likely cause of her patients' symptoms. Match each patient's symptoms to the most probable condition.