UTA FNP 3 EVALUATION EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔It's important for the FNP to understand that abdominal pain can - ✔✔be caused by
problems outside the abdomen, such as MI and pneumonias
✔✔What is the treatment for an abrasion? - ✔✔- an injury caused by grinding or rubbing
away layers of skin
- remove any debris from the wound
- apply a topical antibiotic
- apply dressing as necessary to keep the wound from drying out and interfering with
healing.
- apply a topical analgesia if painful
✔✔List the most common causes of an abscess - ✔✔- MRSA
- rarely caused by parasites in the US, but common in other areas of the world
- IV drug users often present with one at the injection site
✔✔When diagnosing an abscess, what are differential diagnosis? - ✔✔- cellulitis
- sebaceous cyst
- necrotizing fasciitis
✔✔What is necessary to I&D an abscess? - ✔✔- I&D kit with #11 scalpel
- wound culture
- iodoform gauze
- antibiotic therapy
✔✔What antibiotics are used to treat an abscess? - ✔✔- Keflex
- Bactrin DS
- Clindamycin
- Doxycycline
✔✔Describe the pathophysiology for an allergic reaction - ✔✔- reaction to allergen
- These reactions are acquired, predictable, and rapid
- Allergy is one of four forms of hypersensitivity
- excessive activation of mast cells and basophils facilitated by IgE causing and
inflammatory response ranging from uncomfortable to dangerous
✔✔What is the treatment for allergic reactions? - ✔✔- avoid the allergen
- steroids
- antihistamines/decongestants
- epinephrine for anaphylaxis
- immunotherapy
, ✔✔What is the treatment for an anaphylatic reaction? - ✔✔- Epinephrine injected
immediately
- Dosage: 0.3mg (0.3ml, 1:1000) >30kg
- 0.15mg (0.3ml, 1:2000) 15-30kg
- CALL 911
✔✔List several antagonistic drugs used to block allergic mediators - ✔✔- antihistamines
- glucocorticoids
- epinephrine
- theophylline
- cromolyn sodium
- antileukotrienes, such as montelukast, zafirlukast
- anti-cholinergics
- compounds that impair eosinophil chemotaxis
✔✔Iron deficiency anemia from diet is rare commonly caused by - ✔✔- GI bleeding from
ulcers, colon cancer
- anemias of chronic disease: chemotherapy, renal disease
✔✔How is anemia treated? - ✔✔- ferrous sulfate, ferrous fumerate, ferrous gluconate
- recombinant erythropoietin
- epoetin alfa
- parenteral iron
✔✔Describe acute asthma treatment - ✔✔- inhaled short-acting beta-2 agonist
- oral corticosteroids
- L-acting beta agonists or leukotriene agonists
✔✔How is severe asthma treated? - ✔✔- intravenous corticosteroids
- magnesium sulfate
- hospitalization
✔✔What is a peak flow meter used for? - ✔✔- to measure peak expiratory flow rate
- important to monitor and diagnose asthma
✔✔The addition of this is superior in treating bacterial vaginosis - ✔✔- several studies
have found probiotics (containing lactobacillus, including L. rhamnosus, L. reuteri. L
acidophilus, and L. fermentum)
- 88-90% cure rate at 1 month
- either taken orally or vaginally
✔✔Describe Bell's Palsy - ✔✔- rapid onset unilateral facial paralysis caused by an
inflamed facial nerve compressed by a narrow bone canal beneath the ear
- usually self-limiting
SOLUTIONS GRADED A+
✔✔It's important for the FNP to understand that abdominal pain can - ✔✔be caused by
problems outside the abdomen, such as MI and pneumonias
✔✔What is the treatment for an abrasion? - ✔✔- an injury caused by grinding or rubbing
away layers of skin
- remove any debris from the wound
- apply a topical antibiotic
- apply dressing as necessary to keep the wound from drying out and interfering with
healing.
- apply a topical analgesia if painful
✔✔List the most common causes of an abscess - ✔✔- MRSA
- rarely caused by parasites in the US, but common in other areas of the world
- IV drug users often present with one at the injection site
✔✔When diagnosing an abscess, what are differential diagnosis? - ✔✔- cellulitis
- sebaceous cyst
- necrotizing fasciitis
✔✔What is necessary to I&D an abscess? - ✔✔- I&D kit with #11 scalpel
- wound culture
- iodoform gauze
- antibiotic therapy
✔✔What antibiotics are used to treat an abscess? - ✔✔- Keflex
- Bactrin DS
- Clindamycin
- Doxycycline
✔✔Describe the pathophysiology for an allergic reaction - ✔✔- reaction to allergen
- These reactions are acquired, predictable, and rapid
- Allergy is one of four forms of hypersensitivity
- excessive activation of mast cells and basophils facilitated by IgE causing and
inflammatory response ranging from uncomfortable to dangerous
✔✔What is the treatment for allergic reactions? - ✔✔- avoid the allergen
- steroids
- antihistamines/decongestants
- epinephrine for anaphylaxis
- immunotherapy
, ✔✔What is the treatment for an anaphylatic reaction? - ✔✔- Epinephrine injected
immediately
- Dosage: 0.3mg (0.3ml, 1:1000) >30kg
- 0.15mg (0.3ml, 1:2000) 15-30kg
- CALL 911
✔✔List several antagonistic drugs used to block allergic mediators - ✔✔- antihistamines
- glucocorticoids
- epinephrine
- theophylline
- cromolyn sodium
- antileukotrienes, such as montelukast, zafirlukast
- anti-cholinergics
- compounds that impair eosinophil chemotaxis
✔✔Iron deficiency anemia from diet is rare commonly caused by - ✔✔- GI bleeding from
ulcers, colon cancer
- anemias of chronic disease: chemotherapy, renal disease
✔✔How is anemia treated? - ✔✔- ferrous sulfate, ferrous fumerate, ferrous gluconate
- recombinant erythropoietin
- epoetin alfa
- parenteral iron
✔✔Describe acute asthma treatment - ✔✔- inhaled short-acting beta-2 agonist
- oral corticosteroids
- L-acting beta agonists or leukotriene agonists
✔✔How is severe asthma treated? - ✔✔- intravenous corticosteroids
- magnesium sulfate
- hospitalization
✔✔What is a peak flow meter used for? - ✔✔- to measure peak expiratory flow rate
- important to monitor and diagnose asthma
✔✔The addition of this is superior in treating bacterial vaginosis - ✔✔- several studies
have found probiotics (containing lactobacillus, including L. rhamnosus, L. reuteri. L
acidophilus, and L. fermentum)
- 88-90% cure rate at 1 month
- either taken orally or vaginally
✔✔Describe Bell's Palsy - ✔✔- rapid onset unilateral facial paralysis caused by an
inflamed facial nerve compressed by a narrow bone canal beneath the ear
- usually self-limiting
