NR 602 MIDTERM EXAM REVIEW QUESTIONS
WITH VERIFIED SOLUTIONS
What is the best antibiotic therapy to use for human bites?
Amoxicillin for 7 to 10 days or alternative cephalexin or clindamycin
What is the best anabiotic to use for animal bites?
Amoxicillin for 7 to 10 days or alternative cefuroxime, fluoroquinolone or trimethoprim-
sulfamethoxazole plus clinda or metronidazole
Antibiotics used for plantar wounds
Ciprofloxacin for 7 to 20 days. An alternative is to consult infectious disease due to requirement
of IV therapy.
What should the nurse practitioner do for ingrown toenail?
Pat Cotton underneath the nail edge to elevate the nail and educate the patient to repack the
cotton daily to prevent infection. Should use warm water with Epsom salt soaks for 20 minutes
three times a day. It is important to use properly fitting shoes. Keep the toe clean and dry.
Consider referral to podiatry for recurrent.
What is the most common cause of diarrhea globally?
Rotavirus.
What are most peritonsillar abscess is caused by?
Streptococcus and fusobacterium
What antibiotics are good for peritonsillar abscesses?
Penicillin and clindamycin
What is scarlet fever?
Is a diffuse erythematous eruption that generally occurs in association with pharyngitis.
Abrupt illness with sore throat, vomiting, headache, chills, and malaise. Fever reaches 104. The
pharynx is inflamed and can be covered with gray white XU date. The tongue is usually coated
and red, also called strawberry tongue. The skin is coarse with a sandpaper feel the rash
generally begins on the neck and spreads to the trunk and extremities becoming generalized
within 24 hours. The rash fades within 3 to 4 days. The process can take up to six weeks, sore
throat and other symptoms resolve approximately 5 to 7 days. Treatment is penicillin.
What is asthma step one
Saba PRN
What is step two of asthma?
,Low-dose ICS
What is step three of asthma?
0 to 4 years of age: medium does ICS plus sub specialist referral
Greater than five years of age: low-dose ICS plus LABA or medium dose ICS
What is step four of asthma?
Medium dose ICS plus LABA or montelukast plus subspecialist referral
What is step five of asthma?
High-dose ICS plus LABA or montelukast plus subspecialist referral
What is step six of asthma?
Hi dose ICS plus LABS or montelukast plus OCS plus subspecialist referral
A patient received a score of 75% on a spirometry. What is this considered?
Normal
What education would be provided to a parent of a child that is using as a spirometry
Regarding normal levels?
Anything greater than 75% is considered normal
What is the range for mild obstruction on a spirometry?
60 to 75%
What is considered moderate obstruction on a spirometry
50 to 59%
What is considered severe obstruction on a spirometry
Less than 49%
When should a child be tested for exercise induced asthma after diagnosis
Every one to two years
What is allergic rhinitis mediated by?
IgE
What is treatment for allergic rhinitis?
Intranasal corticosteroids are considered first line treatment. Children with allergic rhinitis often
exhibit symptoms of asthma.
What is pharyngitis?
,inflammation of the pharynx leading to sore throat.
What is the most common bacterial cause of acute pharyngitis?
Group A beta-hemolytic Streptococcus (GABHS) (Streptococcus pyogenes)
What is the best prevention of upper respiratory infection?
Flu vaccine
What is Kawasaki disease?
Coronary artery vasculitis. The treatment for this disease is IVIG therapy requires Echo and
cardiologists.
An autoimmune disease involving the inflammation of blood vessels, lymph nodes, skin, and
mucosa - initial symptom is a high fever, later symptoms include conjunctivitis, rash, peeling,
and edema.
What are symptoms of enterovirus?
Fever, runny nose, sneezing, cough, skin, rash, mouth, blisters, and body and muscle aches. This
is something that is very contagious.
What are clinical findings of downs syndrome?
Short stature, brachycephaly, mid face, hyperplasia with flat nasal bridge, Brushfield spots,
epicanthal folds with upslanting, Palpebral fissures, smallmouth with protruding tongue,
myopia/Cataracs, small ears/narrow, canals, extra skin at nape of neck, lax joints, short, broad
hands/feet/digits, single palmar crease, congenital heart disease.
What is impetigo?
Contagious bacterial infection marked by clusters of small blisters.
What is the treatment for impetigo?
Topical bacitracin or Mupirocin ointment; Anti-staphloccal antibiotic.
What is treatment for contact dermatitis
Avoid irritant, cool compress, barrier ointment, hydrocortisone, cream, antihistamined, steroids,
oral antibiotics, lukewarm bath.
What is a key finding for diagnosis of scabies?
Itching that is worse at night. Complaints are more significant than physical findings.
What is pediculosis?
lice infestation
What is treatment for pediculosis?
, 1st line: pediculides (permethrin 1%, can be used on kids 1mo and older)
What is scarlet fever?
Is a diffuse erythematous eruption that generally occurs in association with pharyngitis.
Caused by erythrogenic exotoxin released by Streptococcus pyogenes
Rash feels rough during palpation. Usually sick for a few days before the rash started.
What is treatment for Scarlet fever?
penicillin
At what age does the digestive system fully function?
Three months of age
What does Peri orbital cellulitis treated with?
Clindamycin
What is blepharitis treated with?
Bacitracin or overthrow myosin, 0.5% ophthalmic ointment once daily. Azithromycin one
percent ophthalmic solution for four weeks might also be used for posterior blepharitis.
What is N. gonorrhoeae treatment
Ceftriaxone IM or IV
treatment for chlamydia
erythromycin or azithromycin
Treatment for HSV
Antivirals, IV or PO
What would the nurse practitioner do if there is a chemical injury to the eye
Initiate irrigation of the affected eye with normal saline, obtain history of chemical and pH if
possible. Consult ophthalmology for further evaluation and management.
What would the nurse practitioner do if there's a suspected open globe injury based on
history?
Do not manipulate the eye. Place an eye shield and administer analgesics an anti-medics. Update
tetanus in initiate broad-spectrum antibiotics. Do not allow the client to take anything by mouth
and place on bedrest. Consult ophthalmology.
What is lab work up for a child with bilateral congenital cataracts?
WITH VERIFIED SOLUTIONS
What is the best antibiotic therapy to use for human bites?
Amoxicillin for 7 to 10 days or alternative cephalexin or clindamycin
What is the best anabiotic to use for animal bites?
Amoxicillin for 7 to 10 days or alternative cefuroxime, fluoroquinolone or trimethoprim-
sulfamethoxazole plus clinda or metronidazole
Antibiotics used for plantar wounds
Ciprofloxacin for 7 to 20 days. An alternative is to consult infectious disease due to requirement
of IV therapy.
What should the nurse practitioner do for ingrown toenail?
Pat Cotton underneath the nail edge to elevate the nail and educate the patient to repack the
cotton daily to prevent infection. Should use warm water with Epsom salt soaks for 20 minutes
three times a day. It is important to use properly fitting shoes. Keep the toe clean and dry.
Consider referral to podiatry for recurrent.
What is the most common cause of diarrhea globally?
Rotavirus.
What are most peritonsillar abscess is caused by?
Streptococcus and fusobacterium
What antibiotics are good for peritonsillar abscesses?
Penicillin and clindamycin
What is scarlet fever?
Is a diffuse erythematous eruption that generally occurs in association with pharyngitis.
Abrupt illness with sore throat, vomiting, headache, chills, and malaise. Fever reaches 104. The
pharynx is inflamed and can be covered with gray white XU date. The tongue is usually coated
and red, also called strawberry tongue. The skin is coarse with a sandpaper feel the rash
generally begins on the neck and spreads to the trunk and extremities becoming generalized
within 24 hours. The rash fades within 3 to 4 days. The process can take up to six weeks, sore
throat and other symptoms resolve approximately 5 to 7 days. Treatment is penicillin.
What is asthma step one
Saba PRN
What is step two of asthma?
,Low-dose ICS
What is step three of asthma?
0 to 4 years of age: medium does ICS plus sub specialist referral
Greater than five years of age: low-dose ICS plus LABA or medium dose ICS
What is step four of asthma?
Medium dose ICS plus LABA or montelukast plus subspecialist referral
What is step five of asthma?
High-dose ICS plus LABA or montelukast plus subspecialist referral
What is step six of asthma?
Hi dose ICS plus LABS or montelukast plus OCS plus subspecialist referral
A patient received a score of 75% on a spirometry. What is this considered?
Normal
What education would be provided to a parent of a child that is using as a spirometry
Regarding normal levels?
Anything greater than 75% is considered normal
What is the range for mild obstruction on a spirometry?
60 to 75%
What is considered moderate obstruction on a spirometry
50 to 59%
What is considered severe obstruction on a spirometry
Less than 49%
When should a child be tested for exercise induced asthma after diagnosis
Every one to two years
What is allergic rhinitis mediated by?
IgE
What is treatment for allergic rhinitis?
Intranasal corticosteroids are considered first line treatment. Children with allergic rhinitis often
exhibit symptoms of asthma.
What is pharyngitis?
,inflammation of the pharynx leading to sore throat.
What is the most common bacterial cause of acute pharyngitis?
Group A beta-hemolytic Streptococcus (GABHS) (Streptococcus pyogenes)
What is the best prevention of upper respiratory infection?
Flu vaccine
What is Kawasaki disease?
Coronary artery vasculitis. The treatment for this disease is IVIG therapy requires Echo and
cardiologists.
An autoimmune disease involving the inflammation of blood vessels, lymph nodes, skin, and
mucosa - initial symptom is a high fever, later symptoms include conjunctivitis, rash, peeling,
and edema.
What are symptoms of enterovirus?
Fever, runny nose, sneezing, cough, skin, rash, mouth, blisters, and body and muscle aches. This
is something that is very contagious.
What are clinical findings of downs syndrome?
Short stature, brachycephaly, mid face, hyperplasia with flat nasal bridge, Brushfield spots,
epicanthal folds with upslanting, Palpebral fissures, smallmouth with protruding tongue,
myopia/Cataracs, small ears/narrow, canals, extra skin at nape of neck, lax joints, short, broad
hands/feet/digits, single palmar crease, congenital heart disease.
What is impetigo?
Contagious bacterial infection marked by clusters of small blisters.
What is the treatment for impetigo?
Topical bacitracin or Mupirocin ointment; Anti-staphloccal antibiotic.
What is treatment for contact dermatitis
Avoid irritant, cool compress, barrier ointment, hydrocortisone, cream, antihistamined, steroids,
oral antibiotics, lukewarm bath.
What is a key finding for diagnosis of scabies?
Itching that is worse at night. Complaints are more significant than physical findings.
What is pediculosis?
lice infestation
What is treatment for pediculosis?
, 1st line: pediculides (permethrin 1%, can be used on kids 1mo and older)
What is scarlet fever?
Is a diffuse erythematous eruption that generally occurs in association with pharyngitis.
Caused by erythrogenic exotoxin released by Streptococcus pyogenes
Rash feels rough during palpation. Usually sick for a few days before the rash started.
What is treatment for Scarlet fever?
penicillin
At what age does the digestive system fully function?
Three months of age
What does Peri orbital cellulitis treated with?
Clindamycin
What is blepharitis treated with?
Bacitracin or overthrow myosin, 0.5% ophthalmic ointment once daily. Azithromycin one
percent ophthalmic solution for four weeks might also be used for posterior blepharitis.
What is N. gonorrhoeae treatment
Ceftriaxone IM or IV
treatment for chlamydia
erythromycin or azithromycin
Treatment for HSV
Antivirals, IV or PO
What would the nurse practitioner do if there is a chemical injury to the eye
Initiate irrigation of the affected eye with normal saline, obtain history of chemical and pH if
possible. Consult ophthalmology for further evaluation and management.
What would the nurse practitioner do if there's a suspected open globe injury based on
history?
Do not manipulate the eye. Place an eye shield and administer analgesics an anti-medics. Update
tetanus in initiate broad-spectrum antibiotics. Do not allow the client to take anything by mouth
and place on bedrest. Consult ophthalmology.
What is lab work up for a child with bilateral congenital cataracts?
