Advanced Primary Care Nursing (NURS 5433) – Midterm Exam Prep 200 Questions | Eye Disorders, Asthma Management, Infectious Diseases

This document contains approximately 200 NURS 5433 midterm exam questions with verified answers designed to help advanced nursing and nurse practitioner students review clinical assessment, diagnosis, and management of common primary care conditions. The material is organized in a structured question-and-answer format and focuses on high-yield clinical knowledge required for graduate-level nursing courses and advanced practice examinations. The content aligns with widely used primary care and advanced practice textbooks such as Primary Care: Interprofessional Collaborative Practice by Terry Mahan Buttaro, Bates’ Guide to Physical Examination and History Taking, and Fitzpatrick’s Dermatology in General Medicine for clinical assessment and diagnostic reasoning. These resources are frequently used in Family Nurse Practitioner (FNP) and advanced practice nursing programs to teach evidence-based patient evaluation, differential diagnosis, and treatment strategies in primary care settings. The study material covers multiple systems frequently tested in graduate nursing programs. Early sections review ophthalmologic disorders and eye examination findings, including blepharitis, conjunctivitis, hordeolum, chalazion, pterygium, cataracts, glaucoma, and macular degeneration. For example, blepharitis is described as presenting with crusty eyelid margins, redness, debris around eyelashes, and dry-eye symptoms, while a hordeolum typically appears as a painful swelling at the eyelid margin and is commonly treated with warm compresses. The document also reviews diagnostic techniques such as fluorescein staining for corneal abrasions and tonometry for measuring intraocular pressure when glaucoma is suspected. Another major section focuses on ear, nose, and throat (ENT) disorders, including otitis media, sinusitis, allergic rhinitis, epistaxis, and pharyngitis. Clinical diagnostic tools such as the Centor Criteria for streptococcal pharyngitis are reviewed, highlighting symptoms like fever, tonsillar exudates, and anterior cervical lymphadenopathy. The material also discusses management strategies such as amoxicillin as first-line treatment for otitis media and the use of compression and vasoconstrictive agents for persistent epistaxis. The document also covers respiratory diseases and asthma management, including medication classifications and stepwise treatment guidelines. Students review short-acting beta agonists (SABAs) like albuterol, long-acting beta agonists (LABAs), inhaled corticosteroids, leukotriene modifiers, and biologic therapies used for severe asthma. Diagnostic criteria for asthma are also discussed, including pulmonary function testing where FEV1/FVC ratios below normal ranges confirm airflow limitation and reversibility greater than 12% after bronchodilator use confirms asthma diagnosis. Another large portion of the material focuses on infectious diseases commonly encountered in primary care, including influenza, tuberculosis, Lyme disease, Rocky Mountain spotted fever, mononucleosis, measles, rubella, and varicella. The document highlights diagnostic findings such as erythema migrans in Lyme disease, petechial rash in Rocky Mountain spotted fever, and Koplik spots in measles. Treatment protocols are also reviewed, including doxycycline as first-line therapy for Rocky Mountain spotted fever and oseltamivir for influenza treatment in high-risk patients. Additional sections address pulmonary conditions such as community-acquired pneumonia and chronic obstructive pulmonary disease (COPD), outlining recommended antibiotic therapies, diagnostic criteria, and treatment strategies based on disease severity. Tuberculosis management is also reviewed, including the RIPE regimen (rifampin, isoniazid, pyrazinamide, and ethambutol) used during the intensive treatment phase. The document further explores genitourinary and renal disorders, including urinary tract infections, pyelonephritis, kidney stones, vesicoureteral reflux, and chronic kidney disease. Diagnostic markers such as WBC casts in urinalysis indicating pyelonephritis and the use of non-contrast CT scans as the gold standard for diagnosing kidney stones are discussed. The material also reviews causes of chronic kidney disease and highlights diabetes as the leading cause of kidney failure. Another section examines endocrine disorders, including hypothyroidism, hyperthyroidism, and adrenal insufficiency. Diagnostic algorithms for thyroid disease begin with measurement of TSH levels followed by free T4 testing if abnormalities are detected. The document also reviews Hashimoto thyroiditis, Graves’ disease, and the clinical features of Addison’s disease, including fatigue, hypotension, and hyperpigmentation of the skin and mucous membranes. Courses where this document may be relevant include: Advanced Primary Care Nursing Family Nurse Practitioner (FNP) Clinical Practice Advanced Health Assessment Advanced Pathophysiology for Nurse Practitioners Primary Care Management of Acute and Chronic Illness Students who may benefit from this document include: Family Nurse Practitioner (FNP) students Adult-Gerontology Nurse Practitioner (AGNP) students Graduate nursing students preparing for midterm examinations Advanced practice nursing students reviewing diagnostic and treatment guidelines Healthcare trainees studying primary care clinical management This resource serves as a comprehensive midterm exam preparation guide and clinical review question bank covering ophthalmology, ENT disorders, respiratory diseases, infectious diseases, renal conditions, and endocrine disorders commonly tested in NURS 5433 coursework. Keywords NURS 5433 midterm exam questions advanced primary care nursing exam prep blepharitis conjunctivitis hordeolum chalazion treatment asthma stepwise therapy ICS LABA SABA community acquired pneumonia treatment guidelines tuberculosis RIPE regimen nursing review Lyme disease erythema migrans diagnosis Rocky Mountain spotted fever doxycycline treatment urinary tract infection pyelonephritis nursing management thyroid disorder diagnosis TSH free T4 interpretation