Wilkes University FNP NSG554 Exam 1 ||Verified
Exam!!|| Most Recent Exam Actual Complete Real
Exam Questions With Correct Answers (Verified
Answers) Already Graded A+ | Newest Exam!!!
Three options for emergency contraception - Answer-Plan
B(levonorgestrel), Uliprstal acetate (Ella), IUD
Causes of syncope - Answer-Neurally mediated (most
common), orthostatic hypotensive, Cardiac (most severe)
Tests to order for cases of presyncope/syncope episodes -
Answer-Ct Scan/MRI, EKG, Labs: CBC, Lytes, glucose,
Mg, BUN/Crt, UA, ABGs, Coag Panel, Drug screen?
Symptoms of chemical exposure - Answer-HTN,
hemodynamic instability, resp depression, arrhythmias,
conduction defects, coronary ischemia
Labs to order for chemical exposure - Answer-CBC w/diff,
CMP, Anion gap, liver fcn, Pt/PTT,
ABG inahalation, Methemoglobin for CO
Serum ammonia, lead, arsenic, mercury etc.
,2|Page
Carboxyhemoglobin or blood urine tox.
Initial stabilization steps for chemical exposure - Answer-
ABC, orogastric lavage and/or whole bowel irrigation if
ingested, removed saturated clothing and irrigate for skin
exposure
The most frequent cause of orthostatic hypotension in
elderly - Answer-Peripheral autonomic dysfunction due to
reduced baroreflex sensitivity associated with aging
Orthostatic hypotension associated medications and
diseases - Answer-diuretics, antihypertensive, alpha
blockers, nitrates, CCB, opiates, and antidepressants
degenerative neurological diseases and peripheral
neuropathic syndromes
Heat stroke is... - Answer-An emergent condition when
core temp >104 CNS abnormalities occur
Heat exhaustion is the result of - Answer-excessive
sweating, sodium and water loss that can quickly progress
to severe and life threatening heat stroke
,3|Page
Complications of heat stroke include - Answer-
rhabdomyolysis, renal, hepatic, or cardiac failure
Influenza s/s - Answer-Fever, cough, sore throat, runny
nose, body aches, headache, chills, fatigue
Gold standard for influenza diagnosis - Answer-
Conventional viral culture or RT-PCT assays
Treatment for Influenza incudes - Answer-Antivirals
(Oseltamivir / Tamiflu, Zanamivir/Relenza,
Peramivir/Rapivab)started within 48 hrs
Adamantane drugs(Amantadine & Rimantadine) only
effective against Influenza A
Antihistamines to relieve drainage (Brompheniramine
(Dimetapp) Chlorpheniramine
Cough suppressants (Dextromethorphan -Tussen DM or
Delsym 12)
Epstein-Barr Virus s/s include - Answer-sore throat, fever,
cervical lymphadenopathy, fatigue, atypical lymphocytosis,
splenomegaly
, 4|Page
How to diagnosis EBV - Answer-CBC w/ diff, heterophil
antibody, throat culture
IF heterophil** antibody check VCA IgG, IgM, EBC nuclear
antigen, CMV, HIV, LFT
Abdominal US - check for splenomegaly
Differentials to consider with EBV - Answer-Strep, viral
pharyngitis, CMV, hep A, toxoplasmosis, HIV infection
Precautions to consider with EBV - Answer-may cause
airway obstruction, thrombocytopenia, hemolytic anemia,
liver enzyme abnormalities
NO contact sports
EBV often leads to - - Answer-infectious mononucleosis -
the likelihood is higher in adolescents then in childhood
EBV-IM symptoms - Answer-sore throat, fever, pharyngitis,
lymphadenopathy, tonsillar enlargement, pharyngeal
inflammation, transient palatal petechiae, sometimes
includes rash, abdominal pain, jaundice