NURS 676 Latest Exam Study Questions
with Verified Answers Already Graded A+
1. An adolescent has fever, chills, and a severe sore throat. On exam, the
provider notes foul-smelling breath and a muffled voice with marked edema
and erythema of the per tonsillar tissue. What should you do? - ANSWER
Perform a rapid strep and throat culture.
2. A patient has a sore throat, and temp of 38.5, tonsillar exudates, and cervical
lymphadenopathy. What will the provider do next to manage this patient's
symptoms. - ANSWER Perform a RADT
3. A patient reports a sudden onset of sore throat, fever, malaise, and cough.
the provider notes mild erythema of the pharynx and clear rhinorrhea
without cervical lymphadnopathy. what is most likely cause? - ANSWER
viral pharyngitis
4. What is the best treatment for H. pylori related PUD? - ANSWER PPI,
clarithromycin, for 14 days
5. A patient who has been taking an NSAID for osteoarthritis pain has PUD.
What is the initial step in treating this patient? - ANSWER Discontinue the
NSAID
6. Which form of hepatitis virus is rapidly spread via fecal-oral route? -
ANSWER Hepatitis A
7. A patient has irritable bowel syndrome with alternating diarrhea and
constipation and asks the provider about dietary changes that may help with
, symptoms. what will the provider recommend? - ANSWER keeping a food
and symptom diary
8. Define the standard of care - ANSWER This is the obligation of the
physician to perform acts that a reasonable or prudent physician in a similar
situation would perform
9. Define the patient-provider relationship - ANSWER The relationship is
built on trust. The patient trusts the provider with their healthcare and the
provider trusts the patient to fulfill duties recommended by the provider.
10.A patient who works in a furniture manufacturing ship reports a sudden
onset of severe eye pain while sanding a piece of wood and now has tearing,
redness, and light sensativity. What is the next step? - ANSWER
application of topical flourescein dye
11.Which symptoms in a patient with abdominal pain are suggestive of
appendicitis? - ANSWER Abdominal rigidity along with pain, pain
accompanied by low grade fever, pain occurring prior to nausea and
vomiting.
12.A patient has sudden onset of RUQ pain and epigastric pain with fever,
nausea, vomiting. The ED provider notes yellowing of the sclera. What is
probable cause of findings? - ANSWER common bile duct obstruction.
13.A patient with a previous history of liver disease has a bile duct obstruction.
Which procedure will be used for the patient. - ANSWER open
cholecystectomy
,14.A 30 year old women has RuQ abdominal pain, nausea, and vomiting.
Which diagnostic test will the provider order? - ANSWER abdominal US
15.A patient reports he has been using artificial tears for comfort because of
burning and itching in both eyes, but reports worsening symptoms. the
provider notes redness and discharge along the eyelid margins. what is
recommended treatment? - ANSWER Compresses, lid scrubs, and antibiotic
ointment
16.A patient who has a cold develops conjunctivitis. The provider notes
erythema of one eye with profuse, watery discharge and enlarged anterior
cervical lymph nodes, along with a fever. Which treatment is inidcated. -
ANSWER artificial tears and cool compresses
17.What symptoms in a patient with asthma indicates severe bronchospasm? -
ANSWER pausing to breath while attempting to talk
18.A patient who has asthma calls the provider to report having a peak flow
measure of 75%, shortness of breath, wheezing, and cough. tells the provider
that the symptoms have not improved significantly after a dose of albuterol.
the patient uses an inhaled corticosteroid medication twice daily. What will
provider reccomend? - ANSWER administering two more doses of
albuterol
19.Dipeptidyl Peptidase-4 (DPP-4) Inhibitors - ANSWER Gliptins
- enhance actions of incretin hormones to stimulate glucose-dependent
insulin and suppress glucagon release by inhibiting DPP-4
-DPP-4 is an enzyme that inactivates incretin hormones
AE: hypoglycemia and pancreatitis
, 20.Incretin Hormones (GIP and GLP-1) - ANSWER (1) stimulate glucose-
dependent release of insulin (2) suppress postprandial release of glucagon
21.Glucagon - ANSWER increases glucose production in the liver
22.sodium-glucose cotransporter 2 (SGLT-2) inhibitor - ANSWER "-gliflozin"
SGLT-2 accounts for 90% of glucose reabsorption in the kidney
blocks reabsorption of filtered glucose, increasing urinary excretion of glucose
AE: hypoglycemia, UTI, vulvovaginal infection, dehydration
23.glucagon-like peptide-1 (GLP-1) receptor agonist - ANSWER incretin
mimetics
-slow gastric emptying
-stimulate glucose-dependent release o insulin
-inhibit postprandial release of glucagon
-suppress appetite
AE: hypoglycemia, renal impairment, fetal harm, pancreatitis
24.Sulfonylureas - ANSWER glipizide, glyburide, glimepiride -stimulate
release of insulin from pancreatic islet
with Verified Answers Already Graded A+
1. An adolescent has fever, chills, and a severe sore throat. On exam, the
provider notes foul-smelling breath and a muffled voice with marked edema
and erythema of the per tonsillar tissue. What should you do? - ANSWER
Perform a rapid strep and throat culture.
2. A patient has a sore throat, and temp of 38.5, tonsillar exudates, and cervical
lymphadenopathy. What will the provider do next to manage this patient's
symptoms. - ANSWER Perform a RADT
3. A patient reports a sudden onset of sore throat, fever, malaise, and cough.
the provider notes mild erythema of the pharynx and clear rhinorrhea
without cervical lymphadnopathy. what is most likely cause? - ANSWER
viral pharyngitis
4. What is the best treatment for H. pylori related PUD? - ANSWER PPI,
clarithromycin, for 14 days
5. A patient who has been taking an NSAID for osteoarthritis pain has PUD.
What is the initial step in treating this patient? - ANSWER Discontinue the
NSAID
6. Which form of hepatitis virus is rapidly spread via fecal-oral route? -
ANSWER Hepatitis A
7. A patient has irritable bowel syndrome with alternating diarrhea and
constipation and asks the provider about dietary changes that may help with
, symptoms. what will the provider recommend? - ANSWER keeping a food
and symptom diary
8. Define the standard of care - ANSWER This is the obligation of the
physician to perform acts that a reasonable or prudent physician in a similar
situation would perform
9. Define the patient-provider relationship - ANSWER The relationship is
built on trust. The patient trusts the provider with their healthcare and the
provider trusts the patient to fulfill duties recommended by the provider.
10.A patient who works in a furniture manufacturing ship reports a sudden
onset of severe eye pain while sanding a piece of wood and now has tearing,
redness, and light sensativity. What is the next step? - ANSWER
application of topical flourescein dye
11.Which symptoms in a patient with abdominal pain are suggestive of
appendicitis? - ANSWER Abdominal rigidity along with pain, pain
accompanied by low grade fever, pain occurring prior to nausea and
vomiting.
12.A patient has sudden onset of RUQ pain and epigastric pain with fever,
nausea, vomiting. The ED provider notes yellowing of the sclera. What is
probable cause of findings? - ANSWER common bile duct obstruction.
13.A patient with a previous history of liver disease has a bile duct obstruction.
Which procedure will be used for the patient. - ANSWER open
cholecystectomy
,14.A 30 year old women has RuQ abdominal pain, nausea, and vomiting.
Which diagnostic test will the provider order? - ANSWER abdominal US
15.A patient reports he has been using artificial tears for comfort because of
burning and itching in both eyes, but reports worsening symptoms. the
provider notes redness and discharge along the eyelid margins. what is
recommended treatment? - ANSWER Compresses, lid scrubs, and antibiotic
ointment
16.A patient who has a cold develops conjunctivitis. The provider notes
erythema of one eye with profuse, watery discharge and enlarged anterior
cervical lymph nodes, along with a fever. Which treatment is inidcated. -
ANSWER artificial tears and cool compresses
17.What symptoms in a patient with asthma indicates severe bronchospasm? -
ANSWER pausing to breath while attempting to talk
18.A patient who has asthma calls the provider to report having a peak flow
measure of 75%, shortness of breath, wheezing, and cough. tells the provider
that the symptoms have not improved significantly after a dose of albuterol.
the patient uses an inhaled corticosteroid medication twice daily. What will
provider reccomend? - ANSWER administering two more doses of
albuterol
19.Dipeptidyl Peptidase-4 (DPP-4) Inhibitors - ANSWER Gliptins
- enhance actions of incretin hormones to stimulate glucose-dependent
insulin and suppress glucagon release by inhibiting DPP-4
-DPP-4 is an enzyme that inactivates incretin hormones
AE: hypoglycemia and pancreatitis
, 20.Incretin Hormones (GIP and GLP-1) - ANSWER (1) stimulate glucose-
dependent release of insulin (2) suppress postprandial release of glucagon
21.Glucagon - ANSWER increases glucose production in the liver
22.sodium-glucose cotransporter 2 (SGLT-2) inhibitor - ANSWER "-gliflozin"
SGLT-2 accounts for 90% of glucose reabsorption in the kidney
blocks reabsorption of filtered glucose, increasing urinary excretion of glucose
AE: hypoglycemia, UTI, vulvovaginal infection, dehydration
23.glucagon-like peptide-1 (GLP-1) receptor agonist - ANSWER incretin
mimetics
-slow gastric emptying
-stimulate glucose-dependent release o insulin
-inhibit postprandial release of glucagon
-suppress appetite
AE: hypoglycemia, renal impairment, fetal harm, pancreatitis
24.Sulfonylureas - ANSWER glipizide, glyburide, glimepiride -stimulate
release of insulin from pancreatic islet
