MARYVILLE NURS 620 ADULT 1
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
• Classification of COPD severity.
Answer: I. Mild = FEV1 ≥80% II. Moderate = FEV1 50-80% III. Severe =
30-50% IV. Very severe = <30%
• PE findings of meniere's disease.
Answer: positive Romberg, abnormal gait, unilateral hearing loss,
sensorineural hearing loss (excessively longer air conduction vs bone
conduction)
• Rechecking labs for hyperlipidemia.
Answer: • LDL-C response at 6 weeks after initiating therapy • Every 6 to
12 months thereafter may be helpful in assessing medication adherence. •
No need to monitor the LDL-C response to therapy other than to assess
adherence, since we do not suggest intensifying the regimen for any
particular level of LDL-C response
• What labs should you order to aid in the diagnosis of mono.
Answer: CBC with diff., liver enzymes (elevated), RPR (positive), rapid
strep (negative), monospot
• Physical assessment for DVT.
Answer: •Vascular assessment- palpation of peripheral pulses • Evaluation
of capillary refill •Neurological exam-motor, sensory, reflex deficits may
occur •Homan's sign-pain in the posterior calf or knee with forced
dorsiflexion of foot
• most common finding with mild to moderate persistent asthma?.
Answer: expiratory wheezing
• Which of the following would not be considered in a patient presenting with
, erectile dysfunction? a. Hypertension b. Diabetes c. Normal testosterone.
Answer: Normal testosterone
• Urethra: urethritis Bladder: cystitis Bladder wall; Intersitital cystitis (IC)
Prostate Gland: Prostatitis.
Answer: Name the types of lower urinary tract infections.
• ICS patient education.
Answer: Take every day, have patient demo technique, instruct on spacer,
instruct to rinse and spit after use
• Follow up urine culture.
Answer: What follow up should be performed with pyelo?
• What would be considered Mild-Persistent asthma.
Answer: Symptoms >2 D/Wk but not daily, Awakening 3-4x/MTH, minor
interference with daily life, FEV1 ≥ 80%
• +BPH +Acute prostatitis +Subclinical inflammation +Prostate biopsy +
Cystoscopy +TURP +Urinary retention + Ejaculation +DRE +Perineal
trauma + Prostatic infarction.
Answer: What are potential benign causes for elevated PSA?
• Diagnostic and lab work up for PVD.
Answer: •CBC, Chem Profile •ECG - r/o cardiac abnormalities
•Inflammatory blood markers - -D Dimer, homocysteine, CRP, interleukin 6
•Lipid Panel •Doppler studies - though not 100% reliable, emboli may still
be present as a result of collateral circulation distally •MRI •CT
•Angiography** gold standard
• -Complete full course of antibiotic -increase fluid intake to 8-8oz glasses of
H20/day -Take cranberry supplement/drink cranbery juice -self-medicate as
indicated -Avoid harsh soaps or feminie hygeine products -Use condoms
-Use proper self-cath techniques -Empty bladder frequently -Take showers
instead of tub baths -Keep voiding diary that includes symptoms -Empty
bladder completely. -Proper hygeine-wipe front to back -cotton
undergarments -empty bladder after sexual intercourse -Avoid bladder
, irritants-caffeine, sugary drinks, etc..
Answer: Important patient teaching points regaring uncomplicated UTI
• -Feeling of heaviness lower abdomen, scrotum, or perianal area -Acute pain
unlikely.
Answer: Subjective findings associated with testicular cancer.
• what physical finding may be seen with severe-persistent asthma?.
Answer: hyperinflation of the chest with an increase in the AP diameter
• What should be used instead of ACEIs and ARBs in patients over age 75
with impaired kidney function.
Answer: CCBs and thiazides
• +Swelling of the epididymis or spermatic cord +Testicular torsion
+Spermatocele (usually painless) + Variocele (usually painless +prostatitis.
Answer: What are the potential causes of testicular pain?
• Modifiable risk factors for CAD.
Answer: Smoking HTN DM obesity diet activity level hyperlipidemia
Women: menopause w/o estrogen replacement or women on birth control.
• gram-negative E. Coli.
Answer: Main type of bacteria seen with chronic bacterial prostatitis?
• What is the most important goal of treating HTN.
Answer: Avoiding disease targeted organ damage
• Inflammatory conditions of the scrotal contents (epididymitis, torsion,
appendiceal torsion) can produce an acute ____________ ____________,
which often resolves with treatment of the underlying condition.
Answer: reactive hydrocele
• A 30 YO patient presents with pain on urination. The urine microscopy of
unspun urine shows more than 10 leukocytes/ml and the dipstick was
positive for nitrites. What is the probably diagnosis? a. Chlamydia b. Yeast
infection c. Lower UTI.
Answer: Lower UTI
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
• Classification of COPD severity.
Answer: I. Mild = FEV1 ≥80% II. Moderate = FEV1 50-80% III. Severe =
30-50% IV. Very severe = <30%
• PE findings of meniere's disease.
Answer: positive Romberg, abnormal gait, unilateral hearing loss,
sensorineural hearing loss (excessively longer air conduction vs bone
conduction)
• Rechecking labs for hyperlipidemia.
Answer: • LDL-C response at 6 weeks after initiating therapy • Every 6 to
12 months thereafter may be helpful in assessing medication adherence. •
No need to monitor the LDL-C response to therapy other than to assess
adherence, since we do not suggest intensifying the regimen for any
particular level of LDL-C response
• What labs should you order to aid in the diagnosis of mono.
Answer: CBC with diff., liver enzymes (elevated), RPR (positive), rapid
strep (negative), monospot
• Physical assessment for DVT.
Answer: •Vascular assessment- palpation of peripheral pulses • Evaluation
of capillary refill •Neurological exam-motor, sensory, reflex deficits may
occur •Homan's sign-pain in the posterior calf or knee with forced
dorsiflexion of foot
• most common finding with mild to moderate persistent asthma?.
Answer: expiratory wheezing
• Which of the following would not be considered in a patient presenting with
, erectile dysfunction? a. Hypertension b. Diabetes c. Normal testosterone.
Answer: Normal testosterone
• Urethra: urethritis Bladder: cystitis Bladder wall; Intersitital cystitis (IC)
Prostate Gland: Prostatitis.
Answer: Name the types of lower urinary tract infections.
• ICS patient education.
Answer: Take every day, have patient demo technique, instruct on spacer,
instruct to rinse and spit after use
• Follow up urine culture.
Answer: What follow up should be performed with pyelo?
• What would be considered Mild-Persistent asthma.
Answer: Symptoms >2 D/Wk but not daily, Awakening 3-4x/MTH, minor
interference with daily life, FEV1 ≥ 80%
• +BPH +Acute prostatitis +Subclinical inflammation +Prostate biopsy +
Cystoscopy +TURP +Urinary retention + Ejaculation +DRE +Perineal
trauma + Prostatic infarction.
Answer: What are potential benign causes for elevated PSA?
• Diagnostic and lab work up for PVD.
Answer: •CBC, Chem Profile •ECG - r/o cardiac abnormalities
•Inflammatory blood markers - -D Dimer, homocysteine, CRP, interleukin 6
•Lipid Panel •Doppler studies - though not 100% reliable, emboli may still
be present as a result of collateral circulation distally •MRI •CT
•Angiography** gold standard
• -Complete full course of antibiotic -increase fluid intake to 8-8oz glasses of
H20/day -Take cranberry supplement/drink cranbery juice -self-medicate as
indicated -Avoid harsh soaps or feminie hygeine products -Use condoms
-Use proper self-cath techniques -Empty bladder frequently -Take showers
instead of tub baths -Keep voiding diary that includes symptoms -Empty
bladder completely. -Proper hygeine-wipe front to back -cotton
undergarments -empty bladder after sexual intercourse -Avoid bladder
, irritants-caffeine, sugary drinks, etc..
Answer: Important patient teaching points regaring uncomplicated UTI
• -Feeling of heaviness lower abdomen, scrotum, or perianal area -Acute pain
unlikely.
Answer: Subjective findings associated with testicular cancer.
• what physical finding may be seen with severe-persistent asthma?.
Answer: hyperinflation of the chest with an increase in the AP diameter
• What should be used instead of ACEIs and ARBs in patients over age 75
with impaired kidney function.
Answer: CCBs and thiazides
• +Swelling of the epididymis or spermatic cord +Testicular torsion
+Spermatocele (usually painless) + Variocele (usually painless +prostatitis.
Answer: What are the potential causes of testicular pain?
• Modifiable risk factors for CAD.
Answer: Smoking HTN DM obesity diet activity level hyperlipidemia
Women: menopause w/o estrogen replacement or women on birth control.
• gram-negative E. Coli.
Answer: Main type of bacteria seen with chronic bacterial prostatitis?
• What is the most important goal of treating HTN.
Answer: Avoiding disease targeted organ damage
• Inflammatory conditions of the scrotal contents (epididymitis, torsion,
appendiceal torsion) can produce an acute ____________ ____________,
which often resolves with treatment of the underlying condition.
Answer: reactive hydrocele
• A 30 YO patient presents with pain on urination. The urine microscopy of
unspun urine shows more than 10 leukocytes/ml and the dipstick was
positive for nitrites. What is the probably diagnosis? a. Chlamydia b. Yeast
infection c. Lower UTI.
Answer: Lower UTI
