MARYVILLE NURS 620 ADULT 1 FINAL
TEST 2026 QUESTIONS WITH CORRECT
ANSWERS GRADED A+
• Risk factors for hyperlipids?.
Answer: diabetic, HTN, smoking, FH
• Clinical presentation of lung ca.
Answer: •Partially a function of tumor location •Central endobronchial
lesions - may produce symptoms early -Hemoptysis -Cough -Sputum
production -Localized wheeze •Symptoms of advanced disease -Anorexia
-Weight loss -Nausea -Hoarseness -Bone pain
• Patient Education for COPD.
Answer: •Smoking cessation counseling •Dyspnea management •Importance
of regular exercise •Adequate diet and fluid intake •Infection prevention
• 21-year-old woman requesting birth control pills. Which of the following
tests would be essential before prescribing any oral contraceptives?.
Answer: HCG
• Positive for bacteria, proteinuria, leukocyte esterase, urinary nitrites,
hematuria, pyuria, WBC casts Urine culture > 100,000.
Answer: Presentation of UA/C&S with pyelo?
• In clinical practice the NP notes an elevation in the creatinine clearance and
understands that this lab test: a. Does not change with the aging process b. Is
greater in women than in men c. Approximates the GFR.
Answer: Approximates the GFR
• -Daily dosing for 6 months -Post-coital prophylaxis -self medication (3-4
days of therapy when symptoms being.
Answer: Antibiotic regimin for recurrent UTI prophylaxis.
• Mild Persistent Asthma.
, Answer: •Symptoms -> 2 days/week but not daily •Nighttime awakening
-3-4x/month •Short-acting beta-agonist -> 2days/week but not > 1x/day
•Interference with normal activity -Minor limitation •Lung function -FEV1>
80% predicted -FEV1/FVC normal
• Acute Asthma Exacerbation.
Answer: •Peak flow less than 50% predicted normal •Failure to respond to a
beta2-agonist •Severe coughing or wheezing •Extreme anxiety due to
breathlessness •Gasping for air, sweaty, or cyanotic •Rapid deterioration
over a few hours •Severe retractions and nasal flaring •Hunched forward
• -Chills -Fever -Flank Pain CVA tenderness -Urinary symptoms -fatigue
-Diarrhea -may be largely asymptomatic.
Answer: What is the clinical presentation of acute pyleonephritis?
• Stage 4.
Answer: GFR between 15-29
• If mono is concurrent with strep how would you treat the strep?.
Answer: erythromycin
• What are some Differential Dx for hematuria.
Answer: UTI, Pylo, Cancers, BPH, stones
• Reculture @ 2, 6, and 12 weeks after antibiotc therapy is initiated..
Answer: When should you reculture with recurrent pyelo?
• Overactive bladder.
Answer: Bladder contracts involuntarily; detrusor muscle instability; unable
to postpone;urgency.
• What are the stages of syphilis infection?.
Answer: primary: classic chancre (painless); Secondary: Maculopapular rash
palms and soles; Tertiary: neurologic and cardiac manifestations
• Which of the following is a common side effect reported after one year use
of depo?.
Answer: weight gain
, • Treatment for PE, DVT.
Answer: •Anticoagulation -heparin, low molecular heparins -Fondaparinux
(Arixtra) injections -Warfarin (Coumadin) INR-2.0-3.0 usual target
-Enoxaparin (Lovenox) -Rivaroxaban (Xarelto) -Apixaban (Eliquis)
•Thrombolytic therapy-"clot busters"-tPA •Surgical intervention •Filters-i.e.
inferior vena cava filters •Compression stockings
• -Bactrim 1 DS BID x 3 -Cefdinir 500 mg BID x 5 -Nitrofurantoin 100 mg
BID x 5.
Answer: WHat is the oral treatment for acute uncomplicated UTI?
• Diagnostic testing for COPD.
Answer: • Spirometry • Arterial blood gases • Chest x-ray and CT scan •
Theophylline level • WBC • Sputum culture
• What is the treatment for Tonsillar Abscess.
Answer: needle aspiration or excision followed by antibiotics (augmentin or
clindamycin)
• DRE no longer recommended as screening tool alone or in conjuction with
PSA..
Answer: Recommended screening guidelines for prostate cancer.
• 1. What is the desired therapeutic action of inhaled corticosteroids when
used in treating COPD? A. Reduction of airway inflammation B. Reversal
of fixed airway obstruction C. Mucolytic activity.
Answer: Reduction of airway inflammation
• What is represented on the ECG strip?.
Answer: ST elevation (Acute MI)
• 1. Jason age 62 yr old has obstructive sleep apnea. Which of the following is
contributing to the sleep apnea? A. Recovering alcoholic B. Very thin C.
Collar size of 17 inches.
Answer: Collar size of 17 inches (large neck)
• Testicular torsion.
TEST 2026 QUESTIONS WITH CORRECT
ANSWERS GRADED A+
• Risk factors for hyperlipids?.
Answer: diabetic, HTN, smoking, FH
• Clinical presentation of lung ca.
Answer: •Partially a function of tumor location •Central endobronchial
lesions - may produce symptoms early -Hemoptysis -Cough -Sputum
production -Localized wheeze •Symptoms of advanced disease -Anorexia
-Weight loss -Nausea -Hoarseness -Bone pain
• Patient Education for COPD.
Answer: •Smoking cessation counseling •Dyspnea management •Importance
of regular exercise •Adequate diet and fluid intake •Infection prevention
• 21-year-old woman requesting birth control pills. Which of the following
tests would be essential before prescribing any oral contraceptives?.
Answer: HCG
• Positive for bacteria, proteinuria, leukocyte esterase, urinary nitrites,
hematuria, pyuria, WBC casts Urine culture > 100,000.
Answer: Presentation of UA/C&S with pyelo?
• In clinical practice the NP notes an elevation in the creatinine clearance and
understands that this lab test: a. Does not change with the aging process b. Is
greater in women than in men c. Approximates the GFR.
Answer: Approximates the GFR
• -Daily dosing for 6 months -Post-coital prophylaxis -self medication (3-4
days of therapy when symptoms being.
Answer: Antibiotic regimin for recurrent UTI prophylaxis.
• Mild Persistent Asthma.
, Answer: •Symptoms -> 2 days/week but not daily •Nighttime awakening
-3-4x/month •Short-acting beta-agonist -> 2days/week but not > 1x/day
•Interference with normal activity -Minor limitation •Lung function -FEV1>
80% predicted -FEV1/FVC normal
• Acute Asthma Exacerbation.
Answer: •Peak flow less than 50% predicted normal •Failure to respond to a
beta2-agonist •Severe coughing or wheezing •Extreme anxiety due to
breathlessness •Gasping for air, sweaty, or cyanotic •Rapid deterioration
over a few hours •Severe retractions and nasal flaring •Hunched forward
• -Chills -Fever -Flank Pain CVA tenderness -Urinary symptoms -fatigue
-Diarrhea -may be largely asymptomatic.
Answer: What is the clinical presentation of acute pyleonephritis?
• Stage 4.
Answer: GFR between 15-29
• If mono is concurrent with strep how would you treat the strep?.
Answer: erythromycin
• What are some Differential Dx for hematuria.
Answer: UTI, Pylo, Cancers, BPH, stones
• Reculture @ 2, 6, and 12 weeks after antibiotc therapy is initiated..
Answer: When should you reculture with recurrent pyelo?
• Overactive bladder.
Answer: Bladder contracts involuntarily; detrusor muscle instability; unable
to postpone;urgency.
• What are the stages of syphilis infection?.
Answer: primary: classic chancre (painless); Secondary: Maculopapular rash
palms and soles; Tertiary: neurologic and cardiac manifestations
• Which of the following is a common side effect reported after one year use
of depo?.
Answer: weight gain
, • Treatment for PE, DVT.
Answer: •Anticoagulation -heparin, low molecular heparins -Fondaparinux
(Arixtra) injections -Warfarin (Coumadin) INR-2.0-3.0 usual target
-Enoxaparin (Lovenox) -Rivaroxaban (Xarelto) -Apixaban (Eliquis)
•Thrombolytic therapy-"clot busters"-tPA •Surgical intervention •Filters-i.e.
inferior vena cava filters •Compression stockings
• -Bactrim 1 DS BID x 3 -Cefdinir 500 mg BID x 5 -Nitrofurantoin 100 mg
BID x 5.
Answer: WHat is the oral treatment for acute uncomplicated UTI?
• Diagnostic testing for COPD.
Answer: • Spirometry • Arterial blood gases • Chest x-ray and CT scan •
Theophylline level • WBC • Sputum culture
• What is the treatment for Tonsillar Abscess.
Answer: needle aspiration or excision followed by antibiotics (augmentin or
clindamycin)
• DRE no longer recommended as screening tool alone or in conjuction with
PSA..
Answer: Recommended screening guidelines for prostate cancer.
• 1. What is the desired therapeutic action of inhaled corticosteroids when
used in treating COPD? A. Reduction of airway inflammation B. Reversal
of fixed airway obstruction C. Mucolytic activity.
Answer: Reduction of airway inflammation
• What is represented on the ECG strip?.
Answer: ST elevation (Acute MI)
• 1. Jason age 62 yr old has obstructive sleep apnea. Which of the following is
contributing to the sleep apnea? A. Recovering alcoholic B. Very thin C.
Collar size of 17 inches.
Answer: Collar size of 17 inches (large neck)
• Testicular torsion.
