MARYVILLE NURS 620 ADULT 1 PRACTICE
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
• 1. A patient presents with a dry cough that causes chest discomfort for 10
days, running nose for 1 week, feeling fatigued. On exam you note
expiratory wheezes in the lower lobes, some clear rhinitis. Patient is afebrile
and no smoking history. What is the most likely diagnosis? A. Common
cold B. Asthma C. Acute bronchitis.
Answer: Acute bronchitis
• Coranary Artery Disease (CAD).
Answer: caused by plaque formation of cornary arteries, leads to restricted
blood flow to the heart tissue.
• +CBC (leukocytosis & left shift w/ acute) +UA +Fractional UA (if
bacteriuria present) + CT or transrectal ultrasonogrpahy if malignancy or
absess suspected + Needle biopsy of mass oraspiration of abscess for culture
may be done by urologist..
Answer: Diagnostic tests for prostatitis
• Organism responsible for mono?.
Answer: Epstein-Barr Virus (EBV)
• A 42 YOF is seen in clinic with fever, chills, vomiting, and severe dysuria.
She is diagnosed with acute pyelonephritis and dehydration. How should
this patient be treated? a. Encourage cranberry juice b. Hospitalization c.
Antibiotics for 3 days.
Answer: Hospitalization
• Determine what the underlying cause of the symptoms is.
Answer: Important goal of intersitial cystitis diagnosis and treatment.
• Refer to nephrologist.
, Answer: Recommended referral plan for chronic pyelo?
• Heart Failure Classification System.
Answer: I - Asymptomatic; II - Symptoms only with marked exertion; III -
Symptoms with moderate exertion; IV - Symptoms at rest
• common bladder irritants.
Answer: Sudafed, Caffeine, smoking, ETOH
• Stage 1.
Answer: CKD stage with persistent albuminuria/normal GFR
• Contributing factors of CAD.
Answer: DM, Obesity, Stress
• OSA: Understand how to determine if someone may have it. What do you
inspect when screening for it? What are some risk factors for sleep apnea?.
Answer: • Obesity o Nuchal obesity • Deviated septum • Nasal polyps •
Enlarged uvula and soft palate • Small chin with deep overbite • Enlarged
tonsils • Large tongue NASAL POLYPS, DEVIATED SPETUM,
OBESITY, THICK NECK, ALCOHOL CONSUMPTION,
COEXISTENCE WITH SNORING AND HYPERINSOMNIA
• S/S of COPD correlate with which of the following?-.
Answer: Chronic bronchitis with airway obstruction
• Salmeterol (Serevent) is an example of which of the following?.
Answer: long acting beta agonist(LABA)
• Diagnostic workup for HTN.
Answer: History- any symptoms? Physical examination What are their risk
factors? - family history, smoking, drinking, sedentary lifestyle. Labs: BMP,
CBC, UA, CMP, TSH, Lipid profile, ECG need to know kidney function,
electrolytes, are they spilling protein in their urine.
• +Varies with ACA & AUA. +Engaged decision making with patient on
screening -Life expectancy > 10 years - African American -Family hx
prostate cancer.
, Answer: When should screening begin for Prostate cancer?
• HPI habit questions for respiratory.
Answer: •Tobacco use- vaping? -Pack years •Exposure to allergens •Travel
•Medications- ace inhibitors -Prescription -OTC -Herbal •Alternative
therapies
• Resistant Hypertension.
Answer: failure to reach goal BP in patients who are taking full doses of an
appropriate three-drug therapy regimen that includes a diuretic needs
referral to cardiologist
• A 22 YO female Presents with low grade fever, CVA tenderness and
dysuria, you dx her with acute pyelonephritis, she is otherwise healthy
patient how would you manage her? a. Hospitalize B. encourage cranberry
juice C. oral antibiotics for 7-14 days.
Answer: C. oral antibiotics for 7-14 days
• A patient is being treated with Metronidazole for Bacterial Vaginosis, why
should you counsel them to avoid alcohol?.
Answer: Mixing the two can cause, headache, nausea/vomiting, chest pain,
and or hypertension.
• Sudden eye pain, nausea, rainbow around lights, blurred vision.
Answer: closed angle glaucoma
• Presence of WBC casts.
Answer: What is the main diagnostic criteria that differentiates pyelo from
cystitis?
• Risk factors for DVT.
Answer: genetic clotting issues, immobility, smoking, obesity, age, FH,
hormone/BCPs
• 1. The most common organism causing community acquired pneumonia is
which of the following? A. S. aureus B. E. coli C. Strep pneumoniae.
Answer: Strep
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
• 1. A patient presents with a dry cough that causes chest discomfort for 10
days, running nose for 1 week, feeling fatigued. On exam you note
expiratory wheezes in the lower lobes, some clear rhinitis. Patient is afebrile
and no smoking history. What is the most likely diagnosis? A. Common
cold B. Asthma C. Acute bronchitis.
Answer: Acute bronchitis
• Coranary Artery Disease (CAD).
Answer: caused by plaque formation of cornary arteries, leads to restricted
blood flow to the heart tissue.
• +CBC (leukocytosis & left shift w/ acute) +UA +Fractional UA (if
bacteriuria present) + CT or transrectal ultrasonogrpahy if malignancy or
absess suspected + Needle biopsy of mass oraspiration of abscess for culture
may be done by urologist..
Answer: Diagnostic tests for prostatitis
• Organism responsible for mono?.
Answer: Epstein-Barr Virus (EBV)
• A 42 YOF is seen in clinic with fever, chills, vomiting, and severe dysuria.
She is diagnosed with acute pyelonephritis and dehydration. How should
this patient be treated? a. Encourage cranberry juice b. Hospitalization c.
Antibiotics for 3 days.
Answer: Hospitalization
• Determine what the underlying cause of the symptoms is.
Answer: Important goal of intersitial cystitis diagnosis and treatment.
• Refer to nephrologist.
, Answer: Recommended referral plan for chronic pyelo?
• Heart Failure Classification System.
Answer: I - Asymptomatic; II - Symptoms only with marked exertion; III -
Symptoms with moderate exertion; IV - Symptoms at rest
• common bladder irritants.
Answer: Sudafed, Caffeine, smoking, ETOH
• Stage 1.
Answer: CKD stage with persistent albuminuria/normal GFR
• Contributing factors of CAD.
Answer: DM, Obesity, Stress
• OSA: Understand how to determine if someone may have it. What do you
inspect when screening for it? What are some risk factors for sleep apnea?.
Answer: • Obesity o Nuchal obesity • Deviated septum • Nasal polyps •
Enlarged uvula and soft palate • Small chin with deep overbite • Enlarged
tonsils • Large tongue NASAL POLYPS, DEVIATED SPETUM,
OBESITY, THICK NECK, ALCOHOL CONSUMPTION,
COEXISTENCE WITH SNORING AND HYPERINSOMNIA
• S/S of COPD correlate with which of the following?-.
Answer: Chronic bronchitis with airway obstruction
• Salmeterol (Serevent) is an example of which of the following?.
Answer: long acting beta agonist(LABA)
• Diagnostic workup for HTN.
Answer: History- any symptoms? Physical examination What are their risk
factors? - family history, smoking, drinking, sedentary lifestyle. Labs: BMP,
CBC, UA, CMP, TSH, Lipid profile, ECG need to know kidney function,
electrolytes, are they spilling protein in their urine.
• +Varies with ACA & AUA. +Engaged decision making with patient on
screening -Life expectancy > 10 years - African American -Family hx
prostate cancer.
, Answer: When should screening begin for Prostate cancer?
• HPI habit questions for respiratory.
Answer: •Tobacco use- vaping? -Pack years •Exposure to allergens •Travel
•Medications- ace inhibitors -Prescription -OTC -Herbal •Alternative
therapies
• Resistant Hypertension.
Answer: failure to reach goal BP in patients who are taking full doses of an
appropriate three-drug therapy regimen that includes a diuretic needs
referral to cardiologist
• A 22 YO female Presents with low grade fever, CVA tenderness and
dysuria, you dx her with acute pyelonephritis, she is otherwise healthy
patient how would you manage her? a. Hospitalize B. encourage cranberry
juice C. oral antibiotics for 7-14 days.
Answer: C. oral antibiotics for 7-14 days
• A patient is being treated with Metronidazole for Bacterial Vaginosis, why
should you counsel them to avoid alcohol?.
Answer: Mixing the two can cause, headache, nausea/vomiting, chest pain,
and or hypertension.
• Sudden eye pain, nausea, rainbow around lights, blurred vision.
Answer: closed angle glaucoma
• Presence of WBC casts.
Answer: What is the main diagnostic criteria that differentiates pyelo from
cystitis?
• Risk factors for DVT.
Answer: genetic clotting issues, immobility, smoking, obesity, age, FH,
hormone/BCPs
• 1. The most common organism causing community acquired pneumonia is
which of the following? A. S. aureus B. E. coli C. Strep pneumoniae.
Answer: Strep
