NU621 Review Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Upon review of the chest x-ray results of a 4-year-old patient, tiny white spots in a distinctive
pattern are noted throughout the lungs. Which diagnosis is most likely to manifest in this
manner? - CORRECT ANSWER military TB
A nursing home resident reports that his previous roommate recently started on tuberculosis
treatment. A Mantoux test and chest x-ray were ordered for the patient. What is the minimum
size of the induration considered positive for this patient? - CORRECT
ANSWER 5mm. The skin test is read within 48 to 72 hours and induration that is 5 mm
or more indicates a positive reaction for patients with very high risk conditions or exposures.
Which area of the lung is the most common location of a mycobacterium tuberculosis
infection? - CORRECT ANSWER Upper lobes; appears as a black cavitation
Which of the following is recommended treatment for erythema migrans or early Lyme
disease? - CORRECT ANSWER Doxycycline 100 mg PO BID x 21 days
A patient presents with fever, fatigue, headache, and joint pain. The patient has recently
returned from a camping trip in the northeast; on physical examination the nurse practitioner
notes a large macule on the patient's back with central clearing. Which diagnosis is most
likely? - CORRECT ANSWER Lyme Disease
An adult visits an urgent care clinic with a fever of 104.2°F, vomiting, and petechiae on the
hands and feet progressing to the trunk over the past 3 days. The nurse practitioner will
prescribe what? - CORRECT ANSWER Doxycycline BID x 10 days. The patient likely
has Rocky Mountain spotted fever.
An elderly patient's blood work reveals a diagnosis of hepatitis A. The patient asked the nurse
practitioner, "how did I get this disease?" What is the nurse practitioners' Best response? -
CORRECT ANSWER You may have eaten food that has been contaminated with the
hepatitis A virus (transmitted by fecal-oral route)
, A patient complains of nausea, vomiting, abdominal pain, and cramping 2 days after
returning from an international vacation. Upon assessment, the nurse practitioner finds an
elevated temperature, but otherwise normal vital signs. Which diagnosis is most likely? -
CORRECT ANSWER Hepatitis A
To prevent treatment related complications in a patient diagnosed with hepatitis C, the nurse
practitioner will screen for which of the following prior to initiating treatment? - CORRECT
ANSWER Hepatitis B; (Hepatitis B can reactivate during treatment for hepatitis C, and
can cause serious liver problems)
The patient presents with a new onset of jaundiced sclera, right upper quadrant tenderness,
and anorexia. The nurse practitioner draws labs with the following results: AST = 24; ALT =
13; HbsAg = negative anti-HBc = negative; anti-HBs = positive. How will the nurse
practitioner interpret this data? - CORRECT ANSWER The patient has immunity from
hepatitis B vaccinations.
The nurse practitioner is assessing a 63-year-old male who has a history of IV drug use as a
young adult. He presents with fatigue and nausea. Which screening will the nurse practitioner
recommend for this patient? - CORRECT ANSWER Hepatitis C
The nurse practitioner confirmed a diagnosis of acute hepatitis C in a patient. The nurse
practitioner is required to do which of the following? - CORRECT ANSWER Report
the case to the health department
The anti-hepatitis C virus (HCV) test of a 60 year-old female patient is positive. Which test is
appropriate for Follow up? - CORRECT ANSWER HCV RNA; The anti-HCV test
detects the presence of antibodies to the hepatitis C virus, indicating exposure to HCV. The
HCV RNA test is qualitative and used to distinguish between a current and past infection. It
is reported as "negative" or "not detected".
In small children with AIDS, which of the following vaccines is contraindicated? -
CORRECT ANSWER varicella
The nurse practitioner is seeing a 35-year-old male patient with HIV for follow up of initial
antiretroviral treatment, regimen of 600 mg dolutegravir/50 mg abacavir/300 mg lamivudine.
QUESTIONS AND CORRECT ANSWERS
Upon review of the chest x-ray results of a 4-year-old patient, tiny white spots in a distinctive
pattern are noted throughout the lungs. Which diagnosis is most likely to manifest in this
manner? - CORRECT ANSWER military TB
A nursing home resident reports that his previous roommate recently started on tuberculosis
treatment. A Mantoux test and chest x-ray were ordered for the patient. What is the minimum
size of the induration considered positive for this patient? - CORRECT
ANSWER 5mm. The skin test is read within 48 to 72 hours and induration that is 5 mm
or more indicates a positive reaction for patients with very high risk conditions or exposures.
Which area of the lung is the most common location of a mycobacterium tuberculosis
infection? - CORRECT ANSWER Upper lobes; appears as a black cavitation
Which of the following is recommended treatment for erythema migrans or early Lyme
disease? - CORRECT ANSWER Doxycycline 100 mg PO BID x 21 days
A patient presents with fever, fatigue, headache, and joint pain. The patient has recently
returned from a camping trip in the northeast; on physical examination the nurse practitioner
notes a large macule on the patient's back with central clearing. Which diagnosis is most
likely? - CORRECT ANSWER Lyme Disease
An adult visits an urgent care clinic with a fever of 104.2°F, vomiting, and petechiae on the
hands and feet progressing to the trunk over the past 3 days. The nurse practitioner will
prescribe what? - CORRECT ANSWER Doxycycline BID x 10 days. The patient likely
has Rocky Mountain spotted fever.
An elderly patient's blood work reveals a diagnosis of hepatitis A. The patient asked the nurse
practitioner, "how did I get this disease?" What is the nurse practitioners' Best response? -
CORRECT ANSWER You may have eaten food that has been contaminated with the
hepatitis A virus (transmitted by fecal-oral route)
, A patient complains of nausea, vomiting, abdominal pain, and cramping 2 days after
returning from an international vacation. Upon assessment, the nurse practitioner finds an
elevated temperature, but otherwise normal vital signs. Which diagnosis is most likely? -
CORRECT ANSWER Hepatitis A
To prevent treatment related complications in a patient diagnosed with hepatitis C, the nurse
practitioner will screen for which of the following prior to initiating treatment? - CORRECT
ANSWER Hepatitis B; (Hepatitis B can reactivate during treatment for hepatitis C, and
can cause serious liver problems)
The patient presents with a new onset of jaundiced sclera, right upper quadrant tenderness,
and anorexia. The nurse practitioner draws labs with the following results: AST = 24; ALT =
13; HbsAg = negative anti-HBc = negative; anti-HBs = positive. How will the nurse
practitioner interpret this data? - CORRECT ANSWER The patient has immunity from
hepatitis B vaccinations.
The nurse practitioner is assessing a 63-year-old male who has a history of IV drug use as a
young adult. He presents with fatigue and nausea. Which screening will the nurse practitioner
recommend for this patient? - CORRECT ANSWER Hepatitis C
The nurse practitioner confirmed a diagnosis of acute hepatitis C in a patient. The nurse
practitioner is required to do which of the following? - CORRECT ANSWER Report
the case to the health department
The anti-hepatitis C virus (HCV) test of a 60 year-old female patient is positive. Which test is
appropriate for Follow up? - CORRECT ANSWER HCV RNA; The anti-HCV test
detects the presence of antibodies to the hepatitis C virus, indicating exposure to HCV. The
HCV RNA test is qualitative and used to distinguish between a current and past infection. It
is reported as "negative" or "not detected".
In small children with AIDS, which of the following vaccines is contraindicated? -
CORRECT ANSWER varicella
The nurse practitioner is seeing a 35-year-old male patient with HIV for follow up of initial
antiretroviral treatment, regimen of 600 mg dolutegravir/50 mg abacavir/300 mg lamivudine.
