NU 664 Exam 1 Complete Questions And
Correct Answers| Latest Update
Gold standard for CAP diagnosis:
Chest x-ray
If CAP symptoms present but no obvious signs of infection on CXR treatment is...
Same as if CXR was positive
Immunizations for people over 65 or younger people with comorbidities such as
asthma, CHF COPD:
Pneumonia and flu vaccines
Who is at risk for CAP?
Extremes of age, smokers, alcoholics, GERD, chronic disease, institutionalization
CAP presentation in adults:
Cough (may be nonproductive), dyspnea, fever, hemoptysis, chest pain, fatigue,
tachycardia
If lymphocytes are elevated?
Indicative of viral process
If monocytes are elevated?
,Indicative of chronic process
If eosinophils are elevated?
Indicative of asthma, allergic reaction
If basophils are elevated?
Indicative of chronic process
If neutrophils are elevated?
Indicative of acute bacterial process
CAP: patient present with symptoms of chills, fever, chest pain, productive
cough with purulent sputum, positive chest x-ray, and patient had URI last week?
Streptococcus pneumonia: gram +
In the United States, the most common cause of myocarditis in children is:
Viruses
Your next patient is a 5-year-old child with a history of moderate persistent
asthma. He has been wheezing and coughing for the past two days, and his
mother brings him in today for evaluation. He has been using albuterol every
four hours. His respiratory rate is 13 breaths per minute; his lungs are clear to
auscultation; and no retractions are noted. What may be your assessment and
intervention based on this information?
, Your child is breathing slower than normal for his age. We need to send him to the
ER for further intervention.
Your next patient is a 6-year-old male here for his annual influenza vaccine. He
has a history of mild persistent asthma. What would you discuss for medications
when reviewing his asthma action plan?
Your child should continue his low-dose inhaled corticosteroid daily and add
albuterol as needed for an exacerbation.
A child who has been diagnosed with asthma for several years has been using a
short-acting Beta-agonist (SABA) to control symptoms. The PNP learns that the
child has recently begun using the SABA 2-3 times each week to prevent
wheezing and shortness of breath. The child currently has clear breath sounds
and an FEV1 of 75% of personal best. What will the NP do?
Add an inhaled corticosteroid.
Your next patient is a six-month-old infant who just completed amoxicillin for
otitis media. The mother states her child is better except for a diaper rash. Upon
examination, you note red scaly plaques in the diaper area with satellite lesions
to his upper thighs. What would you do next as the PNP?
Your child has a rash that is likely due to a fungus, Candida, and commonly occurs
after taking antibiotics. I will prescribe nystatin to be applied to the diaper area.
A 12 y.o. female presents to the clinic after being bit by a dog on the face.
Abrasion with 2 puncture wounds on the upper right cheek, approximately 1
inch below the eye. The area is slightly erythematous, with a small amount of
bruising and raised area along the cheekbone.
Correct Answers| Latest Update
Gold standard for CAP diagnosis:
Chest x-ray
If CAP symptoms present but no obvious signs of infection on CXR treatment is...
Same as if CXR was positive
Immunizations for people over 65 or younger people with comorbidities such as
asthma, CHF COPD:
Pneumonia and flu vaccines
Who is at risk for CAP?
Extremes of age, smokers, alcoholics, GERD, chronic disease, institutionalization
CAP presentation in adults:
Cough (may be nonproductive), dyspnea, fever, hemoptysis, chest pain, fatigue,
tachycardia
If lymphocytes are elevated?
Indicative of viral process
If monocytes are elevated?
,Indicative of chronic process
If eosinophils are elevated?
Indicative of asthma, allergic reaction
If basophils are elevated?
Indicative of chronic process
If neutrophils are elevated?
Indicative of acute bacterial process
CAP: patient present with symptoms of chills, fever, chest pain, productive
cough with purulent sputum, positive chest x-ray, and patient had URI last week?
Streptococcus pneumonia: gram +
In the United States, the most common cause of myocarditis in children is:
Viruses
Your next patient is a 5-year-old child with a history of moderate persistent
asthma. He has been wheezing and coughing for the past two days, and his
mother brings him in today for evaluation. He has been using albuterol every
four hours. His respiratory rate is 13 breaths per minute; his lungs are clear to
auscultation; and no retractions are noted. What may be your assessment and
intervention based on this information?
, Your child is breathing slower than normal for his age. We need to send him to the
ER for further intervention.
Your next patient is a 6-year-old male here for his annual influenza vaccine. He
has a history of mild persistent asthma. What would you discuss for medications
when reviewing his asthma action plan?
Your child should continue his low-dose inhaled corticosteroid daily and add
albuterol as needed for an exacerbation.
A child who has been diagnosed with asthma for several years has been using a
short-acting Beta-agonist (SABA) to control symptoms. The PNP learns that the
child has recently begun using the SABA 2-3 times each week to prevent
wheezing and shortness of breath. The child currently has clear breath sounds
and an FEV1 of 75% of personal best. What will the NP do?
Add an inhaled corticosteroid.
Your next patient is a six-month-old infant who just completed amoxicillin for
otitis media. The mother states her child is better except for a diaper rash. Upon
examination, you note red scaly plaques in the diaper area with satellite lesions
to his upper thighs. What would you do next as the PNP?
Your child has a rash that is likely due to a fungus, Candida, and commonly occurs
after taking antibiotics. I will prescribe nystatin to be applied to the diaper area.
A 12 y.o. female presents to the clinic after being bit by a dog on the face.
Abrasion with 2 puncture wounds on the upper right cheek, approximately 1
inch below the eye. The area is slightly erythematous, with a small amount of
bruising and raised area along the cheekbone.
