Science Medicine Pulmonology
NU 664 Exam 1
NU 664 Pulmonology Examination 2026
Comprehensive Review Manual with Exam-
Oriented Questions, Verified Answer
Gold standard for CAP diagnosis: Chest x-ray
If CAP symptoms present but no obvious signs of Same as if CXR was positive
infection on CXR treatment is...
Immunizations for people over 65 or younger people Pneumonia and flu vaccines
with comorbidities such as asthma, CHF COPD:
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 Streptococcus pneumonia: gram +
pain, productive cough with purulent sputum, positive
chest x-ray, and patient had URI last week?
In the United States, the most common cause of Viruses
myocarditis in children is:
Your next patient is a 5-year-old child with a history of Your child is breathing slower than normal for his age. We need to send him to the
moderate persistent asthma. He has been wheezing and ER for further intervention.
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 next patient is a 6-year-old male here for his annual Your child should continue his low-dose inhaled corticosteroid daily and add
influenza vaccine. He has a history of mild persistent albuterol as needed for an exacerbation.
asthma. What would you discuss for medications when
reviewing his asthma action plan?
A child who has been diagnosed with asthma for several Add an inhaled corticosteroid.
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?
Your next patient is a six-month-old infant who just Your child has a rash that is likely due to a fungus, Candida, and commonly occurs
completed amoxicillin for otitis media. The mother states after taking antibiotics. I will prescribe nystatin to be applied to the diaper area.
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?
A 12 y.o. female presents to the clinic after being bit by a Using normal saline, irrigate the wounds using high pressure (greater than 4
dog on the face. Abrasion with 2 puncture wounds on the pounds per square inch) and high volume (greater than 1 L). Isolated puncture
upper right cheek, approximately 1 inch below the eye. wounds should not be irrigated, instead soak the wound in a diluted solution of
The area is slightly erythematous, with a small amount of tap water and povidone-iodine for 15 .minutes • Prescribe a 3- to 5-day course of
bruising and raised area along the cheekbone. prophylactic antibiotics
A 4 yo child has clusters of small, clear, tense vesicles Topical diphenhydramine and magnesium hydroxide.
with an erythematous base on one side of the mouth
along the vermillion border, which are causing
discomfort and difficulty eating. What will the PNP
recommend as treatment?
A 4 year old child with PE tubes in both ears has otalgia Order ototopical corticosteroid/antibiotic drops.
in one ear. The PNP is able to visualize the tube and does
not see exudate in the ear canal and obtains a type A
tympanogram. What will the NP do?
NU 664 Exam 1
NU 664 Pulmonology Examination 2026
Comprehensive Review Manual with Exam-
Oriented Questions, Verified Answer
Gold standard for CAP diagnosis: Chest x-ray
If CAP symptoms present but no obvious signs of Same as if CXR was positive
infection on CXR treatment is...
Immunizations for people over 65 or younger people Pneumonia and flu vaccines
with comorbidities such as asthma, CHF COPD:
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 Streptococcus pneumonia: gram +
pain, productive cough with purulent sputum, positive
chest x-ray, and patient had URI last week?
In the United States, the most common cause of Viruses
myocarditis in children is:
Your next patient is a 5-year-old child with a history of Your child is breathing slower than normal for his age. We need to send him to the
moderate persistent asthma. He has been wheezing and ER for further intervention.
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 next patient is a 6-year-old male here for his annual Your child should continue his low-dose inhaled corticosteroid daily and add
influenza vaccine. He has a history of mild persistent albuterol as needed for an exacerbation.
asthma. What would you discuss for medications when
reviewing his asthma action plan?
A child who has been diagnosed with asthma for several Add an inhaled corticosteroid.
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?
Your next patient is a six-month-old infant who just Your child has a rash that is likely due to a fungus, Candida, and commonly occurs
completed amoxicillin for otitis media. The mother states after taking antibiotics. I will prescribe nystatin to be applied to the diaper area.
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?
A 12 y.o. female presents to the clinic after being bit by a Using normal saline, irrigate the wounds using high pressure (greater than 4
dog on the face. Abrasion with 2 puncture wounds on the pounds per square inch) and high volume (greater than 1 L). Isolated puncture
upper right cheek, approximately 1 inch below the eye. wounds should not be irrigated, instead soak the wound in a diluted solution of
The area is slightly erythematous, with a small amount of tap water and povidone-iodine for 15 .minutes • Prescribe a 3- to 5-day course of
bruising and raised area along the cheekbone. prophylactic antibiotics
A 4 yo child has clusters of small, clear, tense vesicles Topical diphenhydramine and magnesium hydroxide.
with an erythematous base on one side of the mouth
along the vermillion border, which are causing
discomfort and difficulty eating. What will the PNP
recommend as treatment?
A 4 year old child with PE tubes in both ears has otalgia Order ototopical corticosteroid/antibiotic drops.
in one ear. The PNP is able to visualize the tube and does
not see exudate in the ear canal and obtains a type A
tympanogram. What will the NP do?
