NU 674 Exam Questions and Answers |
Comprehensive Review with Detailed
Rationales | Grade A+
• primordial prevention . Answer: type of prevention that is
population/environment focused (ex: wearing seatbelt, safe water testing)
• primary prevention . Answer: type of prevention that prevents a disease from
occurring (vaccination, health promotion, teeth brushing)
• secondary prevention . Answer: type of prevention that emphasizes early disease
detection, target populations for at risk diseases (mammography, colonoscopy, pap
smear)
• tertiary prevention . Answer: type of prevention that is implemented in already
symptomatic patients, aims to reduce the severity of disease (routine check ups,
DM mgmt teaching)
• quaternary prevention . Answer: type of prevention that identifies patients at risk
of over medicalization (pt advocacy, prevent unnecessary treatments/tests)
• USPSTF (U.S. preventative service task force) . Answer: organization in which
NPs can find guidelines to follow for practice
• AAFP (American Academy of Family Physicians) . Answer: organization
responsible for reviewing the USPSTF guidelines
• 3-5years . Answer: patients over the age of 20 should have CVD risk assessment
how often?
,• 18-25 . Answer: considered normal BMI
• DM . Answer: adults with HTN, HLD or age 40-70 with BMI >25 you should be
screening for what other disease?
• annually . Answer: how often should a women over 40 get a mammogram?
• every 3 years . Answer: how often should women between age 21-29 get a pap
smear?
• age 50 (then every 10 years from then) . Answer: what age do you start screening
for colon cancer? (colonoscopy)
• 50 . Answer: men should consider screening for prostate cancer at what age?
• a PPSV23 dose 1 year later . Answer: pts over the age of 65 who have no
previously gotten pneumococcal vax need wither 1 dose of PCV15 or 1 dose of
PCV20 - additionally, what else do they need if given the PCV15 dose?
• hep C . Answer: specifically for patients born in the USA between 1945-1965,
what do you need to screen for?
• COVID 19 . Answer: cough, fever, myalgia, headache, dyspnea, sore throat,
dysgeusia, anosmia, maculopapular rash, and discoloration of fingers/toes are sx
of:
,• mild illness . Answer: pts with covid that have fever, cough, sore throat, malaise,
headache, N/V/D, anosmia, ageusia but do NOT have SOB, dyspnea or abnormal
chest imaging are classified as having
• moderate illness . Answer: pts with covid that show evidence of lower respiratory
disease during clinical assessment or with imagine AND who have SpO2 >94% on
room are are classified as having
• severe illness . Answer: pts with covid that have SpO2 of <94% on room air, RR
>30, or lung infiltration >50% are classified as having
• critical illness . Answer: pts with covid that have respiratory failure, septic shock,
and multiple organ dysfunction are classified as having
• consolidating and ground glass opacities bilaterally . Answer: CXR for covid will
show:
• renal function . Answer: what is important to check prior to prescribing Paxlovid
• GFR between 30-60 - half the dose of nirmatrelvir
GFR <30 do NOT given Paxlovid . Answer: Paxlovid treatment recommendations
for those with renal impairment
• Paxlovid . Answer: which Covid medication is proven safe for pregnant women
• 3 day IV course: day 1 200mg, day 2 and 3 100mg; must be given within 7 days
of symptom onset . Answer: Remdesivir outpt dosing
, • elevated LFTs, increase in PTT, GI effects, hypersensitivity . Answer: adverse
reactions to Remdesivir
• older than 12yrs and weigh more than 40kg . Answer: to receive Paxlovid and
Remdesivir, you have to be _______ old and _______ wt
• 800 mg BID x5 days, have to be older than 18, treatment needs to be initiated
within 5 days sx onset, only used when Paxlovid and remdesivir are not available .
Answer: Molnopiravir dosing considerations:
• molnupiravir . Answer: covid drug that should NOT be used in pregnancy as it
can cause fetal toxicity, should educate females and males to abstain from sex or
use reliable contraceptives
• MIS-C (Multisystem Inflammatory Syndrome in Children) . Answer: rare but
associated complication of covid in children that causes shock, red/swollen lips,
strawberry tongue, myocardial dysfunction, arrhythmia, acute resp failure, AKI,
hepatitis
• AOM, sinusitis, streptococcal pharyngitis, PNA . Answer: the only common
respiratory infections that should be treated with antibiotics
• <6yrs . Answer: should not prescribe cough/cold meds to kids ages
• >1yr . Answer: honey should only be used for cough tx in kids ages
• influenza . Answer: myalgias, fever, chills, sweats, cough, N/V/D, decreased
pulm function, loss of appetite, nonpurulent conjunctivitis, muscle pain without
palpation, pharyngeal erythema with sx beginning within 48-72 hours of exposure
are signs of:
Comprehensive Review with Detailed
Rationales | Grade A+
• primordial prevention . Answer: type of prevention that is
population/environment focused (ex: wearing seatbelt, safe water testing)
• primary prevention . Answer: type of prevention that prevents a disease from
occurring (vaccination, health promotion, teeth brushing)
• secondary prevention . Answer: type of prevention that emphasizes early disease
detection, target populations for at risk diseases (mammography, colonoscopy, pap
smear)
• tertiary prevention . Answer: type of prevention that is implemented in already
symptomatic patients, aims to reduce the severity of disease (routine check ups,
DM mgmt teaching)
• quaternary prevention . Answer: type of prevention that identifies patients at risk
of over medicalization (pt advocacy, prevent unnecessary treatments/tests)
• USPSTF (U.S. preventative service task force) . Answer: organization in which
NPs can find guidelines to follow for practice
• AAFP (American Academy of Family Physicians) . Answer: organization
responsible for reviewing the USPSTF guidelines
• 3-5years . Answer: patients over the age of 20 should have CVD risk assessment
how often?
,• 18-25 . Answer: considered normal BMI
• DM . Answer: adults with HTN, HLD or age 40-70 with BMI >25 you should be
screening for what other disease?
• annually . Answer: how often should a women over 40 get a mammogram?
• every 3 years . Answer: how often should women between age 21-29 get a pap
smear?
• age 50 (then every 10 years from then) . Answer: what age do you start screening
for colon cancer? (colonoscopy)
• 50 . Answer: men should consider screening for prostate cancer at what age?
• a PPSV23 dose 1 year later . Answer: pts over the age of 65 who have no
previously gotten pneumococcal vax need wither 1 dose of PCV15 or 1 dose of
PCV20 - additionally, what else do they need if given the PCV15 dose?
• hep C . Answer: specifically for patients born in the USA between 1945-1965,
what do you need to screen for?
• COVID 19 . Answer: cough, fever, myalgia, headache, dyspnea, sore throat,
dysgeusia, anosmia, maculopapular rash, and discoloration of fingers/toes are sx
of:
,• mild illness . Answer: pts with covid that have fever, cough, sore throat, malaise,
headache, N/V/D, anosmia, ageusia but do NOT have SOB, dyspnea or abnormal
chest imaging are classified as having
• moderate illness . Answer: pts with covid that show evidence of lower respiratory
disease during clinical assessment or with imagine AND who have SpO2 >94% on
room are are classified as having
• severe illness . Answer: pts with covid that have SpO2 of <94% on room air, RR
>30, or lung infiltration >50% are classified as having
• critical illness . Answer: pts with covid that have respiratory failure, septic shock,
and multiple organ dysfunction are classified as having
• consolidating and ground glass opacities bilaterally . Answer: CXR for covid will
show:
• renal function . Answer: what is important to check prior to prescribing Paxlovid
• GFR between 30-60 - half the dose of nirmatrelvir
GFR <30 do NOT given Paxlovid . Answer: Paxlovid treatment recommendations
for those with renal impairment
• Paxlovid . Answer: which Covid medication is proven safe for pregnant women
• 3 day IV course: day 1 200mg, day 2 and 3 100mg; must be given within 7 days
of symptom onset . Answer: Remdesivir outpt dosing
, • elevated LFTs, increase in PTT, GI effects, hypersensitivity . Answer: adverse
reactions to Remdesivir
• older than 12yrs and weigh more than 40kg . Answer: to receive Paxlovid and
Remdesivir, you have to be _______ old and _______ wt
• 800 mg BID x5 days, have to be older than 18, treatment needs to be initiated
within 5 days sx onset, only used when Paxlovid and remdesivir are not available .
Answer: Molnopiravir dosing considerations:
• molnupiravir . Answer: covid drug that should NOT be used in pregnancy as it
can cause fetal toxicity, should educate females and males to abstain from sex or
use reliable contraceptives
• MIS-C (Multisystem Inflammatory Syndrome in Children) . Answer: rare but
associated complication of covid in children that causes shock, red/swollen lips,
strawberry tongue, myocardial dysfunction, arrhythmia, acute resp failure, AKI,
hepatitis
• AOM, sinusitis, streptococcal pharyngitis, PNA . Answer: the only common
respiratory infections that should be treated with antibiotics
• <6yrs . Answer: should not prescribe cough/cold meds to kids ages
• >1yr . Answer: honey should only be used for cough tx in kids ages
• influenza . Answer: myalgias, fever, chills, sweats, cough, N/V/D, decreased
pulm function, loss of appetite, nonpurulent conjunctivitis, muscle pain without
palpation, pharyngeal erythema with sx beginning within 48-72 hours of exposure
are signs of:
