NURS 676 Advanced Pharmacology Midterm Exam|
Questions and Correct Answers (WCU) Accurate Summer
| Already Graded A+|Latest Version!!!
A patient reports recurrent chest pain that occurs regardless of activity
and is not relieved by rest. The provider administers one NG tablet
which does not relieve the pain. What is the next action?
Give the patient a beta blocker
A patient is brought to an emergency department with symptoms of
acute ST segment elevation MI (STEMI). The nearest hospital that
can perform a PCI is three hours away, what is the initial treatment for
this patient.
Initiate fibrinolytic therapy
A patient reports a feeling of fullness and pain in both ears and the
practitioner elicits pain when manipulating the ear structures, what is
likely the diagnosis?
acute otitis externa
Which are risk factors for developing otitis externa?
having underlying DM, use of ear plugs or hearing aids, vigorous
external hygiene
A patient has an initial episode of otitis external associated with
swimming. the patient's ear canal is mildly inflamed and the TM is
not involved. Which medication will be ordered?
Cipro HC
pg. 1
,Which symptoms in children are evlauated using a parent-reported
scoring system to determine the severity of pain in children with OM?
Appetite, Difficulty sleeping, and tugging on ears.
Which patient may be given symptomatic treatment with 24 hours
follow-up assessment without initial antibiotic therapy?
A 36 month old with fever of 38.5, mild otalgia, and red, non-bulging
TM
A pediatric patient has otalgia, fever of 38.8, and recent history of
URI. the examiner is unable to visualize the TM in the right ear
because of the presence of cerumen. The left TM is dull gray with
fluid levels present. What is the correct action?
Remove the cerumen and visualize the TM
A patient reports ear pain and difficulty hearing. An otoscope
examination reveals a small tear in the TM of the affected ear with
purulent d/c. What is the initial treatment for this patient?
Prescribe antibiotic ear drops
A patient reports ear pain after being hit in the head with a baseball.
The provider notes a perforated TM. What is recommended
treatment?
Refer the patient to an Otolaryngologist for eval
An adolescent has fever, chills, and a severe sore throat. On exam, the
provider notes foul-smelling breath and a muffled voice with marked
edema and erythema of the peritonsillar tissue. What should you do?
pg. 2
, Perform a rapid strep and throat culture.
A patient has a sore throat, and temp of 38.5, tonsillar exudates, and
cervical lymphadenopathy. What will the provider do next to manage
this patient's symptoms.
Perform a RADT
A patient reports a sudden onset of sore throat, fever, malaise, and
cough. the provider notes mild erythema of the pharynx and clear
rhinorrhea without cervical lymphadnopathy. what is most likely
cause?
viral pharyngitis
A school-aged child has 5 episodes of tonsillitis in the past year and 2
episodes the previous year. The child's parents ask the provider if the
child needs a tonsillectomy. What will the provider say?
Current recommendations do not support tonsillectomy for this child
A patient with EBV-IM also has GAS pharyngitis and is being treated
with Amoxicillin. On the third day of treatment, the patient develops a
rash. A urinalysis is normal. what does this indicate?
A reaction to the amoxicillin
An adolescent who plays football in high school is diagnosed with
Infectious Mono and is noted to have splenomegaly. What will the
provider recommend to this patient about returning to sports?
ABD US are recommended to determines safety
pg. 3
Questions and Correct Answers (WCU) Accurate Summer
| Already Graded A+|Latest Version!!!
A patient reports recurrent chest pain that occurs regardless of activity
and is not relieved by rest. The provider administers one NG tablet
which does not relieve the pain. What is the next action?
Give the patient a beta blocker
A patient is brought to an emergency department with symptoms of
acute ST segment elevation MI (STEMI). The nearest hospital that
can perform a PCI is three hours away, what is the initial treatment for
this patient.
Initiate fibrinolytic therapy
A patient reports a feeling of fullness and pain in both ears and the
practitioner elicits pain when manipulating the ear structures, what is
likely the diagnosis?
acute otitis externa
Which are risk factors for developing otitis externa?
having underlying DM, use of ear plugs or hearing aids, vigorous
external hygiene
A patient has an initial episode of otitis external associated with
swimming. the patient's ear canal is mildly inflamed and the TM is
not involved. Which medication will be ordered?
Cipro HC
pg. 1
,Which symptoms in children are evlauated using a parent-reported
scoring system to determine the severity of pain in children with OM?
Appetite, Difficulty sleeping, and tugging on ears.
Which patient may be given symptomatic treatment with 24 hours
follow-up assessment without initial antibiotic therapy?
A 36 month old with fever of 38.5, mild otalgia, and red, non-bulging
TM
A pediatric patient has otalgia, fever of 38.8, and recent history of
URI. the examiner is unable to visualize the TM in the right ear
because of the presence of cerumen. The left TM is dull gray with
fluid levels present. What is the correct action?
Remove the cerumen and visualize the TM
A patient reports ear pain and difficulty hearing. An otoscope
examination reveals a small tear in the TM of the affected ear with
purulent d/c. What is the initial treatment for this patient?
Prescribe antibiotic ear drops
A patient reports ear pain after being hit in the head with a baseball.
The provider notes a perforated TM. What is recommended
treatment?
Refer the patient to an Otolaryngologist for eval
An adolescent has fever, chills, and a severe sore throat. On exam, the
provider notes foul-smelling breath and a muffled voice with marked
edema and erythema of the peritonsillar tissue. What should you do?
pg. 2
, Perform a rapid strep and throat culture.
A patient has a sore throat, and temp of 38.5, tonsillar exudates, and
cervical lymphadenopathy. What will the provider do next to manage
this patient's symptoms.
Perform a RADT
A patient reports a sudden onset of sore throat, fever, malaise, and
cough. the provider notes mild erythema of the pharynx and clear
rhinorrhea without cervical lymphadnopathy. what is most likely
cause?
viral pharyngitis
A school-aged child has 5 episodes of tonsillitis in the past year and 2
episodes the previous year. The child's parents ask the provider if the
child needs a tonsillectomy. What will the provider say?
Current recommendations do not support tonsillectomy for this child
A patient with EBV-IM also has GAS pharyngitis and is being treated
with Amoxicillin. On the third day of treatment, the patient develops a
rash. A urinalysis is normal. what does this indicate?
A reaction to the amoxicillin
An adolescent who plays football in high school is diagnosed with
Infectious Mono and is noted to have splenomegaly. What will the
provider recommend to this patient about returning to sports?
ABD US are recommended to determines safety
pg. 3
