NSG6420 MidTerm
1. Which of the following conditions is NOT likely to have otitis as part of the initial or preliminary diagnosis?
a. Mumps
b. Dental abscess
c. Chronic otitis externa
d. Blepharitis
2. A patient presents with nasal congestion, sneezing, and nasal irritation. Which additional assessment
finding would indicated the need for a rhinomanometry?
a. A polyp is found during examination
b. Patient presents with additional symptoms such as a fever
c. Obstruction of the nasal passages is suspected or observed
d. To determine any offending allergies.
3. A 33-year-old patient presents with clear nasal discharge, eczema, and itchy watery eyes. Which of the
following indicators would suggest a diagnosis of allergic rhinitis?
a. A history of frequent colds
b. Mechanical obstruction of nasal passages is suspected
c. Serum IgE level greater than 100 U/mL presents as a child in the PMH.
d. A CBC reveals an increase in neutrophils
4. Which of the following assessment finding would necessitate immediate referral to emergency services or
a specialist?
a. Blepharitis
b. Peripheral corneal pterygium
c. Episcleritis
d. Severe eye redness with suspected connection related to N. Gonorrhea
5. Which of the following would be most appropriate for a patient with a clinical diagnosis of acute bronchitis?
a. Begin antibiotic treatment with amoxicillin clavulante. Remind patient of benefits of annual
influenza vaccine.
b. Refer patient of allergy testing
c. Discuss the use of acetaminophen and /or Motrin and encourage fluid and rest. Explain
that antibiotics are not effective in viral infections.
d. Discuss modification of diet and exercise. Provide details of a DASH diet with patient.
6. A patient with a diagnosis of COPD present with an FEV1/FVC ratio of less than 70% and 40% of a normal
FEV1 range. Which of the GOLD stages does this patient fall into?
a. GOLD stage 3- Severe
b. GOLD stage 1- Very mild
c. GOLD stage 2- Moderate
d. GOLD stage 4- Very severe
7. A patient presents with a diagnosis of COPD. In this patient, which lab values would be expected to support
of COPD?
a. Serum glucose 153 TSH 0.4
b. Hemoglobin 20 and hematocrit 52
c. Cholesterol 162 and serum glucose 110
d. TSH 7.3 and Hemoglobin 12
8. A 69-year old female patient with a diagnosis of community acquired pneumonia is assigned a CURB-65 of
1. What care setting would be appropriate for the this patient?
a. Outpatient care
b. No treatment required
c. Short observation hospital stay
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, d. Inpatient care
9. A patient has presented with a blood pressure of 136/86. Patient is over 60 years of age. In Relatively good
health and denies smoking or excessive alcohol use. Which of the following nonpharmacological
interventions would be most appropriate?
a. Work with patient to establish a DASH diet plan
b. Begin hydrochlorothiazide (HTCZ) at 12.5 mg daily pO.
c. Order CBC to determine unknown genetic risks.
d. Limit excessive cardiovascular activity until blood pressure returns to normal.
10. A 45-year-old patient presents with no acute distress and BP of 162/102. Hydrochlorothiazide is prescribed
along with diet and exercise plan guidance is provided. In what timeframe should the patient return for follow-
up?
a. 1 week or if patient experiences any acute distress
b. 3 weeks or if patient experiences any acute distress
c. 12 weeks or if patient experiences any acute distress
d. 6 weeks or if patient experiences any acute distress
11. According to the NHLBI, treatment for dyslipidemia is focused on the risk reduction of atherosclerotic
coronary vascular disease (ASCVD). Which of the following pharmacologic treatments currently has the best
evidence for treatment?
A. HMG-CoA reductase inhibitors (statin drugs)
B. Beta blockers
C. Hydrochlorothiazide
D. Nitroglycerine spray PRN
12. Following cardiac catheterization, a diabetic patient showed a 98% block in the proximal left anterior
descending artery and an 85% blockage in both the circumflex and right coronary arteries. Which of the
following interventions would be the most appropriate?
a. Angioplasty
b. Stent placement
c. Artificial heart valve placement
d. Coronary artery bypass grafting
13. Which of the following statements best describes the Centro Criteria?
a. The Centro Criteria is used to determine whether bacteria are present in patients complaining
of symptoms of a sore throat.
14. Which of the following would be most appropriate in the plan for a clinical diagnosis of a gastroesophageal
reflux disease (GERD).
a. Discussed risk factors including obesity and alcoholism. Avoid foods that trigger any symptoms and
review diet and exercise plan for weight reduction. Start omeprazole 30 minutes prior to the first
meal of the day.
b. Admitted to hospital. Recommend gastrointestinal referral.
c. Reviewed consequences of the untreated condition. Encourage limited caloric intake to 1,800
daily. Prescribe lisinopril 1-mg daily.
d. Discuss modification of diet and exercise. Provide details of a DASH diet with patient.
15. A patient preset with substernal pain and complains of heartburn that tis becoming more frequent. During
the ROS, which symptoms of GERD may be present but would be considered atypical?
a. Burning discomfort from mid chest to jaw
b. Fever
This study source was downloaded by 100000832558064 from CourseHero.com on 05-24-2022 21:15:56 GMT -05:00
https://www.coursehero.com/file/119545219/Mid-term-prep-NSG6420docx/
1. Which of the following conditions is NOT likely to have otitis as part of the initial or preliminary diagnosis?
a. Mumps
b. Dental abscess
c. Chronic otitis externa
d. Blepharitis
2. A patient presents with nasal congestion, sneezing, and nasal irritation. Which additional assessment
finding would indicated the need for a rhinomanometry?
a. A polyp is found during examination
b. Patient presents with additional symptoms such as a fever
c. Obstruction of the nasal passages is suspected or observed
d. To determine any offending allergies.
3. A 33-year-old patient presents with clear nasal discharge, eczema, and itchy watery eyes. Which of the
following indicators would suggest a diagnosis of allergic rhinitis?
a. A history of frequent colds
b. Mechanical obstruction of nasal passages is suspected
c. Serum IgE level greater than 100 U/mL presents as a child in the PMH.
d. A CBC reveals an increase in neutrophils
4. Which of the following assessment finding would necessitate immediate referral to emergency services or
a specialist?
a. Blepharitis
b. Peripheral corneal pterygium
c. Episcleritis
d. Severe eye redness with suspected connection related to N. Gonorrhea
5. Which of the following would be most appropriate for a patient with a clinical diagnosis of acute bronchitis?
a. Begin antibiotic treatment with amoxicillin clavulante. Remind patient of benefits of annual
influenza vaccine.
b. Refer patient of allergy testing
c. Discuss the use of acetaminophen and /or Motrin and encourage fluid and rest. Explain
that antibiotics are not effective in viral infections.
d. Discuss modification of diet and exercise. Provide details of a DASH diet with patient.
6. A patient with a diagnosis of COPD present with an FEV1/FVC ratio of less than 70% and 40% of a normal
FEV1 range. Which of the GOLD stages does this patient fall into?
a. GOLD stage 3- Severe
b. GOLD stage 1- Very mild
c. GOLD stage 2- Moderate
d. GOLD stage 4- Very severe
7. A patient presents with a diagnosis of COPD. In this patient, which lab values would be expected to support
of COPD?
a. Serum glucose 153 TSH 0.4
b. Hemoglobin 20 and hematocrit 52
c. Cholesterol 162 and serum glucose 110
d. TSH 7.3 and Hemoglobin 12
8. A 69-year old female patient with a diagnosis of community acquired pneumonia is assigned a CURB-65 of
1. What care setting would be appropriate for the this patient?
a. Outpatient care
b. No treatment required
c. Short observation hospital stay
This study source was downloaded by 100000832558064 from CourseHero.com on 05-24-2022 21:15:56 GMT -05:00
https://www.coursehero.com/file/119545219/Mid-term-prep-NSG6420docx/
, d. Inpatient care
9. A patient has presented with a blood pressure of 136/86. Patient is over 60 years of age. In Relatively good
health and denies smoking or excessive alcohol use. Which of the following nonpharmacological
interventions would be most appropriate?
a. Work with patient to establish a DASH diet plan
b. Begin hydrochlorothiazide (HTCZ) at 12.5 mg daily pO.
c. Order CBC to determine unknown genetic risks.
d. Limit excessive cardiovascular activity until blood pressure returns to normal.
10. A 45-year-old patient presents with no acute distress and BP of 162/102. Hydrochlorothiazide is prescribed
along with diet and exercise plan guidance is provided. In what timeframe should the patient return for follow-
up?
a. 1 week or if patient experiences any acute distress
b. 3 weeks or if patient experiences any acute distress
c. 12 weeks or if patient experiences any acute distress
d. 6 weeks or if patient experiences any acute distress
11. According to the NHLBI, treatment for dyslipidemia is focused on the risk reduction of atherosclerotic
coronary vascular disease (ASCVD). Which of the following pharmacologic treatments currently has the best
evidence for treatment?
A. HMG-CoA reductase inhibitors (statin drugs)
B. Beta blockers
C. Hydrochlorothiazide
D. Nitroglycerine spray PRN
12. Following cardiac catheterization, a diabetic patient showed a 98% block in the proximal left anterior
descending artery and an 85% blockage in both the circumflex and right coronary arteries. Which of the
following interventions would be the most appropriate?
a. Angioplasty
b. Stent placement
c. Artificial heart valve placement
d. Coronary artery bypass grafting
13. Which of the following statements best describes the Centro Criteria?
a. The Centro Criteria is used to determine whether bacteria are present in patients complaining
of symptoms of a sore throat.
14. Which of the following would be most appropriate in the plan for a clinical diagnosis of a gastroesophageal
reflux disease (GERD).
a. Discussed risk factors including obesity and alcoholism. Avoid foods that trigger any symptoms and
review diet and exercise plan for weight reduction. Start omeprazole 30 minutes prior to the first
meal of the day.
b. Admitted to hospital. Recommend gastrointestinal referral.
c. Reviewed consequences of the untreated condition. Encourage limited caloric intake to 1,800
daily. Prescribe lisinopril 1-mg daily.
d. Discuss modification of diet and exercise. Provide details of a DASH diet with patient.
15. A patient preset with substernal pain and complains of heartburn that tis becoming more frequent. During
the ROS, which symptoms of GERD may be present but would be considered atypical?
a. Burning discomfort from mid chest to jaw
b. Fever
This study source was downloaded by 100000832558064 from CourseHero.com on 05-24-2022 21:15:56 GMT -05:00
https://www.coursehero.com/file/119545219/Mid-term-prep-NSG6420docx/
