NRNP 6566 Final Exam 2022 / 2023 | 2 Versions in 1

NRNP 6566 Final Exam 2022 / 2023 2 Versions in 1 Version 1 Question 1 Which statement is correct about fluoroquinolones? fluoroquinolones are effective treatment for urinary tract infections and pyelonephritis Fluoroquinolones are recommended treatment in uncomplicated skin infections fluoroquinolones are not associated with tendon rupture fluoroquinolones are never indicated in the treatment of pediatric infections Question 2 A 42 year old year old women was admitted to the ICU with a severe asthmatic exacerbation. On rounds today, the patients T is 102.2. Her central IV line site is red, tender, and warm. Your remove the central line and order blood cultures along with IV cefepime. MRSA has been prevalent in this ICU. What additional medication should you order? po vancomycin IV gentamycin IV vancomycin IV pipercillin Question 3 A 66-year-old male involved in a motor vehicle collision is admitted to the trauma unit with multiplesbone fractions and left hemothorax with chest tube placement. Current vital signs are BP 88/52 HR 120 T 98.4 RR 22. Past medical history is positive for end stage renal disease requiring hemodialysis three times a week. How should the NP manage his renal disease? Hemodialysis Peritoneal dialysis Continuous renal replacement therapy No intervention until his blood pressure stabilizes Question 4 What crucial feature of a penicillin is involved in its mechanism of action? Carboxylic acid β-lactam ring Acyl side chain Thiazolidine ring Question 5 Which drug should the APRN select to treat a patient with an infected post operative surgical wound infected with a positive culture result for MRSA? gentamycin ampicillin/sulbact am vancomycin amphoteracin Question 6 Mr. D is a 56 year old male with newly diagnosed multiple myeloma who is admitted through the ER with back pain after falling against a bookcase at home. Chest x-ray shows a rib fracture. Electrolytes reveal a serum calcium of 12.7 mg/dl. How would you treat Mr. D? Normal saline and loop diuretics Normal saline and thiazide diuretics Kayexalate enema Glucose, insulin, and magnesium Question 7 A 13-year-old thin, female comes to your office with a 6-month history of nondeliberate weight loss, polyuria and polydypsia. She has no other significant illnesses. There are no abnormalities on physical examination except a random venous blood sugar of 237. Which of the following statements regarding this case is FALSE? Type 1 diabetes is confirmed by this test A glucose tolerance test is not necessary to confirm diagnosis Obtain a fasting blood glucose Insulin will probably be required Question 8 A patient who is allergic to penicillins may also be allergic to a Erythromycin b Neomycin c Tetracycline . d Cefazolin Question 9 Joe is a 46 year old man with normal renal function diagnosed with heparin induced thrombocytopenia (HIT). In addition to stopping all unfractionated heparin products, the next appropriate step in treating this patient would be the addition of? Low molecular weight heparin aspirin Agratroban Plavix Question 10 A 24-year-old male is a newly diagnosed type 1 diabetic. He weighs 62 kg and you decide to start him on insulin therapy because his blood glucose is high and he has ketonuria. His total daily dose of insulin to start with should be: 31 units 40 units 46 units