NRNP 6566 Final Exam
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
56 units
Question 11
, A 48-year-old female wt 70 kg, is in the ICU with acute pancreatitis. Her vital signs are as
follows: BP 92/60 mm Hg; heart rate 116 bpm; She is intubated with current ventilator
settings of VT 700 mL, assist control (AC) rate 12 bpm, FiO2 0.85, and positive end
expiratory pressure (PEEP) 5.0 cm H2O. Her ABG reveals a pH of 7.31, PaCO2 of 53 mm Hg,
and a PaO2 of 62 mm Hg. Her chest radiograph shows diffuse, fluffy infiltrates.
Based upon this assessment the ACNP would
order a decrease of PEEP to
5.0
an increase of rate to
16
change to SIMV
an increase of VT to
900 ml
Question 12
A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20 units
of lantus at bedtime and regular insulin before meals. What instructions should the NP
provide about the timing and dose of regular insulin?
Take 5 units of regular insulin immediately after each meal
Take 5 units of regular insulin for each 15 grams of carbohydrate consumed
immediately after each meal.
Take 1 unit of regular insulin for each 10 grams of carbohydrate to be consumed 15
minutes before each meal
Take 1 unit of regular insulin for each 5 grams of carbohydrate to be consumed 30
minutes before each meal.
Question 13
All of the following statements about Type 2 diabetes mellitus are correct
EXCEPT:
Higher risk for development
of CAD, peripheral vascular disease, and acute myocardial
infarction Have insulin resistance
Have more problems with ketosis than patients with Type 1 diabetes
mellitus Obesity is found in the majority of patients
Question 14
The NP is managing a male patient with bilateral lower extremity swelling, erythema, and
draining blisters. The patient states the blisters have been there about a week but now
there is redness around the blisters and moving up the leg. He has been having chills and
thinks he has been running a temperature but does not own a thermometer. Vital signs are
within normal limits except for an elevated temperature of 101.1 The patient has no
known drug allergies. What medication should the NP prescribe?
IV Vancomycin
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
56 units
Question 11
, A 48-year-old female wt 70 kg, is in the ICU with acute pancreatitis. Her vital signs are as
follows: BP 92/60 mm Hg; heart rate 116 bpm; She is intubated with current ventilator
settings of VT 700 mL, assist control (AC) rate 12 bpm, FiO2 0.85, and positive end
expiratory pressure (PEEP) 5.0 cm H2O. Her ABG reveals a pH of 7.31, PaCO2 of 53 mm Hg,
and a PaO2 of 62 mm Hg. Her chest radiograph shows diffuse, fluffy infiltrates.
Based upon this assessment the ACNP would
order a decrease of PEEP to
5.0
an increase of rate to
16
change to SIMV
an increase of VT to
900 ml
Question 12
A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20 units
of lantus at bedtime and regular insulin before meals. What instructions should the NP
provide about the timing and dose of regular insulin?
Take 5 units of regular insulin immediately after each meal
Take 5 units of regular insulin for each 15 grams of carbohydrate consumed
immediately after each meal.
Take 1 unit of regular insulin for each 10 grams of carbohydrate to be consumed 15
minutes before each meal
Take 1 unit of regular insulin for each 5 grams of carbohydrate to be consumed 30
minutes before each meal.
Question 13
All of the following statements about Type 2 diabetes mellitus are correct
EXCEPT:
Higher risk for development
of CAD, peripheral vascular disease, and acute myocardial
infarction Have insulin resistance
Have more problems with ketosis than patients with Type 1 diabetes
mellitus Obesity is found in the majority of patients
Question 14
The NP is managing a male patient with bilateral lower extremity swelling, erythema, and
draining blisters. The patient states the blisters have been there about a week but now
there is redness around the blisters and moving up the leg. He has been having chills and
thinks he has been running a temperature but does not own a thermometer. Vital signs are
within normal limits except for an elevated temperature of 101.1 The patient has no
known drug allergies. What medication should the NP prescribe?
IV Vancomycin
