FINAL review nsg 6420 GRADED A LATEST 2022-2023
1. A patient presents with acute otitis externa with obstruction of the ear canal severe
enough to prevent patient self administration of pharmacologic treatment. What is the most
effective means to administer topical agent solutions.
A. Oral/systemic antibiotics
B. Aural toileting or wicking or a combination of both
C. A nebulizer machine
D. Surgical debridement
2. Otitis media, hypothyroid disease, deviated nasal septum, and chronic sinusitis
are differential diagnoses for what condition?
A. Mumps
B. Rhinitis
C. Dental Abscess
D. Viral influenza
3. Which of the following would NOT be included as part of the focused SOAP note for a
patient who suffers from allergic rhinitis?
A. Review of the HEENT physical examination
B. Discussion of health promotion issues
C. Patient Vital signs
D. Referral for additional allergy testing
4.A patient diagnosed with bacterial conjunctivitis. Which of the following education and
counseling notes would NOT be appropriate for this patient?
A. Contact lenses should be discarded and new lenses should not be worn until
symptoms subside
B. Clean all linens thoroughly
C. Patient may return to work upon completing the initial dose of antibiotics
D. Any eye make up should be replaced
5. Incubation period for Group A beta-hemolytic streptococcus?
A. 24-72 hours
B. 12-24 hours
C. 72-96
D. +96
6. Which of the following demographic groups would NOT be considered at risk
for complications of influenza?
A. young children
B. pregnant women
C. Suffering from heart, kidney, or neurologic
disease D. those who did not get the influenza
vaccine
, FINAL review nsg 6420 GRADED A LATEST 2022-2023
7. A patient is diagnosed acute bronchitis. What is the most appropriate antibiotic treatment
for this patient?
A. Penicillin
B. Oflaxacin
C. Metronidazol
D. Antibiotics are not recommended
8. According to the National Asthma education and prevention program (NAAEPP), which
treatment would be an example of a Step 1 preferred treatment for an adult with
persistent asthma?
A. Short acting beta 2 antagonist prn (SABA)
B. Medium dose ICS and
LABA C. low dose ICS and
LABA
D. high dose ICS and LABA and oral corticosteroid
9. Which of the following would be appropriate in the plan for a patient diagnosed with COPD?
A. Start HCTZ 12.5 mg daily. Discussed diet and exercise including review of DASH diet.
B. Demonstrate proper use of inhalers. Discuss importance of influenza vaccine.
Prescribed albuterol. 2 puffs every 4 hrs prn for SOB
C. Reviewed consequences of untreated condition. Encourage limited caloric intake to
1.800 daily. Prescribe lisinopril 1mg daily.
D. Pt prescribed amoxicillin 500 mg po. Refrain from work or school until symptoms improve.
10. Assessment findings include increased AP diameter, hypoxemia, expiratory wheezing,
cyanosis, chest tightness, and pursed lip breathing. Based on the symptoms presented what
is the most likely diagnosis?
A. COPD
B. Pharyngitis
C. Hypertension
D. Alpha thalassemia
11. A 60 y/o white male has presented with HTN and no evidence of CKD or diabetes.
According to JNC 8 which of the following pharmacological interventions would be more
appropriate?
A. Betablocker such as acebutolol
B. Nitroglycerine Spray
PRN C.
Hydrochlorothiazide
D. High intensity statin
12. At a 6 week follow up appt, a patient has not reached a goal to treat HTN with
hydrochlorothiazide, diet, and exercise. What would be an appropriate addition to the
patient’s regimen?
A. ACE or ARB
1. A patient presents with acute otitis externa with obstruction of the ear canal severe
enough to prevent patient self administration of pharmacologic treatment. What is the most
effective means to administer topical agent solutions.
A. Oral/systemic antibiotics
B. Aural toileting or wicking or a combination of both
C. A nebulizer machine
D. Surgical debridement
2. Otitis media, hypothyroid disease, deviated nasal septum, and chronic sinusitis
are differential diagnoses for what condition?
A. Mumps
B. Rhinitis
C. Dental Abscess
D. Viral influenza
3. Which of the following would NOT be included as part of the focused SOAP note for a
patient who suffers from allergic rhinitis?
A. Review of the HEENT physical examination
B. Discussion of health promotion issues
C. Patient Vital signs
D. Referral for additional allergy testing
4.A patient diagnosed with bacterial conjunctivitis. Which of the following education and
counseling notes would NOT be appropriate for this patient?
A. Contact lenses should be discarded and new lenses should not be worn until
symptoms subside
B. Clean all linens thoroughly
C. Patient may return to work upon completing the initial dose of antibiotics
D. Any eye make up should be replaced
5. Incubation period for Group A beta-hemolytic streptococcus?
A. 24-72 hours
B. 12-24 hours
C. 72-96
D. +96
6. Which of the following demographic groups would NOT be considered at risk
for complications of influenza?
A. young children
B. pregnant women
C. Suffering from heart, kidney, or neurologic
disease D. those who did not get the influenza
vaccine
, FINAL review nsg 6420 GRADED A LATEST 2022-2023
7. A patient is diagnosed acute bronchitis. What is the most appropriate antibiotic treatment
for this patient?
A. Penicillin
B. Oflaxacin
C. Metronidazol
D. Antibiotics are not recommended
8. According to the National Asthma education and prevention program (NAAEPP), which
treatment would be an example of a Step 1 preferred treatment for an adult with
persistent asthma?
A. Short acting beta 2 antagonist prn (SABA)
B. Medium dose ICS and
LABA C. low dose ICS and
LABA
D. high dose ICS and LABA and oral corticosteroid
9. Which of the following would be appropriate in the plan for a patient diagnosed with COPD?
A. Start HCTZ 12.5 mg daily. Discussed diet and exercise including review of DASH diet.
B. Demonstrate proper use of inhalers. Discuss importance of influenza vaccine.
Prescribed albuterol. 2 puffs every 4 hrs prn for SOB
C. Reviewed consequences of untreated condition. Encourage limited caloric intake to
1.800 daily. Prescribe lisinopril 1mg daily.
D. Pt prescribed amoxicillin 500 mg po. Refrain from work or school until symptoms improve.
10. Assessment findings include increased AP diameter, hypoxemia, expiratory wheezing,
cyanosis, chest tightness, and pursed lip breathing. Based on the symptoms presented what
is the most likely diagnosis?
A. COPD
B. Pharyngitis
C. Hypertension
D. Alpha thalassemia
11. A 60 y/o white male has presented with HTN and no evidence of CKD or diabetes.
According to JNC 8 which of the following pharmacological interventions would be more
appropriate?
A. Betablocker such as acebutolol
B. Nitroglycerine Spray
PRN C.
Hydrochlorothiazide
D. High intensity statin
12. At a 6 week follow up appt, a patient has not reached a goal to treat HTN with
hydrochlorothiazide, diet, and exercise. What would be an appropriate addition to the
patient’s regimen?
A. ACE or ARB
