NSG 6440: PREDICTOR TEST QUESTIONS AND ANS
x x x x x x
WERS WITH EXPLANATIONS GRADED A (2023) DO
x x x x x x
WNLOAD TO SCORE A x x x
TYPEDxPRE-
PREDICTOR
1) Ax44xyearsxoldxfemalexpatientxhasxdiabetes.xHerxtotalxcholesterolx(TC)xisx250xmg/dlx(6.5xmmo
l/L),xLDL=x190xmg/dLx(4.94xmmol/L),xHDL=x25xmg/dLx(65xmmol/L),xandxtriglycerides=x344xmg/
dLx(8.94xmmol/L).xWhatxagentxhavexthexgreatestxeffectxonximprovingxherxlipidxprofilexandxreducingx
morbidityxandxmortalityxassociatesxwithxdyslipidemia?
a.
Niacinx(Niaspan)x
b. Atorvastatin
c. Omegax3xfattyxacids
d. Fenofibrates
Explanation:xFirstxandxforemost,xitxisxessentialxtoxeducatexindividualsxonxaxheart-
healthyxlifestyle.xLDL-
Cxisxonexofxthexmajorxculpritsxinxthexdevelopmentxofxatheroscleroticxheartxdisease.xThextargetxlevelx
ofxLDL-
Cxisxbetweenx50xtox70mg/dlxtoxpreventxplaquexformationxinxthexbloodxvessels.xGuidelinesxstronglyx
recommendxstatinxtherapyxbecausextheyxprimarilyxlowerxLDL-
Cxlevels,xbutxtheyxalsoxhavexthexsecondaryxeffectsxofxloweringxtriglyceridexandxincreasingxHDL-
Cxlevels.
2) Ax30xyearsxoldxfemalexcomesxintoxaxclinicxwithxclassicxsignsxandxsymptomsxofxappendicitis.xT
hexNPxfailsxtoxreferxthexpatientxtoxaxsurgeon.xThexappendixxrupturesxandxthexwomanxdie.xThisxisxanx
examplexof
a. Failurexofxdiligence
b. Professionalxliability
c. Negligencex
,NSG 6440: PREDICTOR TEST QUESTIONS AND ANS
x x x x x x
WERS WITH EXPLANATIONS GRADED A (2023) DO
x x x x x x
WNLOAD TO SCORE A x x x
d. Malpractice
Explanation:xmalpractice,xaxnegligencextort,xoccursxwhenxaxhealthxcarexprofessional’sxactionsxfall
bellowxthexappropriatexstandardxofxcarexandxhurtsxthexpatient.xInxthisxcasexthexpatientxcamexwithxsing
sxandxsymptomsxindicatingxappendicitisxandxthexNPxfailedxtoxreferxthexpatient..
3) Ax15xyearsxoldxhighxschoolxstudentxwithxaxmildxsorexthroatxandxlow-
gradexfeverxthatxhasxpersistedxforxaboutx3xweeks.xShexreportsxgeneralxmalaise,xfatigue,xandxlossx
ofxappetite.xThexNPxsuspectsxmononucleosis.xWhichxofxthexfollowingxisxthexLEASTxappropriatex
intervention?
a. Palpatexthexlymphxnodesxandxspleen
b. Examinexthexposteriorxoropharynxxforxpetechiae
c. ObtainxaxCBC,xthroatxculture,xandxheterophilxantibodyxtest.xd
. ObtainxanxurinalysesxandxserumxforxLFTsxandxamylase
Explanation:xmononucleosisxisxaxsymptomaticxinfectionxcausedxbyxthexEpstein-
Barxvirus.xCommonxisxpeoplex15-
24xyearsxofxage.x Commonxsignsxandxsymptomsxfollowingxincubationxperiodx(1-
2xmonths)xincludexfatigue,xchills,xmalaise,xanorexia,xwhitextonsillarxexudatesxandxlymphadenopathy
x orxposteriorxcervicalxregion.xSplenomegalyxcanxbexpresent.xAxmaculopapularxorxoccasionallyxaxpete
chialxrashxoccursxinxlessxthanx15%xofxpatients.xAxdiagnosisxisxusuallyxmadexusingxthexMonospot.xInx
addition,xneutropeniaxandxlymphocytosisxarexusuallyxdetectedxinxthexCBC.
4) Ax32xyearsxoldxmalexpatientxcomplaintxofxurinaryxfrequencyxandxburningxonxurinationxforx3xd
ays.xUrinalysesxrevealsxbacteriuriaxandxpositivexnitrites.xHexdeniesxanyxpastxhx.xOfxurinaryxtractxin
fections.xThexinitialxtreatmentxshouldxbe:
a. trimethoprim-sulfamethoxazolex(Bactrim,xSulfatrim)xforx7-10xday
b. ciprofloxacinx(Cipro)xforx3-5xdays
c. Trimethoprim-Sulfamethoxazolexforx3xdays
,NSG 6440: PREDICTOR TEST QUESTIONS AND ANS
x x x x x x
WERS WITH EXPLANATIONS GRADED A (2023) DO
x x x x x x
WNLOAD TO SCORE A x x x
d. 750xmgxciprofloxacinxasxaxone-timexdose
Explanation:xtrimethoprim-
sulfamethoxazolex(TMPS)xisxusuallyxnxappropriatexmedicationxtoxtreatxurinaryxtractxinfectionsxinxm
ostxpatients.x InxthexcasexofxcommunityxresistancextoxTMPS
>20%^,xanotherxmedicationxshouldxbexsubstituted.xInxmen,xthexappropriatexlengthxofxtimexisx7-
10xdays.xWomenxmayxbextreatedxforx3xdaysxforxuncomplicatedxUTI
5) Whichxagentxisxmostxeffectivexforxthextreatmentxofxnodulocysticxacne?
a. Benzoylxperoxidex(Benzac)
b. Retinoicxacidx(RetinxA)
c. Topicalxtetracyclinex
d. Isotretinoin)
Explanation:xIsotretinoinx(Accutane)xisxaxsystemicxagentxindicatedxforxtreatmentxwithxseverexinfla
mmatoryxacne.xGuidelinesxforxitsxusexmustxbexclearlyxunderstoodxbyxthexpatient.xAxwomanxofxchildb
earingxagexmustxusexanxeffectivexmethodxofxcontraceptionxbecausexisotretinoinxisxteratogenic.xTher
exarexmanyxrestrictionsxinxprescribingxthisxmedicationxbecausexofxthexteratogenicxeffectsxisxgivenxdur
ingxpregnancy.xTherefore,xitxisxaxpregnancyxcategoryxX.
6) Anx18xy/oxwomanxisxtakingxaxcombinedxhormonalxoralxcontraceptive.xShexshouldxbexi
nstructedxtoxusexaxbackupxmethodxforxthexpreventionxofxpregnancy
a. Throughoutxthexweekxofxplaceboxpills
b. Ifxprescribedxtopiramatex(Topamax)xforxthextreatmentxofxmigraines.
, NSG 6440: PREDICTOR TEST QUESTIONS AND ANS
x x x x x x
WERS WITH EXPLANATIONS GRADED A (2023) DO
x x x x x x
WNLOAD TO SCORE A x x x
c. Ifxprescribedxamoxicillin/clavulanatex(Augmentin)xforxaxsinusxinfection
d. ifxshexforgetsxtoxtakexaxsinglexdosexofxthexcontraceptive
Explanation:xAnticonvulsantxincludingxphenytoinx(Dilantin),xcarbamazepinex(Tegretol),xprimido
nex(Mysoline),xtopiramatex(Topamax)xandxoxcarbazepinex(Trileptal)xreducexthexeffectivenessxofxco
ntraceptives.xDepo-medroxyprogesteronexacetatex injectionsxorxlevonorgestrel-
releasingxintrauterinexdevicesxwouldxbexaxbetterxmethodxofxcontraceptivexforxpatientsxtakingxantico
x
nvulsants.xMostxcommonlyxusedxantibioticsxhavexnotxbeenxprovenxtoxreducexthexeffectivenessxofxco
ntraceptives.xRifampinxisxanxexception,xandxadditionalx….xBexusedxbyxwomenxtakingxthisxdrugxandx
usingxoralxcontraceptives,xtransdermal,xorxvaginalxringxpreparations.
Additionalxbackupxcontraceptionxshouldxbexusedxifxtakingxantifungalxagents.xNoxadditionalxprotect
ionxisxneededxthoughtxthexweekxofxplaceboxpills.xMissingxonexsinglexdosexofxcontraceptivexdoesxnot
x requirexadditionalxprotection,xmissingxmorexthanxonexdosesxdoes.
7) AxNPxhasxrecentlyxbeenxhiredxtoxworkxinxaxfastxtrackxfacility.xThexNPxemployerxaskedxifxs
hexhasx“axproblemxprescribingxmedicationsxforxemergencyxcontraception.”xThexNPxrepliesxaffi
rmatively.xThisxis:
a. Groundsxforxdismissal
b. AnxethicalxdilemmaxforxthexNP
x x x x x x
WERS WITH EXPLANATIONS GRADED A (2023) DO
x x x x x x
WNLOAD TO SCORE A x x x
TYPEDxPRE-
PREDICTOR
1) Ax44xyearsxoldxfemalexpatientxhasxdiabetes.xHerxtotalxcholesterolx(TC)xisx250xmg/dlx(6.5xmmo
l/L),xLDL=x190xmg/dLx(4.94xmmol/L),xHDL=x25xmg/dLx(65xmmol/L),xandxtriglycerides=x344xmg/
dLx(8.94xmmol/L).xWhatxagentxhavexthexgreatestxeffectxonximprovingxherxlipidxprofilexandxreducingx
morbidityxandxmortalityxassociatesxwithxdyslipidemia?
a.
Niacinx(Niaspan)x
b. Atorvastatin
c. Omegax3xfattyxacids
d. Fenofibrates
Explanation:xFirstxandxforemost,xitxisxessentialxtoxeducatexindividualsxonxaxheart-
healthyxlifestyle.xLDL-
Cxisxonexofxthexmajorxculpritsxinxthexdevelopmentxofxatheroscleroticxheartxdisease.xThextargetxlevelx
ofxLDL-
Cxisxbetweenx50xtox70mg/dlxtoxpreventxplaquexformationxinxthexbloodxvessels.xGuidelinesxstronglyx
recommendxstatinxtherapyxbecausextheyxprimarilyxlowerxLDL-
Cxlevels,xbutxtheyxalsoxhavexthexsecondaryxeffectsxofxloweringxtriglyceridexandxincreasingxHDL-
Cxlevels.
2) Ax30xyearsxoldxfemalexcomesxintoxaxclinicxwithxclassicxsignsxandxsymptomsxofxappendicitis.xT
hexNPxfailsxtoxreferxthexpatientxtoxaxsurgeon.xThexappendixxrupturesxandxthexwomanxdie.xThisxisxanx
examplexof
a. Failurexofxdiligence
b. Professionalxliability
c. Negligencex
,NSG 6440: PREDICTOR TEST QUESTIONS AND ANS
x x x x x x
WERS WITH EXPLANATIONS GRADED A (2023) DO
x x x x x x
WNLOAD TO SCORE A x x x
d. Malpractice
Explanation:xmalpractice,xaxnegligencextort,xoccursxwhenxaxhealthxcarexprofessional’sxactionsxfall
bellowxthexappropriatexstandardxofxcarexandxhurtsxthexpatient.xInxthisxcasexthexpatientxcamexwithxsing
sxandxsymptomsxindicatingxappendicitisxandxthexNPxfailedxtoxreferxthexpatient..
3) Ax15xyearsxoldxhighxschoolxstudentxwithxaxmildxsorexthroatxandxlow-
gradexfeverxthatxhasxpersistedxforxaboutx3xweeks.xShexreportsxgeneralxmalaise,xfatigue,xandxlossx
ofxappetite.xThexNPxsuspectsxmononucleosis.xWhichxofxthexfollowingxisxthexLEASTxappropriatex
intervention?
a. Palpatexthexlymphxnodesxandxspleen
b. Examinexthexposteriorxoropharynxxforxpetechiae
c. ObtainxaxCBC,xthroatxculture,xandxheterophilxantibodyxtest.xd
. ObtainxanxurinalysesxandxserumxforxLFTsxandxamylase
Explanation:xmononucleosisxisxaxsymptomaticxinfectionxcausedxbyxthexEpstein-
Barxvirus.xCommonxisxpeoplex15-
24xyearsxofxage.x Commonxsignsxandxsymptomsxfollowingxincubationxperiodx(1-
2xmonths)xincludexfatigue,xchills,xmalaise,xanorexia,xwhitextonsillarxexudatesxandxlymphadenopathy
x orxposteriorxcervicalxregion.xSplenomegalyxcanxbexpresent.xAxmaculopapularxorxoccasionallyxaxpete
chialxrashxoccursxinxlessxthanx15%xofxpatients.xAxdiagnosisxisxusuallyxmadexusingxthexMonospot.xInx
addition,xneutropeniaxandxlymphocytosisxarexusuallyxdetectedxinxthexCBC.
4) Ax32xyearsxoldxmalexpatientxcomplaintxofxurinaryxfrequencyxandxburningxonxurinationxforx3xd
ays.xUrinalysesxrevealsxbacteriuriaxandxpositivexnitrites.xHexdeniesxanyxpastxhx.xOfxurinaryxtractxin
fections.xThexinitialxtreatmentxshouldxbe:
a. trimethoprim-sulfamethoxazolex(Bactrim,xSulfatrim)xforx7-10xday
b. ciprofloxacinx(Cipro)xforx3-5xdays
c. Trimethoprim-Sulfamethoxazolexforx3xdays
,NSG 6440: PREDICTOR TEST QUESTIONS AND ANS
x x x x x x
WERS WITH EXPLANATIONS GRADED A (2023) DO
x x x x x x
WNLOAD TO SCORE A x x x
d. 750xmgxciprofloxacinxasxaxone-timexdose
Explanation:xtrimethoprim-
sulfamethoxazolex(TMPS)xisxusuallyxnxappropriatexmedicationxtoxtreatxurinaryxtractxinfectionsxinxm
ostxpatients.x InxthexcasexofxcommunityxresistancextoxTMPS
>20%^,xanotherxmedicationxshouldxbexsubstituted.xInxmen,xthexappropriatexlengthxofxtimexisx7-
10xdays.xWomenxmayxbextreatedxforx3xdaysxforxuncomplicatedxUTI
5) Whichxagentxisxmostxeffectivexforxthextreatmentxofxnodulocysticxacne?
a. Benzoylxperoxidex(Benzac)
b. Retinoicxacidx(RetinxA)
c. Topicalxtetracyclinex
d. Isotretinoin)
Explanation:xIsotretinoinx(Accutane)xisxaxsystemicxagentxindicatedxforxtreatmentxwithxseverexinfla
mmatoryxacne.xGuidelinesxforxitsxusexmustxbexclearlyxunderstoodxbyxthexpatient.xAxwomanxofxchildb
earingxagexmustxusexanxeffectivexmethodxofxcontraceptionxbecausexisotretinoinxisxteratogenic.xTher
exarexmanyxrestrictionsxinxprescribingxthisxmedicationxbecausexofxthexteratogenicxeffectsxisxgivenxdur
ingxpregnancy.xTherefore,xitxisxaxpregnancyxcategoryxX.
6) Anx18xy/oxwomanxisxtakingxaxcombinedxhormonalxoralxcontraceptive.xShexshouldxbexi
nstructedxtoxusexaxbackupxmethodxforxthexpreventionxofxpregnancy
a. Throughoutxthexweekxofxplaceboxpills
b. Ifxprescribedxtopiramatex(Topamax)xforxthextreatmentxofxmigraines.
, NSG 6440: PREDICTOR TEST QUESTIONS AND ANS
x x x x x x
WERS WITH EXPLANATIONS GRADED A (2023) DO
x x x x x x
WNLOAD TO SCORE A x x x
c. Ifxprescribedxamoxicillin/clavulanatex(Augmentin)xforxaxsinusxinfection
d. ifxshexforgetsxtoxtakexaxsinglexdosexofxthexcontraceptive
Explanation:xAnticonvulsantxincludingxphenytoinx(Dilantin),xcarbamazepinex(Tegretol),xprimido
nex(Mysoline),xtopiramatex(Topamax)xandxoxcarbazepinex(Trileptal)xreducexthexeffectivenessxofxco
ntraceptives.xDepo-medroxyprogesteronexacetatex injectionsxorxlevonorgestrel-
releasingxintrauterinexdevicesxwouldxbexaxbetterxmethodxofxcontraceptivexforxpatientsxtakingxantico
x
nvulsants.xMostxcommonlyxusedxantibioticsxhavexnotxbeenxprovenxtoxreducexthexeffectivenessxofxco
ntraceptives.xRifampinxisxanxexception,xandxadditionalx….xBexusedxbyxwomenxtakingxthisxdrugxandx
usingxoralxcontraceptives,xtransdermal,xorxvaginalxringxpreparations.
Additionalxbackupxcontraceptionxshouldxbexusedxifxtakingxantifungalxagents.xNoxadditionalxprotect
ionxisxneededxthoughtxthexweekxofxplaceboxpills.xMissingxonexsinglexdosexofxcontraceptivexdoesxnot
x requirexadditionalxprotection,xmissingxmorexthanxonexdosesxdoes.
7) AxNPxhasxrecentlyxbeenxhiredxtoxworkxinxaxfastxtrackxfacility.xThexNPxemployerxaskedxifxs
hexhasx“axproblemxprescribingxmedicationsxforxemergencyxcontraception.”xThexNPxrepliesxaffi
rmatively.xThisxis:
a. Groundsxforxdismissal
b. AnxethicalxdilemmaxforxthexNP
