NURS 6550 MIDTERM REVIEW STUDY
GUIDE EXAM WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST 2025 ALREADY
GRADED A+
A patient recently had a nasal packing inserted for management of refractory
epistaxis. One week later he presents with fatigue, a headache "inside of his
nose" and a feeling generally unwell. The AGACNP considers: - ANSWERS-
Bacterial sinusitis
A 55-year-old female patient presents with a fever of 103.4° F. She was treated
approximately 10 days ago at urgent care for a sinus infection, but two days ago
the right side of her face started to hurt, and today she has significant swelling
of the right orbit and eyelid. The eyelid is very edematous and there is purulent
drainage noted. The priority of care for this patient begins with: - ANSWERS-
Initiating antibiotic therapy to cover streptococcus pneumoniae for orbital
cellulitis.
,Antibx: Clindamycin or Bactrim PLUS Augmentin or Cefdinir
Which of the following is the best indicator that pulmonary rehabilitation has
been successful in a patient with chronic obstructive pulmonary disease? -
ANSWERS-Subjective improvement of quality of life.
The goal is to help patients learn how to most effectively manage activities in
the setting of chronic hypoxemia.
What is included as first line therapy for patients with CHF? - ANSWERS-ACE
inhibitor and Beta blocker
Diuretic when symptomatic
What consistently describes the assessment of delirium in the geriatric patient?
- ANSWERS-Delirium is a symptom of some underlying disorder or imbalance,
and while that may include a cerebral event, most commonly the causes in the
geriatric patient are abnormalities outside of the CNS, e.g., urinary, pulmonary,
soft tissue, or blood infection, adverse drug effects, fecal impaction, hypoxia,
hepatic or renal failure, or any variety of other systemic causes
A patient with anterior epistaxis has been treated with direct pressure for 20
minutes. What are expected findings when the patient is instructed to gently
blow their nose? - ANSWERS-Successful treatment will be indicated by dark
residual blood or clots being discharged from the nose.
If bleeding has not stopped you will see a bright red steady trickle of blood
requiring more invasive measures.
, What is the most common organism in treating otitis media, bacterial sinusitis,
bacterial pharyngitis, AND community-acquired pneumonia? - ANSWERS-
Streptococcus pneumoniae
What is the greatest risk factor for vascular dementia? - ANSWERS-Vascular
diseases that result in target organ damage such as:
hypertension
dyslipidemia
diabetes
Hypertensive urgency vs emergency - ANSWERS-- Hypertensive urgency: BP
>200/120 w/o sx; Tx with PO furosemide, clonidine or captopril
- Hypertensive emergency: BP >200/120 WITH sx or evidence of end organ
damage; Tx with IV nitroprusside, labetalol or nicardipine
*Both req immediate treatment
What annual lab testing should be done for patients taking atypical
antipsychotics? - ANSWERS-Lipid Panel
Name some atypical antipsychotics - ANSWERS-OLAnzapine
CLOZapine
QUETIapine
GUIDE EXAM WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST 2025 ALREADY
GRADED A+
A patient recently had a nasal packing inserted for management of refractory
epistaxis. One week later he presents with fatigue, a headache "inside of his
nose" and a feeling generally unwell. The AGACNP considers: - ANSWERS-
Bacterial sinusitis
A 55-year-old female patient presents with a fever of 103.4° F. She was treated
approximately 10 days ago at urgent care for a sinus infection, but two days ago
the right side of her face started to hurt, and today she has significant swelling
of the right orbit and eyelid. The eyelid is very edematous and there is purulent
drainage noted. The priority of care for this patient begins with: - ANSWERS-
Initiating antibiotic therapy to cover streptococcus pneumoniae for orbital
cellulitis.
,Antibx: Clindamycin or Bactrim PLUS Augmentin or Cefdinir
Which of the following is the best indicator that pulmonary rehabilitation has
been successful in a patient with chronic obstructive pulmonary disease? -
ANSWERS-Subjective improvement of quality of life.
The goal is to help patients learn how to most effectively manage activities in
the setting of chronic hypoxemia.
What is included as first line therapy for patients with CHF? - ANSWERS-ACE
inhibitor and Beta blocker
Diuretic when symptomatic
What consistently describes the assessment of delirium in the geriatric patient?
- ANSWERS-Delirium is a symptom of some underlying disorder or imbalance,
and while that may include a cerebral event, most commonly the causes in the
geriatric patient are abnormalities outside of the CNS, e.g., urinary, pulmonary,
soft tissue, or blood infection, adverse drug effects, fecal impaction, hypoxia,
hepatic or renal failure, or any variety of other systemic causes
A patient with anterior epistaxis has been treated with direct pressure for 20
minutes. What are expected findings when the patient is instructed to gently
blow their nose? - ANSWERS-Successful treatment will be indicated by dark
residual blood or clots being discharged from the nose.
If bleeding has not stopped you will see a bright red steady trickle of blood
requiring more invasive measures.
, What is the most common organism in treating otitis media, bacterial sinusitis,
bacterial pharyngitis, AND community-acquired pneumonia? - ANSWERS-
Streptococcus pneumoniae
What is the greatest risk factor for vascular dementia? - ANSWERS-Vascular
diseases that result in target organ damage such as:
hypertension
dyslipidemia
diabetes
Hypertensive urgency vs emergency - ANSWERS-- Hypertensive urgency: BP
>200/120 w/o sx; Tx with PO furosemide, clonidine or captopril
- Hypertensive emergency: BP >200/120 WITH sx or evidence of end organ
damage; Tx with IV nitroprusside, labetalol or nicardipine
*Both req immediate treatment
What annual lab testing should be done for patients taking atypical
antipsychotics? - ANSWERS-Lipid Panel
Name some atypical antipsychotics - ANSWERS-OLAnzapine
CLOZapine
QUETIapine
