SNHU BSU NUR 681 EXAM 3/FINAL EXAM 2025 |150
QUESTIONS WITH ACCURATE SOLUTIONS
1. If a patient presents with purulent and thick discharge from the eye, what
would be the most appropriate initial management step?
Prescribe antibiotic eye drops
Advise over-the-counter antihistamines
Suggest artificial tears
Recommend warm compresses
2. A nurse is assessing a client who is unable to extend the legs without
pain, has a temperature of 103°F, and on flexion of the neck also flexes
the hip and knee. Based on this assessment, the nurse suspects the client
has:
Epilepsy
Brain tumor
Meningitis
Brain abscess
3. Tiamcinolone (Azmacort) is used in the treatment of asthma to
Reverse bronchospasm
Mobilize secretions
Decrease response to inflammation
Enhance mast cell release
,4. A 55-year-old male with a BMI of 30 has a history of angina and type 2
diabetes. His lipid profile shows total cholesterol of 280, LDL of 195, and
HDL of 25. He is diagnosed with hyperlipidemia and the decision is made
to start him on a statin. What intensity of treatment is recommended for
this patient?
High-intensity statin
Moderate-intensity statin
Very high-intensity statin
Low-intensity statin
5. In a clinical scenario, if an elderly patient with osteoporosis presents with
uncontrolled hypertension, which treatment strategy should be
prioritized based on the patient's condition?
Use an ACE inhibitor to address hypertension.
Prescribe a thiazide diuretic to manage hypertension.
Initiate treatment with amlodipine (Norvasc) as the first-line
antihypertensive.
Start treatment with a beta-blocker to control heart rate.
6. Which cranial nerve is responsible for the sensation of touch in the
corneal reflex test?
CN IX
CN V
CN VII
CN III
7. Why is amoxicillin not typically prescribed for acute bronchitis in adults?
Amoxicillin is too strong for treating acute bronchitis.
, Acute bronchitis is usually viral, and antibiotics like amoxicillin
are ineffective against viruses.
Amoxicillin is only prescribed for bacterial pneumonia, not
bronchitis.
Acute bronchitis requires immediate hospitalization, not outpatient
treatment.
8. Which H2 blocker is known to cause drug interactions with Phenytoin and
Theophylline?
Famotidine (Pepcid)
Cimetidine (Tagamet)
Ranitidine (Zantac)
Nizatidine (Axid)
9. A patient presents with sudden onset of dyspnea and chest pain. After
applying the Wells Score, the NP determines a high probability of
pulmonary embolism. What should be the next step in management?
Order a chest X-ray
Start anticoagulation therapy immediately
Refer to a cardiologist
Obtain a CT pulmonary angiogram
10. What is the clinical significance of tenderness at McBurney's point?
Pancreatitis
Acute appendicitis
Cholecystitis
Diverticulitis
, 11. Why is Amlodipine (Norvasc) contraindicated in a patient with second
degree heart block?
Amlodipine is primarily used for treating migraines.
Amlodipine is ineffective for hypertension management in all
patients.
Amlodipine has no effect on heart rate or conduction.
Amlodipine can exacerbate heart block due to its calcium
channel blocking effects, which may worsen conduction issues.
12. A patient presents to the emergency department for excruciating pain to
the jaw. Factors such as chewing and eating hot or cold food cause
further debilitation. Based on the data provided, there is a preliminary
diagnosis of trigeminal neuralgia. This disease involves which cranial
nerve?
VIII
V
IV
II
13. Why might a person who has received the BCG vaccine show a positive
reaction to the tuberculin skin test?
The BCG vaccine has no effect on the tuberculin skin test results.
The BCG vaccine prevents all forms of tuberculosis, leading to a
negative test.
The BCG vaccine can cause a positive reaction due to the
immune response it generates against tuberculosis antigens.
The test measures the effectiveness of the vaccine, not the
presence of infection.
QUESTIONS WITH ACCURATE SOLUTIONS
1. If a patient presents with purulent and thick discharge from the eye, what
would be the most appropriate initial management step?
Prescribe antibiotic eye drops
Advise over-the-counter antihistamines
Suggest artificial tears
Recommend warm compresses
2. A nurse is assessing a client who is unable to extend the legs without
pain, has a temperature of 103°F, and on flexion of the neck also flexes
the hip and knee. Based on this assessment, the nurse suspects the client
has:
Epilepsy
Brain tumor
Meningitis
Brain abscess
3. Tiamcinolone (Azmacort) is used in the treatment of asthma to
Reverse bronchospasm
Mobilize secretions
Decrease response to inflammation
Enhance mast cell release
,4. A 55-year-old male with a BMI of 30 has a history of angina and type 2
diabetes. His lipid profile shows total cholesterol of 280, LDL of 195, and
HDL of 25. He is diagnosed with hyperlipidemia and the decision is made
to start him on a statin. What intensity of treatment is recommended for
this patient?
High-intensity statin
Moderate-intensity statin
Very high-intensity statin
Low-intensity statin
5. In a clinical scenario, if an elderly patient with osteoporosis presents with
uncontrolled hypertension, which treatment strategy should be
prioritized based on the patient's condition?
Use an ACE inhibitor to address hypertension.
Prescribe a thiazide diuretic to manage hypertension.
Initiate treatment with amlodipine (Norvasc) as the first-line
antihypertensive.
Start treatment with a beta-blocker to control heart rate.
6. Which cranial nerve is responsible for the sensation of touch in the
corneal reflex test?
CN IX
CN V
CN VII
CN III
7. Why is amoxicillin not typically prescribed for acute bronchitis in adults?
Amoxicillin is too strong for treating acute bronchitis.
, Acute bronchitis is usually viral, and antibiotics like amoxicillin
are ineffective against viruses.
Amoxicillin is only prescribed for bacterial pneumonia, not
bronchitis.
Acute bronchitis requires immediate hospitalization, not outpatient
treatment.
8. Which H2 blocker is known to cause drug interactions with Phenytoin and
Theophylline?
Famotidine (Pepcid)
Cimetidine (Tagamet)
Ranitidine (Zantac)
Nizatidine (Axid)
9. A patient presents with sudden onset of dyspnea and chest pain. After
applying the Wells Score, the NP determines a high probability of
pulmonary embolism. What should be the next step in management?
Order a chest X-ray
Start anticoagulation therapy immediately
Refer to a cardiologist
Obtain a CT pulmonary angiogram
10. What is the clinical significance of tenderness at McBurney's point?
Pancreatitis
Acute appendicitis
Cholecystitis
Diverticulitis
, 11. Why is Amlodipine (Norvasc) contraindicated in a patient with second
degree heart block?
Amlodipine is primarily used for treating migraines.
Amlodipine is ineffective for hypertension management in all
patients.
Amlodipine has no effect on heart rate or conduction.
Amlodipine can exacerbate heart block due to its calcium
channel blocking effects, which may worsen conduction issues.
12. A patient presents to the emergency department for excruciating pain to
the jaw. Factors such as chewing and eating hot or cold food cause
further debilitation. Based on the data provided, there is a preliminary
diagnosis of trigeminal neuralgia. This disease involves which cranial
nerve?
VIII
V
IV
II
13. Why might a person who has received the BCG vaccine show a positive
reaction to the tuberculin skin test?
The BCG vaccine has no effect on the tuberculin skin test results.
The BCG vaccine prevents all forms of tuberculosis, leading to a
negative test.
The BCG vaccine can cause a positive reaction due to the
immune response it generates against tuberculosis antigens.
The test measures the effectiveness of the vaccine, not the
presence of infection.
