Adv Practice Nursing I
William Paterson University
(Actual Questions and Answers)
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,### 1. The nurse prac oner is trea ng a 35 year old pa ent for a
primary herpes infec on. The first-line treatment op on for primary
herpes infec on includes:
Op ons:
A. Acyclovir 400 mg TID for 7-10 days
B. Valacyclovir 1 g daily for 3 days
C. Famciclovir 250 mg BID for 5 days
D. No treatment needed
Correct Answer: A. Acyclovir 400 mg TID for 7-10 days
Ra onale:
The first-line treatment for primary herpes simplex virus infec)on is a 7-
10 day course of acyclovir 400 mg three )mes daily, which reduces
symptom dura)on and viral shedding.
---
### 2. A pa ent with complaints of foul-smelling, frothy, copious, and
pale yellow to gray-green vaginal discharge. On exam, vulvovaginal
irrita on and cervical petechiae is noted. The most likely treatment
includes:
Op ons:
,A. Fluconazole
B. Metronidazole
C. Clindamycin
D. Azithromycin
Correct Answer: B. Metronidazole
Ra onale:
These findings are consistent with trichomoniasis. Metronidazole is the
treatment of choice for this protozoal infec)on.
---
### 3. Mary is a 36-year-old woman who complains of vaginal
burning. The nurse prac oner assesses grayish-white adherent
vaginal discharge that has a fishy odor. The discharge pH level is 5.1,
and there is a (+) whiff test. The treatment of choice for this is:
Op ons:
A. Fluconazole
B. Metronidazole
C. Clindamycin
D. Oral doxycycline
, Correct Answer: B. Metronidazole
Ra onale:
These are classic findings of bacterial vaginosis. Metronidazole is the
first-line therapy for bacterial vaginosis.
---
### 3. Jane is a 38 year old female who presents with non-odorous
thick, white, curd-like vaginal discharge and vulvar itching. She is in a
monogamous rela onship and was recently treated for a sinus
infec on. The most likely treatment includes which of the following?:
Op ons:
A. Fluconazole 800 mg single dose
B. Metronidazole 500 mg BID 7 days
C. Clotrimazole cream
D. Oral doxycycline
Correct Answer: A. Fluconazole 800 mg single dose
Ra onale: