NSG 6440 PREDICTOR TEST EXAM QUESTIONS AND ANSWERS
EXPLAINED 100%CORRECT/VERIFIED NEW UPDATE 2022/2023
GRADED A+
Typed17Pre-Predictor
• A171517years17old17high17school17student17with17a17mild17sore17throat17and17
low-
grade17fever17that17has17persisted17for17about17317weeks.17She17reports17general17
malaise,17fatigue,
and17loss17of17appetite.17The17NP17suspects17mononucleosis.17Which17of17the17follo
wing17is17the17LEAST17appropriate17intervention?
a. Palpate17the17lymph17nodes17and17spleen
b. Examine17the17posterior17oropharynx17for17petechiae
c. Obtain17a17CBC,17throat17culture,17and17heterop
hil17antibody17test.17d.17Obtain17an17urinalyses17and17
serum17for17LFTs17and17amylase
Explanation:17mononucleosis17is17a17symptomatic17infection17caused17by17the17Epstei
n-Bar17virus.17Common17is17people1715-
2417years17of17age.17Common17signs17and17symptoms17following17incubation17period1
(1-
7
217months)17include17fatigue,17chills,17malaise,17anorexia,17white17tonsillar17exudates1
7 and17lymphadenopathy17or17posterior17cervical17region.
Splenomegaly17can17be17present.17A17maculopapular17or17occasionally17a17petechia
l17rash17occurs17in17less17than1715%17of17patients.17A17diagnosis17is17usually17made1
7 using17the17Monospot.17In17addition,17neutropenia17and17lymphocytosis17are17usual
ly17detected17in17the17CBC.
,• A173217years17old17male17patient17complaint17of17urinary17frequency17and17bur
ning17on17urination17for17317days.17Urinalyses17reveals17bacteriuria17and17positive17n
itrites.17He17denies
any17past17hx.17Of17urinary17tract17infections.17The17initial17treatment17should17be:
,a. trimethoprim-sulfamethoxazole17(Bactrim,17Sulfatrim)17for177-1017day
b. ciprofloxacin17(Cipro)17for173-517days
c. Trimethoprim-Sulfamethoxazole17for17317days
d. 75017mg17ciprofloxacin17as17a17one-time17dose
Explanation:17trimethoprim-
sulfamethoxazole17(TMPS)17is17usually17n17appropriate17medication17to17treat17urin
ary17tract17infections17in17most17patients.17In17the17case17of17community17resistance1
7 to17TMPS
>20%^,17another17medication17should17be17substituted.17In17men,17the17appropriate17
length17of17time17is177-
1017days.17Women17may17be17treated17for17317days17for17uncomplicated17UTI
• Which17agent17is17most17effective17for17the17treatment17of17nodulocystic17acne?
a. Benzoyl17peroxide17(Benzac)
b. Retinoic17acid17(Retin17A)
c. Topical17
tetracycline17d
.
Isotretinoin)
Explanation:17Isotretinoin17(Accutane)17is17a17systemic17agent17indicated17for17trea
tment17with17severe17inflammatory17acne.17Guidelines17for17its17use17must17be17clear
ly17understood17by17the17patient.17A17woman17of17childbearing17age17must17use17an1
7 effective17method17of17contraception17because17isotretinoin17is17teratogenic.17Ther
e17are17many17restrictions17in
, prescribing17this17medication17because17of17the17teratogenic17effects17is17given17duri
ng17pregnancy.17Therefore,17it17is17a17pregnancy17category17X.
• An171817y/o17woman17is17taking17a17combined17hormonal17oral17contra
ceptive.17She17should17be17instructed17to17use17a17backup17method17for17the
17prevention17of
pregnancy
a. Throughout17the17week17of17placebo17pills
b. If17prescribed17topiramate17(Topamax)17for17the17treatment17of17migraines.
EXPLAINED 100%CORRECT/VERIFIED NEW UPDATE 2022/2023
GRADED A+
Typed17Pre-Predictor
• A171517years17old17high17school17student17with17a17mild17sore17throat17and17
low-
grade17fever17that17has17persisted17for17about17317weeks.17She17reports17general17
malaise,17fatigue,
and17loss17of17appetite.17The17NP17suspects17mononucleosis.17Which17of17the17follo
wing17is17the17LEAST17appropriate17intervention?
a. Palpate17the17lymph17nodes17and17spleen
b. Examine17the17posterior17oropharynx17for17petechiae
c. Obtain17a17CBC,17throat17culture,17and17heterop
hil17antibody17test.17d.17Obtain17an17urinalyses17and17
serum17for17LFTs17and17amylase
Explanation:17mononucleosis17is17a17symptomatic17infection17caused17by17the17Epstei
n-Bar17virus.17Common17is17people1715-
2417years17of17age.17Common17signs17and17symptoms17following17incubation17period1
(1-
7
217months)17include17fatigue,17chills,17malaise,17anorexia,17white17tonsillar17exudates1
7 and17lymphadenopathy17or17posterior17cervical17region.
Splenomegaly17can17be17present.17A17maculopapular17or17occasionally17a17petechia
l17rash17occurs17in17less17than1715%17of17patients.17A17diagnosis17is17usually17made1
7 using17the17Monospot.17In17addition,17neutropenia17and17lymphocytosis17are17usual
ly17detected17in17the17CBC.
,• A173217years17old17male17patient17complaint17of17urinary17frequency17and17bur
ning17on17urination17for17317days.17Urinalyses17reveals17bacteriuria17and17positive17n
itrites.17He17denies
any17past17hx.17Of17urinary17tract17infections.17The17initial17treatment17should17be:
,a. trimethoprim-sulfamethoxazole17(Bactrim,17Sulfatrim)17for177-1017day
b. ciprofloxacin17(Cipro)17for173-517days
c. Trimethoprim-Sulfamethoxazole17for17317days
d. 75017mg17ciprofloxacin17as17a17one-time17dose
Explanation:17trimethoprim-
sulfamethoxazole17(TMPS)17is17usually17n17appropriate17medication17to17treat17urin
ary17tract17infections17in17most17patients.17In17the17case17of17community17resistance1
7 to17TMPS
>20%^,17another17medication17should17be17substituted.17In17men,17the17appropriate17
length17of17time17is177-
1017days.17Women17may17be17treated17for17317days17for17uncomplicated17UTI
• Which17agent17is17most17effective17for17the17treatment17of17nodulocystic17acne?
a. Benzoyl17peroxide17(Benzac)
b. Retinoic17acid17(Retin17A)
c. Topical17
tetracycline17d
.
Isotretinoin)
Explanation:17Isotretinoin17(Accutane)17is17a17systemic17agent17indicated17for17trea
tment17with17severe17inflammatory17acne.17Guidelines17for17its17use17must17be17clear
ly17understood17by17the17patient.17A17woman17of17childbearing17age17must17use17an1
7 effective17method17of17contraception17because17isotretinoin17is17teratogenic.17Ther
e17are17many17restrictions17in
, prescribing17this17medication17because17of17the17teratogenic17effects17is17given17duri
ng17pregnancy.17Therefore,17it17is17a17pregnancy17category17X.
• An171817y/o17woman17is17taking17a17combined17hormonal17oral17contra
ceptive.17She17should17be17instructed17to17use17a17backup17method17for17the
17prevention17of
pregnancy
a. Throughout17the17week17of17placebo17pills
b. If17prescribed17topiramate17(Topamax)17for17the17treatment17of17migraines.