NR 508 Week 7 Quiz / NR508 Week 7 Quiz : Chamberlain College of Nursing (2020/21, All Correct)

NR508 Week 7 Quiz (Latest): Chamberlain College of Nursing NR 508 Week 7 Quiz (Latest): Chamberlain College of Nursing Question 1 A primary care NP sees a child who has honey-crusted lesions with areas of erythema around the nose and mouth. The child’s parent has been applying Polysporin ointment for 5 days and reports no improvement in the rash. The NP should prescribe: neomycin. Polysporin with a corticosteroid. a systemic antibiotic. mupirocin. Question 2 A primary care nurse practitioner (NP) sees a patient who has a 1-week history of watery, painful eyes with copious amounts of clear discharge and a sore throat. The NP observes bilateral erythema of the conjunctivae and palpates enlarged preauricular lymph nodes. The NP should prescribe _____ drops. ganciclovir nonsteroidalantiinflammatory ophthalmic antibiotic sympathomimetic ophthalmic Question 3 An NP sees a patient who reports persistent seasonal symptoms of rhinorrhea, sneezing, and nasal itching every spring unrelieved with diphenhydramine (Benadryl). The NP should prescribe: triamcinolone (Nasacort AQ). phenylephrine (Neo-Synephrine). cromolyn sodium (Nasalcrom). azelastine (Astelin). Question 4 A patient comes to the clinic with a 3-day history of fever and a severe cough that interferes with sleep. The patient asks the NP about using a cough suppressant to help with sleep. The NP should: obtain a thorough history of the patient’s symptoms. order a narcotic antitussive to suppress cough. prescribe an antibiotic to treat the underlying cause of the patient’s cough. suggest that the patient try a guaifenesin-only over-the-counter product. Question 5 A parent brings in a 2-month-old infant with a 5-day history of a white coating on the tongue and decreased oral intake. The primary care NP should prescribe: chlorhexidine, 15 mL oral rinse bid. carbamide peroxide, 2 to 3 drops tid. clotrimazole, one troche tid. nystatin oral suspension, 200,000 units qid. Question 6 A patient is seen by a primary care NP to evaluate a rash. The NP notes three ring-shaped lesions with elevated, erythematous borders and two smaller, scaly patches on the patient’s abdomen. The patient has not used any over-the-counter medications on the rash. The NP should prescribe: ketoconazole (Nizoral). miconazole (Lotrimin AF). oxiconazole (Oxistat). terbinafine (Lamisil). Question 7 A primary care NP sees a child with asthma to evaluate the child’s response to the prescribed therapy. The child uses an ICS twice daily and an albuterol metered-dose inhaler as needed. The child’s symptoms are well controlled. The NP notes slowing of the child’s linear growth on a standardized growth chart. The NP should change this child’s medication regimen to a: short-acting β2-agonist (SABA) with oral corticosteroids when symptomatic. combination ipratropium/albuterol inhaler twice daily. combination ICS/LABA inhaler twice daily. SABA as needed plus a leukotriene modifier once daily. Question 8 A primary care NP examines a patient who complains of chronic, intermittent watery eyes and runny nose. The NP notes cobblestone-like papillae inside the upper eyelid with nonerythematous conjunctivae. The NP should: refer the patient to an ophthalmologist. prescribe intranasal corticosteroids. prescribetrifluridine ophthalmic eye drops. apply fluorescein dye to examine the cornea. Question 9 A patient who has year-round allergic rhinitis uses an intranasal corticosteroid and a daily oral antihistamine. The patient reports persistent watery and itchy eyes. The primary care NP observes profuse clear, watery discharge and a cobblestone appearance inside the upper eyelids, with clear conjunctivae. The patient has tried topical azelastine (Astelin) and topical diclofenac (Voltaren) without improvement. The NP should prescribe _____ drops. pilocarpine (Isopto) nedocromil (Tilade) timolol (Timoptic) dexamethasone (Decadron) Question 10 A 50-year-old patient who recently quit smoking reports a frequent morning cough productive of yellow sputum. A chest x-ray is clear, and the patient’s FEV1 is 80% of predicted. Pulse oximetry reveals an oxygen saturation of 97%. The primary care NP auscultates clear breath sounds. The NP should: prescribe an albuterol metered-dose-inhaler, 2 puffs every 4 hours as needed. order a long-acting anticholinergic with albuterol twice daily. prescribe a moderate-dose ICS twice daily. reassure the patient that these symptoms will subside. Question 11 An NP prescribes azelastine for a patient who has allergic rhinitis. The NP will teach the patient that this drug: can cause many systemic side effects such as drowsiness. may cause a bitter aftertaste. will cause rebound congestion if withdrawn suddenly. will not provide maximum relief for a few weeks. Question 12 A child with chronic allergic symptoms uses an intranasal steroid for control of symptoms. At this child’s annual well-child checkup, the NP should carefully review this child’s: height and weight. blood pressure. urinalysis. liver function tests. Question 13 A patient has been treated for severe contact dermatitis on both arms with clobetasol propionate cream. At a follow-up visit, the primary care NP notes that the condition has cleared. The NP should: prescribe triamcinolone cream for 2 weeks. discontinue the clobetasol and recommend prn use for occasional flare-ups. recommend continuing treatment for 2 more weeks. discontinue the clobetasol and schedule a follow-up visit in 2 weeks. Question 14 A patient asks an NP about using an oral over-the-counter decongestant medication for nasal congestion associated with a viral upper respiratory illness. The NP learns that this patient uses loratadine (Claritin), a β-adrenergic blocker, and an intranasal corticosteroid. The NP would be concerned about which adverse effects? Rebound congestion Excessive drowsiness Tremor, restlessness, and insomnia Liver toxicity Question 15 A 5-year-old child has atopic dermatitis that is refractory to treatment with hydrocortisone acetone 2.5% cream. The primary care NP should prescribe: desonide cream 0.01%. fluocinolone cream 0.2%. betamethasonedipropionate ointment 0.05%. triamcinoloneacetonide. Question 16 A patient who has scabies has been treated by the primary care NP twice with permethrin (Elimite). The second application was administered 10 days after the first. The patient returns to the clinic with mild pruritus and erythema. The NP does not observe new burrows on the skin. The NP should: orderlindane. re-treat with permethrin. prescribe triamcinolone 0.1%. order malathion. Question 17 A primary care NP is preparing to irrigate and suture a laceration on a patient’s thumb. To anesthetize the site, the NP should use: lidocaine hydrochloride. bupivacaine hydrochloride. bupivacaine with epinephrine. lidocaine with epinephrine. Question 18 An NP student asks the primary care NP about guidelines for using topical steroids. The NP should tell the student that: standardized guidelines have been developed for use in children. evidence-based guidelines are available for each product. standardized guidelines may be found for disease-specific conditions. evidence-based studies support limited corticosteroid use in pregnancy. Question 19 A patient with ulcerative colitis takes 30 mg of methylprednisolone (Medrol) daily. The primary care NP sees this patient for bronchitis and orders azithromycin (Zithromax). The NP should: stop the methylprednisolone while the patient is taking azithromycin. order intramuscular (IM) methylprednisolone. temporarily decrease the dose of methylprednisolone. change the dosing of methylprednisolone to 15 mg twice a day. Question 20 A primary care NP is evaluating a patient who has COPD. The patient uses a LABA twice daily. The patient reports having increased exertional dyspnea, a frequent cough, and poor sleep. The patient also uses a short-acting β-adrenergic agonist (SABA) five or six times each day. Pulse oximetry reveals an oxygen saturation of 92%. The patient’s FEV1/forced vital capacity is 65, and FEV1 is 55% of predicted. The NP should prescribe a(n): combination ICS/LABA inhaler. long-acting anticholinergic. oral corticosteroid. long-acting oral theophylline. Question 21 A primary care NP prescribes an oral steroid to a patient and provides teaching about the medication. Which statement by the patient indicates a need for further teaching? “I will take the medication at 8:00 AM each day.” “I can expect a decreased appetite while I am taking this medication.” “I should not stop taking the medication without consulting my provider.” “I should take this medication with food.” Question 22 A 75-year-old patient requires frequent use of corticosteroids to control COPD exacerbations. To monitor adverse drug effects in this patient, the primary care NP should: monitor the patient’s renal function at every visit. order an electrocardiogram to assess for arrhythmias. order a bone density study. order routine chest radiographs to watch for pneumonia. Question 23 An 18-month-old child who attends day care has head lice and has been treated with permethrin 1% (Nix). The parent brings the child to the clinic 1 week later, and the primary care NP notes live bugs on the child’s scalp. The NP should order: ivermectin. permethrin 5%. lindane. malathion. Question 24 A primary care NP is considering using a topical immunosuppressive agent for a patient who has atopic dermatitis that is refractory to treatment with topical corticosteroids. The NP should: counsel the patient that these agents are more likely to cause skin atrophy. tell the patient that these agents may be used long-term. begin therapy with pimecrolimus (Elidel). tell the patient that laboratory monitoring for hypothalamic-pituitary-adrenal (HPA) suppression will be necessary. Question 25 A patient will require a long course of steroids to treat a chronic inflammatory condition. The primary care NP expects the specialist to order: triamcinolone daily. prednisone daily. dexamethasone every other day. hydrocortisone every other day.