NSG6440 FINAL EXAM PREDICTOR QUESTIONS WITH ANSWERS / NSG 6440 FINAL
nn nn nn nn nn nn nn nn nn nn
EXAM nn ggnn
1) A 15 years old high school student with a mild sore throat and low-grade fever
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
that has persisted for about 3 weeks. She reports general malaise, fatigue, and loss
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
of appetite. The NP suspects mononucleosis. Which of the following is the LEAST
gg gg gg gg gg gg gg gg gg gg gg gg gg
appropriate intervention?
gg gg
a. Palpate the lymph nodes and spleen gg gg gg gg gg
b. Examine the posterior oropharynx for petechiae gg gg gg gg gg
c. Obtain a CBC, throat culture, and heterophil antibody
gg gg gg gg gg gg gg
test. Obtain
gg d. an urinalyses and serum for LFTs and amylase
gg nn nn nn nn nn nn nn nn
Explanation: mononucleosis is a symptomatic infection caused by the Epstein-Bar virus.
gg gg gg gg gg gg gg gg gg gg
Common is people 15-24 years of age. Common signs and symptoms following
gg gg gg gg gg gg gg g g gg gg gg gg
incubation period (1-2 months) include fatigue, chills, malaise, anorexia, white tonsillar
gg gg gg gg gg gg gg gg gg gg gg
exudates and lymphadenopathy or posterior cervical region. Splenomegaly can be present.
gg gg gg gg gg gg gg gg gg gg gg
A maculopapular or occasionally a petechial rash occurs in less than 15% of patients. A
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
diagnosis is usually made using the Monospot. In addition, neutropenia and
gg gg gg gg gg gg gg gg gg gg gg
lymphocytosis are usually detected in the CBC.
gg gg gg gg gg gg gg
2) A 32 years old male patient complaint of urinary frequency and burning on
gg gg gg gg gg gg gg gg gg gg gg gg
urination for 3 days. Urinalyses reveals bacteriuria and positive nitrites. He denies any
gg gg g g gg gg gg gg gg gg gg gg gg gg
past hx. Of urinary tract infections. The initial treatment should be:
gg gg gg gg gg gg gg gg gg gg gg
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day nn nn nn nn nn
b. ciprofloxacin (Cipro) for 3-5 days gg gg gg gg
c. Trimethoprim-Sulfamethoxazole for 3 days gg gg gg
d. 750 mg ciprofloxacin as a one-time dose
gg gg gg gg gg gg
Explanation: trimethoprim-sulfamethoxazole (TMPS) is usually n appropriate medication
gg gg gg gg gg gg gg
to treat urinary tract infections in most patients.
gg gg gg In the case of community
gg gg gg gg gg g g gg gg gg gg
resistance to TMPS
gg gg gg
>20%^, another medication should be substituted. In men, the appropriate length of time is
gg gg gg gg gg gg gg gg gg gg gg gg gg
7-10 days. Women may be treated for 3 days for uncomplicated UTI
gg gg gg gg gg gg gg gg gg gg gg gg
3) Which agent is most effective for the treatment of nodulocystic acne?
gg gg gg gg gg gg gg gg gg gg
a. Benzoyl peroxide (Benzac) gg gg
b. Retinoic acid (Retin A) gg gg gg
c. Topical tetracycline gg
d. Isotretinoin)
Explanation: Isotretinoin (Accutane) is a systemic agent indicated for treatment with
gg gg gg gg gg gg gg gg gg gg
severe inflammatory acne. Guidelines for its use must be clearly understood by the patient.
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
A woman of childbearing age must use an effective method of contraception because
gg gg gg gg gg gg gg gg gg gg gg gg gg
isotretinoin is teratogenic. There are many restrictions in prescribing this medication
gg gg gg gg gg gg gg gg gg gg gg
because of the teratogenic effects is given during pregnancy. Therefore, it is a pregnancy
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
category X.
gg gg
1
,4) An 18 y/o woman is taking a combined hormonal oral contraceptive. She
gg gg gg gg gg gg gg gg gg gg gg
should be instructed to use a backup method for the prevention of pregnancy
gg gg gg gg gg gg gg gg gg gg gg gg gg
2
,a. Throughout the week of placebo
gg gg gg gg
pills Ifb.prescribed topiramate (Topamax) for the treatment of migraines.
gg gg nn nn nn nn nn nn nn nn
3
, c. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
gg gg gg gg gg gg gg
d. if she forgets to take a single dose of the contraceptive
gg gg gg gg gg gg gg gg gg gg
Explanation: Anticonvulsant including phenytoin (Dilantin), carbamazepine (Tegretol),
gg gg gg gg gg gg
primidone (Mysoline), topiramate (Topamax) and oxcarbazepine (Trileptal) reduce the
gg gg gg gg gg gg gg gg gg
effectiveness of contraceptives. Depo-medroxyprogesterone acetate
gg gg gg injections or gg gg g g gg
levonorgestrel- releasing intrauterine devices would be a better method of contraceptive
gg gg gg gg gg gg gg gg gg gg gg
for patients taking anticonvulsants. Most commonly used antibiotics have not been
gg gg gg gg gg gg gg gg gg gg gg
proven to reduce the effectiveness of contraceptives. Rifampin is an exception, and
gg gg gg gg gg gg gg gg gg gg gg gg
additional …. Be used by women taking this drug and using oral contraceptives,
gg gg gg gg gg gg gg gg gg gg gg gg gg
transdermal, or vaginal ring preparations.
gg gg gg gg gg
Additional backup contraception should be used if taking antifungal agents. No additional
gg gg gg gg gg gg gg gg gg gg gg
protection is needed thought the week of placebo pills. Missing one single dose of
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
contraceptive does not require additional protection, missing more than one doses does.
gg gg gg gg gg gg gg gg gg gg gg gg
5) A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
(6.5 mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and
gg gg gg gg gg gg gg gg gg gg gg gg gg
triglycerides= 344 mg/dL (8.94 mmol/L). What agent have the greatest effect on
gg gg gg gg gg gg gg gg gg gg gg gg
improving her lipid profile and reducing morbidity and mortality associates with
gg gg gg gg gg gg gg gg gg gg gg
dyslipidemia?
gg
a. Niacin (Niaspan) gg
b. Atorvastatin
c. Omega 3 fatty acids gg gg gg
d. Fenofibrates
Explanation: First and foremost, it is essential to educate individuals on a heart-healthy
gg gg gg gg gg gg gg gg gg gg gg gg
gglifestyle. LDL-C is one of the major culprits in the development of atherosclerotic
gg gg gg gg gg gg gg gg gg gg gg gg
ggheart disease. The target level of LDL-C is between 50 to 70mg/dl to prevent
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg plaque formation in the blood vessels. Guidelines strongly recommend statin therapy
gg gg gg gg gg gg gg gg gg gg
ggbecause they primarily lower LDL-C levels, but they also have the secondary effects of
gg gg gg gg gg gg gg gg gg gg gg gg gg
gglowering triglyceride and increasing HDL-C levels.
gg gg gg gg gg
6) A 30 years old female comes into a clinic with classic signs and symptoms of
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
g gappendicitis. The NP fails to refer the patient to a surgeon. The appendix ruptures and
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
the woman die. This is an example of
gg gg gg gg gg gg gg gg
a. Failure of diligence gg gg
b. Professional liability gg
c. Negligence
d. Malpractice
Explanation: malpractice, a negligence tort, occurs when a health care professional’s actions
gg gg gg gg gg gg gg gg gg gg gg
fall bellow the appropriate standard of care and hurts the patient. In this case the
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
ggpatient came with sings and symptoms indicating appendicitis and the NP failed to refer
gg gg gg gg gg gg gg gg gg gg gg gg gg
the patient..
gg gg
7) A NP has recently been hired to work in a fast track facility. The NP employer
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
asked if she has ―a problem prescribing medications for emergency contraception.‖
gg gg gg gg gg gg gg gg gg gg gg
The NP replies affirmatively. This is:
gg gg g g gg gg gg
4
nn nn nn nn nn nn nn nn nn nn
EXAM nn ggnn
1) A 15 years old high school student with a mild sore throat and low-grade fever
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
that has persisted for about 3 weeks. She reports general malaise, fatigue, and loss
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
of appetite. The NP suspects mononucleosis. Which of the following is the LEAST
gg gg gg gg gg gg gg gg gg gg gg gg gg
appropriate intervention?
gg gg
a. Palpate the lymph nodes and spleen gg gg gg gg gg
b. Examine the posterior oropharynx for petechiae gg gg gg gg gg
c. Obtain a CBC, throat culture, and heterophil antibody
gg gg gg gg gg gg gg
test. Obtain
gg d. an urinalyses and serum for LFTs and amylase
gg nn nn nn nn nn nn nn nn
Explanation: mononucleosis is a symptomatic infection caused by the Epstein-Bar virus.
gg gg gg gg gg gg gg gg gg gg
Common is people 15-24 years of age. Common signs and symptoms following
gg gg gg gg gg gg gg g g gg gg gg gg
incubation period (1-2 months) include fatigue, chills, malaise, anorexia, white tonsillar
gg gg gg gg gg gg gg gg gg gg gg
exudates and lymphadenopathy or posterior cervical region. Splenomegaly can be present.
gg gg gg gg gg gg gg gg gg gg gg
A maculopapular or occasionally a petechial rash occurs in less than 15% of patients. A
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
diagnosis is usually made using the Monospot. In addition, neutropenia and
gg gg gg gg gg gg gg gg gg gg gg
lymphocytosis are usually detected in the CBC.
gg gg gg gg gg gg gg
2) A 32 years old male patient complaint of urinary frequency and burning on
gg gg gg gg gg gg gg gg gg gg gg gg
urination for 3 days. Urinalyses reveals bacteriuria and positive nitrites. He denies any
gg gg g g gg gg gg gg gg gg gg gg gg gg
past hx. Of urinary tract infections. The initial treatment should be:
gg gg gg gg gg gg gg gg gg gg gg
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day nn nn nn nn nn
b. ciprofloxacin (Cipro) for 3-5 days gg gg gg gg
c. Trimethoprim-Sulfamethoxazole for 3 days gg gg gg
d. 750 mg ciprofloxacin as a one-time dose
gg gg gg gg gg gg
Explanation: trimethoprim-sulfamethoxazole (TMPS) is usually n appropriate medication
gg gg gg gg gg gg gg
to treat urinary tract infections in most patients.
gg gg gg In the case of community
gg gg gg gg gg g g gg gg gg gg
resistance to TMPS
gg gg gg
>20%^, another medication should be substituted. In men, the appropriate length of time is
gg gg gg gg gg gg gg gg gg gg gg gg gg
7-10 days. Women may be treated for 3 days for uncomplicated UTI
gg gg gg gg gg gg gg gg gg gg gg gg
3) Which agent is most effective for the treatment of nodulocystic acne?
gg gg gg gg gg gg gg gg gg gg
a. Benzoyl peroxide (Benzac) gg gg
b. Retinoic acid (Retin A) gg gg gg
c. Topical tetracycline gg
d. Isotretinoin)
Explanation: Isotretinoin (Accutane) is a systemic agent indicated for treatment with
gg gg gg gg gg gg gg gg gg gg
severe inflammatory acne. Guidelines for its use must be clearly understood by the patient.
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
A woman of childbearing age must use an effective method of contraception because
gg gg gg gg gg gg gg gg gg gg gg gg gg
isotretinoin is teratogenic. There are many restrictions in prescribing this medication
gg gg gg gg gg gg gg gg gg gg gg
because of the teratogenic effects is given during pregnancy. Therefore, it is a pregnancy
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
category X.
gg gg
1
,4) An 18 y/o woman is taking a combined hormonal oral contraceptive. She
gg gg gg gg gg gg gg gg gg gg gg
should be instructed to use a backup method for the prevention of pregnancy
gg gg gg gg gg gg gg gg gg gg gg gg gg
2
,a. Throughout the week of placebo
gg gg gg gg
pills Ifb.prescribed topiramate (Topamax) for the treatment of migraines.
gg gg nn nn nn nn nn nn nn nn
3
, c. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
gg gg gg gg gg gg gg
d. if she forgets to take a single dose of the contraceptive
gg gg gg gg gg gg gg gg gg gg
Explanation: Anticonvulsant including phenytoin (Dilantin), carbamazepine (Tegretol),
gg gg gg gg gg gg
primidone (Mysoline), topiramate (Topamax) and oxcarbazepine (Trileptal) reduce the
gg gg gg gg gg gg gg gg gg
effectiveness of contraceptives. Depo-medroxyprogesterone acetate
gg gg gg injections or gg gg g g gg
levonorgestrel- releasing intrauterine devices would be a better method of contraceptive
gg gg gg gg gg gg gg gg gg gg gg
for patients taking anticonvulsants. Most commonly used antibiotics have not been
gg gg gg gg gg gg gg gg gg gg gg
proven to reduce the effectiveness of contraceptives. Rifampin is an exception, and
gg gg gg gg gg gg gg gg gg gg gg gg
additional …. Be used by women taking this drug and using oral contraceptives,
gg gg gg gg gg gg gg gg gg gg gg gg gg
transdermal, or vaginal ring preparations.
gg gg gg gg gg
Additional backup contraception should be used if taking antifungal agents. No additional
gg gg gg gg gg gg gg gg gg gg gg
protection is needed thought the week of placebo pills. Missing one single dose of
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
contraceptive does not require additional protection, missing more than one doses does.
gg gg gg gg gg gg gg gg gg gg gg gg
5) A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
(6.5 mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and
gg gg gg gg gg gg gg gg gg gg gg gg gg
triglycerides= 344 mg/dL (8.94 mmol/L). What agent have the greatest effect on
gg gg gg gg gg gg gg gg gg gg gg gg
improving her lipid profile and reducing morbidity and mortality associates with
gg gg gg gg gg gg gg gg gg gg gg
dyslipidemia?
gg
a. Niacin (Niaspan) gg
b. Atorvastatin
c. Omega 3 fatty acids gg gg gg
d. Fenofibrates
Explanation: First and foremost, it is essential to educate individuals on a heart-healthy
gg gg gg gg gg gg gg gg gg gg gg gg
gglifestyle. LDL-C is one of the major culprits in the development of atherosclerotic
gg gg gg gg gg gg gg gg gg gg gg gg
ggheart disease. The target level of LDL-C is between 50 to 70mg/dl to prevent
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg plaque formation in the blood vessels. Guidelines strongly recommend statin therapy
gg gg gg gg gg gg gg gg gg gg
ggbecause they primarily lower LDL-C levels, but they also have the secondary effects of
gg gg gg gg gg gg gg gg gg gg gg gg gg
gglowering triglyceride and increasing HDL-C levels.
gg gg gg gg gg
6) A 30 years old female comes into a clinic with classic signs and symptoms of
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
g gappendicitis. The NP fails to refer the patient to a surgeon. The appendix ruptures and
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
the woman die. This is an example of
gg gg gg gg gg gg gg gg
a. Failure of diligence gg gg
b. Professional liability gg
c. Negligence
d. Malpractice
Explanation: malpractice, a negligence tort, occurs when a health care professional’s actions
gg gg gg gg gg gg gg gg gg gg gg
fall bellow the appropriate standard of care and hurts the patient. In this case the
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
ggpatient came with sings and symptoms indicating appendicitis and the NP failed to refer
gg gg gg gg gg gg gg gg gg gg gg gg gg
the patient..
gg gg
7) A NP has recently been hired to work in a fast track facility. The NP employer
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
asked if she has ―a problem prescribing medications for emergency contraception.‖
gg gg gg gg gg gg gg gg gg gg gg
The NP replies affirmatively. This is:
gg gg g g gg gg gg
4
