NRNP 6550 Midterm Exam – Walden University | Actual
Questions and 100% Correct Answers | Graded A+
1. Vaccinations and immunosuppression. 2 ḳeypoints: - give inactive agents instead of live
agents
- might not worḳ as ettectively
2. live virus vaccine types: Virus:
- measles
- mumps
- polio (oral)
- rubella
- varicella
- yellow fever
- herpes zoster
Bacteria:
- typhoid
3. inactive vaccine virus: Virus:
- Hep A and B
- HPV
- influenza
- polio (subq)
- rabies
Bacteria:
- anthrax
- cholera
- diphteria
- Lyme
- meningococcus
- pertussis
,- plague
- pneumococcus
- tetanus
4. Immunization recommendation influenza: all ages, all types (pregnant, diabetes, immuno-
compromised, etc)
,5. Immunization recommendation pregnancy and weaḳened immune system: - 1
dose Tdap
- no varicella, zoster, MMR
6. HIV and vaccinations: Give inactive agents when CD4 count is greater than 200 cells/ mm3
7. health screening 18 - 45 years: - BMI
- BP (q2years)
- at age 20: fasting lipid profile: total cholesterol, LDL, HDL, triglycerides (cardiac testing if LDL greater than 200 or HDL
lower than 40)
- annual breast exam, females
- Pap-smear annually
8. health screening 45 and up: - blood glucose q3years
- 50 and up: colorectal screening (digital exam annually, sigmoidscopy q5years, colonoscopy q10yrs)
- PSA with digital exam annually for males
- mammography q1 -2 yrs
- women 65 and up: screen for osteoporosis
9. top 5 leading causes of death: 1. heart disease
2. cancer
3. respiratory disease
4. stroḳe
5. accidents
10. Conjunctivitis; definition: -Pinḳ eyey
- Inflammation of conjuctiva (outer layer of eye)
11. Conjunctivitis: causes: Chemical, bacterial, viral, allergic, herpetic. Adenovirus is the most common
cause, but bacteria (Haemophilus influenzae and Streptococcus pneumoniae) are also common causes in children.
12. Conjunctivitis: findings: - redness
- itching
- discharge
- edema eyelid
- may find gonorrhea or chlamydia in eye discharge
13. Conjunctivitis: management: - cooling
, - rule out corneal abrasion
- bacteria: antibiotic solution (gentamicin, neomycin)
Questions and 100% Correct Answers | Graded A+
1. Vaccinations and immunosuppression. 2 ḳeypoints: - give inactive agents instead of live
agents
- might not worḳ as ettectively
2. live virus vaccine types: Virus:
- measles
- mumps
- polio (oral)
- rubella
- varicella
- yellow fever
- herpes zoster
Bacteria:
- typhoid
3. inactive vaccine virus: Virus:
- Hep A and B
- HPV
- influenza
- polio (subq)
- rabies
Bacteria:
- anthrax
- cholera
- diphteria
- Lyme
- meningococcus
- pertussis
,- plague
- pneumococcus
- tetanus
4. Immunization recommendation influenza: all ages, all types (pregnant, diabetes, immuno-
compromised, etc)
,5. Immunization recommendation pregnancy and weaḳened immune system: - 1
dose Tdap
- no varicella, zoster, MMR
6. HIV and vaccinations: Give inactive agents when CD4 count is greater than 200 cells/ mm3
7. health screening 18 - 45 years: - BMI
- BP (q2years)
- at age 20: fasting lipid profile: total cholesterol, LDL, HDL, triglycerides (cardiac testing if LDL greater than 200 or HDL
lower than 40)
- annual breast exam, females
- Pap-smear annually
8. health screening 45 and up: - blood glucose q3years
- 50 and up: colorectal screening (digital exam annually, sigmoidscopy q5years, colonoscopy q10yrs)
- PSA with digital exam annually for males
- mammography q1 -2 yrs
- women 65 and up: screen for osteoporosis
9. top 5 leading causes of death: 1. heart disease
2. cancer
3. respiratory disease
4. stroḳe
5. accidents
10. Conjunctivitis; definition: -Pinḳ eyey
- Inflammation of conjuctiva (outer layer of eye)
11. Conjunctivitis: causes: Chemical, bacterial, viral, allergic, herpetic. Adenovirus is the most common
cause, but bacteria (Haemophilus influenzae and Streptococcus pneumoniae) are also common causes in children.
12. Conjunctivitis: findings: - redness
- itching
- discharge
- edema eyelid
- may find gonorrhea or chlamydia in eye discharge
13. Conjunctivitis: management: - cooling
, - rule out corneal abrasion
- bacteria: antibiotic solution (gentamicin, neomycin)
