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Regis NU 665 Primary Care of the Adult Exam 1 2026/2027 | Actual Exam Questions with Verified Answers & Detailed Rationales | Grade A

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INSTANT PDF DOWNLOAD—This comprehensive study guide is specifically designed for Regis College graduate nursing students (FNP, AGPCNP) preparing for NU 665 Primary Care of the Adult Exam 1 for the 2026/2027 academic year. Based on verified exam materials from top-selling student resources, this resource contains expertly verified practice questions and 100% correct answers with detailed rationales to help you master core primary care concepts and achieve a top score (Grade A+) . This comprehensive guide covers all major topics tested on NU 665 Exam 1 : Musculoskeletal Disorders: Salter-Harris fracture classification (Type II with metaphyseal fragment) , Osgood-Schlatter disease (tibial tubercle tenderness with knee extension) , clubfoot (talipes equinovarus congenita) , Legg-Calvé-Perthes disease (radiographic follow-up with ESR) , torticollis, and spastic cerebral palsy (increased deep tendon reflexes, sustained clonus) . Infectious Disease & Vaccinations: Community-acquired MRSA treatment (clindamycin 30-40 mg/kg/day PO, TMP/SMX 5-10 mg/kg/day) , Lyme disease management (endemic area prophylaxis, teach signs/symptoms) , PCV13 for bronchopulmonary dysplasia patients, meningococcal and pneumococcal vaccines for high-risk children (cochlear implants, sickle cell, asplenia, immunodeficiency), PPSV23 for high-risk populations, and MMR administration within 72 hours of measles exposure . Pediatric & Adolescent Mental Health: Tourette syndrome (symptoms become more unpredictable during adolescence) , Rett syndrome (regression of developmental milestones) , play therapy for toddlers and preschoolers, and addressing psychosocial issues such as rejection and family transitions . Neurological Disorders & Diagnostics: Meningitis signs (Kernig sign: extending leg at knee with infant supine; Brudzinski sign; rash, stiff neck, photophobia, fever) , septicemia symptoms (cold hands/feet, pale/mottled skin, rapid breathing) , febrile seizure management (handwashing, avoid sick contacts, no sharing toys/utensils) , single non-febrile seizure (EEG indicated) , and ultrasonography for infant brain tissue evaluation . Medication Dosages & Guidelines: Clindamycin (30-40 mg/kg/day PO divided q8h x10 days) , Bactrim (5-10 mg/kg/day TMP PO divided bid 2-3x/wk) , acetaminophen (10-15 mg/kg q4-6h) , ibuprofen (10 mg/kg q6-8h, earliest age 6 months) , and factors influencing medication adherence (taste, length of treatment, cost, timing, belief systems, family/social factors) . Prevention & Health Promotion: Primary prevention strategies (modifying environment, strengthening family capacity to prevent new cases of depression/drug use) , and antibiotic prescribing considerations (antimicrobial spectrum, exposure, efficacy, tolerance, toxicity, side effects, cost) . Lab Value Interpretation: C-reactive protein (CRP) 10 mg/dL is most concerning in an infant with fever and suspected bacterial infection; ESR is helpful in diagnosis and follow-up of conditions like Legg-Calvé-Perthes disease . Sample Questions Include : "What is the correct reduction technique for nursemaid's elbow?" → Supination and flexion "A 14-year-old overweight boy develops a unilateral limp with external rotation of the hip when flexed. What is most important initially?" → Place the child on crutches or in a wheelchair to prevent weight-bearing "Which lab value is most concerning in an infant with fever and suspected bacterial infection?" → C-reactive protein 10 mg/dL "What is the earliest age to give ibuprofen?" → 6 months "What is the recommended treatment for an 18-month-old with Bronchopulmonary Dysplasia (BPD) to prevent pneumococcal disease?" → PCV 13 "What diagnostic test is indicated for a child who has had a single non-febrile seizure with a normal neurologic exam?" → EEG "What characterizes spastic cerebral palsy?" → Increased deep tendon reflexes and sustained clonus All questions include complete rationales based on current evidence-based practice, primary care guidelines, and Regis College curriculum requirements . DOCUMENT ACCESS: This study guide is available as an instant digital download (PDF) immediately upon purchase. Fully text-searchable, printable, and accessible anytime through your user account. 100% satisfaction guarantee. Trusted by thousands of graduate nursing students for Regis NU 665 exam preparation and mastering primary care competencies.

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Regis NU 665 Primary Care of the Adult Exam 1

2026/2027 | Actual Exam Questions with Verified

Answers & Detailed Rationales | Grade A Study Guide




1. What does Lazarus and Folkman's transactional model of stress and coping

emphasize?

A. Stress is a result of external environmental factors only

B. Stress is a result of an individual's appraisal of their resources in relation to

environmental demands

C. Stress is a biological response unrelated to perception

D. Stress is determined solely by genetic factors

Correct Answer: B

Rationale: The transactional model emphasizes that stress results from the individual's

cognitive appraisal of environmental demands and their perceived ability to cope with

those demands.

,2|Page


2. What is the main critique of traditional Motivational Interviewing (MI) according to

Angelini & Efran (2021)?

A. MI is ineffective for substance use disorders

B. MI's effectiveness is not solely dependent on change talk; the therapeutic

relationship and context are also crucial

C. MI should only be used in group settings

D. MI is contraindicated in patients with depression

Correct Answer: B

Rationale: The critique highlights that MI's effectiveness cannot be attributed solely to

change talk; the therapeutic relationship and contextual factors play essential roles.



3. What is Anxious Attachment?

A. A style characterized by complete independence from caregivers

B. A style arising from inconsistent caregiving, leading to anxiety about abandonment;

individuals crave closeness but fear rejection

C. A style marked by consistent, responsive caregiving

D. A style characterized by indifference to relationships

Correct Answer: B

,3|Page


Rationale: Anxious attachment develops from inconsistent caregiving, resulting in

hypervigilance about relationships and fear of abandonment while craving closeness.



4. What does Secure Attachment look like in adults?

A. Stable, healthy relationships; balance independence with closeness; communicate

effectively; confident in seeking support

B. Chaotic, unstable relationships with fear of intimacy

C. Complete emotional independence with no need for relationships

D. Constant need for reassurance and fear of abandonment

Correct Answer: A

Rationale: Secure attachment in adults is characterized by healthy, stable relationships,

effective communication, balanced independence and closeness, and confidence in

seeking support.



5. What is Secure Attachment?

A. A style formed when caregivers are consistently responsive to a child's needs,

fostering safety and trust

B. A style formed from inconsistent caregiving

C. A style characterized by emotional distance

, 4|Page


D. A style associated with traumatic caregiving

Correct Answer: A

Rationale: Secure attachment develops when caregivers are consistently responsive,

creating a foundation of safety, trust, and comfort with intimacy.



6. A 25-year-old woman with bipolar disorder is newly pregnant. She is currently stable

on valproate. What should be done?

A. Continue valproate at the same dose throughout pregnancy

B. Discontinue valproate immediately due to its high risk of neural tube defects;

consider switching to lamotrigine

C. Increase the valproate dose to prevent relapse

D. Add folic acid without changing valproate

Correct Answer: B

Rationale: Valproate has a high teratogenic risk, particularly neural tube defects. It

should be discontinued in pregnancy, and lamotrigine is a safer alternative for bipolar

disorder during pregnancy.



7. A 70-year-old woman with GAD and a history of falls is asking for medication. Which

medication should be avoided?

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