NSG 6420 LATEST 2026 QUESTIONS AND SOLUTIONS
RATED A+
✔✔High fever (100-102)
Lasts 3-4 days
Ha, general aches & pains, fatigue & weakness (up to 2-3wks), extreme exhaustion -
✔✔S/s Flu
✔✔Severe allergic reaction (anaphylaxis) after previous dose or to a caving component,
including egg protein - ✔✔Contraindications to flu vax
✔✔Mod/severe acute illness w/ or w/o fever
Hx Guillain-Barré syndrome (GBS) w/in 6wks of previous flu vax - ✔✔Flu vax
precautions
✔✔Healthy children 2-8 yrs w/o contraindications or precautions
*Approved 2-49yrs - ✔✔Who should get the nasal flu vax
✔✔Under 2
Over 50
Longterm asa use (2-17yrs)
Pregnant
2-4yrs w/ asthma or hx wheeze w/in 12mos
Flu antivirals w/in 48hrs
caring for severely immunocompromised pts- no contact x7days - ✔✔Contraindications
for nadal flu vax
✔✔Strep Pneumo (60-70%) - ✔✔CAP typical organism
✔✔Flu
Mycoplasma
Chlamydia
Legionella
Adenovirus - ✔✔CAP atypical organisms
✔✔Strep pneumo
Mycoplasma pneumo
H. flu
Chlamydophila pneumo
Resp viruses - ✔✔Most common outpt CAP organisms
✔✔Moraxella catarrhalis
Klebsiella pneumo - ✔✔CAP in ETOH abuse
, ✔✔M. cararrhalis - ✔✔CAP in COPD
✔✔S. pneumonia- leading cause of PNA in any adult age group - ✔✔Gram (+) bacteria
organism in CAP
✔✔H. flu
M. catarrhalis - ✔✔Gram (-) bacteria organisms in CAP
✔✔M. pneumoniae - ✔✔Most common organism in majority of cases PNA in those
younger than 40yrs
✔✔Fever
Ha
Myalgia
Dry cough
*appear less ill than those w/ bacterial PNA*
S/s may last up to 6wks & include dry hacking cough - ✔✔S/s of atypical CAP
✔✔Cxr
Sputum analysis- not routine for outpt - ✔✔CAP dx
✔✔Macrolide (azithromycin, clarithromycin, or erythromycin) - ✔✔CAP tx for prev
healthy pt w/o antimicrobial tx in last 3mos
✔✔Resp fluoroquinolone (moxifloxacin, gemifloxacin, or levofloxacin)
B-lactam (cefotaxime, ceftriaxone, & ampicillin) + macrolide (High-dose amoxicillin or
amoxicillin-clavulanate) - ✔✔CAP tx for pt w/ comorbidities
✔✔Virus (90%)- rhino, adeno, parainflu - ✔✔Most common cause of pharyngitis
✔✔Sore throat
Cough
Hoarse
Fever (high)
Osynophagia
Malaise
Ha
Chills
Anorexia
Enlarges tonsils
Erythema
Exudates
Soft palate petechiae
Cervical adenopathy - ✔✔S/s of pharyngitis
RATED A+
✔✔High fever (100-102)
Lasts 3-4 days
Ha, general aches & pains, fatigue & weakness (up to 2-3wks), extreme exhaustion -
✔✔S/s Flu
✔✔Severe allergic reaction (anaphylaxis) after previous dose or to a caving component,
including egg protein - ✔✔Contraindications to flu vax
✔✔Mod/severe acute illness w/ or w/o fever
Hx Guillain-Barré syndrome (GBS) w/in 6wks of previous flu vax - ✔✔Flu vax
precautions
✔✔Healthy children 2-8 yrs w/o contraindications or precautions
*Approved 2-49yrs - ✔✔Who should get the nasal flu vax
✔✔Under 2
Over 50
Longterm asa use (2-17yrs)
Pregnant
2-4yrs w/ asthma or hx wheeze w/in 12mos
Flu antivirals w/in 48hrs
caring for severely immunocompromised pts- no contact x7days - ✔✔Contraindications
for nadal flu vax
✔✔Strep Pneumo (60-70%) - ✔✔CAP typical organism
✔✔Flu
Mycoplasma
Chlamydia
Legionella
Adenovirus - ✔✔CAP atypical organisms
✔✔Strep pneumo
Mycoplasma pneumo
H. flu
Chlamydophila pneumo
Resp viruses - ✔✔Most common outpt CAP organisms
✔✔Moraxella catarrhalis
Klebsiella pneumo - ✔✔CAP in ETOH abuse
, ✔✔M. cararrhalis - ✔✔CAP in COPD
✔✔S. pneumonia- leading cause of PNA in any adult age group - ✔✔Gram (+) bacteria
organism in CAP
✔✔H. flu
M. catarrhalis - ✔✔Gram (-) bacteria organisms in CAP
✔✔M. pneumoniae - ✔✔Most common organism in majority of cases PNA in those
younger than 40yrs
✔✔Fever
Ha
Myalgia
Dry cough
*appear less ill than those w/ bacterial PNA*
S/s may last up to 6wks & include dry hacking cough - ✔✔S/s of atypical CAP
✔✔Cxr
Sputum analysis- not routine for outpt - ✔✔CAP dx
✔✔Macrolide (azithromycin, clarithromycin, or erythromycin) - ✔✔CAP tx for prev
healthy pt w/o antimicrobial tx in last 3mos
✔✔Resp fluoroquinolone (moxifloxacin, gemifloxacin, or levofloxacin)
B-lactam (cefotaxime, ceftriaxone, & ampicillin) + macrolide (High-dose amoxicillin or
amoxicillin-clavulanate) - ✔✔CAP tx for pt w/ comorbidities
✔✔Virus (90%)- rhino, adeno, parainflu - ✔✔Most common cause of pharyngitis
✔✔Sore throat
Cough
Hoarse
Fever (high)
Osynophagia
Malaise
Ha
Chills
Anorexia
Enlarges tonsils
Erythema
Exudates
Soft palate petechiae
Cervical adenopathy - ✔✔S/s of pharyngitis
