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NURS 620 Adult 1 Exam 2024/2025 questions and answers verified

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You are caring for a 68-year-old male who has been taking atorvastain (Lipitor) for 8 weeks. He complains of fatigue, muscle aches, and dark-colored urine. Which of the following is the most appropriate treatment plan? a) Order lipid level and serum creatine phosphokinase (CPK, creatine kinase). b) Order a CBC and CMP. c) Recommend increasing his fluids and rest. d) Order a 24 hr urine. - ansa) Order lipid level and serum creatine phosphokinase (CPK, creatine kinase). You are treating a 49-year-old female who presents with fatigue and palpitations. You check her apical pulse and she is irregular and tachycardic. You obtain an EKG and it reveals afib with rapid ventricular response. What is your treatment plan? a) You order a cardiology consult. b) You order a 2D echo. c) You perform cardiac massage and have her relax. d) You admit her to the hospital for new onset afib. - ansd) You admit her to the hospital for new onset afib You are treating a young adult female with HTN and migraine headaches. Which class of medications could you choose to treat both? a) Ace inhibitors b) Calcium channel blockers c) Angiotensin receptor blockers d) Beta blockers - ansd) Beta blockers You prescribe nasal corticosteroid spray for a patient with allergic rhinitis. What is the anticipated onset of symptom relief with its use? a) Immediately with the first spray b) 1 to 2 days c) A few days to a week d) 2 or more weeks - ansc) A few days to a week

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NURS 620 Adult 1 Exam 2024/2025 questions and
answers verified


A 25-year-old woman who has seasonal allergic rhinitis likes to spend time outdoors. She asks you when
the pollen count is likely to be the lowest. You respond:

a) "Early in the morning."

b) "After a rain shower."

c) "When the sky is overcast."


d) "During breezy times of the day." -


ansb) "After a rain shower."


A 42-year-old male presents with the following lipid profile. He is not on any medications for cholesterol
or herbal supplements.



Total: 210

LDL: 145

TG 162

HDL 52

What medication would you recommend?

a) Fish oil

b) Low dose fibrate

c) Low dose statin


d) Low dose bile acid sequestrant - ansc) Low dose statin

, A 58 year old male presents to your office with an episode of chest tightness in his substernal area that
radiated to his back while he was jogging. It was relieved with rest. Which of the following does this best
describe?

a) Acute myocardial infarction

b) Gastroesophageal reflux disease

c) Angina pectoris


d) Acute costochondritis - ansc) Angina pectoris


A 72-year-old female presents to your office with gradual difficulty breathing, non-productive cough,
bilateral swelling of her feet, and a 10 pound weight gain. Upon examination you hear crackles and
rhonchi with an S3 heart sound. What is the most likely diagnosis?

a) COPD

b) Asthma

c) Congestive heart failure


d) Renal hypertension - ansc) Congestive heart failure


Acute otitis media is diagnosed when there is:

a) Fluid in the middle ear accompanied by otalgia and fever.

b) Fluid in the middle ear without signs or symptoms of an ear infection.

c) A diagnosis of three or more episodes of otitis media within 1 year.


d) Fluid in the middle ear for at least 3 months. - ansa) Fluid in the
middle ear accompanied by otalgia and fever.

An acutely presenting, erythematous, tender lump within the eyelid is called:

a) Blepharitis

b) Iritis

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