NR 570 MIDTERM EXAM (CHAMBERLAIN) NEWEST
2026 ACTUAL EXAM TEST BANK| NR570 COMMON
DIAGNOSIS & MANAGEMENT IN ACUTE CARE
MIDTERM EXAM REVIEW WITH 300 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+
When should a patient receive a tetanus vaccine? – ANSWER - - A
tetanus vaccine is required for adults whose most recent tetanus vaccine
was > 5 years previously. If immunization is unknown or incomplete,
250 units of tetanus immunoglobulin should be given, in addition to the
primary vaccination.
What are the most common pathogens associated with dog bites? –
ANSWER - - Staphylococcus aureus
- Pasteurella multocida
- Streptococcus species
- Corynebacterium species
- Alpha-hemolytic Streptococcus species
What is the most common organism associated with cat bites? –
ANSWER - - Pasteurella multocida is the most common organism
isolated from a cat bite and is associated with an intense inflammatory
response as well as a high potential for joint infection.
What is the incidence of infection related to cat bites? – ANSWER - - 50
% (high)
pg. 1
,What is an occlusive wound? – ANSWER - - Wounds in which the skin
is broken; more common in females.
What is a clenched-fist wound? – ANSWER - - Wounds which damage
the skin and underlying structures; more common in men due to
fighting.
- Consist of skin breaks over the knuckles. These lacerations typically
occur over the third and fourth metacarpophalangeal or proximal
interphalangeal joints of the dominant hand.
What are the most common organisms associated with human bites? –
ANSWER - - Staphylococcus aureus
- Corynebacterium species
- Bacteroides species
- Streptococcus
- Eikenella corrodens
What should be assessed if a patient does not present for examination
until several hours or days after the bite occurred? – ANSWER -
Evaluate for sings of infection, including:
- regional adenopathy
- increased pain
- edema
- erythema
- warmth
- decreased range of motion
- drainage
pg. 2
,When is an x-ray warranted for a bite injury? – ANSWER -An x-ray is
warranted if:
- fracture is suspected
- foreign body is present
- bone, joint, or tendon is penetrated
- puncture wound is infected
When is antibiotic therapy required for a bite wound, even without s/s of
infection? – ANSWER - - Deep puncture wounds (especially due to cat
bites)
- Wounds requiring surgical repair
- Moderate to severe wounds with an associated crush injury
- Wounds in areas of underlying venous and or/lymphatic compromise
- Wounds on the hand(s) or near a bone or joint
- Wounds on the face or in the genital area
What is the preferred antibiotic therapy for bite wounds? – ANSWER - -
The preferred antibiotic therapy is Augementin (amoxicillin/clavulante)
PO BID x 3-7 days.
What antibiotic therapy is recommended as an alternative with less GI
S/S? – ANSWER - - An alternative with less reported GI symptoms is
Zinacef (cefuroxime).
What antibiotic therapy is recommended for patients with an allergy to
PCN or cephalosporins? – ANSWER - - Doxycycline and Bactrim DS
are recommended for patients with PCN or cephalosporin allergies.
pg. 3
, Fever is an immune response that fights infection by: – ANSWER - -
Inhibiting bacterial growth and viral replication
- Stimulating phagocytosis
- Speeding up the maturation of WBCs
- Facilitating tissue repair
- Stimulating storage of iron in the liver/spleen to reduce circulating iron
What is the medical definition of fever? – ANSWER - - The Society of
Critical Care Medicine defines fever as a body temperature greater than
or equal to 38.3 C (101 F).
- Fever is an adaptive, neuroimmunological response to severe injury or
infection associated with an increase in the hypothalamic set point.
- In immunocompromised patients and the elderly, the threshold for
fever is lower due to a reduced ability to manifest a febrile response.
What is the definition of hyperthermia? – ANSWER - - Hyperthermia
occurs when there is an unregulated elevation in core body temperature
above the hypothalamus set point and may exceed 41 C (105.8 F).
What is the recommended diagnostic testing for a patient presenting
with fever? – ANSWER - - CBC w/ Differential (left shift or elevated
WBCs)
- Chest x-ray (CXR)
- Cultures (urine, sputum, IV sites, and catheters)
- Inflammatory markers
- Other tests as indicated
pg. 4
2026 ACTUAL EXAM TEST BANK| NR570 COMMON
DIAGNOSIS & MANAGEMENT IN ACUTE CARE
MIDTERM EXAM REVIEW WITH 300 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+
When should a patient receive a tetanus vaccine? – ANSWER - - A
tetanus vaccine is required for adults whose most recent tetanus vaccine
was > 5 years previously. If immunization is unknown or incomplete,
250 units of tetanus immunoglobulin should be given, in addition to the
primary vaccination.
What are the most common pathogens associated with dog bites? –
ANSWER - - Staphylococcus aureus
- Pasteurella multocida
- Streptococcus species
- Corynebacterium species
- Alpha-hemolytic Streptococcus species
What is the most common organism associated with cat bites? –
ANSWER - - Pasteurella multocida is the most common organism
isolated from a cat bite and is associated with an intense inflammatory
response as well as a high potential for joint infection.
What is the incidence of infection related to cat bites? – ANSWER - - 50
% (high)
pg. 1
,What is an occlusive wound? – ANSWER - - Wounds in which the skin
is broken; more common in females.
What is a clenched-fist wound? – ANSWER - - Wounds which damage
the skin and underlying structures; more common in men due to
fighting.
- Consist of skin breaks over the knuckles. These lacerations typically
occur over the third and fourth metacarpophalangeal or proximal
interphalangeal joints of the dominant hand.
What are the most common organisms associated with human bites? –
ANSWER - - Staphylococcus aureus
- Corynebacterium species
- Bacteroides species
- Streptococcus
- Eikenella corrodens
What should be assessed if a patient does not present for examination
until several hours or days after the bite occurred? – ANSWER -
Evaluate for sings of infection, including:
- regional adenopathy
- increased pain
- edema
- erythema
- warmth
- decreased range of motion
- drainage
pg. 2
,When is an x-ray warranted for a bite injury? – ANSWER -An x-ray is
warranted if:
- fracture is suspected
- foreign body is present
- bone, joint, or tendon is penetrated
- puncture wound is infected
When is antibiotic therapy required for a bite wound, even without s/s of
infection? – ANSWER - - Deep puncture wounds (especially due to cat
bites)
- Wounds requiring surgical repair
- Moderate to severe wounds with an associated crush injury
- Wounds in areas of underlying venous and or/lymphatic compromise
- Wounds on the hand(s) or near a bone or joint
- Wounds on the face or in the genital area
What is the preferred antibiotic therapy for bite wounds? – ANSWER - -
The preferred antibiotic therapy is Augementin (amoxicillin/clavulante)
PO BID x 3-7 days.
What antibiotic therapy is recommended as an alternative with less GI
S/S? – ANSWER - - An alternative with less reported GI symptoms is
Zinacef (cefuroxime).
What antibiotic therapy is recommended for patients with an allergy to
PCN or cephalosporins? – ANSWER - - Doxycycline and Bactrim DS
are recommended for patients with PCN or cephalosporin allergies.
pg. 3
, Fever is an immune response that fights infection by: – ANSWER - -
Inhibiting bacterial growth and viral replication
- Stimulating phagocytosis
- Speeding up the maturation of WBCs
- Facilitating tissue repair
- Stimulating storage of iron in the liver/spleen to reduce circulating iron
What is the medical definition of fever? – ANSWER - - The Society of
Critical Care Medicine defines fever as a body temperature greater than
or equal to 38.3 C (101 F).
- Fever is an adaptive, neuroimmunological response to severe injury or
infection associated with an increase in the hypothalamic set point.
- In immunocompromised patients and the elderly, the threshold for
fever is lower due to a reduced ability to manifest a febrile response.
What is the definition of hyperthermia? – ANSWER - - Hyperthermia
occurs when there is an unregulated elevation in core body temperature
above the hypothalamus set point and may exceed 41 C (105.8 F).
What is the recommended diagnostic testing for a patient presenting
with fever? – ANSWER - - CBC w/ Differential (left shift or elevated
WBCs)
- Chest x-ray (CXR)
- Cultures (urine, sputum, IV sites, and catheters)
- Inflammatory markers
- Other tests as indicated
pg. 4
