WILKES UNIVERSIT Y
Graduate Nursing Program
NSG 554 — Nurse Practitioners in Primary Care I
Academic Year: 2026/2027 Exam 1 · Comprehensive Review
Question 1 NSG 554
What is the gold standard diagnostic test for Rocky Mountain spotted fever?
A. IgM and IgG serologic tests, IFA gold standard
B. CBC with differential
C. Chest x-ray
D. Blood culture
CORRECT ANSWER: A. IgM and IgG serologic tests, IFA gold standard
RATIONALE:
The gold standard diagnostic test for Rocky Mountain spotted fever is IgM and IgG serologic testing
using IFA (immunofluorescence assay). Treatment should not be delayed pending test results in
suspected cases.
Question 2 NSG 554
What is the definition of primary prevention?
A. Intervening before health effects occur through measures such as vaccinations, altering risk
behaviors, and banning substances known to be associated with disease
B. Screening to identify diseases in the earliest stages before signs and symptoms appear
C. Managing disease post-diagnosis to slow or stop disease progression
D. Rehabilitation and chronic disease management
CORRECT ANSWER:
A. Intervening before health effects occur through measures such as vaccinations, altering
risk behaviors, and banning substances
RATIONALE:
Primary prevention focuses on preventing disease before it occurs through interventions such as
immunizations, health education, smoking cessation programs, and policy changes like seatbelt
legislation. Secondary prevention involves early detection, and tertiary prevention manages existing
disease.
,Question 3 NSG 554
What is the recommended HPV vaccination schedule?
A. Routine vaccination at ages 11-12 (can start at 9); 2-dose IM series at 0 and 6-12 months
B. Single dose at age 15
C. 3-dose series at ages 11-12
D. Only for females
CORRECT ANSWER:
A. Routine vaccination at ages 11-12 (can start at 9); 2-dose IM series at 0 and 6-12 months
RATIONALE:
The HPV vaccine is recommended routinely at ages 11-12 but can start at 9 years of age. It is a 2-
dose IM series, with the first given and the second vaccination given 6 to 12 months after the initial
IM injection.
Question 4 NSG 554
What is the cause of Rocky Mountain spotted fever?
A. Spread through infected ticks (American dog tick, Rocky Mountain wood tick)
B. Spread through mosquito bites
C. Spread through contact with infected animals
D. Spread through contaminated food
CORRECT ANSWER:
A. Spread through infected ticks (American dog tick, Rocky Mountain wood tick)
RATIONALE:
Rocky Mountain spotted fever is caused by Rickettsia rickettsii and spread through infected ticks,
including the American dog tick and Rocky Mountain wood tick. It presents like a viral illness in the
first 1-4 days with fever, headache, and a red splotchy rash.
, Question 5 NSG 554
What is the Parkland formula used for?
A. Fluid resuscitation for burn patients: 4 ml of LR × weight (kg) × % TBSA over 24 hours
B. Calculating nutritional needs for burn patients
C. Determining pain medication dosages for burn patients
D. Assessing the severity of burns
CORRECT ANSWER:
A. Fluid resuscitation for burn patients: 4 ml of LR × weight (kg) × % TBSA over 24 hours
RATIONALE:
The Parkland formula is used for fluid resuscitation in burn patients. Total fluid to be given during
the initial 24 hours = 4 ml of Lactated Ringer's × patient's weight (kg) × % TBSA. Half is given in the
first 8 hours, and the remaining half over the next 16 hours.
Question 6 NSG 554
Which vaccine is recommended for pregnant women during RSV season?
A. RSV vaccine for ages 19-49 if pregnant during RSV season
B. Flu vaccine only
C. Tdap vaccine only
D. COVID-19 vaccine only
CORRECT ANSWER: A. RSV vaccine for ages 19-49 if pregnant during RSV season
RATIONALE:
The RSV vaccine is recommended for individuals ages 19-49 if pregnant during RSV season. Adults
60+ should talk to their healthcare provider about the RSV vaccine. All adults should receive COVID-
19 and flu vaccines annually.
Graduate Nursing Program
NSG 554 — Nurse Practitioners in Primary Care I
Academic Year: 2026/2027 Exam 1 · Comprehensive Review
Question 1 NSG 554
What is the gold standard diagnostic test for Rocky Mountain spotted fever?
A. IgM and IgG serologic tests, IFA gold standard
B. CBC with differential
C. Chest x-ray
D. Blood culture
CORRECT ANSWER: A. IgM and IgG serologic tests, IFA gold standard
RATIONALE:
The gold standard diagnostic test for Rocky Mountain spotted fever is IgM and IgG serologic testing
using IFA (immunofluorescence assay). Treatment should not be delayed pending test results in
suspected cases.
Question 2 NSG 554
What is the definition of primary prevention?
A. Intervening before health effects occur through measures such as vaccinations, altering risk
behaviors, and banning substances known to be associated with disease
B. Screening to identify diseases in the earliest stages before signs and symptoms appear
C. Managing disease post-diagnosis to slow or stop disease progression
D. Rehabilitation and chronic disease management
CORRECT ANSWER:
A. Intervening before health effects occur through measures such as vaccinations, altering
risk behaviors, and banning substances
RATIONALE:
Primary prevention focuses on preventing disease before it occurs through interventions such as
immunizations, health education, smoking cessation programs, and policy changes like seatbelt
legislation. Secondary prevention involves early detection, and tertiary prevention manages existing
disease.
,Question 3 NSG 554
What is the recommended HPV vaccination schedule?
A. Routine vaccination at ages 11-12 (can start at 9); 2-dose IM series at 0 and 6-12 months
B. Single dose at age 15
C. 3-dose series at ages 11-12
D. Only for females
CORRECT ANSWER:
A. Routine vaccination at ages 11-12 (can start at 9); 2-dose IM series at 0 and 6-12 months
RATIONALE:
The HPV vaccine is recommended routinely at ages 11-12 but can start at 9 years of age. It is a 2-
dose IM series, with the first given and the second vaccination given 6 to 12 months after the initial
IM injection.
Question 4 NSG 554
What is the cause of Rocky Mountain spotted fever?
A. Spread through infected ticks (American dog tick, Rocky Mountain wood tick)
B. Spread through mosquito bites
C. Spread through contact with infected animals
D. Spread through contaminated food
CORRECT ANSWER:
A. Spread through infected ticks (American dog tick, Rocky Mountain wood tick)
RATIONALE:
Rocky Mountain spotted fever is caused by Rickettsia rickettsii and spread through infected ticks,
including the American dog tick and Rocky Mountain wood tick. It presents like a viral illness in the
first 1-4 days with fever, headache, and a red splotchy rash.
, Question 5 NSG 554
What is the Parkland formula used for?
A. Fluid resuscitation for burn patients: 4 ml of LR × weight (kg) × % TBSA over 24 hours
B. Calculating nutritional needs for burn patients
C. Determining pain medication dosages for burn patients
D. Assessing the severity of burns
CORRECT ANSWER:
A. Fluid resuscitation for burn patients: 4 ml of LR × weight (kg) × % TBSA over 24 hours
RATIONALE:
The Parkland formula is used for fluid resuscitation in burn patients. Total fluid to be given during
the initial 24 hours = 4 ml of Lactated Ringer's × patient's weight (kg) × % TBSA. Half is given in the
first 8 hours, and the remaining half over the next 16 hours.
Question 6 NSG 554
Which vaccine is recommended for pregnant women during RSV season?
A. RSV vaccine for ages 19-49 if pregnant during RSV season
B. Flu vaccine only
C. Tdap vaccine only
D. COVID-19 vaccine only
CORRECT ANSWER: A. RSV vaccine for ages 19-49 if pregnant during RSV season
RATIONALE:
The RSV vaccine is recommended for individuals ages 19-49 if pregnant during RSV season. Adults
60+ should talk to their healthcare provider about the RSV vaccine. All adults should receive COVID-
19 and flu vaccines annually.
