2026/ 2027 UPDATE)
PHARMACOLOGY | REVIEW WITH
QUESTIONS AND VERIFIED
ANSWERS| 100% CORRECT| GRADED
A- HERZING.
NSG554- EXAM 1 2025
A patient who has recently traveled has acute diarrhea which
began the day after returning home. What are recommended
treatments for this type of diarrhea? (Select all that apply.)
a. Ciprofloxacin for 3 days, twice daily
b. Loperamide at bedtime and after each stool
c. Oral fluid replacement
d. Quinolones daily for 2 to 4 weeks
e. Sulfamethoxazole twice daily for 5 days - CORRECT
ANSWER -ANS: A, B, C
,Ciprofloxacin may be given for 3 days for traveler's diarrhea,
as well as loperamide. Oral fluid replacement is
recommended. Because of widespread antibiotic resistance to
sulfamethoxazole and quinolones, these drugs are not
recommended.
. An adolescent patient has fever, pharyngitis, and cervical
lymphadenopathy and has a negative group A beta-hemolytic
throat culture. A complete blood count shows absolute
lymphocytosis, but a heterophil antibody test is negative for
Epstein-Barr virus (EBV). What will the provider tell the
patient about the likelihood of infectious mononucleosis
(IM)?
a. It will be necessary to repeat the heterophil antibody test in a
few weeks.
b. Liver function tests will help to confirm a diagnosis of EBV-
IM.
,c. The likelihood of EBV infectious mononucleosis is still
high.
d. This IM is most likely caused by a virus other than Epstein-
Barr virus. - CORRECT ANSWER -ANS: C
Because heterophil antibodies may not reach detectable levels
early in the disease, it is possible to have a negative result.
This patient has symptoms and the suspicion for disease
remains high. Repeat testing in 7 to 10 days will help confirm
the diagnosis. A positive heterophil antibody test with
absolute lymphocytosis is diagnostic of acute IM. Epstein-
Barr nuclear antigen is measured 6 to 8 weeks after onset of
symptoms to distinguish between acute and previous
infection. LFTs may be elevated in patients with IM, but this
is not diagnostic.
1. A small, rural hospital is part of an Accountable Care
Organization (ACO) and is designated as a Level 1 ACO.
What is part of this designation?
, a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting - CORRECT
ANSWER -ANS: A
A Level 1 ACO has the least amount of financial risk and
requirements, but receives shared savings bonuses based on
achievement of benchmarks for quality measures and
expenditures. Care coordination and minimum cash reserves
standards are part of Level 2 ACO requirements. Level 3
ACOs require financial reporting
2. What was an important finding of the Advisory Board
survey of 2014 about primary care preferences of patients?
a. Associations with area hospitals