NURS 5433 MIDTERM ACTUAL EXAM 2025-
2026 100% VERIFIED QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
A child with drooling, tripod posture, and stridor, likely has:
A. Allergic rhinitis
B. Otitis Externa
C. Pharyngitis
D. Epiglottitis
CORRECT ANSWER ✓ ✓ D. Epiglottitis
This is a classic presentation of a life-threatening airway emergency requiring immediate
intervention.
A 55-year-old nail technician has painless hematuria. What is the primary concern?
A. Bladder cancer
B. Kidney stone
C. Glomerulonephritis
D. Pyelonephritis
CORRECT ANSWER ✓ ✓ A. Bladder cancer
Painless hematuria in an adult over 50, especially with occupational chemical exposure,
raises high suspicion for malignancy.
A 4-year-old patient is brought in for "pink eye." He has a fever, cough, runny
nose, and white spots on a red base on his buccal mucosa. What is the most likely
,diagnosis?
A. Rubeola
B. Rubella
C. Scarlet fever
D. Mononucleosis
CORRECT ANSWER ✓ ✓ A. Rubeola
Koplik's spots (white spots on a red buccal mucosa base) are pathognomonic for
measles (Rubeola).
Nancy is pregnant and presents with fever, sore throat, headache, and a positive
flu test. Which medication is best for her?
A. Baloxavir
B. Oseltamivir
C. Peramivir
D. Zanamivir
CORRECT ANSWER ✓ ✓ B. Oseltamivir
Oseltamivir is the preferred oral antiviral for pregnant individuals due to its safety profile
and effectiveness.
A 50-year-old man has severe flank pain radiating to the groin and hematuria. He
is diabetic with a family history of kidney stones. What is the next step?
A. Give analgesics and observe
B. Urine culture and CT of kidneys
C. Start antibiotics
D. Refer immediately for surgery
CORRECT ANSWER ✓ ✓ B. Urine culture and CT of kidneys
A non-contrast CT scan is the gold standard for diagnosing kidney stones and
confirming the cause of the symptoms.
,A 20-year-old patient presents with chicken pox. What diagnostic should you
consider?
A. HIV testing
B. Monospot test
C. Throat culture
D. Lumbar puncture
CORRECT ANSWER ✓ ✓ A. HIV testing
Chickenpox in a young adult can be an indicator of an immunocompromised state, such
as HIV.
What is the most serious complication of untreated congenital hypothyroidism?
A. Obesity
B. Goiter
C. Intellectual disability
D. Anemia
CORRECT ANSWER ✓ ✓ C. Intellectual disability
A lack of thyroid hormone critically impairs brain development in infants, leading to
permanent intellectual disability.
Which of the following is considered dangerous in the clinical presentation of
Shingles?
A. Localized burning or tingling before the rash
B. Malaise
C. Crusted lesions
D. Vision loss
CORRECT ANSWER ✓ ✓ D. Vision loss
Shingles involving the ophthalmic branch of the trigeminal nerve (V1) can lead to
permanent vision damage.
, A 7-year-old presents with red eyes, purulent discharge, and eyelids matted shut
in the morning. There is no significant itching. What is the most likely type of
conjunctivitis?
A. Allergic
B. Viral
C. Bacterial
D. Herpetic
CORRECT ANSWER ✓ ✓ C. Bacterial
Purulent discharge and matted eyelids are hallmark signs of a bacterial infection.
An eight-year-old patient comes in with a mild fever and white patches on their
tonsils but no cough. What should be the next step?
CORRECT ANSWER ✓ ✓ Perform a rapid strep test
The presentation (exudates, no cough) is suspicious for Group A Strep pharyngitis,
warranting diagnostic testing.
What is the first line treatment for Otitis Media?
CORRECT ANSWER ✓ ✓ Amoxicillin 80-90 mg/kg/day in two doses
High-dose amoxicillin is the first-line agent for AOM to cover potentially
resistant Streptococcus pneumoniae.
A patient describes a blind spot in the center of their field of vision. What type of
macular degeneration is this?
CORRECT ANSWER ✓ ✓ Wet Macular Degeneration
The "wet" form involves abnormal blood vessel growth and leakage, leading to rapid
central vision loss.
A 12-year-old is diagnosed with asthma. What is the preferred initial treatment?
A. Levalbuterol
2026 100% VERIFIED QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
A child with drooling, tripod posture, and stridor, likely has:
A. Allergic rhinitis
B. Otitis Externa
C. Pharyngitis
D. Epiglottitis
CORRECT ANSWER ✓ ✓ D. Epiglottitis
This is a classic presentation of a life-threatening airway emergency requiring immediate
intervention.
A 55-year-old nail technician has painless hematuria. What is the primary concern?
A. Bladder cancer
B. Kidney stone
C. Glomerulonephritis
D. Pyelonephritis
CORRECT ANSWER ✓ ✓ A. Bladder cancer
Painless hematuria in an adult over 50, especially with occupational chemical exposure,
raises high suspicion for malignancy.
A 4-year-old patient is brought in for "pink eye." He has a fever, cough, runny
nose, and white spots on a red base on his buccal mucosa. What is the most likely
,diagnosis?
A. Rubeola
B. Rubella
C. Scarlet fever
D. Mononucleosis
CORRECT ANSWER ✓ ✓ A. Rubeola
Koplik's spots (white spots on a red buccal mucosa base) are pathognomonic for
measles (Rubeola).
Nancy is pregnant and presents with fever, sore throat, headache, and a positive
flu test. Which medication is best for her?
A. Baloxavir
B. Oseltamivir
C. Peramivir
D. Zanamivir
CORRECT ANSWER ✓ ✓ B. Oseltamivir
Oseltamivir is the preferred oral antiviral for pregnant individuals due to its safety profile
and effectiveness.
A 50-year-old man has severe flank pain radiating to the groin and hematuria. He
is diabetic with a family history of kidney stones. What is the next step?
A. Give analgesics and observe
B. Urine culture and CT of kidneys
C. Start antibiotics
D. Refer immediately for surgery
CORRECT ANSWER ✓ ✓ B. Urine culture and CT of kidneys
A non-contrast CT scan is the gold standard for diagnosing kidney stones and
confirming the cause of the symptoms.
,A 20-year-old patient presents with chicken pox. What diagnostic should you
consider?
A. HIV testing
B. Monospot test
C. Throat culture
D. Lumbar puncture
CORRECT ANSWER ✓ ✓ A. HIV testing
Chickenpox in a young adult can be an indicator of an immunocompromised state, such
as HIV.
What is the most serious complication of untreated congenital hypothyroidism?
A. Obesity
B. Goiter
C. Intellectual disability
D. Anemia
CORRECT ANSWER ✓ ✓ C. Intellectual disability
A lack of thyroid hormone critically impairs brain development in infants, leading to
permanent intellectual disability.
Which of the following is considered dangerous in the clinical presentation of
Shingles?
A. Localized burning or tingling before the rash
B. Malaise
C. Crusted lesions
D. Vision loss
CORRECT ANSWER ✓ ✓ D. Vision loss
Shingles involving the ophthalmic branch of the trigeminal nerve (V1) can lead to
permanent vision damage.
, A 7-year-old presents with red eyes, purulent discharge, and eyelids matted shut
in the morning. There is no significant itching. What is the most likely type of
conjunctivitis?
A. Allergic
B. Viral
C. Bacterial
D. Herpetic
CORRECT ANSWER ✓ ✓ C. Bacterial
Purulent discharge and matted eyelids are hallmark signs of a bacterial infection.
An eight-year-old patient comes in with a mild fever and white patches on their
tonsils but no cough. What should be the next step?
CORRECT ANSWER ✓ ✓ Perform a rapid strep test
The presentation (exudates, no cough) is suspicious for Group A Strep pharyngitis,
warranting diagnostic testing.
What is the first line treatment for Otitis Media?
CORRECT ANSWER ✓ ✓ Amoxicillin 80-90 mg/kg/day in two doses
High-dose amoxicillin is the first-line agent for AOM to cover potentially
resistant Streptococcus pneumoniae.
A patient describes a blind spot in the center of their field of vision. What type of
macular degeneration is this?
CORRECT ANSWER ✓ ✓ Wet Macular Degeneration
The "wet" form involves abnormal blood vessel growth and leakage, leading to rapid
central vision loss.
A 12-year-old is diagnosed with asthma. What is the preferred initial treatment?
A. Levalbuterol
