NURS 676 ADVANCED PHARMACOLOGY ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+
A patient reports recurrent chest pain that occurs regardless of
activity and is not relieved by rest. The provider administers one NG
tablet which does not relieve the pain. What is the next action? -
CORRECT ANSWER Give the patient a beta blocker
A patient is brought to an emergency department with symptoms of
acute ST segment elevation MI (STEMI). The nearest hospiral that can
perform a PCI is three hours away, what is the initial treatment for this
patient. - CORRECT ANSWER Initiate fibrinolytic therapy
A patient reports a feeling of fullness and pain in both ears and the
practitioner elicits pain when manipulating the ear structures, what is
likely the diagnosis? - CORRECT ANSWER acute otitis externa
Which are risk factors for developing otitis externa? - CORRECT
ANSWER having underlying DM, use of ear plugs or hearing aids,
vigorous external hygiene
A patient has an initial episode of otitis external associated with
swimming. the patient's ear canal is mildly inflamed and the TM is not
involved. Which medication will be ordered? - CORRECT ANSWER
Cipro HC
Which symptoms in children are evlauated using a parent-reported
scoring system to determine the severity of pain in children with OM? -
CORRECT ANSWER Appetite, Difficulty sleeping, and tugging on
ears.
,Which patient may be given symptomatic treatment with 24 hours
follow-up assessment without initial antibiotic therapy? - CORRECT
ANSWER A 36 month old with fever of 38.5, mild otalgia, and red,
non-bulging TM
A pediatric patient has otalgia, fever of 38.8, and recent history of URI.
the examiner is unable to visualize the TM in the right ear because of
the presence of cerumen. The left TM is dull gray with fluid levels
present. What is the correct action? - CORRECT ANSWER
Remove the cerumen and visualize the TM
A patient reports ear pain and difficulty hearing. An otoscope
examination reveals a small tear in the TM of the affected ear with
purulent d/c. What is the initial treatment for this patient? - CORRECT
ANSWER Prescribe antibiotic ear drops
A patient reports ear pain after being hit in the head with a baseball.
The provider notes a perforated TM. What is recommended treatment?
- CORRECT ANSWER Refer the patient to an Otolaryngologist for
eval
An adolescent has fever, chills, and a severe sore throat. On exam, the
provider notes foul-smelling breath and a muffled voice with marked
edema and erythema of the peritonsillar tissue. What should you do? -
CORRECT ANSWER Perform a rapid strep and throat culture.
A patient has a sore throat, and temp of 38.5, tonsillar exudates, and
cervical lymphadenopathy. What will the provider do next to manage
this patient's symptoms. - CORRECT ANSWER Perform a RADT
A patient reports a sudden onset of sore throat, fever, malaise, and
cough. the provider notes mild erythema of the pharynx and clear
rhinorrhea without cervical lymphadnopathy. what is most likely
cause? - CORRECT ANSWER viral pharyngitis
,A school-aged child has 5 episodes of tonsillitis in the past year and 2
episodes the previous year. The child's parents ask the provider if the
child needs a tonsillectomy. What will the provider say? - CORRECT
ANSWER Current recommendations do not support tonsillectomy
for this child
A patient with EBV-IM also has GAS pharyngitis and is being treated
with Amoxicillin. On the third day of treatment, the patient develops a
rash. A urinalysis is normal. what does this indicate? - CORRECT
ANSWER A reaction to the amoxicillin
An adolescent who plays football in high school is diagnosed with
Infectious Mono and is noted to have splenomegaly. What will the
provider recommend to this patient about returning to sports? -
CORRECT ANSWER ABD US are recommended to determines
safety
An adolescent patient has a fever, pharyngitis, and cervical
lymphadenopathy and has negative GAS culture. A cbc shows absolute
lymphocytosis, but a heterophil antibody test is negative for EBV. What
will the provider tell the patient? - CORRECT ANSWER The
likelihood of EBV is still high
A patient reports persistent nasal blockage, discharge and facial pain
lasting on the right side for 4 months. There is no hx of sneezing or eye
involvement, The patient has a hx of seasonal allergies and takes a
non-sedating antihistamine. What does the provider suspect is the
cause of these symptoms? - CORRECT ANSWER chronic
rhinosinusitis
A provider determines that a patient has chronic rhinosinusitis without
nasal polyps. What is first-line treatment? - CORRECT ANSWER
Intranasal corticosteroids
A patient has recurrent sneezing, alterations in taste and smell,
watery, itchy eyes, and thin, clear nasal secretions. The provider notes
, puffiness around the eyes. The patient;s vital signs are normal. What is
likely diagnosis? - CORRECT ANSWER allergic rhinitis
A patient has seasonal rhinitis symptoms and allergy testing reveals
sensativity to trees and grasses. What is first line treatment for this
patient? - CORRECT ANSWER intranasal steroids
A patient is concerned about frequent nasal stuffiness and congestion
that begins shortly after getting out of bed in the morning. The patient
denies itching and sneezing. A PE reveals erythematous nasal mucosa
with scant watery discharge. What treatment will the provider
recommend? - CORRECT ANSWER daily intranasal steroids
What are potential complications of chronic or recurrent sinusitis? -
CORRECT ANSWER Meningitis, orbital infection, and
osteomyleitis.
A patient has nasal congestion, fever, purulent drainage, HA, and
facial pain and begins treatment with augmentin. At a follow up visit
10 days later after treatment, the patient continues to have symptoms.
What is next course of action? - CORRECT ANSWER A second
course of augmentin
Which symptoms in a patient with abdominal pain are suggestive of
appendicitis? - CORRECT ANSWER Abdominal rigidity along with
pain, pain accompanied by low grade fever, pain occurring prior to
nausea and vomiting.
A patient has sudden onset of RUQ pain and epigastric pain with fever,
nausea, vomiting. The ED provider notes yellowing of the sclera. What
is probable cause of findings? - CORRECT ANSWER common bile
duct obstruction.
A patient with a previous history of liver disease has a bile duct
obstruction. Which procedure will be used for the patient. - CORRECT
ANSWER open cholecystectomy
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+
A patient reports recurrent chest pain that occurs regardless of
activity and is not relieved by rest. The provider administers one NG
tablet which does not relieve the pain. What is the next action? -
CORRECT ANSWER Give the patient a beta blocker
A patient is brought to an emergency department with symptoms of
acute ST segment elevation MI (STEMI). The nearest hospiral that can
perform a PCI is three hours away, what is the initial treatment for this
patient. - CORRECT ANSWER Initiate fibrinolytic therapy
A patient reports a feeling of fullness and pain in both ears and the
practitioner elicits pain when manipulating the ear structures, what is
likely the diagnosis? - CORRECT ANSWER acute otitis externa
Which are risk factors for developing otitis externa? - CORRECT
ANSWER having underlying DM, use of ear plugs or hearing aids,
vigorous external hygiene
A patient has an initial episode of otitis external associated with
swimming. the patient's ear canal is mildly inflamed and the TM is not
involved. Which medication will be ordered? - CORRECT ANSWER
Cipro HC
Which symptoms in children are evlauated using a parent-reported
scoring system to determine the severity of pain in children with OM? -
CORRECT ANSWER Appetite, Difficulty sleeping, and tugging on
ears.
,Which patient may be given symptomatic treatment with 24 hours
follow-up assessment without initial antibiotic therapy? - CORRECT
ANSWER A 36 month old with fever of 38.5, mild otalgia, and red,
non-bulging TM
A pediatric patient has otalgia, fever of 38.8, and recent history of URI.
the examiner is unable to visualize the TM in the right ear because of
the presence of cerumen. The left TM is dull gray with fluid levels
present. What is the correct action? - CORRECT ANSWER
Remove the cerumen and visualize the TM
A patient reports ear pain and difficulty hearing. An otoscope
examination reveals a small tear in the TM of the affected ear with
purulent d/c. What is the initial treatment for this patient? - CORRECT
ANSWER Prescribe antibiotic ear drops
A patient reports ear pain after being hit in the head with a baseball.
The provider notes a perforated TM. What is recommended treatment?
- CORRECT ANSWER Refer the patient to an Otolaryngologist for
eval
An adolescent has fever, chills, and a severe sore throat. On exam, the
provider notes foul-smelling breath and a muffled voice with marked
edema and erythema of the peritonsillar tissue. What should you do? -
CORRECT ANSWER Perform a rapid strep and throat culture.
A patient has a sore throat, and temp of 38.5, tonsillar exudates, and
cervical lymphadenopathy. What will the provider do next to manage
this patient's symptoms. - CORRECT ANSWER Perform a RADT
A patient reports a sudden onset of sore throat, fever, malaise, and
cough. the provider notes mild erythema of the pharynx and clear
rhinorrhea without cervical lymphadnopathy. what is most likely
cause? - CORRECT ANSWER viral pharyngitis
,A school-aged child has 5 episodes of tonsillitis in the past year and 2
episodes the previous year. The child's parents ask the provider if the
child needs a tonsillectomy. What will the provider say? - CORRECT
ANSWER Current recommendations do not support tonsillectomy
for this child
A patient with EBV-IM also has GAS pharyngitis and is being treated
with Amoxicillin. On the third day of treatment, the patient develops a
rash. A urinalysis is normal. what does this indicate? - CORRECT
ANSWER A reaction to the amoxicillin
An adolescent who plays football in high school is diagnosed with
Infectious Mono and is noted to have splenomegaly. What will the
provider recommend to this patient about returning to sports? -
CORRECT ANSWER ABD US are recommended to determines
safety
An adolescent patient has a fever, pharyngitis, and cervical
lymphadenopathy and has negative GAS culture. A cbc shows absolute
lymphocytosis, but a heterophil antibody test is negative for EBV. What
will the provider tell the patient? - CORRECT ANSWER The
likelihood of EBV is still high
A patient reports persistent nasal blockage, discharge and facial pain
lasting on the right side for 4 months. There is no hx of sneezing or eye
involvement, The patient has a hx of seasonal allergies and takes a
non-sedating antihistamine. What does the provider suspect is the
cause of these symptoms? - CORRECT ANSWER chronic
rhinosinusitis
A provider determines that a patient has chronic rhinosinusitis without
nasal polyps. What is first-line treatment? - CORRECT ANSWER
Intranasal corticosteroids
A patient has recurrent sneezing, alterations in taste and smell,
watery, itchy eyes, and thin, clear nasal secretions. The provider notes
, puffiness around the eyes. The patient;s vital signs are normal. What is
likely diagnosis? - CORRECT ANSWER allergic rhinitis
A patient has seasonal rhinitis symptoms and allergy testing reveals
sensativity to trees and grasses. What is first line treatment for this
patient? - CORRECT ANSWER intranasal steroids
A patient is concerned about frequent nasal stuffiness and congestion
that begins shortly after getting out of bed in the morning. The patient
denies itching and sneezing. A PE reveals erythematous nasal mucosa
with scant watery discharge. What treatment will the provider
recommend? - CORRECT ANSWER daily intranasal steroids
What are potential complications of chronic or recurrent sinusitis? -
CORRECT ANSWER Meningitis, orbital infection, and
osteomyleitis.
A patient has nasal congestion, fever, purulent drainage, HA, and
facial pain and begins treatment with augmentin. At a follow up visit
10 days later after treatment, the patient continues to have symptoms.
What is next course of action? - CORRECT ANSWER A second
course of augmentin
Which symptoms in a patient with abdominal pain are suggestive of
appendicitis? - CORRECT ANSWER Abdominal rigidity along with
pain, pain accompanied by low grade fever, pain occurring prior to
nausea and vomiting.
A patient has sudden onset of RUQ pain and epigastric pain with fever,
nausea, vomiting. The ED provider notes yellowing of the sclera. What
is probable cause of findings? - CORRECT ANSWER common bile
duct obstruction.
A patient with a previous history of liver disease has a bile duct
obstruction. Which procedure will be used for the patient. - CORRECT
ANSWER open cholecystectomy
