NR 566 Midterm Exam 2025 With
Questions And Correct Answers
What is the most effective drug for prevention and treatment of seasonal perennial
rhinitis? - CORRECT ANSWER Intranasal glucocorticoids
Glucocorticoids- Therapeutic action in allergic reactions - CORRECT ANSWER
prevents inflammatory response to allergens and reduce symptoms
s/e slowed growth in kids, nasal irritation
Salicylic acid patient education - CORRECT ANSWER Cleansers and mask should be
rinsed off after use. Decrease number of applications for excessive skin dryness,
peeling, or irritation.
benzoyl peroxide (topical) side effects - CORRECT ANSWER skin redness, stinging,
dryness, peeling, photosensitivity. Hypersensitivity reactions in asthma patients
benzoyl peroxide patient teaching - CORRECT ANSWER If signs of severe local
irritation occur (e.g., burning, blistering, scaling, swelling), the frequency of application
should be reduced. Do not use Benzoyl peroxide with Dapsone to avoid skin
discoloration. If excessive stinging occurs, wash off medication with mild soap and
water then resume use the next day.
Patient education for loarcaserin - CORRECT ANSWER increase in hypoglycemic
episodes (if diabetic)
since it can cause hypoglycemia, patients should not increase insulin dose
not for women who are pregnant
contrave (naltrexone/bupropion) patient education - CORRECT ANSWER stop for a few
days if going to dentist
Why might a patient being treated with contrave for obesity not have therapeutic effects
from hydrocodone after dental procedure - CORRECT ANSWER contrave contains
naltrexone
antifungals to use in immunocompromised patients - CORRECT ANSWER fluconazole
and ketoconazole for oral candidiasis
what antifungal can you not give to immunocompromised patients - CORRECT
ANSWER amphotericin B
first line agent for someone with glaucoma - CORRECT ANSWER lantanoprost
What pathogen is highly associated with CAP in general population? - CORRECT
ANSWER streptococcus pneumoniae
, Other common pathogens with CAP - CORRECT ANSWER atypical bacteria
(mycoplasma pneumonia)
viruses (influenza, respiratory syncytial virus)
First line treatment CAP in previous healthy adults - CORRECT ANSWER Amoxicillin,
doxycycline, macrolides (DAM)
Treatment of CAP in pregnancy - CORRECT ANSWER amoxicillin, cephalosporins,
erythromycin (ACE)
Treatment for mycoplasma pneumonia in the pediatric patient - CORRECT ANSWER
Macrolides (erythromycin, clarithromycin, azithromycin)
treatment of chlamydial pneumonia in infant - CORRECT ANSWER Erythromycin
base/ethylsuccinate
Broad spectrum antibiotics - when to use? - CORRECT ANSWER empiric therapy
When you don't know which bacteria it is
more likely to facilitate emergence of drug-resistant organisms and superinfections
prescribe these before culture results back
suspects patient has UTI
Narrow spectrum antibiotics - when to use? - CORRECT ANSWER When the pathogen
is known
Preferred
What are empiric antibiotics? - CORRECT ANSWER Broad Spectrum antibiotics that
are given BEFORE the results are in for certain circumstances.
Also can be prescribed when the NP believes it is a certain disease.
A) Prescription for an antibiotic for severe infection based on knowledge
B) Prescription of an antibiotic for severe infection based on clinical evaluation
C)Prescription of antibiotic for severe infection based on most likely causative agent
When to prescribe empiric antibiotics? - CORRECT ANSWER E for Emergency
E for enticpation
Embulatory patients
Pt has severe infxn, initiate treatment before test results available
How to treat C Diff - CORRECT ANSWER Stop taking the abx that caused it
flagyl and vancomycin
Questions And Correct Answers
What is the most effective drug for prevention and treatment of seasonal perennial
rhinitis? - CORRECT ANSWER Intranasal glucocorticoids
Glucocorticoids- Therapeutic action in allergic reactions - CORRECT ANSWER
prevents inflammatory response to allergens and reduce symptoms
s/e slowed growth in kids, nasal irritation
Salicylic acid patient education - CORRECT ANSWER Cleansers and mask should be
rinsed off after use. Decrease number of applications for excessive skin dryness,
peeling, or irritation.
benzoyl peroxide (topical) side effects - CORRECT ANSWER skin redness, stinging,
dryness, peeling, photosensitivity. Hypersensitivity reactions in asthma patients
benzoyl peroxide patient teaching - CORRECT ANSWER If signs of severe local
irritation occur (e.g., burning, blistering, scaling, swelling), the frequency of application
should be reduced. Do not use Benzoyl peroxide with Dapsone to avoid skin
discoloration. If excessive stinging occurs, wash off medication with mild soap and
water then resume use the next day.
Patient education for loarcaserin - CORRECT ANSWER increase in hypoglycemic
episodes (if diabetic)
since it can cause hypoglycemia, patients should not increase insulin dose
not for women who are pregnant
contrave (naltrexone/bupropion) patient education - CORRECT ANSWER stop for a few
days if going to dentist
Why might a patient being treated with contrave for obesity not have therapeutic effects
from hydrocodone after dental procedure - CORRECT ANSWER contrave contains
naltrexone
antifungals to use in immunocompromised patients - CORRECT ANSWER fluconazole
and ketoconazole for oral candidiasis
what antifungal can you not give to immunocompromised patients - CORRECT
ANSWER amphotericin B
first line agent for someone with glaucoma - CORRECT ANSWER lantanoprost
What pathogen is highly associated with CAP in general population? - CORRECT
ANSWER streptococcus pneumoniae
, Other common pathogens with CAP - CORRECT ANSWER atypical bacteria
(mycoplasma pneumonia)
viruses (influenza, respiratory syncytial virus)
First line treatment CAP in previous healthy adults - CORRECT ANSWER Amoxicillin,
doxycycline, macrolides (DAM)
Treatment of CAP in pregnancy - CORRECT ANSWER amoxicillin, cephalosporins,
erythromycin (ACE)
Treatment for mycoplasma pneumonia in the pediatric patient - CORRECT ANSWER
Macrolides (erythromycin, clarithromycin, azithromycin)
treatment of chlamydial pneumonia in infant - CORRECT ANSWER Erythromycin
base/ethylsuccinate
Broad spectrum antibiotics - when to use? - CORRECT ANSWER empiric therapy
When you don't know which bacteria it is
more likely to facilitate emergence of drug-resistant organisms and superinfections
prescribe these before culture results back
suspects patient has UTI
Narrow spectrum antibiotics - when to use? - CORRECT ANSWER When the pathogen
is known
Preferred
What are empiric antibiotics? - CORRECT ANSWER Broad Spectrum antibiotics that
are given BEFORE the results are in for certain circumstances.
Also can be prescribed when the NP believes it is a certain disease.
A) Prescription for an antibiotic for severe infection based on knowledge
B) Prescription of an antibiotic for severe infection based on clinical evaluation
C)Prescription of antibiotic for severe infection based on most likely causative agent
When to prescribe empiric antibiotics? - CORRECT ANSWER E for Emergency
E for enticpation
Embulatory patients
Pt has severe infxn, initiate treatment before test results available
How to treat C Diff - CORRECT ANSWER Stop taking the abx that caused it
flagyl and vancomycin
