NURS 676 ADVANCED PHARMACOLOGY FINAL EXAM
NEWEST VERSION 2025 Study Guide Questions and
Verified Answers | 100% Correct.
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 ANSWERS✔✔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
ANSWERS✔✔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
ANSWERS✔✔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 ANSWERS✔✔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 ANSWERS✔✔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 ANSWERS✔✔chronic rhinosinusitis
A provider determines that a patient has chronic rhinosinusitis without
nasal polyps. What is first-line treatment? ✔✔CORRECT
ANSWERS✔✔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 ANSWERS✔✔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 ANSWERS✔✔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 ANSWERS✔✔daily intranasal steroids
What are potential complications of chronic or recurrent sinusitis?
✔✔CORRECT ANSWERS✔✔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 ANSWERS✔✔A second course of
augmentin
Which symptoms in a patient with abdominal pain are suggestive of
appendicitis? ✔✔CORRECT ANSWERS✔✔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 ANSWERS✔✔common bile
duct obstruction.
NEWEST VERSION 2025 Study Guide Questions and
Verified Answers | 100% Correct.
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 ANSWERS✔✔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
ANSWERS✔✔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
ANSWERS✔✔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 ANSWERS✔✔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 ANSWERS✔✔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 ANSWERS✔✔chronic rhinosinusitis
A provider determines that a patient has chronic rhinosinusitis without
nasal polyps. What is first-line treatment? ✔✔CORRECT
ANSWERS✔✔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 ANSWERS✔✔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 ANSWERS✔✔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 ANSWERS✔✔daily intranasal steroids
What are potential complications of chronic or recurrent sinusitis?
✔✔CORRECT ANSWERS✔✔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 ANSWERS✔✔A second course of
augmentin
Which symptoms in a patient with abdominal pain are suggestive of
appendicitis? ✔✔CORRECT ANSWERS✔✔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 ANSWERS✔✔common bile
duct obstruction.
