NU 664 Exam 1 || Acknowledged Answers 100%.
Gold standard for CAP diagnosis: correct answers Chest x-ray
If CAP symptoms present but no obvious signs of infection on CXR treatment is... correct
answers Same as if CXR was positive
Immunizations for people over 65 or younger people with comorbidities such as asthma, CHF
COPD: correct answers Pneumonia and flu vaccines
Who is at risk for CAP? correct answers Extremes of age, smokers, alcoholics, GERD, chronic
disease, institutionalization
CAP presentation in adults: correct answers Cough (may be nonproductive), dyspnea, fever,
hemoptysis, chest pain, fatigue, tachycardia
If lymphocytes are elevated? correct answers Indicative of viral process
If monocytes are elevated? correct answers Indicative of chronic process
If eosinophils are elevated? correct answers Indicative of asthma, allergic reaction
If basophils are elevated? correct answers Indicative of chronic process
If neutrophils are elevated? correct answers Indicative of acute bacterial process
CAP: patient present with symptoms of chills, fever, chest pain, productive cough with purulent
sputum, positive chest x-ray, and patient had URI last week? correct answers Streptococcus
pneumonia: gram +
, In the United States, the most common cause of myocarditis in children is: correct answers
Viruses
Your next patient is a 5-year-old child with a history of moderate persistent asthma. He has been
wheezing and coughing for the past two days, and his mother brings him in today for evaluation.
He has been using albuterol every four hours. His respiratory rate is 13 breaths per minute; his
lungs are clear to auscultation; and no retractions are noted. What may be your assessment and
intervention based on this information? correct answers Your child is breathing slower than
normal for his age. We need to send him to the ER for further intervention.
Your next patient is a 6-year-old male here for his annual influenza vaccine. He has a history of
mild persistent asthma. What would you discuss for medications when reviewing his asthma
action plan? correct answers Your child should continue his low-dose inhaled corticosteroid daily
and add albuterol as needed for an exacerbation.
A child who has been diagnosed with asthma for several years has been using a short-acting
Beta-agonist (SABA) to control symptoms. The PNP learns that the child has recently begun
using the SABA 2-3 times each week to prevent wheezing and shortness of breath. The child
currently has clear breath sounds and an FEV1 of 75% of personal best. What will the NP do?
correct answers Add an inhaled corticosteroid.
Your next patient is a six-month-old infant who just completed amoxicillin for otitis media. The
mother states her child is better except for a diaper rash. Upon examination, you note red scaly
plaques in the diaper area with satellite lesions to his upper thighs. What would you do next as
the PNP? correct answers Your child has a rash that is likely due to a fungus, Candida, and
commonly occurs after taking antibiotics. I will prescribe nystatin to be applied to the diaper
area.
A 12 y.o. female presents to the clinic after being bit by a dog on the face. Abrasion with 2
puncture wounds on the upper right cheek, approximately 1 inch below the eye. The area is
slightly erythematous, with a small amount of bruising and raised area along the cheekbone.
correct answers Using normal saline, irrigate the wounds using high pressure (greater than 4
pounds per square inch) and high volume (greater than 1 L). Isolated puncture wounds should
Gold standard for CAP diagnosis: correct answers Chest x-ray
If CAP symptoms present but no obvious signs of infection on CXR treatment is... correct
answers Same as if CXR was positive
Immunizations for people over 65 or younger people with comorbidities such as asthma, CHF
COPD: correct answers Pneumonia and flu vaccines
Who is at risk for CAP? correct answers Extremes of age, smokers, alcoholics, GERD, chronic
disease, institutionalization
CAP presentation in adults: correct answers Cough (may be nonproductive), dyspnea, fever,
hemoptysis, chest pain, fatigue, tachycardia
If lymphocytes are elevated? correct answers Indicative of viral process
If monocytes are elevated? correct answers Indicative of chronic process
If eosinophils are elevated? correct answers Indicative of asthma, allergic reaction
If basophils are elevated? correct answers Indicative of chronic process
If neutrophils are elevated? correct answers Indicative of acute bacterial process
CAP: patient present with symptoms of chills, fever, chest pain, productive cough with purulent
sputum, positive chest x-ray, and patient had URI last week? correct answers Streptococcus
pneumonia: gram +
, In the United States, the most common cause of myocarditis in children is: correct answers
Viruses
Your next patient is a 5-year-old child with a history of moderate persistent asthma. He has been
wheezing and coughing for the past two days, and his mother brings him in today for evaluation.
He has been using albuterol every four hours. His respiratory rate is 13 breaths per minute; his
lungs are clear to auscultation; and no retractions are noted. What may be your assessment and
intervention based on this information? correct answers Your child is breathing slower than
normal for his age. We need to send him to the ER for further intervention.
Your next patient is a 6-year-old male here for his annual influenza vaccine. He has a history of
mild persistent asthma. What would you discuss for medications when reviewing his asthma
action plan? correct answers Your child should continue his low-dose inhaled corticosteroid daily
and add albuterol as needed for an exacerbation.
A child who has been diagnosed with asthma for several years has been using a short-acting
Beta-agonist (SABA) to control symptoms. The PNP learns that the child has recently begun
using the SABA 2-3 times each week to prevent wheezing and shortness of breath. The child
currently has clear breath sounds and an FEV1 of 75% of personal best. What will the NP do?
correct answers Add an inhaled corticosteroid.
Your next patient is a six-month-old infant who just completed amoxicillin for otitis media. The
mother states her child is better except for a diaper rash. Upon examination, you note red scaly
plaques in the diaper area with satellite lesions to his upper thighs. What would you do next as
the PNP? correct answers Your child has a rash that is likely due to a fungus, Candida, and
commonly occurs after taking antibiotics. I will prescribe nystatin to be applied to the diaper
area.
A 12 y.o. female presents to the clinic after being bit by a dog on the face. Abrasion with 2
puncture wounds on the upper right cheek, approximately 1 inch below the eye. The area is
slightly erythematous, with a small amount of bruising and raised area along the cheekbone.
correct answers Using normal saline, irrigate the wounds using high pressure (greater than 4
pounds per square inch) and high volume (greater than 1 L). Isolated puncture wounds should
