NSG 6440 PREDICTOR TEST EXAM QUESTIONS AND ANSWERS
EXPLAINED 100%CORRECT/VERIFIED NEW UPDATE 2022/2023
GRADED A+
Typed58Pre-Predictor
• A581558years58old58high58school58student58with58a58mild58sore58throat58and58
low-
grade58fever58that58has58persisted58for58about58358weeks.58She58reports58general58
malaise,58fatigue,
and58loss58of58appetite.58The58NP58suspects58mononucleosis.58Which58of58the58follo
wing58is58the58LEAST58appropriate58intervention?
a. Palpate58the58lymph58nodes58and58spleen
b. Examine58the58posterior58oropharynx58for58petechiae
c. Obtain58a58CBC,58throat58culture,58and58heterop
hil58antibody58test.58d.58Obtain58an58urinalyses58and58
serum58for58LFTs58and58amylase
Explanation:58mononucleosis58is58a58symptomatic58infection58caused58by58the58Epstei
n-Bar58virus.58Common58is58people5815-
2458years58of58age.58Common58signs58and58symptoms58following58incubation58period5
(1-
8
258months)58include58fatigue,58chills,58malaise,58anorexia,58white58tonsillar58exudates5
8 and58lymphadenopathy58or58posterior58cervical58region.
Splenomegaly58can58be58present.58A58maculopapular58or58occasionally58a58petechia
l58rash58occurs58in58less58than5815%58of58patients.58A58diagnosis58is58usually58made5
8 using58the58Monospot.58In58addition,58neutropenia58and58lymphocytosis58are58usual
ly58detected58in58the58CBC.
,• A583258years58old58male58patient58complaint58of58urinary58frequency58and58bur
ning58on58urination58for58358days.58Urinalyses58reveals58bacteriuria58and58positive58n
itrites.58He58denies
any58past58hx.58Of58urinary58tract58infections.58The58initial58treatment58should58be:
,a. trimethoprim-sulfamethoxazole58(Bactrim,58Sulfatrim)58for587-1058day
b. ciprofloxacin58(Cipro)58for583-558days
c. Trimethoprim-Sulfamethoxazole58for58358days
d. 75058mg58ciprofloxacin58as58a58one-time58dose
Explanation:58trimethoprim-
sulfamethoxazole58(TMPS)58is58usually58n58appropriate58medication58to58treat58urin
ary58tract58infections58in58most58patients.58In58the58case58of58community58resistance5
8 to58TMPS
>20%^,58another58medication58should58be58substituted.58In58men,58the58appropriate58
length58of58time58is587-
1058days.58Women58may58be58treated58for58358days58for58uncomplicated58UTI
• Which58agent58is58most58effective58for58the58treatment58of58nodulocystic58acne?
a. Benzoyl58peroxide58(Benzac)
b. Retinoic58acid58(Retin58A)
c. Topical58
tetracycline58d
.
Isotretinoin)
Explanation:58Isotretinoin58(Accutane)58is58a58systemic58agent58indicated58for58trea
tment58with58severe58inflammatory58acne.58Guidelines58for58its58use58must58be58clear
ly58understood58by58the58patient.58A58woman58of58childbearing58age58must58use58an5
8 effective58method58of58contraception58because58isotretinoin58is58teratogenic.58Ther
e58are58many58restrictions58in
, prescribing58this58medication58because58of58the58teratogenic58effects58is58given58duri
ng58pregnancy.58Therefore,58it58is58a58pregnancy58category58X.
• An581858y/o58woman58is58taking58a58combined58hormonal58oral58contra
ceptive.58She58should58be58instructed58to58use58a58backup58method58for58the
58prevention58of
pregnancy
a. Throughout58the58week58of58placebo58pills
b. If58prescribed58topiramate58(Topamax)58for58the58treatment58of58migraines.
EXPLAINED 100%CORRECT/VERIFIED NEW UPDATE 2022/2023
GRADED A+
Typed58Pre-Predictor
• A581558years58old58high58school58student58with58a58mild58sore58throat58and58
low-
grade58fever58that58has58persisted58for58about58358weeks.58She58reports58general58
malaise,58fatigue,
and58loss58of58appetite.58The58NP58suspects58mononucleosis.58Which58of58the58follo
wing58is58the58LEAST58appropriate58intervention?
a. Palpate58the58lymph58nodes58and58spleen
b. Examine58the58posterior58oropharynx58for58petechiae
c. Obtain58a58CBC,58throat58culture,58and58heterop
hil58antibody58test.58d.58Obtain58an58urinalyses58and58
serum58for58LFTs58and58amylase
Explanation:58mononucleosis58is58a58symptomatic58infection58caused58by58the58Epstei
n-Bar58virus.58Common58is58people5815-
2458years58of58age.58Common58signs58and58symptoms58following58incubation58period5
(1-
8
258months)58include58fatigue,58chills,58malaise,58anorexia,58white58tonsillar58exudates5
8 and58lymphadenopathy58or58posterior58cervical58region.
Splenomegaly58can58be58present.58A58maculopapular58or58occasionally58a58petechia
l58rash58occurs58in58less58than5815%58of58patients.58A58diagnosis58is58usually58made5
8 using58the58Monospot.58In58addition,58neutropenia58and58lymphocytosis58are58usual
ly58detected58in58the58CBC.
,• A583258years58old58male58patient58complaint58of58urinary58frequency58and58bur
ning58on58urination58for58358days.58Urinalyses58reveals58bacteriuria58and58positive58n
itrites.58He58denies
any58past58hx.58Of58urinary58tract58infections.58The58initial58treatment58should58be:
,a. trimethoprim-sulfamethoxazole58(Bactrim,58Sulfatrim)58for587-1058day
b. ciprofloxacin58(Cipro)58for583-558days
c. Trimethoprim-Sulfamethoxazole58for58358days
d. 75058mg58ciprofloxacin58as58a58one-time58dose
Explanation:58trimethoprim-
sulfamethoxazole58(TMPS)58is58usually58n58appropriate58medication58to58treat58urin
ary58tract58infections58in58most58patients.58In58the58case58of58community58resistance5
8 to58TMPS
>20%^,58another58medication58should58be58substituted.58In58men,58the58appropriate58
length58of58time58is587-
1058days.58Women58may58be58treated58for58358days58for58uncomplicated58UTI
• Which58agent58is58most58effective58for58the58treatment58of58nodulocystic58acne?
a. Benzoyl58peroxide58(Benzac)
b. Retinoic58acid58(Retin58A)
c. Topical58
tetracycline58d
.
Isotretinoin)
Explanation:58Isotretinoin58(Accutane)58is58a58systemic58agent58indicated58for58trea
tment58with58severe58inflammatory58acne.58Guidelines58for58its58use58must58be58clear
ly58understood58by58the58patient.58A58woman58of58childbearing58age58must58use58an5
8 effective58method58of58contraception58because58isotretinoin58is58teratogenic.58Ther
e58are58many58restrictions58in
, prescribing58this58medication58because58of58the58teratogenic58effects58is58given58duri
ng58pregnancy.58Therefore,58it58is58a58pregnancy58category58X.
• An581858y/o58woman58is58taking58a58combined58hormonal58oral58contra
ceptive.58She58should58be58instructed58to58use58a58backup58method58for58the
58prevention58of
pregnancy
a. Throughout58the58week58of58placebo58pills
b. If58prescribed58topiramate58(Topamax)58for58the58treatment58of58migraines.