NUR 6111 MIDTERM DETAILED EXAM 2025

NUR 6111 MIDTERM DETAILED EXAM 2025 When reading a TST(PPD) all of the following indicate a positive test except - Correct Ans-Healthy In the employee health office, you have diagnosed latent TB in an employee who has a Positive tuberculin skin test (TST) You have a positive QuantiFERON (QFT) test and a Chest x-ray that shows no active disease. What other diagnostic test would you order before starting this employee on INH therapy? - Correct Ans-LFT The estimated attributed cause of lung cancer from active cigarette smoking is? - Correct Ans-90% Assessment finding of greatest concern in an individual who smokes with a chronic cough that warrants CT scan - Correct Ans-Persistent cough or change As a primary care clinician, recommendations you would give a patient for smoking cessation would be all the following except? - Correct Ans-Recommend against e-cigs Bacterial causes of acute bronchitis include all of the following except: - Correct Ans Pneumonia All of the following are expected symptoms of pneumonia EXCEPT: - Correct Ans-read the question carefully-altered mental status is not an answer Which of the following is done to confirm a diagnosis of pneumonia? - Correct Ans Chest Xray/Chest radiograph Guidelines recommend high risk patients be screened for lung cancer beginning at - Correct Ans-55 Which of the following best describes asthma? - Correct Ans-Chronic airway inflammation with superimposed bronchospasms Treatment for a pulmonary embolus would include all the following pharmacological agents except? - Correct Ans-Plavix NUR 6111 NUR 6111 Classic EKG changes seen in an individual with pulmonary emboli are: - Correct Ans-T inverted waves in lead 3, S waves in lead 1, Q waves in lead 3 A patient presents to your office with significant shortness of breath, tachycardia, and recent history of travel. Your immediate concern would be to rule out? - Correct Ans Pulmonary Embolism Which of the following statements about lung cancer is NOT true? - Correct Ans-Usually dx early Which of the following is NOT part of the differential diagnosis for a patient who complains of cough? - Correct Ans-Obesity Which of the following is the gold standard in assessment and diagnosis of COPD? - Correct Ans-Post- Bronchodilated spirometery (spirometery is the gold standard) An example of a SAMA you would use in the treatment of COPD is: - Correct Ans ipratropium/Atrovent HFA (short acting) A patient diagnosed with acute bronchitis and cough 5 days ago, calls to report that his cough is persistent since yesterday. He has no other new symptoms. How should the NP manage this patient? - Correct Ans-Order an antitussive (for relief and severity of cough), Dextromethorphan/Guaitenn soml, Deloyn 10ml BID Ryan is a 28 year old male who presents to your practice with symptoms consistent with acute bronchitis. Risk factors associated with acute bronchitis include the following EXCEPT? - Correct Ans-Male gender When providing Ryan with patient education about his acute bronchitis, you explain acute bronchitis is - Correct Ans-Acute onset or persistent cough with or without sputum A 50 year old male patient presents to your practice with cough, pharyngitis, nasal discharge, and fever. Which of these symptoms is most common with acute bronchitis? - Correct Ans-cough A 25 year old female presents to the office with a hx of asthma. She states that she was uses her albuterol inhalers 2-3 times a week with good relief symptoms and that is why she doesn't use the ICS that was previously prescribed. She does not consider her asthma to interfere with her life. She is requesting a refill of her albuterol. Your priority advise to the patient is that - Correct Ans-not effective recommend ICS NUR 6111 NUR 6111 Which of the following is a basis of drug therapy used in the treatment of moderate persistent asthma? - Correct Ans-Low to medium IS + long acting bronchodilator (flutacusone+salmetrol-Advair) Flutucosone propronate salmetrol When educating your patient all of the following information you provide is correct EXCEPT - Correct Ans---- Which of the following would be an appropriate treatment choice for a 40-year-old female diagnosed with community aquired pneumonia who has no co-morbidities? (select 2) - Correct Ans-ANS: Amoxicillin, doxycycline, azithromycin or clarithromycin doxycycline 100 BID, Azithromycin A 21 year old presents with ear pain. On PE, you observe pain with palpation of pinna and tragus and redness swelling of the external auditory canal. The patient has tympanostomy tubes. Which medication would you NOT prescribe: - Correct Ans-Cipro (hydrocortisone) A 35 year old female presents with redness in her eyes, yellowish drainage and some discomfort, she does not feel comfortable using her contact lenses. She has no visual disturbance. Her son who is in grade school had the same problem and was treated by the pediatrician. You diagnose her with acute bacterial conjunctivitis. The most appropriate antibiotic to prescribe is - Correct Ans-levofloxacin Lily has nasal congestion with purulent nasal discharge and facial pain without improvement for the past 12 days. She has a PCN allergy. The best option for initial therapy is: - Correct Ans-Moxifloxacin, levofloxacin, doxycycline Which of the following statements are true. select 2 answers - Correct Ans---- The recommended pharmacological management for acute bacterial sinusitis include: (choose 3 correct answers) - Correct Ans-Amoxicillin/ Amoxicillin Clav/Augmentin extended release (but if allgery. Levaquin, moxi, doxy) James has a URI that started bout 2 weeks ago. He started getting nasal congestion with purulent nasal discharge and facial pain without improvement. Your examination for James would include palpation and transillumination of the largest facial sinuses - Correct Ans-Maxillary and Frontal NUR 6111 NUR 6111 James had a URI that started about 2 weeks ago. He started getting nasal congestion with purulent nasal discharge and facial pain without improvement. The patient most likely has: - Correct Ans-Acute Bacterial Sinusitis In a patient with Benign Paroxysmal Positional Vertigo (BPPV), the recommended treatment includes - Correct Ans-epley maneuver A 45 year old patient described a spinning sensation that has occurred intermittently in the last 2 days. It is precipitated by position changed like rolling over in bed. During these episodes, the patient has intense nausea. You diagnosed the patient with BPPV. Which symptom is most characteristic pf BPPV? - Correct Ans-Spinning, twirling, or tilting as per the book Treatment options for primary open angle glaucoma include all of the following topical ocular agents except - Correct Ans-maybe steroids/antihistamines or OCT decongestants because it can cause elevated eye pressure??? Which of the following is a common vision problem in the person with untreated open- angle glaucoma? - Correct Ans-Peripheral vision loss A patient was diagnosed with Strep pharyngitis and was prescribed azithromycin. He is now completed the 3rd day of treatment, with no improvement. He has no known drug allergies. What is the best course of action? - Correct Ans-A penicillin or cephalosporin with beta lactamase coverage should be considered Patient presents with sore throat and fever (>101.5) x 2 days. He denies post-nasal drip or coughing. On exam, he has anterior cervical lymphadenopathy and swollen tonsils. Based on the Adult Centor criteria, what would be the recommendation for this patient? - Correct Ans-Start the patient on Amoxicillin 815 Q12 * 10days What is the most common physical finding associated with strep pharyngitis? - Correct Ans-Tonsillar exudate A patient presents with a feeling of fullness in her right ear along with fever > 101.5 F x 2 days. Physical exam reveals, middle ear effusion and erythema of the tympanic membrane. TM is intact with no tubes. The patient has no allergies to medications. Select NUR 6111 NUR 6111 the appropriate initial treatments for this patient? (Select 3 answers) - Correct Ans Amoxicillin 500mg/ Amoxicillin/Clavulanate 500mg/Cefdinir 300mg --- so have to see the answers because these are not them... BUT most like it will be ibuprofen, ABX and heat Which of the following would you not use as part of a diagnostic exam for otitis media? History of acute onset of s/s. presence of middle ear infection, s/s middle ear inflammation. - Correct Ans-Haxil or something Maneuver A physical exam finding that differentiates otitis externa from otitis media is - Correct Ans-pain upon palpation of the tragus or application of traction of pinna Macular degeneration is manifested by - Correct Ans-loss of central vision In a patient presenting with a red eye, it is important to ask about this to help establish the seriousness of the problem: - Correct Ans-when there is reduction in visual acuity A patient presents to the afterhours clinic with what you believe to be viral conjunctivitis based on the following signs and symptoms - Correct Ans-Clear eye discharge, URI symptoms, bilateral inflammation, abrupt onset What is the treatment for allergic rhinitis? - Correct Ans-Topical nasal steroid/nasal spray A 30-year-old female presents with long-standing nasal stuffiness, clear watery nasal discharge, and annoying sneezing. Which symptom is not associated with allergic rhinitis? - Correct Ans-Fever, bacteria All of the following are useful in allergic rhinitis except - Correct Ans-abx