NURS 5433 Midterm EXAM QUESTIONS
WITH CORRECT ANSWERS||100%
GUARANTEED PASS||UPDATED
2026/2027 SYLLABUS||<<NEWEST
VERSION>>
Which of the following is considered dangerous in the clinical presentation of
Shingles?
A. Localized burning, tingling or pain before a rash appears
B. Malaise
C. Crusted lesions
D. Vision loss - ANSWER ✓ D. Vision loss
Could indicate ophthalmic branch involvement
A 20 year old patient comes in with chicken pox, what diagnostic should you
consider performing? - ANSWER ✓ HIV testing
Which pathogen is the most common cause of adult bacterial meningitis? -
ANSWER ✓ Streptococcus pneumoniae
What are two hallmarks of tests to assess if someone has meningitis? - ANSWER
✓ Brudzinski sign
Kernig sign
Which of the following pathogens is associated with meningitis in neonates and
the elderly due to contaminated food?
A. Strep Pneumoniae
B. Neisseria meningitis
C. Tuberculosis
D. Listeria monocytogenes - ANSWER ✓ D. Listeria monocytogenes
,What cerebral spinal fluid findings are expected in bacterial meningitis?
A. Low WBC, high glucose
B. High protein, high WBC, low glucose
C. High protein, low WBC, low glucose
D. Normal protein, and low glucose - ANSWER ✓ B. High protein, high WBC,
low glucose
What is the most appropriate FIRST step in suspected bacterial meningitis with
Neurologic Deficits?
A. CT scan before lumbar puncture
B. Immediate lumbar puncture
C. Start antivirals
D. Order EEG
E. Ziehl-Nelson stain - ANSWER ✓ A. CT scan before lumbar puncture
What is the empiric antibiotic regimen for adults with bacterial meningitis?
A. Azithromycin and ampicillin
B. Doxycycline and Ceftriaxone
C. Ceftriaxone and vanomycin and ampicillin
D. Cefazolin and gentamicin and ampicillin - ANSWER ✓ C. Ceftriaxone and
vanomycin and ampicillin
A 4 year old presents to the office with a runny nose, fever, and rapid coughs
followed by a "whoop" sound, which of the following antibiotic is the best
treatment of choice?
A. Azithromycin
B. Doxycycline
C. Amoxicillin
D. Penicillin
E. Levofloxacin - ANSWER ✓ A. Azithromycin
When should pregnant women receive their Tdap vaccination? - ANSWER ✓
Between 27-36 weeks
, What is the Tdap vaccination trying to prevent? - ANSWER ✓ Pertussis
(whooping cough)
What medication can be giving To a child with Whooping cough if they have an
allergy to Macrolides? - ANSWER ✓ Trimethoprim/sulfamethoxazole
Patient diagnosed with pertussis has only a mild cough that has lasted for about a
week at this point in their illness. What stage are they most likely in?
A. Catarrhal
B. Paroxysmal
C. Convalescent
D. Prodromal - ANSWER ✓ C. Convalescent
Patient diagnosed with pertussis has an inspiratory "whoop" , some vomiting and
erythematous face when cough at this point in their illness. What stage are they
most likely in?
A. Catarrhal
B. Paroxysmal
C. Convalescent
D. Prodromal - ANSWER ✓ B. Paroxysmal
A 5 year old male presents with a UTI. What's the correct management
consideration?
A. No testing needed
B. Repeat urine dipstick
C. Urological evaluation needed
D. Treat with antibiotics and discharge - ANSWER ✓ C. Urological evaluation
needed
What is the most common UTI pathogen? - ANSWER ✓ Escherichia coli (E. coli)
Which of the following antibiotics is the safest for treating asymptomatic
bacteriuria in a pregnant patient?
A. Nitrofurantoin
B. TMP-SMX
, C. Cephalexin
D. Ciprofloxacin - ANSWER ✓ C. Cephalexin
You can use amoxicillin, cephalosporins, or fosfomycin
What finding is diagnostic of pyelonephritis on urinalysis?
A. Hematuria
B. Nitrites
C. WBC casts
D. Proteinuria - ANSWER ✓ C. WBC casts
Which of the following antibiotics is the first line treatment for UTI only when
there is local resistance?
A. Nitrofurantoin
B. TMP-SMX
C. Cephalexin
D. Ciprofloxacin - ANSWER ✓ B. TMP-SMX (Bactrim)
What is the hallmark symptoms that differentiates pyelonephritis from cystitis?
SATA
A. Dysuria
B. Flank pain
C. Urinary urgency
D. Fever
E. Hematuria - ANSWER ✓ Flank pain and fever
When should you refer a pyelonephritis patient to Urology?
A. Fever for 24 hrs
B. GFR of 80
C. No improvement after 48 hrs
D. Microscopic hematuria - ANSWER ✓ C. No improvement after 48 hrs
Refer
Pregnant patients, MALE patients , fever > 72 hrs, no improvement in 48 hrs ,
actually ill presentation, recurrent infections
WITH CORRECT ANSWERS||100%
GUARANTEED PASS||UPDATED
2026/2027 SYLLABUS||<<NEWEST
VERSION>>
Which of the following is considered dangerous in the clinical presentation of
Shingles?
A. Localized burning, tingling or pain before a rash appears
B. Malaise
C. Crusted lesions
D. Vision loss - ANSWER ✓ D. Vision loss
Could indicate ophthalmic branch involvement
A 20 year old patient comes in with chicken pox, what diagnostic should you
consider performing? - ANSWER ✓ HIV testing
Which pathogen is the most common cause of adult bacterial meningitis? -
ANSWER ✓ Streptococcus pneumoniae
What are two hallmarks of tests to assess if someone has meningitis? - ANSWER
✓ Brudzinski sign
Kernig sign
Which of the following pathogens is associated with meningitis in neonates and
the elderly due to contaminated food?
A. Strep Pneumoniae
B. Neisseria meningitis
C. Tuberculosis
D. Listeria monocytogenes - ANSWER ✓ D. Listeria monocytogenes
,What cerebral spinal fluid findings are expected in bacterial meningitis?
A. Low WBC, high glucose
B. High protein, high WBC, low glucose
C. High protein, low WBC, low glucose
D. Normal protein, and low glucose - ANSWER ✓ B. High protein, high WBC,
low glucose
What is the most appropriate FIRST step in suspected bacterial meningitis with
Neurologic Deficits?
A. CT scan before lumbar puncture
B. Immediate lumbar puncture
C. Start antivirals
D. Order EEG
E. Ziehl-Nelson stain - ANSWER ✓ A. CT scan before lumbar puncture
What is the empiric antibiotic regimen for adults with bacterial meningitis?
A. Azithromycin and ampicillin
B. Doxycycline and Ceftriaxone
C. Ceftriaxone and vanomycin and ampicillin
D. Cefazolin and gentamicin and ampicillin - ANSWER ✓ C. Ceftriaxone and
vanomycin and ampicillin
A 4 year old presents to the office with a runny nose, fever, and rapid coughs
followed by a "whoop" sound, which of the following antibiotic is the best
treatment of choice?
A. Azithromycin
B. Doxycycline
C. Amoxicillin
D. Penicillin
E. Levofloxacin - ANSWER ✓ A. Azithromycin
When should pregnant women receive their Tdap vaccination? - ANSWER ✓
Between 27-36 weeks
, What is the Tdap vaccination trying to prevent? - ANSWER ✓ Pertussis
(whooping cough)
What medication can be giving To a child with Whooping cough if they have an
allergy to Macrolides? - ANSWER ✓ Trimethoprim/sulfamethoxazole
Patient diagnosed with pertussis has only a mild cough that has lasted for about a
week at this point in their illness. What stage are they most likely in?
A. Catarrhal
B. Paroxysmal
C. Convalescent
D. Prodromal - ANSWER ✓ C. Convalescent
Patient diagnosed with pertussis has an inspiratory "whoop" , some vomiting and
erythematous face when cough at this point in their illness. What stage are they
most likely in?
A. Catarrhal
B. Paroxysmal
C. Convalescent
D. Prodromal - ANSWER ✓ B. Paroxysmal
A 5 year old male presents with a UTI. What's the correct management
consideration?
A. No testing needed
B. Repeat urine dipstick
C. Urological evaluation needed
D. Treat with antibiotics and discharge - ANSWER ✓ C. Urological evaluation
needed
What is the most common UTI pathogen? - ANSWER ✓ Escherichia coli (E. coli)
Which of the following antibiotics is the safest for treating asymptomatic
bacteriuria in a pregnant patient?
A. Nitrofurantoin
B. TMP-SMX
, C. Cephalexin
D. Ciprofloxacin - ANSWER ✓ C. Cephalexin
You can use amoxicillin, cephalosporins, or fosfomycin
What finding is diagnostic of pyelonephritis on urinalysis?
A. Hematuria
B. Nitrites
C. WBC casts
D. Proteinuria - ANSWER ✓ C. WBC casts
Which of the following antibiotics is the first line treatment for UTI only when
there is local resistance?
A. Nitrofurantoin
B. TMP-SMX
C. Cephalexin
D. Ciprofloxacin - ANSWER ✓ B. TMP-SMX (Bactrim)
What is the hallmark symptoms that differentiates pyelonephritis from cystitis?
SATA
A. Dysuria
B. Flank pain
C. Urinary urgency
D. Fever
E. Hematuria - ANSWER ✓ Flank pain and fever
When should you refer a pyelonephritis patient to Urology?
A. Fever for 24 hrs
B. GFR of 80
C. No improvement after 48 hrs
D. Microscopic hematuria - ANSWER ✓ C. No improvement after 48 hrs
Refer
Pregnant patients, MALE patients , fever > 72 hrs, no improvement in 48 hrs ,
actually ill presentation, recurrent infections
