QUIZ QUESTIONS NURS620/621 | 2026
UPDATE WITH COMPLETE SOLUTION
A 22-year-old woman presents with a "pimple" on her right eyelid.
Examination reveals a 2-mm pustule on the lateral border of the right eyelid
margin. This is most consistent with:
A. a chalazion
B. a hordeolum
C. blepharitis
D. cellulitis - ANSWERS-B. a hordeolum
Treatment options for uncomplicated hordeolum include all of the following
except:
A. erythromycin ophthalmic ointment
B. warm compresses to the affected area
C. incision and drainage
D. oral antimicrobial therapy - ANSWERS-D. oral antimicrobial therapy
When advising a patient with scarlet fever, the NP considers that:
A. there is increased risk for poststreptococcal glomerulonephritis
B. the rash often peels during recovery
C. an injectable cephalosporin is the preferred treatment option
D. throat culture is usually negative for group A streptococci - ANSWERS-B.
the rash often peels during recovery
The incubation period for M. pneumoniae is usually:
A. less than 1 week
,B. 1 week
C. 2 weeks
D. 3 weeks - ANSWERS-D. 3 weeks
The incubation period for S. pyogenes is usually:
A. 1 to 3 days
B. 3 to 5 days
C. 6 to 9 days
D. 10 to 13 days - ANSWERS-B. 3 to 5 days
All of the following are common causes of penicillin treatment failure in
streptococcal pharyngitis except:
A. infection with a beta-lactamase producing Streptococcus strain
B. failure to initiate or complete the antimicrobial course
C. concomitant infection or carriage with a beta-lactamase-producing
organism
D. inadequate penicillin dosage - ANSWERS-A. infection with a beta-
lactamase producing Streptococcus strain
Oral decongestant use should be discouraged in patients with:
A. allergic rhinitis
B. migraine headache
C. cardiovascular disease
D. chronic bronchitis - ANSWERS-C. cardiovascular disease
In the treatment of allergic rhinitis, leukotriene modifiers should be used as:
A. an agent to relieve nasal itch
B. an inflammatory inhibitor
, C. a rescue drug
D. an intervention in acute inflammation - ANSWERS-B. an inflammatory
inhibitor
Cromolyn's mechanism of action is as a/an:
A. anti-immunoglobulin E antibody
B. vasoconstrictor
C. mast cell stabilizer
D. leukotriene modifier - ANSWERS-C. mast cell stabilizer
Therapeutic interventions for the patient in Question 1 (giant cell arteritis),
should include:
A. systemic corticosteroid therapy for many months
B. addition of an angiotensin-converting enzyme inhibitor (ACEI) to her
antihypertensive regimen
C. warfarin therapy
D. initiation of topirimate (Topamax) - ANSWERS-A. systemic corticosteroid
therapy for many months
A 74 year-old woman with well-controlled hypertension who is taking
hydrochlorothiazide presents with a 3-day history of unilateral throbbing
headache with difficulty chewing because of the pain. On physical
examination, you find a tender, noncompressible temporal artery. Blood
pressure (BP) is 160/88 mm Hg, apical pulse is 98 bpm, and respiratory rate
is 22/min; the patient is visibly uncomfortable. The most likely diagnosis is:
A. giant cell arteritis
B. impending transient ischemic attack
C. complicated migraine
D. temporal mandibular joint dysfunction - ANSWERS-A. giant cell arteritis
UPDATE WITH COMPLETE SOLUTION
A 22-year-old woman presents with a "pimple" on her right eyelid.
Examination reveals a 2-mm pustule on the lateral border of the right eyelid
margin. This is most consistent with:
A. a chalazion
B. a hordeolum
C. blepharitis
D. cellulitis - ANSWERS-B. a hordeolum
Treatment options for uncomplicated hordeolum include all of the following
except:
A. erythromycin ophthalmic ointment
B. warm compresses to the affected area
C. incision and drainage
D. oral antimicrobial therapy - ANSWERS-D. oral antimicrobial therapy
When advising a patient with scarlet fever, the NP considers that:
A. there is increased risk for poststreptococcal glomerulonephritis
B. the rash often peels during recovery
C. an injectable cephalosporin is the preferred treatment option
D. throat culture is usually negative for group A streptococci - ANSWERS-B.
the rash often peels during recovery
The incubation period for M. pneumoniae is usually:
A. less than 1 week
,B. 1 week
C. 2 weeks
D. 3 weeks - ANSWERS-D. 3 weeks
The incubation period for S. pyogenes is usually:
A. 1 to 3 days
B. 3 to 5 days
C. 6 to 9 days
D. 10 to 13 days - ANSWERS-B. 3 to 5 days
All of the following are common causes of penicillin treatment failure in
streptococcal pharyngitis except:
A. infection with a beta-lactamase producing Streptococcus strain
B. failure to initiate or complete the antimicrobial course
C. concomitant infection or carriage with a beta-lactamase-producing
organism
D. inadequate penicillin dosage - ANSWERS-A. infection with a beta-
lactamase producing Streptococcus strain
Oral decongestant use should be discouraged in patients with:
A. allergic rhinitis
B. migraine headache
C. cardiovascular disease
D. chronic bronchitis - ANSWERS-C. cardiovascular disease
In the treatment of allergic rhinitis, leukotriene modifiers should be used as:
A. an agent to relieve nasal itch
B. an inflammatory inhibitor
, C. a rescue drug
D. an intervention in acute inflammation - ANSWERS-B. an inflammatory
inhibitor
Cromolyn's mechanism of action is as a/an:
A. anti-immunoglobulin E antibody
B. vasoconstrictor
C. mast cell stabilizer
D. leukotriene modifier - ANSWERS-C. mast cell stabilizer
Therapeutic interventions for the patient in Question 1 (giant cell arteritis),
should include:
A. systemic corticosteroid therapy for many months
B. addition of an angiotensin-converting enzyme inhibitor (ACEI) to her
antihypertensive regimen
C. warfarin therapy
D. initiation of topirimate (Topamax) - ANSWERS-A. systemic corticosteroid
therapy for many months
A 74 year-old woman with well-controlled hypertension who is taking
hydrochlorothiazide presents with a 3-day history of unilateral throbbing
headache with difficulty chewing because of the pain. On physical
examination, you find a tender, noncompressible temporal artery. Blood
pressure (BP) is 160/88 mm Hg, apical pulse is 98 bpm, and respiratory rate
is 22/min; the patient is visibly uncomfortable. The most likely diagnosis is:
A. giant cell arteritis
B. impending transient ischemic attack
C. complicated migraine
D. temporal mandibular joint dysfunction - ANSWERS-A. giant cell arteritis
