NR 571 MidTerm Study Set
EXAM LATEST QUESTIONS
AND VERIFIED ANSWERS
100% GUARANTEED PASS
anticholinergics for asthma - correct answer Ipratropium
Tiotropium
common CPOD co-morbidities - correct answer smoker
right heart failure
pulmonary congestion
lung cancer
cachexia
LAMAs - correct answer Aclidinium
Glycopyrrolate
Tiotropium
Umeclidinium
LABAs - correct answer Salmeterol
Formoterol
acute wounds - correct answer caused by one insult
heal in orderly fashion
,heal in less than 30 days
limited # of co-morbidities
chronic wounds - correct answer caused by more than one insult
complicated by multiple co-morbidities
become stalled in one of the phases of healing
do not heal within the normal range
may not stay healed
A hospitalized patient is noted to have an ulcer over the left ischial tuberosity. Assessment
reveals it to be partial thickness with a fluid-filled blister. The overall wound bed is red and
moist. Which of the following stages accurately reflects the provider's assessment?
a. Deep tissue injury
b Stage 2
c Stage 3
d Stage 1 - correct answer B. stage 2
Which of the following dressings would be most appropriate to absorb copious amounts of
exudative drainage from an infected decubitus ulcer?
a. Saline-soaked sterile gauze
b. Alginate
c. Hydrocolloid
d .Hydrogel - correct answer b. alginate
differentiating signs of necrotizing fasciitis - correct answer severe pain disproportionate to the
area of visible infection
bullous lesions
,fever >38 C
color change from red to purplish-blue
hard skin
crepitus
signs of shock
Differential dx for nec fasc - correct answer cellulitis
erysipelas
impentigo
abscesses
insect or spider bite
Gold standard for dx NEC fasc - correct answer tissue biopsy
Imaging for NEC fasc - correct answer DO NOT delay tx for imaging
MRI
CT
US
LRINEC score is for what? - correct answer differentiation of severe cellulitis or abscess from NF
What is evaluated in the LRINEC score? - correct answer CRP, WBC, Hgb, Na, Cr, and Glucose
High risk for NF - correct answer LRINEC score above 6
Which of the following patients is at the highest risk for necrotizing fasciitis?
, a. A 60 year-old male with a past medical history of traumatic leg fracture 2 years ago.
b. A 46 year-old male with a past medical history of HIV presenting with acute low back pain.
c. A 39 year-old female treated for cellulitis from a spider bite who clinically improves within the
1st 24 hours of antibiotic administration.
d. A 65 year-old obese female with a past medical history of obesity, diabetes, and hypertension
who underwent an open cholecystectomy 2 days ago. - correct answer d. A 65 year-old obese
female with a past medical history of obesity, diabetes, and hypertension who underwent an
open cholecystectomy 2 days ago.
What is the most distinguishing feature of necrotizing fasciitis?
a. Increased drainage and odor from the wound
b. Pain disproportionate to the clinical presentation
c. Erythema and edema
d. Fever - correct answer b. Pain disproportionate to the clinical presentation
All of the following are true statements regarding necrotizing fasciitis, except:
a. Infection may be due to a monomicrobial or polymicrobial pathogen
b. The infection has a slow progression (weeks to months)
c. Visible, necrotizing skin, may not be apparent
d. Diabetes and chronic kidney disease are risk factors - correct answer b. The infection has a
slow progression (weeks to months)
Differential for osteomyelitis - correct answer Cellulitis
Diabetic ulcer
TB bone infection
Metastatic cancer
Diagnostic testing for osteomyelitis - correct answer Bld Cx
EXAM LATEST QUESTIONS
AND VERIFIED ANSWERS
100% GUARANTEED PASS
anticholinergics for asthma - correct answer Ipratropium
Tiotropium
common CPOD co-morbidities - correct answer smoker
right heart failure
pulmonary congestion
lung cancer
cachexia
LAMAs - correct answer Aclidinium
Glycopyrrolate
Tiotropium
Umeclidinium
LABAs - correct answer Salmeterol
Formoterol
acute wounds - correct answer caused by one insult
heal in orderly fashion
,heal in less than 30 days
limited # of co-morbidities
chronic wounds - correct answer caused by more than one insult
complicated by multiple co-morbidities
become stalled in one of the phases of healing
do not heal within the normal range
may not stay healed
A hospitalized patient is noted to have an ulcer over the left ischial tuberosity. Assessment
reveals it to be partial thickness with a fluid-filled blister. The overall wound bed is red and
moist. Which of the following stages accurately reflects the provider's assessment?
a. Deep tissue injury
b Stage 2
c Stage 3
d Stage 1 - correct answer B. stage 2
Which of the following dressings would be most appropriate to absorb copious amounts of
exudative drainage from an infected decubitus ulcer?
a. Saline-soaked sterile gauze
b. Alginate
c. Hydrocolloid
d .Hydrogel - correct answer b. alginate
differentiating signs of necrotizing fasciitis - correct answer severe pain disproportionate to the
area of visible infection
bullous lesions
,fever >38 C
color change from red to purplish-blue
hard skin
crepitus
signs of shock
Differential dx for nec fasc - correct answer cellulitis
erysipelas
impentigo
abscesses
insect or spider bite
Gold standard for dx NEC fasc - correct answer tissue biopsy
Imaging for NEC fasc - correct answer DO NOT delay tx for imaging
MRI
CT
US
LRINEC score is for what? - correct answer differentiation of severe cellulitis or abscess from NF
What is evaluated in the LRINEC score? - correct answer CRP, WBC, Hgb, Na, Cr, and Glucose
High risk for NF - correct answer LRINEC score above 6
Which of the following patients is at the highest risk for necrotizing fasciitis?
, a. A 60 year-old male with a past medical history of traumatic leg fracture 2 years ago.
b. A 46 year-old male with a past medical history of HIV presenting with acute low back pain.
c. A 39 year-old female treated for cellulitis from a spider bite who clinically improves within the
1st 24 hours of antibiotic administration.
d. A 65 year-old obese female with a past medical history of obesity, diabetes, and hypertension
who underwent an open cholecystectomy 2 days ago. - correct answer d. A 65 year-old obese
female with a past medical history of obesity, diabetes, and hypertension who underwent an
open cholecystectomy 2 days ago.
What is the most distinguishing feature of necrotizing fasciitis?
a. Increased drainage and odor from the wound
b. Pain disproportionate to the clinical presentation
c. Erythema and edema
d. Fever - correct answer b. Pain disproportionate to the clinical presentation
All of the following are true statements regarding necrotizing fasciitis, except:
a. Infection may be due to a monomicrobial or polymicrobial pathogen
b. The infection has a slow progression (weeks to months)
c. Visible, necrotizing skin, may not be apparent
d. Diabetes and chronic kidney disease are risk factors - correct answer b. The infection has a
slow progression (weeks to months)
Differential for osteomyelitis - correct answer Cellulitis
Diabetic ulcer
TB bone infection
Metastatic cancer
Diagnostic testing for osteomyelitis - correct answer Bld Cx