NURS 5433 Midterm Exam study guide
COMPLETE EXAM Questions and Answers
(Verified Answers) (Latest Update 2026)
UPDATE!!
4 year old is brought in by her mother. She had generalized rash, and her mother doesn't understand where
it came from. The patient that's had a fever for 5 days. She has a bright red tongue with dry cracked lips,
swollen lymph nodes in the neck. Which od the following medications should be given to this patient?
A. IV gamma globulin
B. Penicillin
C. Ibuprofen
D. Flu vaccine - CORRECT ANSWER: A. IV gamma globulin
4 year old patient is brought in by his mother who complains that her son has pink eye and needs
medication for the condition. The patient has a fever of 101, is coughing. And has a runny nose. Upon
examination of the Boy's oral cavity the NP notices some white spots on a red base of the buccal mucosa.
Which of the following conditions could this be?
A. Rubeola
B. Rubella
C. Scarlet fever
D. Mononucleosis
E. Rocky Mountain Spotted Fever - CORRECT ANSWER: A. Rubeola
60 year old diagnosed with moderately severe (Stage II) COPD. Smoking cessation is needed and he is
willing to try something to help him quit. Which of the following medications is the most effective relent
for smoking cessation?
A. Varencine
B. Bupropion
C. Nicotine Inhaler
D. Nicotine Gum - CORRECT ANSWER: A. Varencine
90% of cases where there is Otitis Media with Effusion (OME) you can just OBSERVE, because it will
resolve on its own within 3 months, True or False? - CORRECT ANSWER: True
A 12 year old is diagnosed with asthma, what is the preferred initial treatment for this patient?
A. Levalbuterol
B. Fluticasone propionate
C.Ipratropium bromide
D. Formoterol/Tiotropium
E. Monestasone/Formoterol - CORRECT ANSWER: E. Monestasone/Formoterol
A 13 year old with a rapid strep test in the office is negative. Patient's flu test is positive. What is the best
next step in management?
A. Baloxavir
B. Oseltamivir
C. Peramivir
D. Zanamirvir - CORRECT ANSWER: A. Baloxavir
,A 18 year old patient presents with a sore throat, fever and fatigue. On examination she has educative
pharyngitis, bilateral cervical lymphadenopathy and enlargement spleen, which of the following conditions
could this be?
A. Strep throat
B. Meningitis
C. Rubella
D. Influenza
E. Mononucleosis - CORRECT ANSWER: E. Mononucleosis
A 18 year old patient presents with a sore throat, fever and fatigue. On examination she has educative
pharyngitis, bilateral cervical lymphadenopathy and enlargement spleen, you give the patient Penicillin for
treatment and a rash appears days later. which of the following conditions could this be?
A. Strep throat
B. Meningitis
C. Rubella
D. Influenza
E. Mononucleosis - CORRECT ANSWER: E. Mononucleosis
A 20 year old male has been diagnosed with community acquired Pneumonia (CAP). What is the Causative
organism? - CORRECT ANSWER: Mycoplasma Pneumoniae
A 20 year old male has been diagnosed with community acquired Pneumonia (CAP). What is the first line
treatment for a patient with a Macrolide allergy? SATA
A. Amoxicillin 1g TID
B. Azithromycin 500mg day 1, then 250 mg daily for 4 daily
C. Clarithromycin 1g daily
D. Doxycycline 100mg BID - CORRECT ANSWER: A. Amoxicillin 1g TID
D. Doxycycline 100mg BID
A 20 year old patient comes in with chicken pox, what diagnostic should you consider performing? -
CORRECT ANSWER: HIV testing
A 3 year old with an induration of 10mm after a PPD test.
Low, Moderate, or High Risk? - CORRECT ANSWER: Moderate risk
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 - CORRECT ANSWER: A. Azithromycin
A 40 year old woman comes with complaints scaling, crusting and redness in her eyelid. She said she is
having trouble driving when it's sunny out, which of the following medications would you recommend to
start with first?
A. Doxycycline 100mg PO BID
B. Tetracycline 250mg QID
C. Cold moist compress to reduce inflammation
, D. Lid scrub wit baby shampoo - CORRECT ANSWER: D. Lid scrub wit baby shampoo
A 45 year old has a high TSH and Normal T4, what is the net step?
A. Refer to endocrinology
B. Start Levothyroxine
C. Repeat TSH in 6 months
D. Order thyroid ultrasound - CORRECT ANSWER: C. Repeat TSH in 6 months
A 5 year old is brought into your office by his mother because of a rash that began on the scalp, neck and
upper trunk. The kids at school have been diagnosed either chickenpox. What is the most likely diagnosis?
A. Measles
B. Rubella
C. Varicella
D. Impetigo - CORRECT ANSWER: C. Varicella
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 - CORRECT ANSWER: C. Urological evaluation needed
A 50 year old man has flank pain radiating to the ground and hematuria. The patient is diabetic and has a
family history of kidney stones. What should the NP do next?
A. Give analgesics and observe
B. Urine culture and CT of kidneys
C. Start antibiotics
D. Refer immediately for surgery - CORRECT ANSWER: B. Urine culture and CT of kidneys
A 50 year old women comes in because she experiencing Vertigo. What question could you ask that would
help you rule out Benign Paroxysmal Positional Vertigo?
A. Do you get dizzy when you roll over in bed
B. Have you had a recent upper respiratory infection?
C. Do you get nausea and vomiting when your dizzy - CORRECT ANSWER: A. Do you get dizzy when
you roll over in bed
A 52 year old woman reports leaking urine when she sneezes. What type of incontinence is this?
A. Urge
B. Stress
C. Overflow
D. Functional
E. Mixed - CORRECT ANSWER: B. Stress
A 55 year old nail technician has painless hematuria, which of the following is the concern?
A. Bladder cancer
B. Kidney stone
C. Glomerulonephritis
D. Pyelonephritis - CORRECT ANSWER: A. Bladder cancer - this is due to age and occupational
exposure. Adults over age 50 who have hematuria need to be assessed for malignancy
COMPLETE EXAM Questions and Answers
(Verified Answers) (Latest Update 2026)
UPDATE!!
4 year old is brought in by her mother. She had generalized rash, and her mother doesn't understand where
it came from. The patient that's had a fever for 5 days. She has a bright red tongue with dry cracked lips,
swollen lymph nodes in the neck. Which od the following medications should be given to this patient?
A. IV gamma globulin
B. Penicillin
C. Ibuprofen
D. Flu vaccine - CORRECT ANSWER: A. IV gamma globulin
4 year old patient is brought in by his mother who complains that her son has pink eye and needs
medication for the condition. The patient has a fever of 101, is coughing. And has a runny nose. Upon
examination of the Boy's oral cavity the NP notices some white spots on a red base of the buccal mucosa.
Which of the following conditions could this be?
A. Rubeola
B. Rubella
C. Scarlet fever
D. Mononucleosis
E. Rocky Mountain Spotted Fever - CORRECT ANSWER: A. Rubeola
60 year old diagnosed with moderately severe (Stage II) COPD. Smoking cessation is needed and he is
willing to try something to help him quit. Which of the following medications is the most effective relent
for smoking cessation?
A. Varencine
B. Bupropion
C. Nicotine Inhaler
D. Nicotine Gum - CORRECT ANSWER: A. Varencine
90% of cases where there is Otitis Media with Effusion (OME) you can just OBSERVE, because it will
resolve on its own within 3 months, True or False? - CORRECT ANSWER: True
A 12 year old is diagnosed with asthma, what is the preferred initial treatment for this patient?
A. Levalbuterol
B. Fluticasone propionate
C.Ipratropium bromide
D. Formoterol/Tiotropium
E. Monestasone/Formoterol - CORRECT ANSWER: E. Monestasone/Formoterol
A 13 year old with a rapid strep test in the office is negative. Patient's flu test is positive. What is the best
next step in management?
A. Baloxavir
B. Oseltamivir
C. Peramivir
D. Zanamirvir - CORRECT ANSWER: A. Baloxavir
,A 18 year old patient presents with a sore throat, fever and fatigue. On examination she has educative
pharyngitis, bilateral cervical lymphadenopathy and enlargement spleen, which of the following conditions
could this be?
A. Strep throat
B. Meningitis
C. Rubella
D. Influenza
E. Mononucleosis - CORRECT ANSWER: E. Mononucleosis
A 18 year old patient presents with a sore throat, fever and fatigue. On examination she has educative
pharyngitis, bilateral cervical lymphadenopathy and enlargement spleen, you give the patient Penicillin for
treatment and a rash appears days later. which of the following conditions could this be?
A. Strep throat
B. Meningitis
C. Rubella
D. Influenza
E. Mononucleosis - CORRECT ANSWER: E. Mononucleosis
A 20 year old male has been diagnosed with community acquired Pneumonia (CAP). What is the Causative
organism? - CORRECT ANSWER: Mycoplasma Pneumoniae
A 20 year old male has been diagnosed with community acquired Pneumonia (CAP). What is the first line
treatment for a patient with a Macrolide allergy? SATA
A. Amoxicillin 1g TID
B. Azithromycin 500mg day 1, then 250 mg daily for 4 daily
C. Clarithromycin 1g daily
D. Doxycycline 100mg BID - CORRECT ANSWER: A. Amoxicillin 1g TID
D. Doxycycline 100mg BID
A 20 year old patient comes in with chicken pox, what diagnostic should you consider performing? -
CORRECT ANSWER: HIV testing
A 3 year old with an induration of 10mm after a PPD test.
Low, Moderate, or High Risk? - CORRECT ANSWER: Moderate risk
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 - CORRECT ANSWER: A. Azithromycin
A 40 year old woman comes with complaints scaling, crusting and redness in her eyelid. She said she is
having trouble driving when it's sunny out, which of the following medications would you recommend to
start with first?
A. Doxycycline 100mg PO BID
B. Tetracycline 250mg QID
C. Cold moist compress to reduce inflammation
, D. Lid scrub wit baby shampoo - CORRECT ANSWER: D. Lid scrub wit baby shampoo
A 45 year old has a high TSH and Normal T4, what is the net step?
A. Refer to endocrinology
B. Start Levothyroxine
C. Repeat TSH in 6 months
D. Order thyroid ultrasound - CORRECT ANSWER: C. Repeat TSH in 6 months
A 5 year old is brought into your office by his mother because of a rash that began on the scalp, neck and
upper trunk. The kids at school have been diagnosed either chickenpox. What is the most likely diagnosis?
A. Measles
B. Rubella
C. Varicella
D. Impetigo - CORRECT ANSWER: C. Varicella
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 - CORRECT ANSWER: C. Urological evaluation needed
A 50 year old man has flank pain radiating to the ground and hematuria. The patient is diabetic and has a
family history of kidney stones. What should the NP do next?
A. Give analgesics and observe
B. Urine culture and CT of kidneys
C. Start antibiotics
D. Refer immediately for surgery - CORRECT ANSWER: B. Urine culture and CT of kidneys
A 50 year old women comes in because she experiencing Vertigo. What question could you ask that would
help you rule out Benign Paroxysmal Positional Vertigo?
A. Do you get dizzy when you roll over in bed
B. Have you had a recent upper respiratory infection?
C. Do you get nausea and vomiting when your dizzy - CORRECT ANSWER: A. Do you get dizzy when
you roll over in bed
A 52 year old woman reports leaking urine when she sneezes. What type of incontinence is this?
A. Urge
B. Stress
C. Overflow
D. Functional
E. Mixed - CORRECT ANSWER: B. Stress
A 55 year old nail technician has painless hematuria, which of the following is the concern?
A. Bladder cancer
B. Kidney stone
C. Glomerulonephritis
D. Pyelonephritis - CORRECT ANSWER: A. Bladder cancer - this is due to age and occupational
exposure. Adults over age 50 who have hematuria need to be assessed for malignancy
