NU 674 MIDTERM questions and answers 2026\2027 A+
Grade
primordial prevention
- correct answer type of prevention that is population/environment focused (ex: wearing seatbelt, safe
water testing)
primary prevention
- correct answer type of prevention that prevents a disease from occurring (vaccination, health
promotion, teeth brushing)
secondary prevention
- correct answer type of prevention that emphasizes early disease detection, target populations for at
risk diseases (mammography, colonoscopy, pap smear)
tertiary prevention
- correct answer type of prevention that is implemented in already symptomatic patients, aims to
reduce the severity of disease (routine check ups, DM mgmt teaching)
quaternary prevention
- correct answer type of prevention that identifies patients at risk of over medicalization (pt advocacy,
prevent unnecessary treatments/tests)
USPSTF (U.S. preventative service task force)
- correct answer organization in which NPs can find guidelines to follow for practice
AAFP (American Academy of Family Physicians)
- correct answer organization responsible for reviewing the USPSTF guidelines
,3-5years
- correct answer patients over the age of 20 should have CVD risk assessment how often?
18-25
- correct answer considered normal BMI
DM
- correct answer adults with HTN, HLD or age 40-70 with BMI >25 you should be screening for what
other disease?
annually
- correct answer how often should a women over 40 get a mammogram?
every 3 years
- correct answer how often should women between age 21-29 get a pap smear?
age 50 (then every 10 years from then)
- correct answer what age do you start screening for colon cancer? (colonoscopy)
50
- correct answer men should consider screening for prostate cancer at what age?
a PPSV23 dose 1 year later
- correct answer pts over the age of 65 who have no previously gotten pneumococcal vax need wither 1
dose of PCV15 or 1 dose of PCV20 - additionally, what else do they need if given the PCV15 dose?
hep C
- correct answer specifically for patients born in the USA between 1945-1965, what do you need to
screen for?
COVID 19
- correct answer cough, fever, myalgia, headache, dyspnea, sore throat, dysgeusia, anosmia,
maculopapular rash, and discoloration of fingers/toes are sx of:
,mild illness
- correct answer pts with covid that have fever, cough, sore throat, malaise, headache, N/V/D, anosmia,
ageusia but do NOT have SOB, dyspnea or abnormal chest imaging are classified as having
moderate illness
- correct answer pts with covid that show evidence of lower respiratory disease during clinical
assessment or with imagine AND who have SpO2 >94% on room are are classified as having
severe illness
- correct answer pts with covid that have SpO2 of <94% on room air, RR >30, or lung infiltration >50%
are classified as having
critical illness
- correct answer pts with covid that have respiratory failure, septic shock, and multiple organ
dysfunction are classified as having
consolidating and ground glass opacities bilaterally
- correct answer CXR for covid will show:
renal function
- correct answer what is important to check prior to prescribing Paxlovid
GFR between 30-60 - half the dose of nirmatrelvir
GFR <30 do NOT given Paxlovid
- correct answer Paxlovid treatment recommendations for those with renal impairment
Paxlovid
- correct answer which Covid medication is proven safe for pregnant women
3 day IV course: day 1 200mg, day 2 and 3 100mg; must be given within 7 days of symptom onset
- correct answer Remdesivir outpt dosing
elevated LFTs, increase in PTT, GI effects, hypersensitivity
- correct answer adverse reactions to Remdesivir
, older than 12yrs and weigh more than 40kg
- correct answer to receive Paxlovid and Remdesivir, you have to be _______ old and _______ wt
800 mg BID x5 days, have to be older than 18, treatment needs to be initiated within 5 days sx onset,
only used when Paxlovid and remdesivir are not available
- correct answer Molnopiravir dosing considerations:
molnupiravir
- correct answer covid drug that should NOT be used in pregnancy as it can cause fetal toxicity, should
educate females and males to abstain from sex or use reliable contraceptives
MIS-C (Multisystem Inflammatory Syndrome in Children)
- correct answer rare but associated complication of covid in children that causes shock, red/swollen
lips, strawberry tongue, myocardial dysfunction, arrhythmia, acute resp failure, AKI, hepatitis
AOM, sinusitis, streptococcal pharyngitis, PNA
- correct answer the only common respiratory infections that should be treated with antibiotics
<6yrs
- correct answer should not prescribe cough/cold meds to kids ages
>1yr
- correct answer honey should only be used for cough tx in kids ages
influenza
- correct answer myalgias, fever, chills, sweats, cough, N/V/D, decreased pulm function, loss of appetite,
nonpurulent conjunctivitis, muscle pain without palpation, pharyngeal erythema with sx beginning
within 48-72 hours of exposure are signs of:
>6mo
>2yrs
- correct answer when is it safe to get the flu vaccine IM? Intranasl?
Grade
primordial prevention
- correct answer type of prevention that is population/environment focused (ex: wearing seatbelt, safe
water testing)
primary prevention
- correct answer type of prevention that prevents a disease from occurring (vaccination, health
promotion, teeth brushing)
secondary prevention
- correct answer type of prevention that emphasizes early disease detection, target populations for at
risk diseases (mammography, colonoscopy, pap smear)
tertiary prevention
- correct answer type of prevention that is implemented in already symptomatic patients, aims to
reduce the severity of disease (routine check ups, DM mgmt teaching)
quaternary prevention
- correct answer type of prevention that identifies patients at risk of over medicalization (pt advocacy,
prevent unnecessary treatments/tests)
USPSTF (U.S. preventative service task force)
- correct answer organization in which NPs can find guidelines to follow for practice
AAFP (American Academy of Family Physicians)
- correct answer organization responsible for reviewing the USPSTF guidelines
,3-5years
- correct answer patients over the age of 20 should have CVD risk assessment how often?
18-25
- correct answer considered normal BMI
DM
- correct answer adults with HTN, HLD or age 40-70 with BMI >25 you should be screening for what
other disease?
annually
- correct answer how often should a women over 40 get a mammogram?
every 3 years
- correct answer how often should women between age 21-29 get a pap smear?
age 50 (then every 10 years from then)
- correct answer what age do you start screening for colon cancer? (colonoscopy)
50
- correct answer men should consider screening for prostate cancer at what age?
a PPSV23 dose 1 year later
- correct answer pts over the age of 65 who have no previously gotten pneumococcal vax need wither 1
dose of PCV15 or 1 dose of PCV20 - additionally, what else do they need if given the PCV15 dose?
hep C
- correct answer specifically for patients born in the USA between 1945-1965, what do you need to
screen for?
COVID 19
- correct answer cough, fever, myalgia, headache, dyspnea, sore throat, dysgeusia, anosmia,
maculopapular rash, and discoloration of fingers/toes are sx of:
,mild illness
- correct answer pts with covid that have fever, cough, sore throat, malaise, headache, N/V/D, anosmia,
ageusia but do NOT have SOB, dyspnea or abnormal chest imaging are classified as having
moderate illness
- correct answer pts with covid that show evidence of lower respiratory disease during clinical
assessment or with imagine AND who have SpO2 >94% on room are are classified as having
severe illness
- correct answer pts with covid that have SpO2 of <94% on room air, RR >30, or lung infiltration >50%
are classified as having
critical illness
- correct answer pts with covid that have respiratory failure, septic shock, and multiple organ
dysfunction are classified as having
consolidating and ground glass opacities bilaterally
- correct answer CXR for covid will show:
renal function
- correct answer what is important to check prior to prescribing Paxlovid
GFR between 30-60 - half the dose of nirmatrelvir
GFR <30 do NOT given Paxlovid
- correct answer Paxlovid treatment recommendations for those with renal impairment
Paxlovid
- correct answer which Covid medication is proven safe for pregnant women
3 day IV course: day 1 200mg, day 2 and 3 100mg; must be given within 7 days of symptom onset
- correct answer Remdesivir outpt dosing
elevated LFTs, increase in PTT, GI effects, hypersensitivity
- correct answer adverse reactions to Remdesivir
, older than 12yrs and weigh more than 40kg
- correct answer to receive Paxlovid and Remdesivir, you have to be _______ old and _______ wt
800 mg BID x5 days, have to be older than 18, treatment needs to be initiated within 5 days sx onset,
only used when Paxlovid and remdesivir are not available
- correct answer Molnopiravir dosing considerations:
molnupiravir
- correct answer covid drug that should NOT be used in pregnancy as it can cause fetal toxicity, should
educate females and males to abstain from sex or use reliable contraceptives
MIS-C (Multisystem Inflammatory Syndrome in Children)
- correct answer rare but associated complication of covid in children that causes shock, red/swollen
lips, strawberry tongue, myocardial dysfunction, arrhythmia, acute resp failure, AKI, hepatitis
AOM, sinusitis, streptococcal pharyngitis, PNA
- correct answer the only common respiratory infections that should be treated with antibiotics
<6yrs
- correct answer should not prescribe cough/cold meds to kids ages
>1yr
- correct answer honey should only be used for cough tx in kids ages
influenza
- correct answer myalgias, fever, chills, sweats, cough, N/V/D, decreased pulm function, loss of appetite,
nonpurulent conjunctivitis, muscle pain without palpation, pharyngeal erythema with sx beginning
within 48-72 hours of exposure are signs of:
>6mo
>2yrs
- correct answer when is it safe to get the flu vaccine IM? Intranasl?
