NR 667 ACTUAL TEST BANK UPDATED
QUESTIONS AND VERIFIED RESPONSES
●● BPH Labs
Answer: U/A
PSA
High PSA and free PSA (cancerous is high PSA and normal to low free
PSA)
Renal panel
post void residual
●● BPH Differentials
Answer: Prostatitis
Prostate cancer
UTI
Bladder cancer
●● BPH Assessment
Answer: DRE
Firm, smooth symmetrically enlarged prostate
●● BPH Non-pharm education
,Answer: Limit bedtime fluids
Limit caffeine, alcohol, antihistamine/anticholinergics
Limit salt intake
●● BPH Pharm education
Answer: Alpha 1 Blocker
Flomax 0.4mg daily at bedtime
May cause dizziness
Follow up in 2-4 weeks
Urology if patient is not responding to treatment
Annual PSA and DRE if initial PSA >2.5
●● 2. Sinusitis (Maxillary) Assessment findings
Answer: Viral <10 days- treat symptomatically with NSAIDs,
Acetaminophen
Bacterial >10 days- <4 weeks
HEENT Exam- facial tenderness, post nasal drip, middle ear effusion,
halitosis, periorbital edema
●● Sinusitis differentials
Answer: Allergic Rhinitis
dental abscess
migraine
, ●● Sinusitis labs
Answer: CBC, Sinus X-ray/CT if chronic
Diagnosis based on history and PE unless complications
●● Sinusitis non-pharm
Answer: Rest, hydration, warm compress to sinuses
Use humidifier/ saline nose spray
●● Sinusitis pharm
Answer: Watchful waiting for viral vs bacterial
Start prior to bacterial timeframe for immunocompromised or severe
illness such as fever, moderate-severe pain, unilateral tenderness,
worsening symptoms
Adults- Augmentin 875/125mg BID x 10 days
PCN allergy Doxy 100mg BID x 7 days
Peds- Amoxiciilin 80-90mg/kg BID 5-7 days
PCN allergy cefpodoxime 5 mg/kg q12h for 10 days (2 mo-12 yrs) or
200 mg q12h for 10 days (>12 yrs)
●● Sinusitis follow-up
Answer: f/u 1 week for effectiveness or if symptoms worsen 3-5 days
ENT if recurrent infections
QUESTIONS AND VERIFIED RESPONSES
●● BPH Labs
Answer: U/A
PSA
High PSA and free PSA (cancerous is high PSA and normal to low free
PSA)
Renal panel
post void residual
●● BPH Differentials
Answer: Prostatitis
Prostate cancer
UTI
Bladder cancer
●● BPH Assessment
Answer: DRE
Firm, smooth symmetrically enlarged prostate
●● BPH Non-pharm education
,Answer: Limit bedtime fluids
Limit caffeine, alcohol, antihistamine/anticholinergics
Limit salt intake
●● BPH Pharm education
Answer: Alpha 1 Blocker
Flomax 0.4mg daily at bedtime
May cause dizziness
Follow up in 2-4 weeks
Urology if patient is not responding to treatment
Annual PSA and DRE if initial PSA >2.5
●● 2. Sinusitis (Maxillary) Assessment findings
Answer: Viral <10 days- treat symptomatically with NSAIDs,
Acetaminophen
Bacterial >10 days- <4 weeks
HEENT Exam- facial tenderness, post nasal drip, middle ear effusion,
halitosis, periorbital edema
●● Sinusitis differentials
Answer: Allergic Rhinitis
dental abscess
migraine
, ●● Sinusitis labs
Answer: CBC, Sinus X-ray/CT if chronic
Diagnosis based on history and PE unless complications
●● Sinusitis non-pharm
Answer: Rest, hydration, warm compress to sinuses
Use humidifier/ saline nose spray
●● Sinusitis pharm
Answer: Watchful waiting for viral vs bacterial
Start prior to bacterial timeframe for immunocompromised or severe
illness such as fever, moderate-severe pain, unilateral tenderness,
worsening symptoms
Adults- Augmentin 875/125mg BID x 10 days
PCN allergy Doxy 100mg BID x 7 days
Peds- Amoxiciilin 80-90mg/kg BID 5-7 days
PCN allergy cefpodoxime 5 mg/kg q12h for 10 days (2 mo-12 yrs) or
200 mg q12h for 10 days (>12 yrs)
●● Sinusitis follow-up
Answer: f/u 1 week for effectiveness or if symptoms worsen 3-5 days
ENT if recurrent infections
