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MN 566 - EXAM 2 LATEST 2026/2027 | MULTIPLE-CHOICE |
40 VERIFIED Q&A | DETAILED RATIONALES | NGN-
ALIGNED | PASS GUARANTEED – A+ GRADED
SECTION 1: INFECTIOUS DISEASES - Questions 1-10
Q1: Influenza - Diagnosis
A patient presents with acute onset of fever, cough, and myalgia during influenza season. The NP
should:
A. Start antibiotics immediately
B. Test for influenza and consider antiviral therapy
C. Order a chest X-ray
D. Start a beta-blocker
Correct Answer: B
Rationale: Influenza should be tested and antiviral therapy (oseltamivir) started within 48 hours of
symptom onset. Antibiotics are not indicated unless bacterial superinfection is suspected. [100%
CORRECT]
Q2: Influenza - Antiviral
Oseltamivir (Tamiflu) is most effective when started:
A. Within 48 hours of symptom onset
B. Within 72 hours of symptom onset
C. Anytime during the illness
D. Only for prophylaxis
Correct Answer: A
Rationale: Oseltamivir is most effective when started within 48 hours of symptom onset. It reduces
symptom duration and severity. [100% CORRECT]
Q3: Pneumonia - Diagnosis
A patient presents with fever, cough, and crackles on lung exam. The NP should:
A. Start antibiotics based on symptoms alone
B. Order a chest X-ray
C. Order a CT scan
D. Start a beta-blocker
Correct Answer: B
Rationale: Chest X-ray is essential for pneumonia diagnosis, showing infiltrates. Sputum culture and
blood cultures may be indicated. [100% CORRECT]
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Q4: Pneumonia - Treatment
First-line treatment for community-acquired pneumonia (CAP) in an otherwise healthy patient
includes:
A. Amoxicillin or azithromycin
B. Vancomycin
C. Ciprofloxacin
D. Clindamycin
Correct Answer: A
Rationale: First-line CAP treatment includes amoxicillin (for pneumococcus) or azithromycin (for
atypical organisms). Coverage depends on local resistance patterns. [100% CORRECT]
Q5: Tuberculosis - Screening
A patient is at high risk for TB exposure. The NP should screen with:
A. Chest X-ray
B. Tuberculin skin test (TST) or interferon-gamma release assay (IGRA)
C. Sputum culture
D. CT scan
Correct Answer: B
Rationale: TST (PPD) or IGRA are screening tests for latent TB. Chest X-ray is for active TB. Sputum
culture confirms active TB. [100% CORRECT]
Q6: HIV - Screening
The US Preventive Services Task Force recommends HIV screening:
A. Once at age 65
B. For all adults aged 15-65, at least once, and annually for those at risk
C. Only for high-risk patients
D. Never
Correct Answer: B
Rationale: USPSTF recommends HIV screening for all adults aged 15-65, at least once, and annually
for those at increased risk. [100% CORRECT]
Q7: Hepatitis C - Screening
The USPSTF recommends hepatitis C screening for:
A. All adults aged 18-79
B. High-risk patients only
C. Patients with liver disease
D. Patients with HIV
Correct Answer: A
Rationale: USPSTF recommends one-time hepatitis C screening for all adults aged 18-79, with
periodic screening for those at increased risk. [100% CORRECT]
MN 566 - EXAM 2 LATEST 2026/2027 | MULTIPLE-CHOICE |
40 VERIFIED Q&A | DETAILED RATIONALES | NGN-
ALIGNED | PASS GUARANTEED – A+ GRADED
SECTION 1: INFECTIOUS DISEASES - Questions 1-10
Q1: Influenza - Diagnosis
A patient presents with acute onset of fever, cough, and myalgia during influenza season. The NP
should:
A. Start antibiotics immediately
B. Test for influenza and consider antiviral therapy
C. Order a chest X-ray
D. Start a beta-blocker
Correct Answer: B
Rationale: Influenza should be tested and antiviral therapy (oseltamivir) started within 48 hours of
symptom onset. Antibiotics are not indicated unless bacterial superinfection is suspected. [100%
CORRECT]
Q2: Influenza - Antiviral
Oseltamivir (Tamiflu) is most effective when started:
A. Within 48 hours of symptom onset
B. Within 72 hours of symptom onset
C. Anytime during the illness
D. Only for prophylaxis
Correct Answer: A
Rationale: Oseltamivir is most effective when started within 48 hours of symptom onset. It reduces
symptom duration and severity. [100% CORRECT]
Q3: Pneumonia - Diagnosis
A patient presents with fever, cough, and crackles on lung exam. The NP should:
A. Start antibiotics based on symptoms alone
B. Order a chest X-ray
C. Order a CT scan
D. Start a beta-blocker
Correct Answer: B
Rationale: Chest X-ray is essential for pneumonia diagnosis, showing infiltrates. Sputum culture and
blood cultures may be indicated. [100% CORRECT]
, 2
Q4: Pneumonia - Treatment
First-line treatment for community-acquired pneumonia (CAP) in an otherwise healthy patient
includes:
A. Amoxicillin or azithromycin
B. Vancomycin
C. Ciprofloxacin
D. Clindamycin
Correct Answer: A
Rationale: First-line CAP treatment includes amoxicillin (for pneumococcus) or azithromycin (for
atypical organisms). Coverage depends on local resistance patterns. [100% CORRECT]
Q5: Tuberculosis - Screening
A patient is at high risk for TB exposure. The NP should screen with:
A. Chest X-ray
B. Tuberculin skin test (TST) or interferon-gamma release assay (IGRA)
C. Sputum culture
D. CT scan
Correct Answer: B
Rationale: TST (PPD) or IGRA are screening tests for latent TB. Chest X-ray is for active TB. Sputum
culture confirms active TB. [100% CORRECT]
Q6: HIV - Screening
The US Preventive Services Task Force recommends HIV screening:
A. Once at age 65
B. For all adults aged 15-65, at least once, and annually for those at risk
C. Only for high-risk patients
D. Never
Correct Answer: B
Rationale: USPSTF recommends HIV screening for all adults aged 15-65, at least once, and annually
for those at increased risk. [100% CORRECT]
Q7: Hepatitis C - Screening
The USPSTF recommends hepatitis C screening for:
A. All adults aged 18-79
B. High-risk patients only
C. Patients with liver disease
D. Patients with HIV
Correct Answer: A
Rationale: USPSTF recommends one-time hepatitis C screening for all adults aged 18-79, with
periodic screening for those at increased risk. [100% CORRECT]
