REAL QUESTIONS AND VERIFIED
ANSWERS [GRADED A+] // NUR 676
A patient seen in the ED after experiencing department after a spider bite. the
spider is in a jar and is less than one inch in size, yellow-brown, and has a violin
shaped marking on its back. depending on patient's symptoms, which treatments
and dx evaluations may be ordered? - ANSWER-CBC, BUN, electrolytes, and
creatinine, coagulation studies, tetanus prophylaxis
A child experiences a snake bite while camping and is seen in the ED. The child's
parents are not able to identify the type of snake. An inspection of the site reveals
two puncture wounds on the child's arm with no swelling or erythema at the site.
The child has normal vital signs. Which treatment is indicated? - ANSWER-
cleaning the wound, giving tetanus prophylaxis, and observing for 12 hours
A school-aged child has 5 episodes of tonsillitis in the past year and 2 episodes the
previous year. The child's parents ask the provider if the child needs a
tonsillectomy. What will the provider say? - ANSWER-Current recommendations
do not support tonsillectomy for this child
A patient with EBV-IM also has GAS pharyngitis and is being treated with
Amoxicillin. On the third day of treatment, the patient develops a rash. A
urinalysis is normal. what does this indicate? - ANSWER-A reaction to the
amoxicillin
An adolescent who plays football in high school is diagnosed with Infectious
Mono and is noted to have splenomegaly. What will the provider recommend to
, this patient about returning to sports? - ANSWER-ABD US are recommended to
determines safety
An adolescent patient has a fever, pharyngitis, and cervical lymphadenopathy and
has negative GAS culture. A cbc shows absolute lymphocytosis, but a heterophil
antibody test is negative for EBV. What will the provider tell the patient? -
ANSWER-The likelihood of EBV is still high
A patient reports persistent nasal blockage, discharge and facial pain lasting on the
right side for 4 months. There is no hx of sneezing or eye involvement, the patient
has a hx of seasonal allergies and takes a non-sedating antihistamine. What does
the provider suspect is the cause of these symptoms? - ANSWER-chronic
rhinosinusitis
which type of bite is generally closed by delayed primary closure? - ANSWER-
bites to the hand, deep puncture wounds, wounds 8 hours old
A patient has been bitten by a dog and has sustained several puncture wounds near
the thumb of one hand. The patient is able to move all fingers and the bleeding has
stopped. What is correct treatment for this patient? - ANSWER-obtain a physician
consult for eval and treat
A patient reports recurrent chest pain that occurs regardless of activity and is not
relieved by rest. The provider administers one NG tablet which does not relieve the
pain. What is the next action? - ANSWER-Give the patient a beta blocker
A patient is brought to an emergency department with symptoms of acute ST
segment elevation MI (STEMI). The nearest hospital that can perform a PCI is
three hours away, what is the initial treatment for this patient. - ANSWER-Initiate
fibrinolytic therapy