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NRNP 6566 final exam 2023/24 Questions and Answers.

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NRNP 6566 final exam 2023/24 Questions
and Answers.




Question 1 jl




Which statement is correct about fluoroquinolones?
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fluoroquinolones are effective treatment for urinary tract infections and
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pyelonephritis
jl




Fluoroquinolones are recommended treatment in uncomplicated skin j l j l j l j l j l j l




infections
jl




fluoroquinolones are not associated with tendon rupture j l j l j l j l j l j l




fluoroquinolones are never indicated in the treatment of pediatric j l j l j l j l j l j l j l j l



j l infections

Question 2 jl



A 42 year old
jl year old women was admitted to the ICU with a severe asthmatic
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exacerbation.
jl On rounds today, the patients T is 102.2. Her central IV line site is jl jl jl jl jl jl jl j l jl jl jl jl jl


red, tender, and warm.
jl jl Your remove the central line and order blood cultures along with
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IV cefepime. MRSA
jl jl has been prevalent in this ICU. What additional
j medication should
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you order?
jl jl




po
vancomycin

IV
gentamycin

IV
vancomycin

IV
pipercillin

,Question 3 jl



A 66-year-old male involved in a motor vehicle collision is admitted to the trauma unit with
jl jl j l jl jl jl jl jl jl jl jl jl jl jl jl



multiplesbone fractions and left hemothorax with chest tube placement. Current vital signs are
jl jl jl jl jl jl jl jl jl j l jl jl jl



BP 88/52 HR 120 T 98.4 RR 22. Past medical history is positive for end stage renal disease
jl jl j l jl j l jl j l jl j l jl jl jl jl jl jl jl jl jl



requiring hemodialysis three times a week. How should the NP manage his renal disease?
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Hemodialysis

Peritoneal dialysis
jl jl

, Continuous renal replacement therapy jl jl jl




No intervention until his blood pressure
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stabilizes


Question 4 jl



What crucial feature of a penicillin is involved in its mechanism of action?
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Carboxylic
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β-lactam j l ring

Acyl side jl jl


chain

Thiazolidine
jl ring


Question 5 jl



Which drug should the APRN select to treat a patient with an infected post operative surgical
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wound infected with a positive culture result for MRSA?
jl jl jl jl jl jl jl jl jl




gentamycin

ampicillin/sulbact
jl



am

vancomycin

amphoteracin
jl




Question 6 jl




Mr. D is a 56 year old male with newly diagnosed multiple myeloma who is admitted
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through the ER with back pain after falling against a bookcase at home. Chest x-ray
jl jl jl jl jl jl jl jl jl jl jl jl jl jl jl




shows a rib fracture. Electrolytes reveal a serum calcium of 12.7 mg/dl. How would you
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treat Mr. D?
jl jl jl




Normal saline and loop diuretics j l j l j l j l




Normal saline and thiazide diuretics jl jl jl jl jl




Kayexalate enema jl




Glucose, insulin, and magnesium jl jl jl




Question 7 jl




A13-year-oldthin,female comestoyourofficewitha6-monthhistoryof nondeliberate
jl jl jl jl jl jl jl jl jl jl jl jl jl




weight loss, polyuria and polydypsia. She has no other significant
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