NUR 600 EXAM 2 2025 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|BRAND NEW
!!!|GUARANTEED PASS |LATEST UPDATE
A patient comes to the clinic with a history of fever of 102° F for several days, poor appetite, and cough.
A sputum culture is pending, but Gram stain indicates a bacterial infection. The primary care nurse
practitioner (NP) should:
A. begin empirical antibiotic therapy.
The primary care NP sees a patient who has a 1-week history of nasal congestion; red, watery eyes;
cough; and a temperature ranging from 99.1° F to 100.5° F. The NP notes thin, white nasal discharge and
an erythematous oropharynx without swelling or exudates. The NP should:
A. reassure the patient that this is likely a viral infection.
A patient who has had two recent urinary tract infections is in the clinic with dysuria and fever. The
primary care NP reviews the patient's chart and notes that in both previous cases the causative
organism and sensitivity were the same. The NP should:
A. order a urine culture and treat empirically pending culture results.
A new patient comes to see the primary care NP with fever, mild dehydration, and dysuria with flank
pain. The patient tells the NP that a previous provider always prescribed trimethoprim-sulfamethoxazole
and wonders why a urine culture is necessary because this antibiotic has worked in the past. The NP
should tell this patient that a culture is necessary to help determine:
A. whether antibiotic resistance is occurring.
The primary care NP sees a child in the clinic who has a 5-day history of cough, poor fluid intake, and
fever of 103° F. A chest radiograph shows areas of consolidation in the child's lungs. The child's cough is
nonproductive, and the NP is unable to get a sputum specimen. The NP should:
A. ask colleagues in the clinic about children they have treated and what they have
prescribed.
A patient has a sore throat with fever. The primary care NP observes erythematous 4+ tonsils with white
exudate. A rapid antigen strep test is negative, and a culture is pending. The NP orders amoxicillin as
empiric treatment. The patient calls the next day to report a rash. The NP should suspect:
1|Page
,A. a viral cause for the patient's symptoms.
. A primary care nurse practitioner (NP) sees a child who has several honey-colored crusted lesions
around the nose and mouth. The NP notes that no other lesions are present. The NP should prescribe:
A. mupirocin topical.
. A patient comes to the clinic several days after an outpatient surgical procedure complaining of
swelling and pain at the surgical site. The primary care NP notes a small area of erythema but no abscess
or induration. The NP should:
A. prescribe TMP-SMX.
A 5-year-old child who has no previous history of otitis media is seen in clinic with a temperature of 100°
F. The primary care NP visualizes bilateral erythematous, nonbulging, intact tympanic membranes. The
child is taking fluids well and is playing with toys in the examination room. The NP should:
A. initiate antibiotic therapy if the child's condition worsens.
A primary care NP sees a patient who reports a 2-week history of nasal congestion and runny nose. The
NP performs a history and learns that the nasal discharge has changed from yellow to green in the past
few days, accompanied by a fever of 102° F and unilateral facial pain. To treat this patient, the NP
should:
A. prescribe amoxicillin-clavulanate twice daily for 10 days.
A school-age child comes to the clinic with a 5-day history of cough and low-grade fever. The primary
care NP auscultates crackles and diminished breath sounds bilaterally. The NP should:
A. order azithromycin.
6. A patient has recently returned from travel in Central America and reports having seven to eight liquid
stools each day with severe tenesmus. The primary care NP notes a temperature of 102° F. A stool
specimen is Hemoccult positive with leukocytes present. The NP will:
A. order a stool culture and begin therapy with a fluoroquinolone.
A woman has a urinary tract infection (UTI) and has been taking TMP-SMX for 3 days along with
increased fluids. She reports continued dysuria and urinary frequency and has a consistent, low-grade
fever. The primary care NP should:
A. prescribe ciprofloxacin twice daily for 3 days.
During a gynecologic examination of a sexually active adolescent girl, the primary care NP
notes mucopurulent cervicitis. A culture is positive for Neisseria gonorrhoeae. The NP should:
A. give intramuscular ceftriaxone and a single dose of 1 g of azithromycin.
9. A female patient presents with grayish, odorous vaginal discharge. The primary care NP performs a
gynecologic examination and notes vulvar and vaginal erythema. Testing of the discharge reveals a pH of
5.2 and a fishy odor when mixed with a solution of 10% potassium hydroxide. The NP should:
2|Page
,A. order metronidazole 500 mg twice daily for 7 days.
A patient has confirmed Rocky Mountain spotted fever, and the infectious disease specialist is treating
the patient with doxycycline 100 mg orally for 7 days. The patient comes to the clinic for follow-up care
with the primary care NP at the end of therapy and reports continued fever, headache, and myalgia. The
NP will consult with the infectious disease specialist and order:
A. hospital admission for intravenous chloramphenicol.
A patient was diagnosed with tinea corporis and given topical ketoconazole. The patient tells
the primary care nurse practitioner (NP) that the infection is not getting better. The NP should:
A. obtain a culture of the infection site.
A female patient has vaginal candidiasis and has taken a single dose of fluconazole without
resolution of the infection. The primary care NP obtains a culture and should order:
A. topical miconazole (Monistat).
. A parent brings a 6-year-old child to the clinic for evaluation of a rash. The primary care NP notes three
annular lesions with elevated borders and central clearing on the child's face and a similar lesion on the
back of the neck that extends above the hairline. The NP should prescribe:
B. griseofulvin.
A woman who takes oral contraceptive pills develops vaginal candidiasis. The primary care NP prescribes
a single dose of fluconazole. When counseling the patient about this drug, the NP should tell her:
A. to use a backup contraceptive method for the next 2 months.
A patient is diagnosed with onychomycosis. The primary care NP notes that the patient takes
quinidine. The NP should prescribe:
A. terbinafine (Lamisil).
. A patient has been taking griseofulvin for 4 weeks to treat a tineal capitis infection. The
primary care NP notes improvement but not complete cure. The NP should:
A. renew the prescription after obtaining renal, liver, and hematopoietic tests.
When choosing a topical corticosteroid cream to treat diaper dermatitis, the ideal medication would be:
A low potency corticosteroid cream applied sparingly (hydrocortisone 1
Topical immunomodulators such as pimecrolimus (Elidel) or tacrolimus (Protopic) are used for:
Short-term or intermittent treatment of atopic dermatitis
Long-term treatment of moderate atopic dermatitis includes:
Topical corticosteroids and emollients
Severe contact dermatitis caused by poison ivy or poison oak exposure often requires treatment with:
3|Page
, Oral corticosteroids for 2 to 3 weeks
When a patient has contact dermatitis, wet dressings with Domeboro solution are used for:
f of inflammation
The parent of a toddler asks the NP about using a topical antihistamine to treat the child's
atopic dermatitis symptoms. The NP should tell the parent that:
topical application of an antihistamine may result in drug toxicity in children.
A 5-year-old child has atopic dermatitis that is refractory to treatment with hydrocortisone
acetone 2.5% cream. The primary care NP should prescribe:
desonide cream 0.01%.
triamcinolone acetonide.
A patient has been treated for severe contact dermatitis on both arms with clobetasol propionate
cream. At a follow-up visit, the primary care NP notes that the condition has cleared. The NP should:
prescribe triamcinolone cream for 2 weeks.
A primary care NP prescribes fluocinolone cream for a patient who has contact dermatitis. At a follow-
up visit in 2 weeks, the patient reports decreased pruritus but continues to have excoriated,
erythematous areas. The NP should:
tell the patient to continue using the fluocinolone for 3 to 4 more weeks.
A primary care NP is considering using a topical immunosuppressive agent for a patient who has atopic
dermatitis that is refractory to treatment with topical corticosteroids. The NP should:
begin therapy with pimecrolimus (Elidel).
A patient who has scabies has been treated by the primary care NP twice with permethrin (Elimite). The
second application was administered 10 days after the first. The patient returns to the clinic with mild
pruritus and erythema. The NP does not observe new burrows on the skin. The NP should:
prescribe triamcinolone 0.1%.
A parent brings a 6-year-old child to the clinic for evaluation of a rash. The primary care NP notes three
annular lesions with elevated borders and central clearing on the child's face and a similar lesion on the
back of the neck that extends above the hairline. The NP should
c. oral ketoconazole.
A patient has been taking griseofulvin for 4 weeks to treat a tineal capitis infection. The
primary care NP notes improvement but not complete cure. The NP should:
renew the prescription after obtaining renal, liver, and hematopoietic tests.
4|Page
QUESTIONS AND VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|BRAND NEW
!!!|GUARANTEED PASS |LATEST UPDATE
A patient comes to the clinic with a history of fever of 102° F for several days, poor appetite, and cough.
A sputum culture is pending, but Gram stain indicates a bacterial infection. The primary care nurse
practitioner (NP) should:
A. begin empirical antibiotic therapy.
The primary care NP sees a patient who has a 1-week history of nasal congestion; red, watery eyes;
cough; and a temperature ranging from 99.1° F to 100.5° F. The NP notes thin, white nasal discharge and
an erythematous oropharynx without swelling or exudates. The NP should:
A. reassure the patient that this is likely a viral infection.
A patient who has had two recent urinary tract infections is in the clinic with dysuria and fever. The
primary care NP reviews the patient's chart and notes that in both previous cases the causative
organism and sensitivity were the same. The NP should:
A. order a urine culture and treat empirically pending culture results.
A new patient comes to see the primary care NP with fever, mild dehydration, and dysuria with flank
pain. The patient tells the NP that a previous provider always prescribed trimethoprim-sulfamethoxazole
and wonders why a urine culture is necessary because this antibiotic has worked in the past. The NP
should tell this patient that a culture is necessary to help determine:
A. whether antibiotic resistance is occurring.
The primary care NP sees a child in the clinic who has a 5-day history of cough, poor fluid intake, and
fever of 103° F. A chest radiograph shows areas of consolidation in the child's lungs. The child's cough is
nonproductive, and the NP is unable to get a sputum specimen. The NP should:
A. ask colleagues in the clinic about children they have treated and what they have
prescribed.
A patient has a sore throat with fever. The primary care NP observes erythematous 4+ tonsils with white
exudate. A rapid antigen strep test is negative, and a culture is pending. The NP orders amoxicillin as
empiric treatment. The patient calls the next day to report a rash. The NP should suspect:
1|Page
,A. a viral cause for the patient's symptoms.
. A primary care nurse practitioner (NP) sees a child who has several honey-colored crusted lesions
around the nose and mouth. The NP notes that no other lesions are present. The NP should prescribe:
A. mupirocin topical.
. A patient comes to the clinic several days after an outpatient surgical procedure complaining of
swelling and pain at the surgical site. The primary care NP notes a small area of erythema but no abscess
or induration. The NP should:
A. prescribe TMP-SMX.
A 5-year-old child who has no previous history of otitis media is seen in clinic with a temperature of 100°
F. The primary care NP visualizes bilateral erythematous, nonbulging, intact tympanic membranes. The
child is taking fluids well and is playing with toys in the examination room. The NP should:
A. initiate antibiotic therapy if the child's condition worsens.
A primary care NP sees a patient who reports a 2-week history of nasal congestion and runny nose. The
NP performs a history and learns that the nasal discharge has changed from yellow to green in the past
few days, accompanied by a fever of 102° F and unilateral facial pain. To treat this patient, the NP
should:
A. prescribe amoxicillin-clavulanate twice daily for 10 days.
A school-age child comes to the clinic with a 5-day history of cough and low-grade fever. The primary
care NP auscultates crackles and diminished breath sounds bilaterally. The NP should:
A. order azithromycin.
6. A patient has recently returned from travel in Central America and reports having seven to eight liquid
stools each day with severe tenesmus. The primary care NP notes a temperature of 102° F. A stool
specimen is Hemoccult positive with leukocytes present. The NP will:
A. order a stool culture and begin therapy with a fluoroquinolone.
A woman has a urinary tract infection (UTI) and has been taking TMP-SMX for 3 days along with
increased fluids. She reports continued dysuria and urinary frequency and has a consistent, low-grade
fever. The primary care NP should:
A. prescribe ciprofloxacin twice daily for 3 days.
During a gynecologic examination of a sexually active adolescent girl, the primary care NP
notes mucopurulent cervicitis. A culture is positive for Neisseria gonorrhoeae. The NP should:
A. give intramuscular ceftriaxone and a single dose of 1 g of azithromycin.
9. A female patient presents with grayish, odorous vaginal discharge. The primary care NP performs a
gynecologic examination and notes vulvar and vaginal erythema. Testing of the discharge reveals a pH of
5.2 and a fishy odor when mixed with a solution of 10% potassium hydroxide. The NP should:
2|Page
,A. order metronidazole 500 mg twice daily for 7 days.
A patient has confirmed Rocky Mountain spotted fever, and the infectious disease specialist is treating
the patient with doxycycline 100 mg orally for 7 days. The patient comes to the clinic for follow-up care
with the primary care NP at the end of therapy and reports continued fever, headache, and myalgia. The
NP will consult with the infectious disease specialist and order:
A. hospital admission for intravenous chloramphenicol.
A patient was diagnosed with tinea corporis and given topical ketoconazole. The patient tells
the primary care nurse practitioner (NP) that the infection is not getting better. The NP should:
A. obtain a culture of the infection site.
A female patient has vaginal candidiasis and has taken a single dose of fluconazole without
resolution of the infection. The primary care NP obtains a culture and should order:
A. topical miconazole (Monistat).
. A parent brings a 6-year-old child to the clinic for evaluation of a rash. The primary care NP notes three
annular lesions with elevated borders and central clearing on the child's face and a similar lesion on the
back of the neck that extends above the hairline. The NP should prescribe:
B. griseofulvin.
A woman who takes oral contraceptive pills develops vaginal candidiasis. The primary care NP prescribes
a single dose of fluconazole. When counseling the patient about this drug, the NP should tell her:
A. to use a backup contraceptive method for the next 2 months.
A patient is diagnosed with onychomycosis. The primary care NP notes that the patient takes
quinidine. The NP should prescribe:
A. terbinafine (Lamisil).
. A patient has been taking griseofulvin for 4 weeks to treat a tineal capitis infection. The
primary care NP notes improvement but not complete cure. The NP should:
A. renew the prescription after obtaining renal, liver, and hematopoietic tests.
When choosing a topical corticosteroid cream to treat diaper dermatitis, the ideal medication would be:
A low potency corticosteroid cream applied sparingly (hydrocortisone 1
Topical immunomodulators such as pimecrolimus (Elidel) or tacrolimus (Protopic) are used for:
Short-term or intermittent treatment of atopic dermatitis
Long-term treatment of moderate atopic dermatitis includes:
Topical corticosteroids and emollients
Severe contact dermatitis caused by poison ivy or poison oak exposure often requires treatment with:
3|Page
, Oral corticosteroids for 2 to 3 weeks
When a patient has contact dermatitis, wet dressings with Domeboro solution are used for:
f of inflammation
The parent of a toddler asks the NP about using a topical antihistamine to treat the child's
atopic dermatitis symptoms. The NP should tell the parent that:
topical application of an antihistamine may result in drug toxicity in children.
A 5-year-old child has atopic dermatitis that is refractory to treatment with hydrocortisone
acetone 2.5% cream. The primary care NP should prescribe:
desonide cream 0.01%.
triamcinolone acetonide.
A patient has been treated for severe contact dermatitis on both arms with clobetasol propionate
cream. At a follow-up visit, the primary care NP notes that the condition has cleared. The NP should:
prescribe triamcinolone cream for 2 weeks.
A primary care NP prescribes fluocinolone cream for a patient who has contact dermatitis. At a follow-
up visit in 2 weeks, the patient reports decreased pruritus but continues to have excoriated,
erythematous areas. The NP should:
tell the patient to continue using the fluocinolone for 3 to 4 more weeks.
A primary care NP is considering using a topical immunosuppressive agent for a patient who has atopic
dermatitis that is refractory to treatment with topical corticosteroids. The NP should:
begin therapy with pimecrolimus (Elidel).
A patient who has scabies has been treated by the primary care NP twice with permethrin (Elimite). The
second application was administered 10 days after the first. The patient returns to the clinic with mild
pruritus and erythema. The NP does not observe new burrows on the skin. The NP should:
prescribe triamcinolone 0.1%.
A parent brings a 6-year-old child to the clinic for evaluation of a rash. The primary care NP notes three
annular lesions with elevated borders and central clearing on the child's face and a similar lesion on the
back of the neck that extends above the hairline. The NP should
c. oral ketoconazole.
A patient has been taking griseofulvin for 4 weeks to treat a tineal capitis infection. The
primary care NP notes improvement but not complete cure. The NP should:
renew the prescription after obtaining renal, liver, and hematopoietic tests.
4|Page
