NR 572/ NR572 Final Exam: Advanced Acute Care Management Guide (Latest 2025/ 2026 Update) | Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain

NRt 572/t NR572t Finalt Exam:t Advancedt
Acutet Caret Managementt Guidet (Latestt
2025/t 2026t Update)t |t Questionst &t
Answers|t Gradet A|t 100%t Correctt
(Verifiedt Solutions)-t Chamberlain
QUESTION
Antibiotict treatmentt fort patientst overt 55t ort thoset witht priort organt transplant,t
malignancy,t pregnancy,t ort thoset witht immunosuppressivet medication,t ort cellt mediatedt
immunityt duet tot chronict illness

Answer:
Addt ampicillin

QUESTION
Antibiotict coveraget fort bacterialt meningitist int patientst witht evidencet oft mastoiditis,t
sinusitis,t ort otitis

Answer:
Metronidazole

QUESTION
Antibiotict coveraget fort patientst witht recentt neurosurgicalt procedurest ort suspiciont oft
hospitalt acquiredt meningitis

Answer:
Empiricalt coveraget witht vancomycint andt meropenemt ort ceftazidime

QUESTION
Treatmentt oft viralt meningitist fromt HSV

Answer:
Primarilyt symptomatict andt includest uset oft analgesics,t antipyretics,t andt antiemetics.
Fluidt andt electrolytet statust monitoring.
IVt acyclovirt (15-30t mg/kg/dayt int 3t dividedt doses),t whicht cant bet followedt byt ant oralt
drugs,t sucht as:
acyclovirt 800t mgt 5x/day,t
famciclovirt 500t mgt TID,t ort valacyclovirt 1000t mgt TID
Totalt course:t 7-14t days

,Thoset whot aret lesst illt cant usuallyt bet treatedt witht oralt antiviralst alone

QUESTION
CSFt profilet oft viralt meningitis

Answer:
Lymphocytict pleocytosis
Normalt glucoset
Negativet Gramt stain

QUESTION
Dexamethasonet andt meningitis

Answer:
10t mgt oft dexamethasonet shouldt bet givent 10-20t minutest beforet firstt doset oft antibiotic.
Shouldt bet repeatedt Q6t x4t days.t
Shownt tot decreaset meningealt inflammationt andt neurologicalt sequelaet sucht ast sensoryt
neuralt hearingt loss,t butt onlyt ift initialt doset givent withint firstt sixt hourst aftert antibioticst
aret started

QUESTION
Managementt oft increasedt ICP

Answer:
elevatet HOBt 30-45t degrees
neutralt alignmentt
avoidt hipt flexion
allowt not hypotensiont ort hypoxia
-intubationt andt hyperventilation
administert mannitol
maintaint normothermia
Seizuret management

QUESTION
Viralt Encephalitist etiologies

Answer:
-mostt commont causet oft encephalitis
-HSVt 1&2
-VZV
-EBV
-CMV
-measles
-mumps

,-rubella
-Humant herpest virust 6
-Arboviruses:t Bunyavirusest (Californiat encephalitist virust serogroup,t Lat Crosset virus),t Stt
Louist encephalitist virus,t Japaneset encephalitist virus,t Powassant virus,t Alphavirusest
(easternt equinet encephalitist virus),t andt Flavivirusest (Westt Nilet virus)t havet alsot beent
identifiedt ast causativet agents.

QUESTION
Causest oft hemorrhagict stroke

Answer:
-metastatict braint tumor
-Hypertension
-Transformationt oft ischemict stroke
-cerebralt aneurysm
-coagulopathyt ort anticoagulation
-headt trauma
-Arteriovenoust malformation
-Drugs,t sucht ast amphetaminest ort cocaine
-amyloidt angiopathy
-Duralt arteriovenoust fistula
-cavernoust angiomat
-capillaryt talangiectasia

QUESTION
Subjectivet symptomst oft hemorrhagict stroke

Answer:
*t Symptomst occurt acutelyt (minutest tot hours)t andt typicallyt coincidet whent mostt peoplet
aret activet (daylight)t *
-severet HA
-nausea
-vomiting
-dizziness
t
Symptomst tendt tot worsent andt precede,t butt mayt occurt simultaneously,t alongsidet focalt
neurologicalt deficitst ort alteredt mentalt status.
Seizures,t whilet uncommon,t mayt occur

QUESTION
Whatt historyt shouldt yout ascertaint int at patientt whot ist suspectedt oft havingt ant
intercranialt hemorrhage?

Answer:
Uset oft anticoagulationt ort antiplatelett agents

, QUESTION
Objectivet symptomst oft hemorrhagict stroke:t cerebellum

Answer:
-decreasedt LOC
-ataxiat (usuallyt beginningt int thet trunk)
-ipsilateralt sensoryt losst ort facialt weakness
-miosist
-gazet paresist (conjugatet gazet palsy)t
-skewt deviationt (verticalt misalignmentt oft thet eyes)

QUESTION
Objectivet symptomst oft hemorrhagict stroke:t brainstem

Answer:
-autonomict instability
-oculart bobbing
-miosis
-decreasedt LOC
-facialt weakness
-quadriparesis

QUESTION
Objectivet symptomst oft hemorrhagict stroke:t caudatet nucleus

Answer:
-confusion
-contralateralt hemiparesis
-Conjugatet gazet paresis/palsy

QUESTION
Objectivet symptomst oft hemorrhagict stroke:t putamen

Answer:
-aphasia
-homonymoust heminopia
-neglect
-t contralateralt sensoryt loss
-quadriparesis

QUESTION
Objectivet symptomst oft hemorrhagict stroke:t lobar