NURS 623 EXAM 1 MARYVILLE REAL EXAM
QUESTIONS WITH 100% RATED CORRECT ANSWERS
(ACCURATELY PASSED) 2025 LATEST UPDATED GET A+_|
LATEST VERSIONS
Is transmission of Lyme disease likely if the thick attachment is less than 48 hours? -
(ANSWER)No
What is the incubation period of Lyme disease? - (ANSWER)3 to 31 days but typically around
7 to 14 days
How many stages does Lyme disease have? - (ANSWER)4
What is the first stage of Lyme disease called? - (ANSWER)Early localized Lyme disease
What is the second stage of Lyme disease called? - (ANSWER)Early disseminated Lyme
disease
What is the third stage of Lyme disease called? - (ANSWER)Late disseminated Lyme disease
What is the fourth stage of Lyme disease called? - (ANSWER)Late stage or chronic Lyme
arthritis
Which pathogen causes Lyme disease? - (ANSWER)Borrelia burgdorferi
,What may the patient present with that makes you suspect Lyme disease? - (ANSWER)Fever,
rash, facial paralysis, arthritis, chills, headache, fatigue, muscle and joint aches, and swollen
lymph nodes
Which test is most commonly used to diagnose Lyme disease? - (ANSWER)ELISA
Which test is performed to confirm ELISA results with Lyme disease? -
(ANSWER)Immunoblot test
How long may stage 1 Lyme disease (early localized Lyme disease) last for? - (ANSWER)1 to
4 weeks
Which symptoms may present with stage 1 (early localized) Lyme disease? -
(ANSWER)Erythema migrans with bulls eye appearance, flu like symptoms such as fever, chills,
joint and muscle pain, stiff neck and headache, general feeling of illness, and swollen lymph
glands
A circular rash that may expand over time which may also have a bulls eye appearance. -
(ANSWER)Erythema migrans
What is treatment for stage 1 (early localized) Lyme disease? - (ANSWER)Doxycycline,
Cefuroxime, or amoxicillin
How soon may stage 2 (early disseminated) Lyme disease present after initial infection? -
(ANSWER)Weeks to months
With this stage of Lyme disease, symptoms can range from mild to severe, or not at all. Flu like
symptoms may be similar to or worse than stage 1 and includes fever, chills, joint and muscle
pain, stiff neck and headache, swollen lymph nodes or glands, fatigue, sore throat, visual
disturbances such as blurry vision, paralysis or weakness in the face, pain or numbness in the bite
area, and heart palpitations. - (ANSWER)Stage 2 (early disseminated) Lyme disease
,What is treatment of stage 2 (early disseminated) Lyme disease if IV treatment is needed? -
(ANSWER)Azithromycin, doxycycline, amoxicillin, cefuroxime, or ceftriaxone. (Most
commonly is doxycycline except for children 8 years old and younger or nursing/pregnant
women).
What are oral antibiotic choices for treatment of stage 2 (early disseminated) Lyme disease? -
(ANSWER)Azithromycin, doxycycline (except in children <8 years old, nursing or pregnant
women), amoxicillin, and cefuroxime. (Most common is doxycycline except for <8 y.o.,
pregnant, or nursing).
When does stage 3 (late disseminated) Lyme disease typically present? - (ANSWER)When the
infection has not been treated during stages 1 and 2. It starts months or even years after the
original tick bite.
What are symptoms of stage 3 (late disseminated) Lyme disease? - (ANSWER)Severe
headaches, arthritis of the large joints (knees, hips, etc.), heart arrhythmia, brain disturbances
(memory loss, mood disturbances, sleep interruptions), difficulty concentrating and mental
fogginess, temporary amnesia, difficulty following conversations or speaking, numbness or
tingling in the limbs (arms, legs, feet, or hands), extreme fatigue, and temporary paralysis of
facial muscles
With this stage of Lyme disease, presentation is a recurrent form of joint inflammation which
may include episodes of severe arthritis symptoms. The most common joint affected is the knee
joint but it may also occur in other large or small joints as well. - (ANSWER)Stage 4- late stage
or chronic Lyme arthritis
Which symptoms will present with stage 4 late stage or chronic Lyme arthritis? -
(ANSWER)Swelling, redness, and fluid buildup with episodes lasting greater than 6 months
How long may symptoms of stage 4 late stage or chronic Lyme arthritis last? -
(ANSWER)Months to years
, What history is important for assisting with the diagnosis of Lyme disease? -
(ANSWER)Exposure to tick bites, recent camping trips, frequent yard work, pets that go outside
and have contact with the patient, duration and characteristics of lesion(s).
What is the dosage and duration and first line treatment for an adult with early Lyme disease? -
(ANSWER)Doxycycline 100 mg PO BID for 14-21 days
What is the second line treatment for adults with early Lyme disease? - (ANSWER)Amoxil 500
mg TID for 14-21 days
What is the causative agent of infectious mono? - (ANSWER)Epstein Barr virus
What is the incubation period for infectious mono? - (ANSWER)30 to 50 days
How is mono contacted? - (ANSWER)Person via saliva (rarely via blood)
What is the common presentation of infectious mono? - (ANSWER)Fever, pharyngitis,
adenopathy, fatigue, HA, glottis edema, pain behind eyes, petechiae rash on palate
What lab test would most likely be elevated with infectious mono?
A. hgb
B. MCHC
C. liver function test
D. UA - (ANSWER)C
What is the duration of infectious mono? - (ANSWER)3 to 4 weeks
How long can fatigue last with mono? - (ANSWER)6 to 12 months
QUESTIONS WITH 100% RATED CORRECT ANSWERS
(ACCURATELY PASSED) 2025 LATEST UPDATED GET A+_|
LATEST VERSIONS
Is transmission of Lyme disease likely if the thick attachment is less than 48 hours? -
(ANSWER)No
What is the incubation period of Lyme disease? - (ANSWER)3 to 31 days but typically around
7 to 14 days
How many stages does Lyme disease have? - (ANSWER)4
What is the first stage of Lyme disease called? - (ANSWER)Early localized Lyme disease
What is the second stage of Lyme disease called? - (ANSWER)Early disseminated Lyme
disease
What is the third stage of Lyme disease called? - (ANSWER)Late disseminated Lyme disease
What is the fourth stage of Lyme disease called? - (ANSWER)Late stage or chronic Lyme
arthritis
Which pathogen causes Lyme disease? - (ANSWER)Borrelia burgdorferi
,What may the patient present with that makes you suspect Lyme disease? - (ANSWER)Fever,
rash, facial paralysis, arthritis, chills, headache, fatigue, muscle and joint aches, and swollen
lymph nodes
Which test is most commonly used to diagnose Lyme disease? - (ANSWER)ELISA
Which test is performed to confirm ELISA results with Lyme disease? -
(ANSWER)Immunoblot test
How long may stage 1 Lyme disease (early localized Lyme disease) last for? - (ANSWER)1 to
4 weeks
Which symptoms may present with stage 1 (early localized) Lyme disease? -
(ANSWER)Erythema migrans with bulls eye appearance, flu like symptoms such as fever, chills,
joint and muscle pain, stiff neck and headache, general feeling of illness, and swollen lymph
glands
A circular rash that may expand over time which may also have a bulls eye appearance. -
(ANSWER)Erythema migrans
What is treatment for stage 1 (early localized) Lyme disease? - (ANSWER)Doxycycline,
Cefuroxime, or amoxicillin
How soon may stage 2 (early disseminated) Lyme disease present after initial infection? -
(ANSWER)Weeks to months
With this stage of Lyme disease, symptoms can range from mild to severe, or not at all. Flu like
symptoms may be similar to or worse than stage 1 and includes fever, chills, joint and muscle
pain, stiff neck and headache, swollen lymph nodes or glands, fatigue, sore throat, visual
disturbances such as blurry vision, paralysis or weakness in the face, pain or numbness in the bite
area, and heart palpitations. - (ANSWER)Stage 2 (early disseminated) Lyme disease
,What is treatment of stage 2 (early disseminated) Lyme disease if IV treatment is needed? -
(ANSWER)Azithromycin, doxycycline, amoxicillin, cefuroxime, or ceftriaxone. (Most
commonly is doxycycline except for children 8 years old and younger or nursing/pregnant
women).
What are oral antibiotic choices for treatment of stage 2 (early disseminated) Lyme disease? -
(ANSWER)Azithromycin, doxycycline (except in children <8 years old, nursing or pregnant
women), amoxicillin, and cefuroxime. (Most common is doxycycline except for <8 y.o.,
pregnant, or nursing).
When does stage 3 (late disseminated) Lyme disease typically present? - (ANSWER)When the
infection has not been treated during stages 1 and 2. It starts months or even years after the
original tick bite.
What are symptoms of stage 3 (late disseminated) Lyme disease? - (ANSWER)Severe
headaches, arthritis of the large joints (knees, hips, etc.), heart arrhythmia, brain disturbances
(memory loss, mood disturbances, sleep interruptions), difficulty concentrating and mental
fogginess, temporary amnesia, difficulty following conversations or speaking, numbness or
tingling in the limbs (arms, legs, feet, or hands), extreme fatigue, and temporary paralysis of
facial muscles
With this stage of Lyme disease, presentation is a recurrent form of joint inflammation which
may include episodes of severe arthritis symptoms. The most common joint affected is the knee
joint but it may also occur in other large or small joints as well. - (ANSWER)Stage 4- late stage
or chronic Lyme arthritis
Which symptoms will present with stage 4 late stage or chronic Lyme arthritis? -
(ANSWER)Swelling, redness, and fluid buildup with episodes lasting greater than 6 months
How long may symptoms of stage 4 late stage or chronic Lyme arthritis last? -
(ANSWER)Months to years
, What history is important for assisting with the diagnosis of Lyme disease? -
(ANSWER)Exposure to tick bites, recent camping trips, frequent yard work, pets that go outside
and have contact with the patient, duration and characteristics of lesion(s).
What is the dosage and duration and first line treatment for an adult with early Lyme disease? -
(ANSWER)Doxycycline 100 mg PO BID for 14-21 days
What is the second line treatment for adults with early Lyme disease? - (ANSWER)Amoxil 500
mg TID for 14-21 days
What is the causative agent of infectious mono? - (ANSWER)Epstein Barr virus
What is the incubation period for infectious mono? - (ANSWER)30 to 50 days
How is mono contacted? - (ANSWER)Person via saliva (rarely via blood)
What is the common presentation of infectious mono? - (ANSWER)Fever, pharyngitis,
adenopathy, fatigue, HA, glottis edema, pain behind eyes, petechiae rash on palate
What lab test would most likely be elevated with infectious mono?
A. hgb
B. MCHC
C. liver function test
D. UA - (ANSWER)C
What is the duration of infectious mono? - (ANSWER)3 to 4 weeks
How long can fatigue last with mono? - (ANSWER)6 to 12 months
