NURS 676 ADVANCED PHARMACOLOGY
MIDTERM EXAM (WCU)
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1. A 30-year-old woman has RUQ abdominal pain, nausea, and vomiting. Which diagnostic test will the
provider order?
A. CT scan
B. Abdominal ultrasound
C. Colonoscopy
D. MRI
Answer: B
EXPLANATION: Abdominal ultrasound is the first-line imaging modality for evaluating RUQ pain to assess
for gallbladder or liver pathology.
2. What is the most likely cause of chronic gastritis in a previously healthy 50-year-old patient?
A. NSAID use
B. Stress
C. H. pylori infection
D. Alcohol abuse
Answer: C
EXPLANATION: H. pylori is the most common cause of chronic gastritis due to its ability to chronically
infect the stomach lining.
,3. A 60-year-old patient asks about herpes zoster vaccine. What should be recommended?
A. No vaccine needed
B. Annual booster
C. Two doses of zoster vaccine
D. A single dose of herpes zoster vaccine
Answer: D
EXPLANATION: CDC guidelines recommend a single dose of shingles vaccine for adults over 50,
especially with prior history of shingles.
4. A child has a snake bite with two puncture wounds but no swelling or symptoms. What is the
appropriate management?
A. Administer antivenom
B. Observe for 12 hours with wound cleaning and tetanus prophylaxis
C. Immediate surgery
D. Discharge home with antibiotics
Answer: B
EXPLANATION: Observation, wound care, and tetanus prophylaxis are indicated when the bite is not
causing systemic or local severe symptoms.
5. Child has a tender, red, and warm eyelid nodule with clear conjunctiva. Best treatment?
A. Topical antibiotics
B. Warm compress and massage
C. Oral antivirals
D. Steroid eye drops
Answer: B
EXPLANATION: Warm compresses and massage are standard for treating a hordeolum (stye), which is a
localized infection of the eyelid glands.
6. Child with eyelid edema and warmth, no eye pain on movement. Likely condition?
A. Conjunctivitis
, B. Orbital cellulitis
C. Periorbital cellulitis
D. Allergic reaction
Answer: C
EXPLANATION: Periorbital cellulitis affects tissues around the eye but spares eye movement and vision,
unlike orbital cellulitis.
7. A child has honey-colored crusts around the nose and mouth. What treatment is appropriate?
A. Topical antivirals
B. Amoxicillin
C. Amoxicillin-clavulanate
D. Acyclovir
Answer: C
EXPLANATION: Impetigo with widespread lesions should be treated with systemic antibiotics like
amoxicillin-clavulanate.
8. Patient with partial-thickness burns on forearms, neck, and chin. What is the appropriate action?
A. Prescribe burn ointment
B. Refer to ED
C. Debride wounds in clinic
D. Oral antibiotics
Answer: B
EXPLANATION: Burns in critical areas like face and large surface areas warrant emergency referral for
specialized burn care.
9. For a productive cough after several days of bronchitis, what symptom management is appropriate?
A. Antibiotics
B. Inhaled steroids
C. Antitussive medications
D. Bronchodilators
MIDTERM EXAM (WCU)
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1. A 30-year-old woman has RUQ abdominal pain, nausea, and vomiting. Which diagnostic test will the
provider order?
A. CT scan
B. Abdominal ultrasound
C. Colonoscopy
D. MRI
Answer: B
EXPLANATION: Abdominal ultrasound is the first-line imaging modality for evaluating RUQ pain to assess
for gallbladder or liver pathology.
2. What is the most likely cause of chronic gastritis in a previously healthy 50-year-old patient?
A. NSAID use
B. Stress
C. H. pylori infection
D. Alcohol abuse
Answer: C
EXPLANATION: H. pylori is the most common cause of chronic gastritis due to its ability to chronically
infect the stomach lining.
,3. A 60-year-old patient asks about herpes zoster vaccine. What should be recommended?
A. No vaccine needed
B. Annual booster
C. Two doses of zoster vaccine
D. A single dose of herpes zoster vaccine
Answer: D
EXPLANATION: CDC guidelines recommend a single dose of shingles vaccine for adults over 50,
especially with prior history of shingles.
4. A child has a snake bite with two puncture wounds but no swelling or symptoms. What is the
appropriate management?
A. Administer antivenom
B. Observe for 12 hours with wound cleaning and tetanus prophylaxis
C. Immediate surgery
D. Discharge home with antibiotics
Answer: B
EXPLANATION: Observation, wound care, and tetanus prophylaxis are indicated when the bite is not
causing systemic or local severe symptoms.
5. Child has a tender, red, and warm eyelid nodule with clear conjunctiva. Best treatment?
A. Topical antibiotics
B. Warm compress and massage
C. Oral antivirals
D. Steroid eye drops
Answer: B
EXPLANATION: Warm compresses and massage are standard for treating a hordeolum (stye), which is a
localized infection of the eyelid glands.
6. Child with eyelid edema and warmth, no eye pain on movement. Likely condition?
A. Conjunctivitis
, B. Orbital cellulitis
C. Periorbital cellulitis
D. Allergic reaction
Answer: C
EXPLANATION: Periorbital cellulitis affects tissues around the eye but spares eye movement and vision,
unlike orbital cellulitis.
7. A child has honey-colored crusts around the nose and mouth. What treatment is appropriate?
A. Topical antivirals
B. Amoxicillin
C. Amoxicillin-clavulanate
D. Acyclovir
Answer: C
EXPLANATION: Impetigo with widespread lesions should be treated with systemic antibiotics like
amoxicillin-clavulanate.
8. Patient with partial-thickness burns on forearms, neck, and chin. What is the appropriate action?
A. Prescribe burn ointment
B. Refer to ED
C. Debride wounds in clinic
D. Oral antibiotics
Answer: B
EXPLANATION: Burns in critical areas like face and large surface areas warrant emergency referral for
specialized burn care.
9. For a productive cough after several days of bronchitis, what symptom management is appropriate?
A. Antibiotics
B. Inhaled steroids
C. Antitussive medications
D. Bronchodilators
