NURS 642 Exam 1 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Types and Surface Glycoproteins of Influenza - CORRECT ANSWER - Types: ABC
Surface Gylcoproteins: H & N
Human Influenza Viruses - CORRECT ANSWER -B&C
Influenza A - CORRECT ANSWER - A is primarily Avian, but can infect human and
other animals
Is further classified by H and N subtypes
Influenza High Risk groups - CORRECT ANSWER - Young <24 months; 6 months-5
years
Older Adult >50
Long Term Care
Pulmonary Dx
Cardiac Dx
Chronic Dx (DM, CKD, Hepatic, Heme)
Immunosuppressed
Pregnacy and Immediate Post partum
Morbid Obesity (BMI>35)
Severe Complications of Influenza - CORRECT ANSWER - Pulmonary Compliacations
Sepsis
AKI
MODS
,Lymphopenia, Thrombocytopenia
DIC
Rhabdo
Organ-specific infections
Subjective Findings of Influenza - CORRECT ANSWER - Sudden onset symptoms
Fever (most common)
Chills, Rigors
HA
Myalgia
Malaise
Dry Cough
Nasal Discharge
Hoarseness
Sore throat
Special Subjective Considerations for Influenza - CORRECT ANSWER - Assess sick
contact history
Assess travel exposure
PE of influenza - CORRECT ANSWER - Fever (>38.2)
Eyes watered/Reddened
Facial Flushing
Skin hot/Moist
Nasal mucosa hyperemic without exudate
Rales/Rhonci uncommon
, Influenza testing - CORRECT ANSWER - Rapid Testing- low sensitivity, may not
distinguish strains/subtypes
NAAT (few hours)
higher sensitivity
Rapid test of choice
Viral Culture (2-3 days)
nasal, sputum ot tracheal secretions
higher sensitivity, but long wait
Additional Diagnostics for Influenza - CORRECT ANSWER - CXR: r/o secondary PNA
Lobular infiltrates are rare
CBC may show leukopenia
Influenza in Older Adults - CORRECT ANSWER - Atypical Presentation:
Altered MS
Cough
Fever
Less Resp Sx; more complications
Less common: muscle aches, sore throat
Present with more GI sx than other resp viruses
Influenza Diff Dx - CORRECT ANSWER - Other URI
RSV, Adenovirus
Infective and Inflammatory conditions that cause resp and systemic symptoms
Exam Questions and CORRECT Answers
Types and Surface Glycoproteins of Influenza - CORRECT ANSWER - Types: ABC
Surface Gylcoproteins: H & N
Human Influenza Viruses - CORRECT ANSWER -B&C
Influenza A - CORRECT ANSWER - A is primarily Avian, but can infect human and
other animals
Is further classified by H and N subtypes
Influenza High Risk groups - CORRECT ANSWER - Young <24 months; 6 months-5
years
Older Adult >50
Long Term Care
Pulmonary Dx
Cardiac Dx
Chronic Dx (DM, CKD, Hepatic, Heme)
Immunosuppressed
Pregnacy and Immediate Post partum
Morbid Obesity (BMI>35)
Severe Complications of Influenza - CORRECT ANSWER - Pulmonary Compliacations
Sepsis
AKI
MODS
,Lymphopenia, Thrombocytopenia
DIC
Rhabdo
Organ-specific infections
Subjective Findings of Influenza - CORRECT ANSWER - Sudden onset symptoms
Fever (most common)
Chills, Rigors
HA
Myalgia
Malaise
Dry Cough
Nasal Discharge
Hoarseness
Sore throat
Special Subjective Considerations for Influenza - CORRECT ANSWER - Assess sick
contact history
Assess travel exposure
PE of influenza - CORRECT ANSWER - Fever (>38.2)
Eyes watered/Reddened
Facial Flushing
Skin hot/Moist
Nasal mucosa hyperemic without exudate
Rales/Rhonci uncommon
, Influenza testing - CORRECT ANSWER - Rapid Testing- low sensitivity, may not
distinguish strains/subtypes
NAAT (few hours)
higher sensitivity
Rapid test of choice
Viral Culture (2-3 days)
nasal, sputum ot tracheal secretions
higher sensitivity, but long wait
Additional Diagnostics for Influenza - CORRECT ANSWER - CXR: r/o secondary PNA
Lobular infiltrates are rare
CBC may show leukopenia
Influenza in Older Adults - CORRECT ANSWER - Atypical Presentation:
Altered MS
Cough
Fever
Less Resp Sx; more complications
Less common: muscle aches, sore throat
Present with more GI sx than other resp viruses
Influenza Diff Dx - CORRECT ANSWER - Other URI
RSV, Adenovirus
Infective and Inflammatory conditions that cause resp and systemic symptoms
