NU 664 Exam 1 Questions | FREQUENTLY MOST
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Gold standard for CAP Chest x-ray
diagnosis:
If CAP symptoms present Same as if CXR was positive
but no obvious signs of
infection on CXR
treatment is...
Immunizations for people Pneumonia and flu vaccines
over 65 or younger
people with comorbidities
such as asthma, CHF
COPD:
Extremes of age, smokers, alcoholics, GERD, chronic
Who is at risk for CAP?
disease, institutionalization
CAP presentation in Cough (may be nonproductive), dyspnea, fever,
adults: hemoptysis, chest pain, fatigue, tachycardia
If lymphocytes are Indicative of viral process
elevated?
If monocytes are Indicative of chronic process
elevated?
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If eosinophils are Indicative of asthma, allergic reaction
elevated?
If basophils are elevated? Indicative of chronic process
If neutrophils are Indicative of acute bacterial process
elevated?
CAP: patient present with Streptococcus pneumonia: gram +
symptoms of chills, fever,
chest pain, productive
cough with purulent
sputum, positive chest x-
ray, and patient had URI
last week?
In the United States, the Viruses
most common cause of
myocarditis in children is:
Your next patient is a 5- Your child is breathing slower than normal for his age.
year-old child with a We need to send him to the ER for further
history of moderate intervention.
persistent asthma. He has
been wheezing and
coughing for the past two
days, and his mother
brings him in today for
evaluation. He has been
using albuterol every four
hours. His respiratory rate
is 13 breaths per minute;
his lungs are clear to
auscultation; and no
retractions are noted.
What may be your
assessment and
intervention based on this
information?
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Your next patient is a 6- Your child should continue his low-dose inhaled
year-old male here for his corticosteroid daily and add albuterol as needed for
annual influenza vaccine. an exacerbation.
He has a history of mild
persistent asthma. What
would you discuss for
medications when
reviewing his asthma
action plan?
A child who has been Add an inhaled corticosteroid.
diagnosed with asthma for
several years has been
using a short-acting Beta-
agonist (SABA) to control
symptoms. The PNP learns
that the child has recently
begun using the SABA 2-3
times each week to
prevent wheezing and
shortness of breath. The
child currently has clear
breath sounds and an
FEV1 of 75% of personal
best. What will the NP do?
Your next patient is a six- Your child has a rash that is likely due to a fungus,
month-old infant who just Candida, and commonly occurs after taking
completed amoxicillin for antibiotics. I will prescribe nystatin to be applied to
otitis media. The mother the diaper area.
states her child is better
except for a diaper rash.
Upon examination, you
note red scaly plaques in
the diaper area with
satellite lesions to his
upper thighs. What would
you do next as the PNP?
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A 12 y.o. female presents Using normal saline, irrigate the wounds using high
to the clinic after being bit pressure (greater than 4 pounds per square inch) and
by a dog on the face. high volume (greater than 1 L). Isolated puncture
Abrasion with 2 puncture wounds should not be irrigated, instead soak the
wounds on the upper right wound in a diluted solution of tap water and
cheek, approximately 1 povidone-iodine for 15 .minutes • Prescribe a 3- to 5-
inch below the eye. The day course of prophylactic antibiotics
area is slightly
erythematous, with a small
amount of bruising and
raised area along the
cheekbone.
A 4 yo child has clusters Topical diphenhydramine and magnesium hydroxide.
of small, clear, tense
vesicles with an
erythematous base on
one side of the mouth
along the vermillion
border, which are causing
discomfort and difficulty
eating. What will the PNP
recommend as treatment?
A 4 year old child with PE Order ototopical corticosteroid/antibiotic drops.
tubes in both ears has
otalgia in one ear. The
PNP is able to visualize the
tube and does not see
exudate in the ear canal
and obtains a type A
tympanogram. What will
the NP do?
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