NR 511 CEA 025 NEWEST
EXAM CURRENTLY TESTING
COMPLETE EXAM
QUESTIONS WITH DETAILED
VERIFIED ANSWERS(100%
CORRECT ANSWERS) A+
STUDY MATERIAL
Shelly, a 19-year-old female patient presents for a routine health visit. During your exam, she
mentions recent symptoms of dysuria and urinary frequency, and you suspect a urinary tract
infection. You confirm this with urinalysis which is as follows: urine positive for leukocyte esterase,
nitrites, and WBCs as well as the presence of bacteria. Most recent labs were 6 months ago
and showed normal CBC and BMP. She also has a health history of C. diff after an antibiotic for an
unrelated illness two years ago. Based on her presentation, which would be the best strategy for
treating her urinary tract infection?
A -Sulfamethoxazole/Trimethoprim (Bactrim DS)
B -Tobramycin (Tobrex)
C -Clindamycin (Cleocin)
D -Doxycycline (Vibramycin)
A -Sulfamethoxazole/Trimethoprim (Bactrim DS)
Heath, a 62 year old male patient presents with a chief complaint of tinnitus for the past week. In the
workup for possible medication- related
causes, you review his current medications. Which of the following agents is most likely a potential
extrinsic cause of tinnitus?
A -Ciprofloxacin (Cipro) ophthalmic solution
B -Spironolactone (Aldactone) 50mg daily
C -Metoprolol (Toprol XL) 50mg daily
D -Aspirin 325 mg daily
D -Aspirin 325 mg daily
,Patients with persistent acne vulgaris unresponsive to standard treatment may benefit from
Isotretinoin (Accutane) treatment. One unique obligation of this medication is as follows;
A -Avoidance of alcoholic intake due to risk of a disulfiram-like action
B -None of these era correct
C -Compliance with commitment o lifelong use of the medication
D -Adherence to the I-PLEDGE program
D -Adherence to the I-PLEDGE program
Beth, a 32 year old administrative assistant presents to your clinic for a sick visit for 3 days of
worsening productive cough, fever, chills, and chest pain. She states she has been around a large
group of corporate visitors to the workplace and after their visit, many of the staff became sick at the
same time. Her exam findings are suspicious for community-acquired pneumonia (CAP). Based on her
presentation, which of the following is the most appropriate medication to prescribe her first?
A -Cefuroxime (Ceftin)
B -Amoxicillin (Amoxil)
C -Cephalexin (Keflex)
D -Metronidazole (Falgy)l
B -Amoxicillin (Amoxil)
The use of penicillin G should be considered for which of the following?
A -Anaerobic bacteria
B -Gram positive cocci
C -Ova and parasites
D -Gram negative rods
B -Gram positive cocci
Dabigatran etexilate (Pradaxa) works as an anticoagulant by its affect of directly inhibiting which of
the following?
A -Prothrombin
B -Thrombin
C -Plasminogen
D -FactorX
B -Thrombin
Gladys, a 51 year old female patient presents with pallor, weakness, and a microcytic anemia.
Assuming iron deficiency anemia, you
discuss treatment options while waiting for her confirmatory lab work to return. In your education
with Gladys, you note that
treatment of an iron deficiency anemia would be augmented by the use of which substance in
addition to ferrous sulfate?
A -Vitamin B
B -Vitamin A
C -Vitamin C
D -Vitamin D
,C -Vitamin C
Treatment of type 1 hypersensitivity reaction may include all but which of the following?
A -Epinephrine (Epi-Pen)
B -Prednisone (Deltasone)
C -All of these may be used to treat type 1 hypersensitivity reactions
D -Diphenhydramine (Benadryl)
C -All of these may be used to treat type 1 hypersensitivity reactions
Patients with acute autoimmune disorder flares are routinely treated with
medications to reduce the inflammation, but does not typically manage the underlying disease state.
Which class of medication is typically used to manage the underlying long-term disease state with
most autoimmune disorders?
A -H2 receptor antagonists
B -Non-steroidal anti-inflammatories
C -Corticosteroids
D -Monoclonal antibodies
D -Monoclonal antibodies
Kyle, a 21 year old college student, presents with persistent itching and hives (urticaria) scattered on
his torso and upper arms this morning. This is the first episode of this, and there is no evidence of
wheezing, stridor, perioral swelling, or dysphonia. His vital signs are 120/72, HR 84, R 16, Temp 98.5 .F
You anticipate his symptoms of urticaria to be reasonably well managed with which of the following
class of medications?
A -Angiotensin Converting Enzyme Inhibitors
B -NSAIDs
C -Inhaled corticosteroids
D -First generation antihistamines
D -First generation antihistamines
Karen, a 49 year old caucasian female with pale skin and history of easy freckling after sun exposure
presents to your clinic for evaluation and skin survey. You notice a patchy area of lesions from sun
exposure and notice presence of telangiectasia on the lesions. Which of the following agents would
you be likely to be successful in your treatment of this common skin lesion?
A -Salycilic Acid solution topically
B -Prednisone (Deltasone) orally
C -Fluororuacil (5-FU) cream
D -Isotretinoin (Accutane) orally
C -Fluororuacil (5-FU) cream
You have the pleasure of working at the health clinic at a summer resort as a nurse practitioner.
Benny, a 19 year old male presents with first degree
burns over their anterior torso after being out in the sun too long without any protection while taking
a medication prone to photosensitivity
, reactions. To accurately document his burn surface area, you use
the rule of palms. In evaluation of a patient's body surface area (BSA) using the rule of palms, which
portion of the patient's body surface area is covered by the patient's palm?
A -3%.
B -2%.
C -1%.
D -4%.
C -1%.
Your patient Katie, a 24 year old female patient presents to your clinic with erythema on her face that
does not cross the bridge of the nose and seems to flare up with exercise and certain foods. She says
she feels like her skin is flushed at times and is self-conscious. Which of the following agents is most
appropriate to use for chronic treatment of this condition?
A -Cefuroxime (Ceftin)
B -Amoxicillin (Amoxil)
C -Doxycycline (Vibramycin)
D -Niacin extended release (Niacin)
C -Doxycycline (Vibramycin)
In providing medication education for a patient newly prescribed amiltryptiline (Elavil) for chronic
migraine management, which are the most common side effects to include in your teaching?
A -Dry mouth and constipation
B -None of these are correct
C -Bradycardia and agitation
D -Salivation and GI motility
A -Dry mouth and constipation
Melody is complaining of lip smacking and odd movements she cannot control for the last two days
after starting on haloperidol (Haldol) for management of her schizophrenia. Of the following options,
which is the best strategy for her?
A -Continue with haloperidol (Haldol) as this is expected
B -Switch to quetiapine (Seroquel)
C -Increase the dose of haloperidol (Haldol) as these side effects are common at lower doses
D -Switch to pimozide (Ozap)
B -Switch to quetiapine (Seroquel)
Transitioning from one anti-depressive agent to another (such as between SSRIs, SNRIs, or MAOIs)
must be individualized based on the unique drugs' metabolism because using both agents at once may
put the patient at risk of which of the following?
A -Discontinuation syndrome
B -Acute dystonia
C -Serotonin syndrome
D -Neuroleptic malignant syndrome
EXAM CURRENTLY TESTING
COMPLETE EXAM
QUESTIONS WITH DETAILED
VERIFIED ANSWERS(100%
CORRECT ANSWERS) A+
STUDY MATERIAL
Shelly, a 19-year-old female patient presents for a routine health visit. During your exam, she
mentions recent symptoms of dysuria and urinary frequency, and you suspect a urinary tract
infection. You confirm this with urinalysis which is as follows: urine positive for leukocyte esterase,
nitrites, and WBCs as well as the presence of bacteria. Most recent labs were 6 months ago
and showed normal CBC and BMP. She also has a health history of C. diff after an antibiotic for an
unrelated illness two years ago. Based on her presentation, which would be the best strategy for
treating her urinary tract infection?
A -Sulfamethoxazole/Trimethoprim (Bactrim DS)
B -Tobramycin (Tobrex)
C -Clindamycin (Cleocin)
D -Doxycycline (Vibramycin)
A -Sulfamethoxazole/Trimethoprim (Bactrim DS)
Heath, a 62 year old male patient presents with a chief complaint of tinnitus for the past week. In the
workup for possible medication- related
causes, you review his current medications. Which of the following agents is most likely a potential
extrinsic cause of tinnitus?
A -Ciprofloxacin (Cipro) ophthalmic solution
B -Spironolactone (Aldactone) 50mg daily
C -Metoprolol (Toprol XL) 50mg daily
D -Aspirin 325 mg daily
D -Aspirin 325 mg daily
,Patients with persistent acne vulgaris unresponsive to standard treatment may benefit from
Isotretinoin (Accutane) treatment. One unique obligation of this medication is as follows;
A -Avoidance of alcoholic intake due to risk of a disulfiram-like action
B -None of these era correct
C -Compliance with commitment o lifelong use of the medication
D -Adherence to the I-PLEDGE program
D -Adherence to the I-PLEDGE program
Beth, a 32 year old administrative assistant presents to your clinic for a sick visit for 3 days of
worsening productive cough, fever, chills, and chest pain. She states she has been around a large
group of corporate visitors to the workplace and after their visit, many of the staff became sick at the
same time. Her exam findings are suspicious for community-acquired pneumonia (CAP). Based on her
presentation, which of the following is the most appropriate medication to prescribe her first?
A -Cefuroxime (Ceftin)
B -Amoxicillin (Amoxil)
C -Cephalexin (Keflex)
D -Metronidazole (Falgy)l
B -Amoxicillin (Amoxil)
The use of penicillin G should be considered for which of the following?
A -Anaerobic bacteria
B -Gram positive cocci
C -Ova and parasites
D -Gram negative rods
B -Gram positive cocci
Dabigatran etexilate (Pradaxa) works as an anticoagulant by its affect of directly inhibiting which of
the following?
A -Prothrombin
B -Thrombin
C -Plasminogen
D -FactorX
B -Thrombin
Gladys, a 51 year old female patient presents with pallor, weakness, and a microcytic anemia.
Assuming iron deficiency anemia, you
discuss treatment options while waiting for her confirmatory lab work to return. In your education
with Gladys, you note that
treatment of an iron deficiency anemia would be augmented by the use of which substance in
addition to ferrous sulfate?
A -Vitamin B
B -Vitamin A
C -Vitamin C
D -Vitamin D
,C -Vitamin C
Treatment of type 1 hypersensitivity reaction may include all but which of the following?
A -Epinephrine (Epi-Pen)
B -Prednisone (Deltasone)
C -All of these may be used to treat type 1 hypersensitivity reactions
D -Diphenhydramine (Benadryl)
C -All of these may be used to treat type 1 hypersensitivity reactions
Patients with acute autoimmune disorder flares are routinely treated with
medications to reduce the inflammation, but does not typically manage the underlying disease state.
Which class of medication is typically used to manage the underlying long-term disease state with
most autoimmune disorders?
A -H2 receptor antagonists
B -Non-steroidal anti-inflammatories
C -Corticosteroids
D -Monoclonal antibodies
D -Monoclonal antibodies
Kyle, a 21 year old college student, presents with persistent itching and hives (urticaria) scattered on
his torso and upper arms this morning. This is the first episode of this, and there is no evidence of
wheezing, stridor, perioral swelling, or dysphonia. His vital signs are 120/72, HR 84, R 16, Temp 98.5 .F
You anticipate his symptoms of urticaria to be reasonably well managed with which of the following
class of medications?
A -Angiotensin Converting Enzyme Inhibitors
B -NSAIDs
C -Inhaled corticosteroids
D -First generation antihistamines
D -First generation antihistamines
Karen, a 49 year old caucasian female with pale skin and history of easy freckling after sun exposure
presents to your clinic for evaluation and skin survey. You notice a patchy area of lesions from sun
exposure and notice presence of telangiectasia on the lesions. Which of the following agents would
you be likely to be successful in your treatment of this common skin lesion?
A -Salycilic Acid solution topically
B -Prednisone (Deltasone) orally
C -Fluororuacil (5-FU) cream
D -Isotretinoin (Accutane) orally
C -Fluororuacil (5-FU) cream
You have the pleasure of working at the health clinic at a summer resort as a nurse practitioner.
Benny, a 19 year old male presents with first degree
burns over their anterior torso after being out in the sun too long without any protection while taking
a medication prone to photosensitivity
, reactions. To accurately document his burn surface area, you use
the rule of palms. In evaluation of a patient's body surface area (BSA) using the rule of palms, which
portion of the patient's body surface area is covered by the patient's palm?
A -3%.
B -2%.
C -1%.
D -4%.
C -1%.
Your patient Katie, a 24 year old female patient presents to your clinic with erythema on her face that
does not cross the bridge of the nose and seems to flare up with exercise and certain foods. She says
she feels like her skin is flushed at times and is self-conscious. Which of the following agents is most
appropriate to use for chronic treatment of this condition?
A -Cefuroxime (Ceftin)
B -Amoxicillin (Amoxil)
C -Doxycycline (Vibramycin)
D -Niacin extended release (Niacin)
C -Doxycycline (Vibramycin)
In providing medication education for a patient newly prescribed amiltryptiline (Elavil) for chronic
migraine management, which are the most common side effects to include in your teaching?
A -Dry mouth and constipation
B -None of these are correct
C -Bradycardia and agitation
D -Salivation and GI motility
A -Dry mouth and constipation
Melody is complaining of lip smacking and odd movements she cannot control for the last two days
after starting on haloperidol (Haldol) for management of her schizophrenia. Of the following options,
which is the best strategy for her?
A -Continue with haloperidol (Haldol) as this is expected
B -Switch to quetiapine (Seroquel)
C -Increase the dose of haloperidol (Haldol) as these side effects are common at lower doses
D -Switch to pimozide (Ozap)
B -Switch to quetiapine (Seroquel)
Transitioning from one anti-depressive agent to another (such as between SSRIs, SNRIs, or MAOIs)
must be individualized based on the unique drugs' metabolism because using both agents at once may
put the patient at risk of which of the following?
A -Discontinuation syndrome
B -Acute dystonia
C -Serotonin syndrome
D -Neuroleptic malignant syndrome
