NURS 676 ADVANCED PHARMACOLOGY FINAL EXAM COMPLETE ACCURATE
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
A patient reports recurrent chest pain that occurs regardless of activity and is not relieved by
rest. The provider administers one NG tablet which does not relieve the pain. What is the next
action? - correct answer Give the patient a beta blocker
A patient is brought to an emergency department with symptoms of acute ST segment
elevation MI (STEMI). The nearest hospiral that can perform a PCI is three hours away, what is
the initial treatment for this patient. - correct answer Initiate fibrinolytic therapy
A patient reports a feeling of fullness and pain in both ears and the practitioner elicits pain
when manipulating the ear structures, what is likely the diagnosis? - correct answer acute otitis
externa
Which are risk factors for developing otitis externa? - correct answer having underlying DM, use
of ear plugs or hearing aids, vigorous external hygiene
A patient has an initial episode of otitis external associated with swimming. the patient's ear
canal is mildly inflamed and the TM is not involved. Which medication will be ordered? - correct
answer Cipro HC
Which symptoms in children are evlauated using a parent-reported scoring system to
determine the severity of pain in children with OM? - correct answer Appetite, Difficulty
sleeping, and tugging on ears.
Which patient may be given symptomatic treatment with 24 hours follow-up assessment
without initial antibiotic therapy? - correct answer A 36 month old with fever of 38.5, mild
otalgia, and red, non-bulging TM
A pediatric patient has otalgia, fever of 38.8, and recent history of URI. the examiner is unable
to visualize the TM in the right ear because of the presence of cerumen. The left TM is dull gray
with fluid levels present. What is the correct action? - correct answer Remove the cerumen and
visualize the TM
A patient reports ear pain and difficulty hearing. An otoscope examination reveals a small tear
in the TM of the affected ear with purulent d/c. What is the initial treatment for this patient? -
correct answer Prescribe antibiotic ear drops
A patient reports ear pain after being hit in the head with a baseball. The provider notes a
perforated TM. What is recommended treatment? - correct answer Refer the patient to an
Otolaryngologist for eval
, An adolescent has fever, chills, and a severe sore throat. On exam, the provider notes foul-
smelling breath and a muffled voice with marked edema and erythema of the peritonsillar
tissue. What should you do? - correct answer Perform a rapid strep and throat culture.
A patient has a sore throat, and temp of 38.5, tonsillar exudates, and cervical
lymphadenopathy. What will the provider do next to manage this patient's symptoms. - correct
answer Perform a RADT
A patient reports a sudden onset of sore throat, fever, malaise, and cough. the provider notes
mild erythema of the pharynx and clear rhinorrhea without cervical lymphadnopathy. what is
most likely cause? - correct answer viral pharyngitis
A school-aged child has 5 episodes of tonsillitis in the past year and 2 episodes the previous
year. The child's parents ask the provider if the child needs a tonsillectomy. What will the
provider say? - correct answer Current recommendations do not support tonsillectomy for this
child
A patient with EBV-IM also has GAS pharyngitis and is being treated with Amoxicillin. On the
third day of treatment, the patient develops a rash. A urinalysis is normal. what does this
indicate? - correct answer A reaction to the amoxicillin
An adolescent who plays football in high school is diagnosed with Infectious Mono and is noted
to have splenomegaly. What will the provider recommend to this patient about returning to
sports? - correct answer ABD US are recommended to determines safety
An adolescent patient has a fever, pharyngitis, and cervical lymphadenopathy and has negative
GAS culture. A cbc shows absolute lymphocytosis, but a heterophil antibody test is negative for
EBV. What will the provider tell the patient? - correct answer The likelihood of EBV is still high
A patient reports persistent nasal blockage, discharge and facial pain lasting on the right side
for 4 months. There is no hx of sneezing or eye involvement, The patient has a hx of seasonal
allergies and takes a non-sedating antihistamine. What does the provider suspect is the cause
of these symptoms? - correct answer chronic rhinosinusitis
A provider determines that a patient has chronic rhinosinusitis without nasal polyps. What is
first-line treatment? - correct answer Intranasal corticosteroids
A patient has recurrent sneezing, alterations in taste and smell, watery, itchy eyes, and thin,
clear nasal secretions. The provider notes puffiness around the eyes. The patient;s vital signs
are normal. What is likely diagnosis? - correct answer allergic rhinitis
A patient has seasonal rhinitis symptoms and allergy testing reveals sensativity to trees and
grasses. What is first line treatment for this patient? - correct answer intranasal steroids
A patient is concerned about frequent nasal stuffiness and congestion that begins shortly after
getting out of bed in the morning. The patient denies itching and sneezing. A PE reveals
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
A patient reports recurrent chest pain that occurs regardless of activity and is not relieved by
rest. The provider administers one NG tablet which does not relieve the pain. What is the next
action? - correct answer Give the patient a beta blocker
A patient is brought to an emergency department with symptoms of acute ST segment
elevation MI (STEMI). The nearest hospiral that can perform a PCI is three hours away, what is
the initial treatment for this patient. - correct answer Initiate fibrinolytic therapy
A patient reports a feeling of fullness and pain in both ears and the practitioner elicits pain
when manipulating the ear structures, what is likely the diagnosis? - correct answer acute otitis
externa
Which are risk factors for developing otitis externa? - correct answer having underlying DM, use
of ear plugs or hearing aids, vigorous external hygiene
A patient has an initial episode of otitis external associated with swimming. the patient's ear
canal is mildly inflamed and the TM is not involved. Which medication will be ordered? - correct
answer Cipro HC
Which symptoms in children are evlauated using a parent-reported scoring system to
determine the severity of pain in children with OM? - correct answer Appetite, Difficulty
sleeping, and tugging on ears.
Which patient may be given symptomatic treatment with 24 hours follow-up assessment
without initial antibiotic therapy? - correct answer A 36 month old with fever of 38.5, mild
otalgia, and red, non-bulging TM
A pediatric patient has otalgia, fever of 38.8, and recent history of URI. the examiner is unable
to visualize the TM in the right ear because of the presence of cerumen. The left TM is dull gray
with fluid levels present. What is the correct action? - correct answer Remove the cerumen and
visualize the TM
A patient reports ear pain and difficulty hearing. An otoscope examination reveals a small tear
in the TM of the affected ear with purulent d/c. What is the initial treatment for this patient? -
correct answer Prescribe antibiotic ear drops
A patient reports ear pain after being hit in the head with a baseball. The provider notes a
perforated TM. What is recommended treatment? - correct answer Refer the patient to an
Otolaryngologist for eval
, An adolescent has fever, chills, and a severe sore throat. On exam, the provider notes foul-
smelling breath and a muffled voice with marked edema and erythema of the peritonsillar
tissue. What should you do? - correct answer Perform a rapid strep and throat culture.
A patient has a sore throat, and temp of 38.5, tonsillar exudates, and cervical
lymphadenopathy. What will the provider do next to manage this patient's symptoms. - correct
answer Perform a RADT
A patient reports a sudden onset of sore throat, fever, malaise, and cough. the provider notes
mild erythema of the pharynx and clear rhinorrhea without cervical lymphadnopathy. what is
most likely cause? - correct answer viral pharyngitis
A school-aged child has 5 episodes of tonsillitis in the past year and 2 episodes the previous
year. The child's parents ask the provider if the child needs a tonsillectomy. What will the
provider say? - correct answer Current recommendations do not support tonsillectomy for this
child
A patient with EBV-IM also has GAS pharyngitis and is being treated with Amoxicillin. On the
third day of treatment, the patient develops a rash. A urinalysis is normal. what does this
indicate? - correct answer A reaction to the amoxicillin
An adolescent who plays football in high school is diagnosed with Infectious Mono and is noted
to have splenomegaly. What will the provider recommend to this patient about returning to
sports? - correct answer ABD US are recommended to determines safety
An adolescent patient has a fever, pharyngitis, and cervical lymphadenopathy and has negative
GAS culture. A cbc shows absolute lymphocytosis, but a heterophil antibody test is negative for
EBV. What will the provider tell the patient? - correct answer The likelihood of EBV is still high
A patient reports persistent nasal blockage, discharge and facial pain lasting on the right side
for 4 months. There is no hx of sneezing or eye involvement, The patient has a hx of seasonal
allergies and takes a non-sedating antihistamine. What does the provider suspect is the cause
of these symptoms? - correct answer chronic rhinosinusitis
A provider determines that a patient has chronic rhinosinusitis without nasal polyps. What is
first-line treatment? - correct answer Intranasal corticosteroids
A patient has recurrent sneezing, alterations in taste and smell, watery, itchy eyes, and thin,
clear nasal secretions. The provider notes puffiness around the eyes. The patient;s vital signs
are normal. What is likely diagnosis? - correct answer allergic rhinitis
A patient has seasonal rhinitis symptoms and allergy testing reveals sensativity to trees and
grasses. What is first line treatment for this patient? - correct answer intranasal steroids
A patient is concerned about frequent nasal stuffiness and congestion that begins shortly after
getting out of bed in the morning. The patient denies itching and sneezing. A PE reveals
