NUR 825 COMPREHENSIVE EXAM PREP PACKAGE | ADVANCED
PRACTICE NURSING NOTES, CASE STUDIES, PRACTICE
QUESTIONS & DETAILED RATIONALES
WHAT IS THE FIRST-LINE CLASS OF ANTIBIOTICS RECOMMENDED BY THE AMERICAN THORACIC
SOCIETY (ATS) FOR PATIENTS YOUNGER THAN 60 YEARS OF AGE WHO ARE DIAGNOSED WITH
COMMUNITY-ACQUIRED PNEUMONIA WITH NO COMORBIDITY?
SELECT ONE:
A. FIRST GENERATION CEPHALOSPORINS
B. SECOND-GENERATION CEPHALOSPORINS
C. MACROLIDES
D. BETA-LACTAM ANTIBIOTICS
CORRECT ANS: MACROLIDES
CHLAMYDIAL CONJUNCTIVITIS WOULD MOST LIKELY BE TREATED WITH ALL OF THE FOLLOWING
EXCEPT:
SELECT ONE:
A. ERYTHROMYCIN
B. DOXYCYCLINE
C. CEFTRIAXONE
D. CLARITHROMYCIN
CORRECT ANS: CEFTRIAXONE- GONOCOCCAL, RATHER THAN CHLAMYDIAL
CONJUNCTIVITIS WOULD TYPICALLY BE TREATED WITH AN INTRAMUSCULAR DOSING OF
CEFTRIAXONE. CHLAMYDIAL CONJUNCTIVITIS IS USUALLY TREATED WITH ERYTHROMYCIN,
DOXYCYCLINE OR CLARITHROMYCIN. OTHER ORAL MEDICATIONS THAT OFTEN SEE USE IN CASES
OF CHLAMYDIAL CONJUNCTIVITIS INCLUDE AZITHROMYCIN AND TETRACYCLINE.
, A PATIENT PRESENTS WITH COMPLAINTS OF A BURNING SENSATION IN THE LEFT EYE. A
PHYSICAL EXAMINATION REVEALS REDNESS AND WATERY, NONPURULENT DISCHARGE. THE
PATIENT PRESENTS WITH NO OTHER PHYSICAL SYMPTOMS OR SENSATIONS. BASED ON THE
PATIENTS SIGN'S AND SYMPTOMS, WHICH TYPE OF CONJUNCTIVITIS IS THE MOST LIKELY
DIAGNOSIS?
SELECT ONE:
A. BACTERIAL CONJUNCTIVITIS
B. GONOCOCCAL CONJUNCTIVITIS
C. ALLERGIC CONJUNCTIVITIS
D. VIRAL CONJUNCTIVITIS
CORRECT ANS: VIRAL CONJUNCTIVITIS- THE PATIENT EXPERIENCING A BURNING
SENSATION IN THE EYE AS WELL AS REDNESS AND WATERY DISCHARGE, IS MOST LIKELY
EXPERIENCING VIRAL CONJUNCTIVITIS. ALTHOUGH OTHER FORMS OF CONJUNCTIVITIS ALSO
INVOLVE REDNESS AND A BURNING SENSATION IN THE EYE, THESE FORMS TYPICALLY PRESENT
WITH A DIFFERENT QUALITY AND QUANTITY OF DISCHARGE. BACTERIAL AND GONOCOCCAL
FORMS OF CONJUNCTIVITIS OFTEN EXHIBIT A PARTICULARLY COPIOUS DISCHARGE. ALLERGIC
CONJUNCTIVITIS MORE COMMONLY PRESENTS WITH STRING-LIKE DISCHARGE AND AN ITCHING
SENSATION, VIRAL CONJUNCTIVITIS OFTEN PRESENTS WITH A WATERY DISCHARGE AND NO
ITCH.
A 52-YEAR-OLD FEMALE PATIENT COMES TO YOUR PRACTICE WITH COMPLAINTS OF
BREATHLESSNESS AND A COUGH ACCOMPANIED BY EXCESSIVE PHLEGM. SHE PRODUCES A
SPUTUM SAMPLE, WHICH APPEARS CLEAR UPON INSPECTION. YOU ORDER A PULMONARY
FUNCTION TEST; IN REVIEWING THE RESULTS, YOU FIND EVIDENCE INDICATING BOTH AN
INCREASED FUNCTIONAL RESIDUAL CAPACITY AND AN INCREASED TOTAL LUNG CAPACITY.
WHICH OF THE FOLLOWING RESPIRATORY DISEASES WOULD BE THE MOST LIKELY DIAGNOSIS?
SELECT ONE:
A. ACUTE BRONCHITIS
B. EMPHYSEMA
PRACTICE NURSING NOTES, CASE STUDIES, PRACTICE
QUESTIONS & DETAILED RATIONALES
WHAT IS THE FIRST-LINE CLASS OF ANTIBIOTICS RECOMMENDED BY THE AMERICAN THORACIC
SOCIETY (ATS) FOR PATIENTS YOUNGER THAN 60 YEARS OF AGE WHO ARE DIAGNOSED WITH
COMMUNITY-ACQUIRED PNEUMONIA WITH NO COMORBIDITY?
SELECT ONE:
A. FIRST GENERATION CEPHALOSPORINS
B. SECOND-GENERATION CEPHALOSPORINS
C. MACROLIDES
D. BETA-LACTAM ANTIBIOTICS
CORRECT ANS: MACROLIDES
CHLAMYDIAL CONJUNCTIVITIS WOULD MOST LIKELY BE TREATED WITH ALL OF THE FOLLOWING
EXCEPT:
SELECT ONE:
A. ERYTHROMYCIN
B. DOXYCYCLINE
C. CEFTRIAXONE
D. CLARITHROMYCIN
CORRECT ANS: CEFTRIAXONE- GONOCOCCAL, RATHER THAN CHLAMYDIAL
CONJUNCTIVITIS WOULD TYPICALLY BE TREATED WITH AN INTRAMUSCULAR DOSING OF
CEFTRIAXONE. CHLAMYDIAL CONJUNCTIVITIS IS USUALLY TREATED WITH ERYTHROMYCIN,
DOXYCYCLINE OR CLARITHROMYCIN. OTHER ORAL MEDICATIONS THAT OFTEN SEE USE IN CASES
OF CHLAMYDIAL CONJUNCTIVITIS INCLUDE AZITHROMYCIN AND TETRACYCLINE.
, A PATIENT PRESENTS WITH COMPLAINTS OF A BURNING SENSATION IN THE LEFT EYE. A
PHYSICAL EXAMINATION REVEALS REDNESS AND WATERY, NONPURULENT DISCHARGE. THE
PATIENT PRESENTS WITH NO OTHER PHYSICAL SYMPTOMS OR SENSATIONS. BASED ON THE
PATIENTS SIGN'S AND SYMPTOMS, WHICH TYPE OF CONJUNCTIVITIS IS THE MOST LIKELY
DIAGNOSIS?
SELECT ONE:
A. BACTERIAL CONJUNCTIVITIS
B. GONOCOCCAL CONJUNCTIVITIS
C. ALLERGIC CONJUNCTIVITIS
D. VIRAL CONJUNCTIVITIS
CORRECT ANS: VIRAL CONJUNCTIVITIS- THE PATIENT EXPERIENCING A BURNING
SENSATION IN THE EYE AS WELL AS REDNESS AND WATERY DISCHARGE, IS MOST LIKELY
EXPERIENCING VIRAL CONJUNCTIVITIS. ALTHOUGH OTHER FORMS OF CONJUNCTIVITIS ALSO
INVOLVE REDNESS AND A BURNING SENSATION IN THE EYE, THESE FORMS TYPICALLY PRESENT
WITH A DIFFERENT QUALITY AND QUANTITY OF DISCHARGE. BACTERIAL AND GONOCOCCAL
FORMS OF CONJUNCTIVITIS OFTEN EXHIBIT A PARTICULARLY COPIOUS DISCHARGE. ALLERGIC
CONJUNCTIVITIS MORE COMMONLY PRESENTS WITH STRING-LIKE DISCHARGE AND AN ITCHING
SENSATION, VIRAL CONJUNCTIVITIS OFTEN PRESENTS WITH A WATERY DISCHARGE AND NO
ITCH.
A 52-YEAR-OLD FEMALE PATIENT COMES TO YOUR PRACTICE WITH COMPLAINTS OF
BREATHLESSNESS AND A COUGH ACCOMPANIED BY EXCESSIVE PHLEGM. SHE PRODUCES A
SPUTUM SAMPLE, WHICH APPEARS CLEAR UPON INSPECTION. YOU ORDER A PULMONARY
FUNCTION TEST; IN REVIEWING THE RESULTS, YOU FIND EVIDENCE INDICATING BOTH AN
INCREASED FUNCTIONAL RESIDUAL CAPACITY AND AN INCREASED TOTAL LUNG CAPACITY.
WHICH OF THE FOLLOWING RESPIRATORY DISEASES WOULD BE THE MOST LIKELY DIAGNOSIS?
SELECT ONE:
A. ACUTE BRONCHITIS
B. EMPHYSEMA
