Page 1 of 44
NURS 5433 MIDTERM EXAM STUDY GUIDE EXAM NEWEST
2026 EXAM QUESTIONS LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED
An eight-year-old patient comes in with a mild fever and white patches on their
tonsils. The patient does not report having a cough. What should be the next
steps?
Perform a rapid strep test
Name all things that gain a point in the Centor Criteria?
History of fever
Present of tonsillar exudates
Tender anterior cervical lymphadenopathy
< 15 years old
Name all things that lose a point in the Centor Criteria?
> 45 years old
Cough
Centor Criteria: 3-4 points
A. Treat empirically
B. Unlikely to be strep, no testing needed
C. Perform a rapid strep test
A. Treat empirically
Centor Criteria: 2 points
A. Treat empirically
B. Unlikely to be strep, no testing needed
C. Perform a rapid strep test
C. Perform a rapid strep test
, Page 2 of 44
Centor Criteria: 1 point
A. Treat empirically
B. Unlikely to be strep, no testing needed
C. Perform a rapid strep test
B. Unlikely to be strep, no testing needed
What is the first line treatment for Group B strep pharyngitis? (3)
Penicillin Pen VK
Amoxicillin
Penicillinbenzathine injection
What is the initial management of Epistaxis?
Positioning: tilt the head forward to prevent blood from pooling in the throat
What is the second step for management of Epistaxis?
Compression: apply direct pressure by pinching nostrils at the septal area
continuously for about 5-20 minutes
Name two vasoconstrictive Agents used for nose bleeds if compression and
position done work?
Oxymetazoline
Phenylephrine
What is used for nose bleeds if compression and vasoconstriction agents
don't work?
Silver Nitrate
A child with drooling tripod posture and strider, likely has:
A. Allergic rhinitis
B. Otitis Externa
C. Pharyngitis
D. Epiglottis
D. Epiglottis
A key sign of peritonsillar abscess is:
A. Bilateral tonsillar swelling
B. Uvular deviation
, Page 3 of 44
C. Epistaxis
D. Otalgia
B. Uvular deviation
albuterol, levabuterol, terbutaline are considered what category of medication?
SABAs
Short acting, beta agonist
When are SABAs used?
-quick relief of acute exacerbations and pre tx for EIB
-use at lowest dosage and frequency possible
-excessive use indicates poor asthma control
Budesonide/Formoterol and
Beclomethasone/ Formoterol
Are considered what category of medication?
LABA
Long acting, beta agonist
What are LABAs used for?
Maintenance therapy bronchodilation
Name two SAMAs
Short acting, muscarinic antagonist
Ipratropium Bromide
Oxitropium Bromide
Beclomethasone, Budesonide, Fluticasone propionate, and Mometasone are
considered what category of medication?
Inhaled Corticosteroids
What category of medication is most commonly paired with inhaled cortical
steroids?
LABAs
Name three leukotriene modifiers
Montelukast (Singulair)
Zafirlukast (Accolate)
Zileuton (Zyflo)
Pranlukast
, Page 4 of 44
What is a rare but serious side effect of Montelukast?
A. Weight gain
B. Hyperglycemia
C. Suicidal ideation
D. Rash
C. Suicidal ideation: behavioral changes and suicidal thoughts
Tiotropium and Umeclidinium are in what category of medication?
LAMAs
Long acting muscarinic antagonists
Glycopyrronium is a medication that is paired with what medication combo
when asthma is uncontrolled?
ICS+LABA
Which of the following Biologics are indicated for sever eosinophilic asthma or
Eosinophilic Granulomatosis with Polyangiitis (EGPA)?
Mepolizumab (Nucala)
What lab should be checked before staring Zarfirlukast?
Liver function tests
What biologic is approved for eosinophilic asthma and atopic dermatitis?
A. Reslizumab
B. Benralizumab
C. Dupilumab
D. Fluticasone
C. Dupilumab
What airflow limitation would confirm asthma in an adult (range)?
FEV1/FVC < 0.75 - 0.80
What airflow limitation would confirm asthma in a child?
FEV1/FVC < 0.90
How is Reversibility confirmed when diagnosing asthma?
Reversibility is confirmed if FEV1 improves by > 12%
What diagnostic confirmed asthma reversibility?
A. FEV1 increases by 5%
NURS 5433 MIDTERM EXAM STUDY GUIDE EXAM NEWEST
2026 EXAM QUESTIONS LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED
An eight-year-old patient comes in with a mild fever and white patches on their
tonsils. The patient does not report having a cough. What should be the next
steps?
Perform a rapid strep test
Name all things that gain a point in the Centor Criteria?
History of fever
Present of tonsillar exudates
Tender anterior cervical lymphadenopathy
< 15 years old
Name all things that lose a point in the Centor Criteria?
> 45 years old
Cough
Centor Criteria: 3-4 points
A. Treat empirically
B. Unlikely to be strep, no testing needed
C. Perform a rapid strep test
A. Treat empirically
Centor Criteria: 2 points
A. Treat empirically
B. Unlikely to be strep, no testing needed
C. Perform a rapid strep test
C. Perform a rapid strep test
, Page 2 of 44
Centor Criteria: 1 point
A. Treat empirically
B. Unlikely to be strep, no testing needed
C. Perform a rapid strep test
B. Unlikely to be strep, no testing needed
What is the first line treatment for Group B strep pharyngitis? (3)
Penicillin Pen VK
Amoxicillin
Penicillinbenzathine injection
What is the initial management of Epistaxis?
Positioning: tilt the head forward to prevent blood from pooling in the throat
What is the second step for management of Epistaxis?
Compression: apply direct pressure by pinching nostrils at the septal area
continuously for about 5-20 minutes
Name two vasoconstrictive Agents used for nose bleeds if compression and
position done work?
Oxymetazoline
Phenylephrine
What is used for nose bleeds if compression and vasoconstriction agents
don't work?
Silver Nitrate
A child with drooling tripod posture and strider, likely has:
A. Allergic rhinitis
B. Otitis Externa
C. Pharyngitis
D. Epiglottis
D. Epiglottis
A key sign of peritonsillar abscess is:
A. Bilateral tonsillar swelling
B. Uvular deviation
, Page 3 of 44
C. Epistaxis
D. Otalgia
B. Uvular deviation
albuterol, levabuterol, terbutaline are considered what category of medication?
SABAs
Short acting, beta agonist
When are SABAs used?
-quick relief of acute exacerbations and pre tx for EIB
-use at lowest dosage and frequency possible
-excessive use indicates poor asthma control
Budesonide/Formoterol and
Beclomethasone/ Formoterol
Are considered what category of medication?
LABA
Long acting, beta agonist
What are LABAs used for?
Maintenance therapy bronchodilation
Name two SAMAs
Short acting, muscarinic antagonist
Ipratropium Bromide
Oxitropium Bromide
Beclomethasone, Budesonide, Fluticasone propionate, and Mometasone are
considered what category of medication?
Inhaled Corticosteroids
What category of medication is most commonly paired with inhaled cortical
steroids?
LABAs
Name three leukotriene modifiers
Montelukast (Singulair)
Zafirlukast (Accolate)
Zileuton (Zyflo)
Pranlukast
, Page 4 of 44
What is a rare but serious side effect of Montelukast?
A. Weight gain
B. Hyperglycemia
C. Suicidal ideation
D. Rash
C. Suicidal ideation: behavioral changes and suicidal thoughts
Tiotropium and Umeclidinium are in what category of medication?
LAMAs
Long acting muscarinic antagonists
Glycopyrronium is a medication that is paired with what medication combo
when asthma is uncontrolled?
ICS+LABA
Which of the following Biologics are indicated for sever eosinophilic asthma or
Eosinophilic Granulomatosis with Polyangiitis (EGPA)?
Mepolizumab (Nucala)
What lab should be checked before staring Zarfirlukast?
Liver function tests
What biologic is approved for eosinophilic asthma and atopic dermatitis?
A. Reslizumab
B. Benralizumab
C. Dupilumab
D. Fluticasone
C. Dupilumab
What airflow limitation would confirm asthma in an adult (range)?
FEV1/FVC < 0.75 - 0.80
What airflow limitation would confirm asthma in a child?
FEV1/FVC < 0.90
How is Reversibility confirmed when diagnosing asthma?
Reversibility is confirmed if FEV1 improves by > 12%
What diagnostic confirmed asthma reversibility?
A. FEV1 increases by 5%
