NU 664 Exam Questions With Correct Answers
2025\2026 A+ Grade
Gold standard for CAP diagnosis:
- accurate answers-Chest x-ray
If CAP symptoms present but no obvious signs of infection on CXR treatment
is...
- accurate answers-Same as if CXR was positive
Immunizations for people over 65 or younger people with comorbidities such
as asthma, CHF COPD:
- accurate answers-Pneumonia and flu vaccines
Who is at risk for CAP?
- accurate answers-Extremes of age, smokers, alcoholics, GERD, chronic
disease, institutionalization
CAP presentation in adults:
- accurate answers-Cough (may be nonproductive), dyspnea, fever,
hemoptysis, chest pain, fatigue, tachycardia
If lymphocytes are elevated?
- accurate answers-Indicative of viral process
If monocytes are elevated?
- accurate answers-Indicative of chronic process
If eosinophils are elevated?
- accurate answers-Indicative of asthma, allergic reaction
If basophils are elevated?
- accurate answers-Indicative of chronic process
If neutrophils are elevated?
- accurate answers-Indicative of acute bacterial process
CAP: patient present with symptoms of chills, fever, chest pain, productive
cough with purulent sputum, positive chest x-ray, and patient had URI last
, week?
- accurate answers-Streptococcus pneumonia: gram +
In the United States, the most common cause of myocarditis in children is:
- accurate answers-Viruses
Your next patient is a 5-year-old child with a history of moderate 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?
- accurate answers-Your child is breathing slower than normal for his age. We
need to send him to the ER for further intervention.
Your next patient is a 6-year-old male here for his annual influenza vaccine.
He has a history of mild persistent asthma. What would you discuss for
medications when reviewing his asthma action plan?
- accurate answers-Your child should continue his low-dose inhaled
corticosteroid daily and add albuterol as needed for an exacerbation.
A child who has been 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?
- accurate answers-Add an inhaled corticosteroid.
Your next patient is a six-month-old infant who just completed amoxicillin for
otitis media. The mother 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?
- accurate answers-Your child has a rash that is likely due to a fungus,
Candida, and commonly occurs after taking antibiotics. I will prescribe
nystatin to be applied to the diaper area.
A 12 y.o. female presents to the clinic after being bit by a dog on the face.
Abrasion with 2 puncture wounds on the upper right cheek, approximately 1
inch below the eye. The area is slightly erythematous, with a small amount of
2025\2026 A+ Grade
Gold standard for CAP diagnosis:
- accurate answers-Chest x-ray
If CAP symptoms present but no obvious signs of infection on CXR treatment
is...
- accurate answers-Same as if CXR was positive
Immunizations for people over 65 or younger people with comorbidities such
as asthma, CHF COPD:
- accurate answers-Pneumonia and flu vaccines
Who is at risk for CAP?
- accurate answers-Extremes of age, smokers, alcoholics, GERD, chronic
disease, institutionalization
CAP presentation in adults:
- accurate answers-Cough (may be nonproductive), dyspnea, fever,
hemoptysis, chest pain, fatigue, tachycardia
If lymphocytes are elevated?
- accurate answers-Indicative of viral process
If monocytes are elevated?
- accurate answers-Indicative of chronic process
If eosinophils are elevated?
- accurate answers-Indicative of asthma, allergic reaction
If basophils are elevated?
- accurate answers-Indicative of chronic process
If neutrophils are elevated?
- accurate answers-Indicative of acute bacterial process
CAP: patient present with symptoms of chills, fever, chest pain, productive
cough with purulent sputum, positive chest x-ray, and patient had URI last
, week?
- accurate answers-Streptococcus pneumonia: gram +
In the United States, the most common cause of myocarditis in children is:
- accurate answers-Viruses
Your next patient is a 5-year-old child with a history of moderate 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?
- accurate answers-Your child is breathing slower than normal for his age. We
need to send him to the ER for further intervention.
Your next patient is a 6-year-old male here for his annual influenza vaccine.
He has a history of mild persistent asthma. What would you discuss for
medications when reviewing his asthma action plan?
- accurate answers-Your child should continue his low-dose inhaled
corticosteroid daily and add albuterol as needed for an exacerbation.
A child who has been 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?
- accurate answers-Add an inhaled corticosteroid.
Your next patient is a six-month-old infant who just completed amoxicillin for
otitis media. The mother 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?
- accurate answers-Your child has a rash that is likely due to a fungus,
Candida, and commonly occurs after taking antibiotics. I will prescribe
nystatin to be applied to the diaper area.
A 12 y.o. female presents to the clinic after being bit by a dog on the face.
Abrasion with 2 puncture wounds on the upper right cheek, approximately 1
inch below the eye. The area is slightly erythematous, with a small amount of
