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NURS 5433 FNP II Final Exam
Questions And Verified Answers 2026
Group A Strep - correct-answer-s/s: sudden sore throat, tonsillar exudate,
anterior cervical lymphadenopathy, no rash unless scarlett fever
if concomitant (have strep and mono) treat strep with cephalexin or clindamycin,
NO PENICILLIN AS IT CAUSES RASH IN MONO
Measles (Rubeola) - correct-answer-transmission: respiratory droplets, can
remain on surfaces for 2 hours, can spread 4 days before and after rash appears
3 C's of measles: cough, coryza, conjunctivitis
s/s: prodrome is high fever, cough, rhinorrhea, conjunctivitis, photophobia,
malaise
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Rash appears 3-5 days after prodrome starting at hairline and spreading down to
face, neck, and body, maculopapular and blanching rash, koplik's spots before
rash (bluish white spots surrounded by a red halo on buccal mucosa)
dx: RT-PCR is gold standard
IgM, IgG
post exposure prophylaxis: MMR vaccine to anyone older than 6 months old
within 72 hours of exposure
or IGIM for infants <6months or pregnant women or severely
immunocompromised
Roseola - correct-answer-caused by human herpes virus 6 & 7
transmission: respiratory droplets and direct contact w/ saliva
contagious before fever phase and mulitple days after fever subsides
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incubation: 5-15 days
Phase 1: High fever ~3-5 days, irritability, cough, rhinorrhea
Phase 2: Rash development, fever subsides, rash on trunk then neck, face and
limbs, pinkish red spots and maculopapular, resolves after 2-3 days with no
treatment, mild diarrhea
Tx: supportive, can return to school when fever resolves
Rubella (German Measles) - correct-answer-prodrome: mild or absent, low grade
fever, headache, mild conjunctivitis, URI sx
rash: starts on face, behind ears, spreads to trunk, neck, extremities,
maculopapular and blanches, lasts ~3 days
s/s: posterior cervical and suboccipital lymphadenopathy
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dangerous in pregnancy!
congenital rubella can lead to birth defects like cataracts, deafness,
microencephaly, intellectual disabilities, congenital heart defects
arthritis in adults, thrombocytopenia
Tx: supportive, pregnant women should receive MMR vax postpartum
Varicella - correct-answer-transmission: droplet or direct contact with vesicular
fluid
spreads 1-2 days before rash and contagious until last vesicle has crusted over
s/s: malaise, headache, fatigue
Rash: red spots that become fluid filled vesicles on face, chest, back, then spreads,
itchy, cropping (new lesions appear as older ones crust over)
macules>papules>vesicles>crust (~4-5 days)
NURS 5433 FNP II Final Exam
Questions And Verified Answers 2026
Group A Strep - correct-answer-s/s: sudden sore throat, tonsillar exudate,
anterior cervical lymphadenopathy, no rash unless scarlett fever
if concomitant (have strep and mono) treat strep with cephalexin or clindamycin,
NO PENICILLIN AS IT CAUSES RASH IN MONO
Measles (Rubeola) - correct-answer-transmission: respiratory droplets, can
remain on surfaces for 2 hours, can spread 4 days before and after rash appears
3 C's of measles: cough, coryza, conjunctivitis
s/s: prodrome is high fever, cough, rhinorrhea, conjunctivitis, photophobia,
malaise
,2|Page
Rash appears 3-5 days after prodrome starting at hairline and spreading down to
face, neck, and body, maculopapular and blanching rash, koplik's spots before
rash (bluish white spots surrounded by a red halo on buccal mucosa)
dx: RT-PCR is gold standard
IgM, IgG
post exposure prophylaxis: MMR vaccine to anyone older than 6 months old
within 72 hours of exposure
or IGIM for infants <6months or pregnant women or severely
immunocompromised
Roseola - correct-answer-caused by human herpes virus 6 & 7
transmission: respiratory droplets and direct contact w/ saliva
contagious before fever phase and mulitple days after fever subsides
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incubation: 5-15 days
Phase 1: High fever ~3-5 days, irritability, cough, rhinorrhea
Phase 2: Rash development, fever subsides, rash on trunk then neck, face and
limbs, pinkish red spots and maculopapular, resolves after 2-3 days with no
treatment, mild diarrhea
Tx: supportive, can return to school when fever resolves
Rubella (German Measles) - correct-answer-prodrome: mild or absent, low grade
fever, headache, mild conjunctivitis, URI sx
rash: starts on face, behind ears, spreads to trunk, neck, extremities,
maculopapular and blanches, lasts ~3 days
s/s: posterior cervical and suboccipital lymphadenopathy
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dangerous in pregnancy!
congenital rubella can lead to birth defects like cataracts, deafness,
microencephaly, intellectual disabilities, congenital heart defects
arthritis in adults, thrombocytopenia
Tx: supportive, pregnant women should receive MMR vax postpartum
Varicella - correct-answer-transmission: droplet or direct contact with vesicular
fluid
spreads 1-2 days before rash and contagious until last vesicle has crusted over
s/s: malaise, headache, fatigue
Rash: red spots that become fluid filled vesicles on face, chest, back, then spreads,
itchy, cropping (new lesions appear as older ones crust over)
macules>papules>vesicles>crust (~4-5 days)
