NSG 6420 FINAL EXAM REVIEW (2021/2022) QUESTIONS AND ANSWERS

1. A patient presents with acute otitis externa with obstruction of the ear canal severe enough to prevent patient self administration of pharmacologic treatment. What is the most effective means to administer topical agent solutions. A. Oral/systemic antibiotics B. Aural toileting or wicking or a combination of both C. A nebulizer machine D. Surgical debridement 2. Otitis media, hypothyroid disease, deviated nasal septum, and chronic sinusitis are differential diagnoses for what condition? A. Mumps B. Rhinitis C. Dental Abscess D. Viral influenza 3. Which of the following would NOT be included as part of the focused SOAP note for a patient who suffers from allergic rhinitis? A. Review of the HEENT physical examination B. Discussion of health promotion issues C. Patient Vital signs D. Referral for additional allergy testing 4.A patient diagnosed with bacterial conjunctivitis. Which of the following education and counseling notes would NOT be appropriate for this patient? A. Contact lenses should be discarded and new lenses should not be worn until symptoms subside B. Clean all linens thoroughly C. Patient may return to work upon completing the initial dose of antibiotics D. Any eye make up should be replaced 5. Incubation period for Group A beta-hemolytic streptococcus? A. 24-72 hours B. 12-24 hours C. 72-96 D. +96 6. Which of the following demographic groups would NOT be considered at risk for complications of influenza? A. young children B. pregnant women C. Suffering from heart, kidney, or neurologic disease D. those who did not get the influenza vaccine 7. A patient is diagnosed acute bronchitis. What is the most appropriate antibiotic treatment for this patient? A. Penicillin B. Oflaxacin C. Metronidazol D. Antibiotics are not recommended 8. According to the National Asthma education and prevention program (NAAEPP), which treatment would be an example of a Step 1 preferred treatment for an adult with persistent asthma? A. Short acting beta 2 antagonist prn (SABA) B. Medium dose ICS and LABA C. low dose ICS and LABA D. high dose ICS and LABA and oral corticosteroid 9. Which of the following would be appropriate in the plan for a patient diagnosed with COPD? A. Start HCTZ 12.5 mg daily. Discussed diet and exercise including review of DASH diet. B. Demonstrate proper use of inhalers. Discuss importance of influenza vaccine. Prescribed albuterol. 2 puffs every 4 hrs prn for SOB C. Reviewed consequences of untreated condition. Encourage limited caloric intake to 1.800 daily. Prescribe lisinopril 1mg daily. D. Pt prescribed amoxicillin 500 mg po. Refrain from work or school until symptoms improve. 10. Assessment findings include increased AP diameter, hypoxemia, expiratory wheezing, cyanosis, chest tightness, and pursed lip breathing. Based on the symptoms presented what is the most likely diagnosis? A. COPD B. Pharyngitis C. Hypertension D. Alpha thalassemia 11. A 60 y/o white male has presented with HTN and no evidence of CKD or diabetes. According to JNC 8 which of the following pharmacological interventions would be more appropriate? A. Betablocker such as acebutolol B. Nitroglycerine Spray PRN C. Hydrochlorothiazide D. High intensity statin 12. At a 6 week follow up appt, a patient has not reached a goal to treat HTN with hydrochlorothiazide, diet, and exercise. What would be an appropriate addition to the patient’s regimen? A. ACE or ARB B. aspirin C. surgical intervention D. increase in physical activity 13. A 73 y/o female patient with both a personal and family history of HTN and CAD is suffering from mild and intermittent chest pain. Using a direct risk factor assessment, what is the likely level of risk in this patient? A. High risk patient B. Intermediate risk patient C. Low risk patient D. Risk is unknown 14. A patient presents with increased fatigue, persistent shortness of breath, lightheadedness and feelings of being faint. A 2D echocardiogram is consistent aortic stenosis. Which of the following plans should NOT be included in the intermediate treatment? A. A referral to a cardiologist within 7 days B. A cardiac stress test C. Advise to limit exercise until having a consultation with a cardiologist D. Review of diet including a low sodium diet 15. A 69 y/o male presents with symptoms of A. Fib. An ECG and transesophageal echocardiogram are ordered. A transesophageal echocardiogram will be able to identify which of the following? A. Heart rhythm B. Bundle branch block C. Prior myocardial infarction D. Images of heart without interference of lungs ............................................................................................CONTINUED