Nur 676 Exam - Questions With Clear Solutions
A 22-year-old woman presents with a "pimple" on her right eyelid.
Examination reveals a 2-mm pustule on the lateral border of the right eyelid
margin. This is most consistent with:
A. a chalazion
B. a hordeolum
C. blepharitis
D. cellulitis Right Ans - B. a hordeolum
Treatment options for uncomplicated hordeolum include all of the following
except:
A. erythromycin ophthalmic ointment
B. warm compresses to the affected area
C. incision and drainage
D. oral antimicrobial therapy Right Ans - D. oral antimicrobial therapy
When advising a patient with scarlet fever, the NP considers that:
A. there is increased risk for poststreptococcal glomerulonephritis
B. the rash often peels during recovery
C. an injectable cephalosporin is the preferred treatment option
D. throat culture is usually negative for group A streptococci Right Ans - B.
the rash often peels during recovery
The incubation period for M. pneumoniae is usually:
A. less than 1 week
B. 1 week
C. 2 weeks
D. 3 weeks Right Ans - D. 3 weeks
The incubation period for S. pyogenes is usually:
A. 1 to 3 days
B. 3 to 5 days
C. 6 to 9 days
D. 10 to 13 days Right Ans - B. 3 to 5 days
All of the following are common causes of penicillin treatment failure in
streptococcal pharyngitis except:
A. infection with a beta-lactamase producing Streptococcus strain
,B. failure to initiate or complete the antimicrobial course
C. concomitant infection or carriage with a beta-lactamase-producing
organism
D. inadequate penicillin dosage Right Ans - A. infection with a beta-
lactamase producing Streptococcus strain
Oral decongestant use should be discouraged in patients with:
A. allergic rhinitis
B. migraine headache
C. cardiovascular disease
D. chronic bronchitis Right Ans - C. cardiovascular disease
In the treatment of allergic rhinitis, leukotriene modifiers should be used as:
A. an agent to relieve nasal itch
B. an inflammatory inhibitor
C. a rescue drug
D. an intervention in acute inflammation Right Ans - B. an inflammatory
inhibitor
Cromolyn's mechanism of action is as a/an:
A. anti-immunoglobulin E antibody
B. vasoconstrictor
C. mast cell stabilizer
D. leukotriene modifier Right Ans - C. mast cell stabilizer
Therapeutic interventions for the patient in Question 1 (giant cell arteritis),
should include:
A. systemic corticosteroid therapy for many months
B. addition of an angiotensin-converting enzyme inhibitor (ACEI) to her
antihypertensive regimen
C. warfarin therapy
D. initiation of topirimate (Topamax) Right Ans - A. systemic corticosteroid
therapy for many months
A 74 year-old woman with well-controlled hypertension who is taking
hydrochlorothiazide presents with a 3-day history of unilateral throbbing
headache with difficulty chewing because of the pain. On physical
examination, you find a tender, noncompressible temporal artery. Blood
, pressure (BP) is 160/88 mm Hg, apical pulse is 98 bpm, and respiratory rate
is 22/min; the patient is visibly uncomfortable. The most likely diagnosis is:
A. giant cell arteritis
B. impending transient ischemic attack
C. complicated migraine
D. temporal mandibular joint dysfunction Right Ans - A. giant cell arteritis
One of the most serious complications of giant cell arteritis is:
A. hemiparesis
B. arthritis
C. blindness
D. uveitis Right Ans - C. blindness
According to the Global Resources in Allergy (GLORIA) guidelines, which of
the following is recommended for intervention in persistent allergic
conjunctivitis?
A. topical mast cell stabilizer with a topical antihistamine
B. ocular decongestant
C. topical nonsteroidal anti-inflammatory drug
D. topical corticosteroid Right Ans - A. topical mast cell stabilizer with a
topical antihistamine
A 45-year-old man presents with otitis externa. Likely causative pathogens
include all of the following except:
A. fungal agents
B. P. auruginosa
C. S. aureus
D. M. catarrhalis Right Ans - D. M. catarrhalis
Physical examination findings in otitis externa include:
A. tympanic membrane immobility
B. increased ear pain with tragus palpation
C. tympanic membrane erythema
D. tympanic membrane bullae Right Ans - B. increased ear pain with tragus
palpation
Appropriate oral antimicrobial therapy for otitis externa with an
accompanying facial cellulitis suitable for outpatient therapy includes a course
of a:
A 22-year-old woman presents with a "pimple" on her right eyelid.
Examination reveals a 2-mm pustule on the lateral border of the right eyelid
margin. This is most consistent with:
A. a chalazion
B. a hordeolum
C. blepharitis
D. cellulitis Right Ans - B. a hordeolum
Treatment options for uncomplicated hordeolum include all of the following
except:
A. erythromycin ophthalmic ointment
B. warm compresses to the affected area
C. incision and drainage
D. oral antimicrobial therapy Right Ans - D. oral antimicrobial therapy
When advising a patient with scarlet fever, the NP considers that:
A. there is increased risk for poststreptococcal glomerulonephritis
B. the rash often peels during recovery
C. an injectable cephalosporin is the preferred treatment option
D. throat culture is usually negative for group A streptococci Right Ans - B.
the rash often peels during recovery
The incubation period for M. pneumoniae is usually:
A. less than 1 week
B. 1 week
C. 2 weeks
D. 3 weeks Right Ans - D. 3 weeks
The incubation period for S. pyogenes is usually:
A. 1 to 3 days
B. 3 to 5 days
C. 6 to 9 days
D. 10 to 13 days Right Ans - B. 3 to 5 days
All of the following are common causes of penicillin treatment failure in
streptococcal pharyngitis except:
A. infection with a beta-lactamase producing Streptococcus strain
,B. failure to initiate or complete the antimicrobial course
C. concomitant infection or carriage with a beta-lactamase-producing
organism
D. inadequate penicillin dosage Right Ans - A. infection with a beta-
lactamase producing Streptococcus strain
Oral decongestant use should be discouraged in patients with:
A. allergic rhinitis
B. migraine headache
C. cardiovascular disease
D. chronic bronchitis Right Ans - C. cardiovascular disease
In the treatment of allergic rhinitis, leukotriene modifiers should be used as:
A. an agent to relieve nasal itch
B. an inflammatory inhibitor
C. a rescue drug
D. an intervention in acute inflammation Right Ans - B. an inflammatory
inhibitor
Cromolyn's mechanism of action is as a/an:
A. anti-immunoglobulin E antibody
B. vasoconstrictor
C. mast cell stabilizer
D. leukotriene modifier Right Ans - C. mast cell stabilizer
Therapeutic interventions for the patient in Question 1 (giant cell arteritis),
should include:
A. systemic corticosteroid therapy for many months
B. addition of an angiotensin-converting enzyme inhibitor (ACEI) to her
antihypertensive regimen
C. warfarin therapy
D. initiation of topirimate (Topamax) Right Ans - A. systemic corticosteroid
therapy for many months
A 74 year-old woman with well-controlled hypertension who is taking
hydrochlorothiazide presents with a 3-day history of unilateral throbbing
headache with difficulty chewing because of the pain. On physical
examination, you find a tender, noncompressible temporal artery. Blood
, pressure (BP) is 160/88 mm Hg, apical pulse is 98 bpm, and respiratory rate
is 22/min; the patient is visibly uncomfortable. The most likely diagnosis is:
A. giant cell arteritis
B. impending transient ischemic attack
C. complicated migraine
D. temporal mandibular joint dysfunction Right Ans - A. giant cell arteritis
One of the most serious complications of giant cell arteritis is:
A. hemiparesis
B. arthritis
C. blindness
D. uveitis Right Ans - C. blindness
According to the Global Resources in Allergy (GLORIA) guidelines, which of
the following is recommended for intervention in persistent allergic
conjunctivitis?
A. topical mast cell stabilizer with a topical antihistamine
B. ocular decongestant
C. topical nonsteroidal anti-inflammatory drug
D. topical corticosteroid Right Ans - A. topical mast cell stabilizer with a
topical antihistamine
A 45-year-old man presents with otitis externa. Likely causative pathogens
include all of the following except:
A. fungal agents
B. P. auruginosa
C. S. aureus
D. M. catarrhalis Right Ans - D. M. catarrhalis
Physical examination findings in otitis externa include:
A. tympanic membrane immobility
B. increased ear pain with tragus palpation
C. tympanic membrane erythema
D. tympanic membrane bullae Right Ans - B. increased ear pain with tragus
palpation
Appropriate oral antimicrobial therapy for otitis externa with an
accompanying facial cellulitis suitable for outpatient therapy includes a course
of a:
