NU621 Final Review Questions and All
Revised Updated Answers.
Upon review of the chest x-ray results of a 4-year-old patient, tiny white spots in a distinctive
pattern are noted throughout the lungs. Which diagnosis is most likely to manifest in this
manner? - Answer military TB
A nursing home resident reports that his previous roommate recently started on tuberculosis
treatment. A Mantoux test and chest x-ray were ordered for the patient. What is the minimum
size of the induration considered positive for this patient? - Answer 5mm. The skin test is read
within 48 to 72 hours and induration that is 5 mm or more indicates a positive reaction for
patients with very high-risk conditions or exposures.
Which area of the lung is the most common location of a mycobacterium tuberculosis infection?
- Answer Upper lobes; appears as a black cavitation
Which of the following is recommended treatment for erythema migrans or early Lyme disease?
- Answer Doxycycline 100 mg PO BID x 21 days
A patient presents with fever, fatigue, headache, and joint pain. The patient has recently
returned from a camping trip in the northeast; on physical examination the nurse practitioner
notes a large macule on the patient's back with central clearing. Which diagnosis is most likely?
- Answer Lyme Disease
An adult visits an urgent care clinic with a fever of 104.2°F, vomiting, and petechiae on the
hands and feet progressing to the trunk over the past 3 days. The nurse practitioner will
prescribe what? - Answer Doxycycline BID x 10 days. The patient likely has Rocky Mountain
spotted fever.
An elderly patient's blood work reveals a diagnosis of hepatitis A. The patient asked the nurse
practitioner, "how did I get this disease?" What is the nurse practitioners' Best response? -
Answer You may have eaten food that has been contaminated with the hepatitis A virus
(transmitted by fecal-oral route)
A patient complains of nausea, vomiting, abdominal pain, and cramping 2 days after returning
from an international vacation. Upon assessment, the nurse practitioner finds an elevated
temperature, but otherwise normal vital signs. Which diagnosis is most likely? - Answer
, Hepatitis B; (Hepatitis B can reactivate during treatment for hepatitis C, and can cause serious
liver problems)
The patient presents with a new onset of jaundiced sclera, right upper quadrant tenderness,
and anorexia. The nurse practitioner draws labs with the following results: AST = 24; ALT = 13;
HbsAg = negative anti-HBc = negative; anti-HBs = positive. How will the nurse practitioner
interpret this data? - Answer The patient has immunity from hepatitis B vaccinations.
The nurse practitioner is assessing a 63-year-old male who has a history of IV drug use as a
young adult. He presents with fatigue and nausea. Which screening will the nurse practitioner
recommend for this patient? - Answer Hepatitis C
The nurse practitioner confirmed a diagnosis of acute hepatitis C in a patient. The nurse
practitioner is required to do which of the following? - Answer Report the case to the health
department
The anti-hepatitis C virus (HCV) test of a 60 year-old female patient is positive. Which test is
appropriate for Follow up? - Answer HCV RNA; The anti-HCV test detects the presence of
antibodies to the hepatitis C virus, indicating exposure to HCV. The HCV RNA test is qualitative
and used to distinguish between a current and past infection. It is reported as "negative" or "not
detected".
In small children with AIDS, which of the following vaccines is contraindicated? - Answer
varicella
The nurse practitioner is seeing a 35-year-old male patient with HIV for follow up of initial
antiretroviral treatment, regimen of 600 mg dolutegravir/50 mg abacavir/300 mg lamivudine.
His plasma viral load (PVL) is 25,000 copies/ML, a decrease from 35,000 copies/ML; CD4 is 400
cells/mm3, up from 250 cells/mm3; An assessment reveals that the patient is in no acute
distress. All of the following interventions are indicated for this patient, except: - Answer
A.Order liver enzyme testing
B.Order a follow up PVL in 2 weeks
C. Refer the patient to a nutritionist for low-fat diet counseling
D. Order a follow up CD4 in 3 months
Answer: B
The ELISA and Western blot test are used to detect which of the following? - Answer HIV
Revised Updated Answers.
Upon review of the chest x-ray results of a 4-year-old patient, tiny white spots in a distinctive
pattern are noted throughout the lungs. Which diagnosis is most likely to manifest in this
manner? - Answer military TB
A nursing home resident reports that his previous roommate recently started on tuberculosis
treatment. A Mantoux test and chest x-ray were ordered for the patient. What is the minimum
size of the induration considered positive for this patient? - Answer 5mm. The skin test is read
within 48 to 72 hours and induration that is 5 mm or more indicates a positive reaction for
patients with very high-risk conditions or exposures.
Which area of the lung is the most common location of a mycobacterium tuberculosis infection?
- Answer Upper lobes; appears as a black cavitation
Which of the following is recommended treatment for erythema migrans or early Lyme disease?
- Answer Doxycycline 100 mg PO BID x 21 days
A patient presents with fever, fatigue, headache, and joint pain. The patient has recently
returned from a camping trip in the northeast; on physical examination the nurse practitioner
notes a large macule on the patient's back with central clearing. Which diagnosis is most likely?
- Answer Lyme Disease
An adult visits an urgent care clinic with a fever of 104.2°F, vomiting, and petechiae on the
hands and feet progressing to the trunk over the past 3 days. The nurse practitioner will
prescribe what? - Answer Doxycycline BID x 10 days. The patient likely has Rocky Mountain
spotted fever.
An elderly patient's blood work reveals a diagnosis of hepatitis A. The patient asked the nurse
practitioner, "how did I get this disease?" What is the nurse practitioners' Best response? -
Answer You may have eaten food that has been contaminated with the hepatitis A virus
(transmitted by fecal-oral route)
A patient complains of nausea, vomiting, abdominal pain, and cramping 2 days after returning
from an international vacation. Upon assessment, the nurse practitioner finds an elevated
temperature, but otherwise normal vital signs. Which diagnosis is most likely? - Answer
, Hepatitis B; (Hepatitis B can reactivate during treatment for hepatitis C, and can cause serious
liver problems)
The patient presents with a new onset of jaundiced sclera, right upper quadrant tenderness,
and anorexia. The nurse practitioner draws labs with the following results: AST = 24; ALT = 13;
HbsAg = negative anti-HBc = negative; anti-HBs = positive. How will the nurse practitioner
interpret this data? - Answer The patient has immunity from hepatitis B vaccinations.
The nurse practitioner is assessing a 63-year-old male who has a history of IV drug use as a
young adult. He presents with fatigue and nausea. Which screening will the nurse practitioner
recommend for this patient? - Answer Hepatitis C
The nurse practitioner confirmed a diagnosis of acute hepatitis C in a patient. The nurse
practitioner is required to do which of the following? - Answer Report the case to the health
department
The anti-hepatitis C virus (HCV) test of a 60 year-old female patient is positive. Which test is
appropriate for Follow up? - Answer HCV RNA; The anti-HCV test detects the presence of
antibodies to the hepatitis C virus, indicating exposure to HCV. The HCV RNA test is qualitative
and used to distinguish between a current and past infection. It is reported as "negative" or "not
detected".
In small children with AIDS, which of the following vaccines is contraindicated? - Answer
varicella
The nurse practitioner is seeing a 35-year-old male patient with HIV for follow up of initial
antiretroviral treatment, regimen of 600 mg dolutegravir/50 mg abacavir/300 mg lamivudine.
His plasma viral load (PVL) is 25,000 copies/ML, a decrease from 35,000 copies/ML; CD4 is 400
cells/mm3, up from 250 cells/mm3; An assessment reveals that the patient is in no acute
distress. All of the following interventions are indicated for this patient, except: - Answer
A.Order liver enzyme testing
B.Order a follow up PVL in 2 weeks
C. Refer the patient to a nutritionist for low-fat diet counseling
D. Order a follow up CD4 in 3 months
Answer: B
The ELISA and Western blot test are used to detect which of the following? - Answer HIV
