NURS 623 EXAM 1 QUESTIONS WITH COMPLETE
SOLUTIONS
Is transmission of Lyme disease likely if the thick attachment is less than 48 hours? - CORRECT
ANSWER-No
What is the incubation period of Lyme disease? - CORRECT ANSWER-3 to 31 days but typically
around 7 to 14 days
How many stages does Lyme disease have? - CORRECT ANSWER-4
What is the first stage of Lyme disease called? - CORRECT ANSWER-Early localized Lyme disease
What is the second stage of Lyme disease called? - CORRECT ANSWER-Early disseminated Lyme
disease
What is the third stage of Lyme disease called? - CORRECT ANSWER-Late disseminated Lyme
disease
What is the fourth stage of Lyme disease called? - CORRECT ANSWER-Late stage or chronic
Lyme arthritis
Which pathogen causes Lyme disease? - CORRECT ANSWER-Borrelia burgdorferi
What may the patient present with that makes you suspect Lyme disease? - CORRECT ANSWER-
Fever, rash, facial paralysis, arthritis, chills, headache, fatigue, muscle and joint aches, and
swollen lymph nodes
Which test is most commonly used to diagnose Lyme disease? - CORRECT ANSWER-ELISA
NURS 623 Exam 1 questions with complete solutions
,Which test is performed to confirm ELISA results with Lyme disease? - CORRECT ANSWER-
Immunoblot test
How long may stage 1 Lyme disease (early localized Lyme disease) last for? - CORRECT
ANSWER-1 to 4 weeks
Which symptoms may present with stage 1 (early localized) Lyme disease? - CORRECT ANSWER-
Erythema migrans with bulls eye appearance, flu like symptoms such as fever, chills, joint and
muscle pain, stiff neck and headache, general feeling of illness, and swollen lymph glands
A circular rash that may expand over time which may also have a bulls eye appearance. -
CORRECT ANSWER-Erythema migrans
What is treatment for stage 1 (early localized) Lyme disease? - CORRECT ANSWER-Doxycycline,
Cefuroxime, or amoxicillin
How soon may stage 2 (early disseminated) Lyme disease present after initial infection? -
CORRECT ANSWER-Weeks to months
With this stage of Lyme disease, symptoms can range from mild to severe, or not at all. Flu like
symptoms may be similar to or worse than stage 1 and includes fever, chills, joint and muscle
pain, stiff neck and headache, swollen lymph nodes or glands, fatigue, sore throat, visual
disturbances such as blurry vision, paralysis or weakness in the face, pain or numbness in the
bite area, and heart palpitations. - CORRECT ANSWER-Stage 2 (early disseminated) Lyme
disease
What is treatment of stage 2 (early disseminated) Lyme disease if IV treatment is needed? -
CORRECT ANSWER-Azithromycin, doxycycline, amoxicillin, cefuroxime, or ceftriaxone. (Most
commonly is doxycycline except for children 8 years old and younger or nursing/pregnant
women).
NURS 623 Exam 1 questions with complete solutions
,What are oral antibiotic choices for treatment of stage 2 (early disseminated) Lyme disease? -
CORRECT ANSWER-Azithromycin, doxycycline (except in children <8 years old, nursing or
pregnant women), amoxicillin, and cefuroxime. (Most common is doxycycline except for <8 y.o.,
pregnant, or nursing).
When does stage 3 (late disseminated) Lyme disease typically present? - CORRECT ANSWER-
When the infection has not been treated during stages 1 and 2. It starts months or even years
after the original tick bite.
What are symptoms of stage 3 (late disseminated) Lyme disease? - CORRECT ANSWER-Severe
headaches, arthritis of the large joints (knees, hips, etc.), heart arrhythmia, brain disturbances
(memory loss, mood disturbances, sleep interruptions), difficulty concentrating and mental
fogginess, temporary amnesia, difficulty following conversations or speaking, numbness or
tingling in the limbs (arms, legs, feet, or hands), extreme fatigue, and temporary paralysis of
facial muscles
With this stage of Lyme disease, presentation is a recurrent form of joint inflammation which
may include episodes of severe arthritis symptoms. The most common joint affected is the knee
joint but it may also occur in other large or small joints as well. - CORRECT ANSWER-Stage 4-
late stage or chronic Lyme arthritis
Which symptoms will present with stage 4 late stage or chronic Lyme arthritis? - CORRECT
ANSWER-Swelling, redness, and fluid buildup with episodes lasting greater than 6 months
How long may symptoms of stage 4 late stage or chronic Lyme arthritis last? - CORRECT
ANSWER-Months to years
What history is important for assisting with the diagnosis of Lyme disease? - CORRECT ANSWER-
Exposure to tick bites, recent camping trips, frequent yard work, pets that go outside and have
contact with the patient, duration and characteristics of lesion(s).
What is the dosage and duration and first line treatment for an adult with early Lyme disease? -
CORRECT ANSWER-Doxycycline 100 mg PO BID for 14-21 days
NURS 623 Exam 1 questions with complete solutions
, What is the second line treatment for adults with early Lyme disease? - CORRECT ANSWER-
Amoxil 500 mg TID for 14-21 days
What is the causative agent of infectious mono? - CORRECT ANSWER-Epstein Barr virus
What is the incubation period for infectious mono? - CORRECT ANSWER-30 to 50 days
How is mono contacted? - CORRECT ANSWER-Person via saliva (rarely via blood)
What is the common presentation of infectious mono? - CORRECT ANSWER-Fever, pharyngitis,
adenopathy, fatigue, HA, glottis edema, pain behind eyes, petechiae rash on palate
What lab test would most likely be elevated with infectious mono?
A. hgb
B. MCHC
C. liver function test
D. UA - CORRECT ANSWER-C
What is the duration of infectious mono? - CORRECT ANSWER-3 to 4 weeks
How long can fatigue last with mono? - CORRECT ANSWER-6 to 12 months
Which patient education is important to discuss with mono?
A. none, it is all in their head
B. douching every day
C. splenic rest (no contact sports for 3 weeks)
NURS 623 Exam 1 questions with complete solutions
SOLUTIONS
Is transmission of Lyme disease likely if the thick attachment is less than 48 hours? - CORRECT
ANSWER-No
What is the incubation period of Lyme disease? - CORRECT ANSWER-3 to 31 days but typically
around 7 to 14 days
How many stages does Lyme disease have? - CORRECT ANSWER-4
What is the first stage of Lyme disease called? - CORRECT ANSWER-Early localized Lyme disease
What is the second stage of Lyme disease called? - CORRECT ANSWER-Early disseminated Lyme
disease
What is the third stage of Lyme disease called? - CORRECT ANSWER-Late disseminated Lyme
disease
What is the fourth stage of Lyme disease called? - CORRECT ANSWER-Late stage or chronic
Lyme arthritis
Which pathogen causes Lyme disease? - CORRECT ANSWER-Borrelia burgdorferi
What may the patient present with that makes you suspect Lyme disease? - CORRECT ANSWER-
Fever, rash, facial paralysis, arthritis, chills, headache, fatigue, muscle and joint aches, and
swollen lymph nodes
Which test is most commonly used to diagnose Lyme disease? - CORRECT ANSWER-ELISA
NURS 623 Exam 1 questions with complete solutions
,Which test is performed to confirm ELISA results with Lyme disease? - CORRECT ANSWER-
Immunoblot test
How long may stage 1 Lyme disease (early localized Lyme disease) last for? - CORRECT
ANSWER-1 to 4 weeks
Which symptoms may present with stage 1 (early localized) Lyme disease? - CORRECT ANSWER-
Erythema migrans with bulls eye appearance, flu like symptoms such as fever, chills, joint and
muscle pain, stiff neck and headache, general feeling of illness, and swollen lymph glands
A circular rash that may expand over time which may also have a bulls eye appearance. -
CORRECT ANSWER-Erythema migrans
What is treatment for stage 1 (early localized) Lyme disease? - CORRECT ANSWER-Doxycycline,
Cefuroxime, or amoxicillin
How soon may stage 2 (early disseminated) Lyme disease present after initial infection? -
CORRECT ANSWER-Weeks to months
With this stage of Lyme disease, symptoms can range from mild to severe, or not at all. Flu like
symptoms may be similar to or worse than stage 1 and includes fever, chills, joint and muscle
pain, stiff neck and headache, swollen lymph nodes or glands, fatigue, sore throat, visual
disturbances such as blurry vision, paralysis or weakness in the face, pain or numbness in the
bite area, and heart palpitations. - CORRECT ANSWER-Stage 2 (early disseminated) Lyme
disease
What is treatment of stage 2 (early disseminated) Lyme disease if IV treatment is needed? -
CORRECT ANSWER-Azithromycin, doxycycline, amoxicillin, cefuroxime, or ceftriaxone. (Most
commonly is doxycycline except for children 8 years old and younger or nursing/pregnant
women).
NURS 623 Exam 1 questions with complete solutions
,What are oral antibiotic choices for treatment of stage 2 (early disseminated) Lyme disease? -
CORRECT ANSWER-Azithromycin, doxycycline (except in children <8 years old, nursing or
pregnant women), amoxicillin, and cefuroxime. (Most common is doxycycline except for <8 y.o.,
pregnant, or nursing).
When does stage 3 (late disseminated) Lyme disease typically present? - CORRECT ANSWER-
When the infection has not been treated during stages 1 and 2. It starts months or even years
after the original tick bite.
What are symptoms of stage 3 (late disseminated) Lyme disease? - CORRECT ANSWER-Severe
headaches, arthritis of the large joints (knees, hips, etc.), heart arrhythmia, brain disturbances
(memory loss, mood disturbances, sleep interruptions), difficulty concentrating and mental
fogginess, temporary amnesia, difficulty following conversations or speaking, numbness or
tingling in the limbs (arms, legs, feet, or hands), extreme fatigue, and temporary paralysis of
facial muscles
With this stage of Lyme disease, presentation is a recurrent form of joint inflammation which
may include episodes of severe arthritis symptoms. The most common joint affected is the knee
joint but it may also occur in other large or small joints as well. - CORRECT ANSWER-Stage 4-
late stage or chronic Lyme arthritis
Which symptoms will present with stage 4 late stage or chronic Lyme arthritis? - CORRECT
ANSWER-Swelling, redness, and fluid buildup with episodes lasting greater than 6 months
How long may symptoms of stage 4 late stage or chronic Lyme arthritis last? - CORRECT
ANSWER-Months to years
What history is important for assisting with the diagnosis of Lyme disease? - CORRECT ANSWER-
Exposure to tick bites, recent camping trips, frequent yard work, pets that go outside and have
contact with the patient, duration and characteristics of lesion(s).
What is the dosage and duration and first line treatment for an adult with early Lyme disease? -
CORRECT ANSWER-Doxycycline 100 mg PO BID for 14-21 days
NURS 623 Exam 1 questions with complete solutions
, What is the second line treatment for adults with early Lyme disease? - CORRECT ANSWER-
Amoxil 500 mg TID for 14-21 days
What is the causative agent of infectious mono? - CORRECT ANSWER-Epstein Barr virus
What is the incubation period for infectious mono? - CORRECT ANSWER-30 to 50 days
How is mono contacted? - CORRECT ANSWER-Person via saliva (rarely via blood)
What is the common presentation of infectious mono? - CORRECT ANSWER-Fever, pharyngitis,
adenopathy, fatigue, HA, glottis edema, pain behind eyes, petechiae rash on palate
What lab test would most likely be elevated with infectious mono?
A. hgb
B. MCHC
C. liver function test
D. UA - CORRECT ANSWER-C
What is the duration of infectious mono? - CORRECT ANSWER-3 to 4 weeks
How long can fatigue last with mono? - CORRECT ANSWER-6 to 12 months
Which patient education is important to discuss with mono?
A. none, it is all in their head
B. douching every day
C. splenic rest (no contact sports for 3 weeks)
NURS 623 Exam 1 questions with complete solutions
