NGR 5172 FINAL EXAM Questions And Correct Answers (100% Verified Answers) | Latest Update 2026/2027 | Graded A+ | New Version!! Guaranteed Pass.

NGR5172 FINAL EXAM Questions And Correct Answers (100% Verified Answers) | Latest Update 2026/2027 | Graded A+ | New Version!! Guaranteed Pass. A FNP is evaluating a patient who has COPD. The patient uses a LABA twice daily. The patient reports having increased exertional dyspnea, a frequent cough, and poor sleep. The patient also uses a short-acting β-adrenergic agonist (SABA) five or six times each day. Pulse oximetry reveals an oxygen saturation of 92%. The patient's FEV1/forced vital capacity is 65, and FEV1 is 55% of predicted. The NP should prescribe a(n): combination ICS/LABA inhaler. oral corticosteroid. long-acting anticholinergic. long-acting oral theophylline. combination ICS/LABA inhaler. Providers should administer combination inhaled therapies for symptomatic patients with stable COPD and FEV1 less than 60%. Oral corticosteroids have not been shown to be effective, even in severe cases of COPD. Long-acting anticholinergic medications may be used as monotherapy in early stages of COPD. Long-acting theophylline is poorly tolerated because of side effects. DIF: Cognitive Level: Applying (Application) A+ TEST BANK 2 REF: 213 A parent brings in a 2-month-old infant with a 5-day history of a white coating on the tongue and decreased oral intake. The primary care NP should prescribe: nystatin oral suspension, 200,000 units qid. clotrimazole, one troche tid. chlorhexidine, 15 mL oral rinse bid. carbamide peroxide, 2 to 3 drops tid. nystatin oral suspension, 200,000 units qid. Nystatin is an antifungal medication and is indicated for treatment of oral candidiasis, or thrush. Clotrimazole is an antifungal but is not indicated for oral candidiasis in infants because the patient must be able to allow the troche to dissolve. Chlorhexidine is used to treat gingivitis. Carbamide peroxide is used to treat minor oral inflammation. DIF: Cognitive Level: Applying (Application) REF: 182 A patient has been treated for severe contact dermatitis on both arms with clobetasol propionate cream. At a follow-up visit, the primary care NP notes that the condition has cleared. The NP should: prescribe triamcinolone cream for 2 weeks. recommend continuing treatment for 2 more weeks. discontinue the clobetasol and schedule a follow-up visit in 2 weeks. A+ TEST BANK 3 discontinue the clobetasol and recommend prn use for occasional flare-ups. prescribe triamcinolone cream for 2 weeks. Treatment should be discontinued when the skin condition has resolved. Tapering the corticosteroid will prevent recurrence of the skin condition. Tapering is best done by gradually reducing the potency and dosing frequency at 2-week intervals. This patient was on a very high potency steroid, so changing to a medium frequency with follow-up in 2 weeks is an appropriate action. Discontinuing the steroid abruptly can lead to recurrence. DIF: Cognitive Level: Applying (Application) REF: 160 A 5-year-old child has atopic dermatitis that is refractory to treatment with hydrocortisone acetone 2.5% cream. The prescriber should prescribe: desonide cream 0.01%. triamcinolone acetonide. fluocinolone cream 0.2%. betamethasone dipropionate ointment 0.05%. triamcinolone acetonide. A+ TEST BANK 4 An over-the-counter steroid has failed to treat this child's dermatitis, so the NP should prescribe something in a higher strength. Triamcinolone is a mediumstrength steroid and should be used. The other three are in groups I and II, which are high-strength steroids and are not recommended in children. DIF: Cognitive Level: Applying (Application) REF: 154| 156 A FNP sees a child who has honey-crusted lesions with areas of erythema around the nose and mouth. The child's parent has been applying Polysporin ointment for 5 days and reports no improvement in the rash. The FNP should prescribe: mupirocin. neomycin. a systemic antibiotic. Polysporin with a corticosteroid. mupirocin. Treatment with a topical antiinfective agent should be reevaluated in 3 to 5 days if there is no improvement. Polysporin ointment is bacteriostatic, not bacteriocidal. Mupirocin is indicated for impetigo caused by Staphylococcus aureus, which is most common in children. Neomycin is an aminoglycoside and is not effective againstS. aureus. A systemic antibiotic is not indicated unless the mupirocin fails to treat the infection. Adding a corticosteroid would increase the likelihood that the infection will worsen. DIF: Cognitive Level: Applying (Application) REF: 157 A 70-year-old patient asks an NP about using diphenhydramine (Benadryl) to control intermittent allergic symptoms that include runny nose and sneezing. The NP should counsel this patient to: take the lowest recommended dose initially. A+ TEST BANK 5 monitor for hypertension while taking the drug. take the antihistamine with a decongestant for best effect. watch for symptoms of paradoxical excitation with this medication. take the lowest recommended dose initially. Antihistamines are more likely to cause excessive sedation, syncope, dizziness, confusion, and hypotension in elderly patients; a decrease in dose is usually necessary. Hypotension is likely; there is no need to monitor for hypertension. This patient does not have symptoms of congestion. Paradoxical excitation occurs in some young children but is not an identified risk in elderly patients. DIF: Cognitive Level: Applying (Application) REF: 191 The advance practice registered nurse examines an adolescent who complains of severe right ear pain for the past 3 days. When retracting the pinna of the right ear to examine the ear, the APRN notes erythema, edema, and pain and a large amount of white exudate in the ear canal. The APRN should prescribe: benzocaine otic drops tid. ciprofloxacin otic drops qid. glycerin oil drops weekly. acetic acid, boric acid, and isopropyl alcohol solution. ciprofloxacin otic drops qid.