Exam (elaborations)

NSG6440 FINAL EXAM PREDICTOR QUESTIONS WITH ANSWERS / NSG 6440 FINAL EXAM Latest Update 2024/2025

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NSG6440 FINAL EXAM PREDICTOR QUESTIONS WITH ANSWERS / NSG 6440 FINAL EXAM Latest Update 2024/2025NSG6440 FINAL EXAM PREDICTOR QUESTIONS WITH ANSWERS / NSG 6440 FINAL EXAM Latest Update 2024/2025NSG6440 FINAL EXAM PREDICTOR QUESTIONS WITH ANSWERS / NSG 6440 FINAL EXAM Latest Update 2024/2025NSG6440 ...

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Uploaded on October 29, 2024
Number of pages 99
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

nsg6440 final exam predictor questions with answer
nsg6440 final exam predictor

Institution NSG 6440
Course NSG 6440

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NSG6440 FINAL EXAM PREDICTOR QUESTIONS WITH ANSWERS / NSG 6440 FINAL
EXAM Latest Update 2024/2025

1) A 15 years old high school student with a mild sore throat and low-grade fever that has
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persisted for about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The
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NPsuspects mononucleosis. Which of the following is the LEAST appropriate intervention?
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a. Palpate the lymph nodes and spleen ID ID ID ID ID

b. Examine the posterior oropharynx for petechiae ID ID ID ID ID

c. Obtain a CBC, throat culture, and heterophil antibody ID ID ID ID ID ID ID

test.d.
ID Obtain an urinalyses and serum for LFTs and
ID ID ID ID ID ID ID ID

amylase
ID

Explanation: mononucleosis is a symptomatic infection caused by the Epstein-Bar virus. ID ID ID ID ID ID ID ID ID ID

Common is people 15-24 years of age. Common signs and symptoms following incubation
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period (1-2 months) include fatigue, chills, malaise, anorexia, white tonsillar exudates and
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lymphadenopathy or posterior cervical region. Splenomegaly can be present. A maculopapular
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oroccasionally a petechial rash occurs in less than 15% of patients. A diagnosis is usually made
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using the Monospot. In addition, neutropenia and lymphocytosis are usually detected in the CBC.
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2) A 32 years old male patient complaint of urinary frequency and burning on urination for
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3 days. Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx. Of urinary
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tractinfections. The initial treatment should be:
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a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day ID ID ID ID ID

b. ciprofloxacin (Cipro) for 3-5 days ID ID ID ID

c. Trimethoprim-Sulfamethoxazole for 3 days ID ID ID

d. 750 mg ciprofloxacin as a one-time dose ID ID ID ID ID ID

Explanation: trimethoprim-sulfamethoxazole (TMPS) is usually n appropriate medication ID ID ID ID ID ID ID

totreat urinary tract infections in most patients. In the case of community resistance to TMPS
ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID

>20%^, another medication should be substituted. In men, the appropriate length of time is 7-
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10days. Women may be treated for 3 days for uncomplicated UTI
ID ID ID ID ID ID ID ID ID ID ID

3) Which agent is most effective for the treatment of nodulocystic acne? ID ID ID ID ID ID ID ID ID ID

a. Benzoyl peroxide (Benzac) ID ID

b. Retinoic acid (Retin A) ID ID ID

c. Topical
tetracyclined.
ID ID

Isotretinoin)

Explanation: Isotretinoin (Accutane) is a systemic agent indicated for treatment with severe ID ID ID ID ID ID ID ID ID ID ID

inflammatory acne. Guidelines for its use must be clearly understood by the patient. A woman
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ofchildbearing age must use an effective method of contraception because isotretinoin is
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teratogenic. There are many restrictions in prescribing this medication because of the
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teratogeniceffects is given during pregnancy. Therefore, it is a pregnancy category X.
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4) An 18 y/o woman is taking a combined hormonal oral contraceptive. She should
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beinstructed to use a backup method for the prevention of pregnancy
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1

,a. Throughout the week of placebo pills
ID ID ID ID ID

b. If prescribed topiramate (Topamax) for the treatment of migraines.
ID ID ID ID ID ID ID ID

2

,c. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
ID ID ID ID ID ID ID

d. if she forgets to take a single dose of the contraceptive
ID ID ID ID ID ID ID ID ID ID

Explanation: Anticonvulsant including phenytoin (Dilantin), carbamazepine (Tegretol), ID ID ID ID ID ID

primidone (Mysoline), topiramate (Topamax) and oxcarbazepine (Trileptal) reduce the
ID ID ID ID ID ID ID ID ID

effectiveness of contraceptives. Depo-medroxyprogesterone acetate injections or levonorgestrel-
ID ID ID ID ID I D ID ID

releasing intrauterine devices would be a better method of contraceptive for patients taking
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anticonvulsants. Most commonly used antibiotics have not been proven to reduce the
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effectiveness of contraceptives. Rifampin is an exception, and additional …. Be used by women
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taking this drug and using oral contraceptives, transdermal, or vaginal ring preparations.
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Additional backup contraception should be used if taking antifungal agents. No additional
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protection is needed thought the week of placebo pills. Missing one single dose of
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contraceptivedoes not require additional protection, missing more than one doses does.
ID ID ID ID ID ID ID ID ID ID ID ID

5) A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5
ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID

mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and triglycerides=
ID ID ID ID ID ID ID ID ID ID ID ID ID

344 mg/dL (8.94 mmol/L). What agent have the greatest effect on improving her lipid profile
ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID

andreducing morbidity and mortality associates with dyslipidemia?
ID ID ID ID ID ID ID ID

a. Niacin
(Niaspan)b.
ID ID

Atorvastatin
c. Omega 3 fatty acids ID ID ID

d. Fenofibrates
Explanation: First and foremost, it is essential to educate individuals on a heart-healthy ID ID ID ID ID ID ID ID ID ID ID ID

lifestyle. LDL-C is one of the major culprits in the development of atherosclerotic heart
ID ID ID ID ID ID ID ID ID ID ID ID ID ID

disease.The target level of LDL-C is between 50 to 70mg/dl to prevent plaque formation in the
ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID

blood vessels. Guidelines strongly recommend statin therapy because they primarily lower
ID ID ID ID ID ID ID ID ID ID ID

LDL-C levels, but they also have the secondary effects of lowering triglyceride and increasing
ID ID ID ID ID ID ID ID ID ID ID ID ID ID

HDL-C levels.
ID ID

6) A 30 years old female comes into a clinic with classic signs and symptoms of
ID ID ID ID ID ID ID ID ID ID ID ID ID ID

appendicitis.The NP fails to refer the patient to a surgeon. The appendix ruptures and the woman
ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID

die. This isan example of
ID ID ID ID ID ID

a. Failure of diligence ID ID

b. Professional liability ID

c. Negligence ID

d. Malpractice
I D

Explanation: malpractice, a negligence tort, occurs when a health care professional’s actions ID ID ID ID ID ID ID ID ID ID ID

fallbellow the appropriate standard of care and hurts the patient. In this case the patient came with
ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID

sings and symptoms indicating appendicitis and the NP failed to refer the patient..
ID ID ID ID ID ID ID ID ID ID ID ID ID

7) A NP has recently been hired to work in a fast track facility. The NP employer asked
ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID

ifshe has ―a problem prescribing medications for emergency contraception.‖ The NP
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replies affirmatively. This is:
ID ID ID ID

a. Grounds for dismissal ID ID

b. An ethical dilemma for the NP ID ID ID ID ID

3

, c. Illegal according to the standards of nursing ID ID ID ID ID ID

d. Patient abandonment. ID

Explanation: in this instance, the NP has a difference of opinion with her employer based on ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID

herreligious or moral belief about providing emergency contraception. This situation is an
ID ID ID ID ID ID ID ID ID ID ID ID ID

example of an ethical dilemma. Failure to participate in the provision of care to the patient based
ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID

on the NP’s beliefs is neither against the law nor a violation of the standards of practice
ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID

8) A patient presents with pruritic lesions on both knees. There are visible silver scales.
ID ID ID ID ID ID ID ID ID ID ID ID ID

HowShould this condition be managed?
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a. Topical antifungal cream or ointment ID ID ID ID

b. Oral antibiotics ID

c. Topical corticosteroids cream ID ID

d. Topical anti-fungal/ steroid cream ID ID ID

Explanation: Psoriasis is characterized by erythematous papules, as well as itchy, red, ID ID ID ID ID ID ID ID ID ID ID

preciselydefined plaques with silvery scales. Auspitz sings is another common finding. Topical
ID ID ID ID ID ID ID ID ID ID ID ID ID

agents containing tar and salicylic acid may be used. Topical steroids, such as betamethasone, may
ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID

alsobe ordered.
ID ID ID

9) Antidepressant discontinuation syndrome is less likely if the patient ID ID ID ID ID ID ID ID

a. Is male ID

b. Is less than 35 y/o ID ID ID ID

c. Has taken an SSRI with a short half ID ID ID ID ID ID ID

lifed.Gradually tapers SSRI use
ID ID ID ID ID

Explanation: Antidepressant discontinuation syndrome is most often seen in the primary care ID ID ID ID ID ID ID ID ID ID ID

office in association with SSRI discontinuation, because SSRIs are the most commonly
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prescribed class of antidepressant medications. Interruption of treatment with an anti-
ID ID ID ID ID ID ID ID ID ID ID

depressantmedication is sometimes associated with an antidepressant discontinuation syndrome;
ID ID ID ID ID ID ID ID ID

in early reports it was referred to as a ―withdrawal reaction. Symptoms of antidepressant
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discontinuation syndrome can include flu-like symptoms, insomnia, nausea, imbalance, sensory
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disturbances, and hyperarousal. Tapering is recommended by experts.
ID ID ID ID ID ID ID ID

10) Patient with benign prostatic hyperplasia (BPH) should be taught to avoid which one of
ID ID ID ID ID ID ID ID ID ID ID ID ID

thefollowing drug classes?
ID ID ID ID

a. Alpha adrenergic antagonist ID ID

b. Anti-androgen agents ID

c. Tricyclic antidepressant (TCA) ID ID

d. Sulfonamides
Explanation: tricyclic antidepressant should not be used by men with benign prostatic ID ID ID ID ID ID ID ID ID ID ID

hyperplasia because of the increased risk of urinary retention secondary to the
ID ID ID ID ID ID ID ID ID ID ID ID

anticholigergiceffects of TCAs.
ID ID ID ID

11) Which of the following is the best response to a woman who has just admitted she is
ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID ID

avictim of spousal abuse?
ID ID ID ID ID

a. What was if you did to make him angry? ID ID ID ID ID ID ID ID

4

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Exam (elaborations)

NSG6440 FINAL EXAM PREDICTOR QUESTIONS WITH ANSWERS / NSG 6440 FINAL EXAM Latest Update 2024/2025

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