NUR 513 – INTRODUCTION TO ADVANCED REGISTERED NURSING EXAM
WITH ACCURATE QUESTIONS
1. A middle age man with chronic obstructive pulmonary disease who is about to receive
injectable influenza vaccine should be advised that:
a) It is more than 90% effective in preventing influenza.
b) Its use is contraindicated in the presence of psoriasis vulgaris.
c) Localized reactions such as soreness and redness at the site of the immunization is fairly
common.
d) A short, intense, flu-like syndrome typically occurs after immunization.
2. A woman who is pregnant and is planning to breastfeed tells the primary care NP that she
has never had chickenpox. The NP should:
a. administer the Varivax vaccine today.
b administer the varicella-zoster immune globulin.
.
c. recommend the Varivax vaccine as soon as possible after her baby is born.
d instruct her to receive the Varivax vaccine after her baby has been weaned.
.
3. Risk associated with chronic hepatitis B include all of the following, except:
a) Hepatocelular carcinoma.
b) Cirrhosis.
c) Continued infectivity.
d) Systemic hypertension.
4. The primary care NP performs a physical examination on an 89-year-old patient who is
about to enter a skilled nursing facility. The patient reports having had chickenpox as a child.
The NP should:
a. obtain a varicella titer.
b administer the Varivax vaccine.
.
c. give the patient the Zostavax vaccine.
d plan to prescribe Zovirax if the patient is exposed to shingles.
.
5. Jason is a healthy 18-year-old who presents for primary care. According to his
immunization record, he received two dose of HBV vaccine 1 month apart at age 14 years.
Which of the following best describes his HBV vaccination needs?
a) He should receive a single dose of HBV vaccine now.
b) A three-dose HBV vaccine series should be started during today’s visit.
c) He has completed the recommended HBV vaccine series.
d) He should be tested for HBsAb and further immunization recommendations should be
made according to the best results.
6. For which of the following patients should an NP order varicella antibody titers?
, a) A healthcare worker who reports having had varicella as a child
b) A 14-year-old with an uncertain immunization history
c) A 22-year-old woman who received two varicella immunizations 6 weeks apart
d) A 72-year-old with shingles.
7. An 18-year-old man has no primary tetanus immunization series documented. Which of the
following represents the immunization needed?
a) Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine now with a dose of Td vaccine
in 1 and 6 months
b) Tetanus IG now and two doses of tetanus-diphtheria (Td) vaccine 1 month apart
c) Three doses of diphtheria, tetanus, and acellular pertussis (DTaP) vaccine 2 months apart
d) Td vaccine as a single dose.
8. When answering questions about HAV vaccine, the NP considers that it:
a) Should be offered to adults who frequently travel to developing countries.
b) Contains live virus.
c) Is contraindicated for use in children younger than age 6 years
d) Usually confers lifelong protection after a single injection.
9. Which of the following women should have screening for cervical cancer?
a) A 21-year-old who has had one male sexual partner and consistent condom use
b) An 80-year-old with heart failure and a remote history of normal Pap test results
c) A 17-year-old with coitarche 3 years ago and four male sexual partners
d) An 18-year-old who has a history of genital warts.
10. Oral antifungal treatment options for onychomycosis include all of the following except:
a. Itraconazole.
b. Fluconazole.
c. Metronidazole.
d. Terbinafine
11. A 78-year-old resident of a long-term care facility complains of generalized itchiness at night
that disturbs her sleep. Her examination is consistent with scabies. Which of the following do
you expect to find on examination?
a. Excoriated papules on the interdigital area
b. Annular lesions over the buttocks
c. Vesicular lesions in a linear pattern
d. Honey-colored crusted lesions that began as vesicles
12. When advising the patient about scabies contagion, you inform her that:
a. Mites can live for many weeks away from the host.
b. Close personal contact with an infected person is usually needed to contract this disease.
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