100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
2024|25 NSG6440 FINAL EXAM PREDICTOR QUESTIONS WITH ANSWERS | GRADED A+ $14.99
Add to cart

Exam (elaborations)

2024|25 NSG6440 FINAL EXAM PREDICTOR QUESTIONS WITH ANSWERS | GRADED A+

 0 view  0 purchase

2024|25 NSG6440 FINAL EXAM PREDICTOR QUESTIONS WITH ANSWERS | GRADED A+ 1) A 15 years old high school student with a mild sore throat and low-grade fever that has persisted for about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP suspects mononucleosis. Which of ...

[Show more]

Preview 4 out of 96  pages

  • December 21, 2024
  • 96
  • 2024/2025
  • Exam (elaborations)
  • Unknown
All documents for this subject (1)
avatar-seller
Mboffin
1) A 15 years old high school student with a mild sore throat and low-grade fever that has
persisted for about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP
suspects mononucleosis. Which of the following is the LEAST appropriate intervention?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase

Explanation: mononucleosis is a symptomatic infection caused by the Epstein-Bar virus.
Common is people 15-24 years of age. Common signs and symptoms following incubation
period (1-2 months) include fatigue, chills, malaise, anorexia, white tonsillar exudates and
lymphadenopathy or posterior cervical region. Splenomegaly can be present. A maculopapular or
occasionally a petechial rash occurs in less than 15% of patients. A diagnosis is usually made
using the Monospot. In addition, neutropenia and lymphocytosis are usually detected in the CBC.

2) A 32 years old male patient complaint of urinary frequency and burning on urination for 3
days. Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx. Of urinary tract
infections. The initial treatment should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose

Explanation: trimethoprim-sulfamethoxazole (TMPS) is usually n appropriate medication to
treat urinary tract infections in most patients. In the case of community resistance to TMPS
>20%^, another medication should be substituted. In men, the appropriate length of time is 7-10
days. Women may be treated for 3 days for uncomplicated UTI

3) Which agent is most effective for the treatment of nodulocystic acne?
a. Benzoyl peroxide (Benzac)
b. Retinoic acid (Retin A)
c. Topical tetracycline
d. Isotretinoin)

Explanation: Isotretinoin (Accutane) is a systemic agent indicated for treatment with severe
inflammatory acne. Guidelines for its use must be clearly understood by the patient. A woman of
childbearing age must use an effective method of contraception because isotretinoin is
teratogenic. There are many restrictions in prescribing this medication because of the teratogenic
effects is given during pregnancy. Therefore, it is a pregnancy category X.

1

,4) An n18 ny/o nwoman nis ntaking na ncombined nhormonal noral ncontraceptive. nShe nshould
nbe ninstructed nto nuse na nbackup nmethod nfor nthe nprevention nof npregnancy

a. Throughout nthe nweek nof nplacebo npills
b. If nprescribed ntopiramate n(Topamax) nfor nthe ntreatment nof nmigraines.




2

,c. If nprescribed namoxicillin/clavulanate n(Augmentin) nfor na nsinus ninfection
d. if nshe nforgets nto ntake na nsingle ndose nof nthe ncontraceptive

Explanation: nAnticonvulsant nincluding nphenytoin n(Dilantin), ncarbamazepine n(Tegretol),
nprimidone n(Mysoline), ntopiramate n(Topamax) nand noxcarbazepine n(Trileptal) nreduce nthe

neffectiveness nof ncontraceptives. nDepo-medroxyprogesterone nacetate n injections nor

nlevonorgestrel- nreleasing nintrauterine ndevices nwould nbe na nbetter nmethod nof ncontraceptive nfor

npatients ntaking nanticonvulsants. nMost ncommonly nused nantibiotics nhave nnot nbeen nproven nto

nreduce nthe neffectiveness nof ncontraceptives. nRifampin nis nan nexception, nand nadditional n…. nBe

nused nby nwomen ntaking nthis ndrug nand nusing noral ncontraceptives, ntransdermal, nor nvaginal nring

npreparations.

Additional nbackup ncontraception nshould nbe nused nif ntaking nantifungal nagents. nNo nadditional
nprotection nis nneeded nthought nthe nweek nof nplacebo npills. nMissing none nsingle ndose nof

ncontraceptive ndoes nnot nrequire nadditional nprotection, nmissing nmore nthan none ndoses ndoes.




5) A n44 nyears nold nfemale npatient nhas ndiabetes. nHer ntotal ncholesterol n(TC) nis n250 nmg/dl n(6.5
nmmol/L), n LDL= n190 nmg/dL n(4.94 nmmol/L), nHDL= n25 nmg/dL n(65 nmmol/L), nand ntriglycerides=

n344 nmg/dL n(8.94 nmmol/L). nWhat nagent nhave nthe ngreatest neffect non nimproving nher nlipid nprofile

nand nreducing nmorbidity nand nmortality nassociates nwith ndyslipidemia?

a. Niacin n(Niaspan)
b. Atorvastatin
c. Omega n3 nfatty nacids
d. Fenofibrates
Explanation: nFirst nand nforemost, nit nis nessential nto neducate nindividuals non na nheart-healthy
nlifestyle. nLDL-C nis none nof nthe nmajor nculprits nin nthe ndevelopment nof natherosclerotic nheart

ndisease. nThe ntarget nlevel nof nLDL-C nis nbetween n50 nto n70mg/dl nto nprevent nplaque nformation nin

nthe nblood nvessels. nGuidelines nstrongly nrecommend nstatin ntherapy nbecause nthey nprimarily nlower

nLDL-C nlevels, nbut nthey nalso nhave nthe nsecondary neffects nof nlowering ntriglyceride nand nincreasing

nHDL-C nlevels.




6) A n30 nyears nold nfemale ncomes ninto na nclinic nwith nclassic nsigns nand nsymptoms nof
nappendicitis. nThe nNP nfails nto nrefer nthe npatient nto na nsurgeon. nThe nappendix nruptures nand nthe

nwoman ndie. nThis nis nan nexample nof

a. Failure nof ndiligence
b. Professional nliability
c. Negligence
d. Malpractice

Explanation: nmalpractice, na nnegligence ntort, noccurs nwhen na nhealth ncare nprofessional’s nactions
nfall nbellow nthe nappropriate nstandard nof ncare nand nhurts nthe npatient. nIn nthis ncase nthe npatient ncame

nwith nsings nand nsymptoms nindicating nappendicitis nand nthe nNP nfailed nto nrefer nthe npatient..




7) A nNP nhas nrecently nbeen nhired nto nwork nin na nfast ntrack nfacility. nThe nNP nemployer nasked
nif nshe nhas n―a nproblem nprescribing nmedications nfor nemergency ncontraception.‖ nThe nNP

nreplies naffirmatively. nThis nis:

a. Grounds nfor ndismissal
b. An nethical ndilemma nfor nthe nNP
3

, c. Illegal naccording nto nthe nstandards nof nnursing
d. Patient nabandonment.
Explanation: nin nthis ninstance, nthe nNP nhas na ndifference nof nopinion nwith nher nemployer nbased non
nher nreligious nor nmoral nbelief nabout nproviding nemergency ncontraception. nThis nsituation nis nan

nexample nof nan nethical ndilemma. nFailure nto nparticipate nin nthe nprovision nof ncare nto nthe npatient

nbased non nthe nNP’s nbeliefs nis nneither nagainst nthe nlaw nnor na nviolation nof nthe nstandards nof npractice




8) A npatient npresents nwith npruritic nlesions non nboth nknees. nThere nare nvisible nsilver nscales.
nHow nShould nthis ncondition nbe nmanaged?

a. Topical nantifungal ncream nor nointment
b. Oral nantibiotics
c. Topical ncorticosteroids ncream
d. Topical nanti-fungal/ nsteroid ncream

Explanation: nPsoriasis nis ncharacterized nby nerythematous npapules, nas nwell nas nitchy, nred, nprecisely
ndefined nplaques nwith nsilvery nscales. nAuspitz nsings nis nanother ncommon nfinding. nTopical nagents

ncontaining ntar nand nsalicylic nacid nmay nbe nused. nTopical nsteroids, nsuch nas nbetamethasone, nmay

nalso nbe nordered.




9) Antidepressant ndiscontinuation nsyndrome nis nless nlikely nif nthe npatient
a. Is nmale
b. Is nless nthan n35 ny/o
c. Has ntaken nan nSSRI nwith na nshort nhalf nlife
d. Gradually ntapers nSSRI nuse

Explanation: nAntidepressant ndiscontinuation nsyndrome nis nmost noften nseen nin nthe nprimary ncare
noffice nin nassociation nwith nSSRI ndiscontinuation, nbecause nSSRIs nare nthe nmost ncommonly

nprescribed nclass nof nantidepressant nmedications. nInterruption nof ntreatment nwith nan nanti-

depressant nmedication nis nsometimes nassociated nwith nan nantidepressant ndiscontinuation
nsyndrome; nin nearly nreports nit nwas nreferred nto nas na n―withdrawal nreaction. nSymptoms nof

nantidepressant ndiscontinuation nsyndrome ncan ninclude nflu-like nsymptoms, ninsomnia, nnausea,

nimbalance, nsensory ndisturbances, nand nhyperarousal. nTapering nis nrecommended nby nexperts.



10) Patient nwith nbenign nprostatic nhyperplasia n(BPH) nshould nbe ntaught nto navoid nwhich none nof
nthe nfollowing ndrug nclasses?

a. Alpha nadrenergic nantagonist
b. Anti-androgen nagents
c. Tricyclic nantidepressant n(TCA)
d. Sulfonamides
Explanation: ntricyclic nantidepressant nshould nnot nbe nused nby nmen nwith nbenign nprostatic
nhyperplasia nbecause nof nthe nincreased nrisk nof nurinary nretention nsecondary nto nthe nanticholigergic

neffects nof nTCAs.




11) Which nof nthe nfollowing nis nthe nbest nresponse nto na nwoman nwho nhas njust nadmitted nshe nis
na nvictim nof nspousal nabuse?

a. What nwas nif nyou ndid nto nmake nhim nangry?

4

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Mboffin. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $14.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

53249 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$14.99
  • (0)
Add to cart
Added