NUR 605 MIDTERM EXAM LATEST 2024 ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+

NUR 605 MIDTERM EXAM LATEST 2024
ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) ALREADY
GRADED A+
Rose is a 3-year-old patient with an upper respiratory infection (URI). Treatment for her
URI would include: - ANSWER-Nasal saline spray
Patients who should be cautious about using decongestants for an upper respiratory
infection (URI) include: - ANSWER-Patients with cardiac disease
Jaheem is a 10-year-old low-risk patient with sinusitis. Treatment for a child with
sinusitis is: - ANSWER-Amoxicillin
Jacob has been diagnosed with sinusitis. He is the parent of a child in daycare.
Treatment for sinusitis in an adult who has a child in daycare is: - ANSWER-Amoxicillinclavulanate 500 mg bid for 7 days
The length of treatment for sinusitis in a low-risk patient should be - ANSWER-5-7 days
Patient education for a patient who is prescribed antibiotics for sinusitis includes -
ANSWER-Use of nasal saline washes
Myles is a 2-year-old patient who has been diagnosed with acute otitis media. He is
afebrile and has not been treated with antibiotics recently. First-line treatment for his
otitis media would include: - ANSWER-Amoxicillin
Alyssa is a 15-month-old patient who has been on amoxicillin for 2 days for acute otitis
media. She is still febrile and there is no change in her tympanic membrane
examination. What would be the plan of care for her? - ANSWER-Change the antibiotic
to amoxicillin/clavulanate.
A child that may warrant "watchful waiting" instead of prescribing an antibiotic for acute
otitis media includes patients who: - ANSWER-All of the above: Are low risk with
temperature of less than 39 deg C or 102.2 deg F, Have reliable parents with
transportation, Are older than age 2 years
Whether prescribing an antibiotic for a child with acute otitis media or not, the parents
should be educated about: - ANSWER-Providing adequate pain relief for at least the
first 24 hours
First line therapy for a patient with acute otitis externa (swimmer's ear) and an intact
tympanic membrane includes: - ANSWER-Ciprofloxacin and hydrocortisone drops
The Centers for Disease Control recommends all newborn infants receive prophylactic
administration of ______________ within 1 hour of birth - ANSWER-Erythromycin
ophthalmic ointment
Conjunctivitis in a child that is accompanied by acute otitis media is treated with -
ANSWER-High-dose oral amoxicillin
Twenty-year-old Annie comes to the clinic complaining of copious yellow-green eye
discharge. Gram stain indicate she most likely has gonococcal conjunctivitis. While
awaiting the culture results, the plan of care should be - ANSWER-IM ceftriaxone
Education of women who are being treated with ophthalmic antibiotics for conjunctivitis
includes: - ANSWER-Throwing away eye makeup and purchasing new
Sadie was prescribed betaxolol ophthalmic drops by her ophthalmologist to treat her
glaucoma. Oral beta blockers should be avoided in patients who use ophthalmic beta
blockers because: - ANSWER-The additive effects may include bradycardia.
David presents to the clinic with symptoms of allergic conjunctivitis. He is prescribed
cromolyn sodium (Opticrom) eye drops. The education regarding using cromolyn eye
drops includes: - ANSWER-He should not wear his soft contacts while using the
cromolyn eye drops.
Ciprofloxacin otic drops are contraindicated in - ANSWER-Patients with a perforated
tympanic membrane
_________________ is/are prescribed to prevent swimmer's ear - ANSWER-Isopropyl
ear drops (EarSol)
Patient education regarding the use of ciprofloxacin-hydrocortisone (Cipro HC otic) ear
drops includes - ANSWER-Warm the bottle of ear drop in his or her hand before
administering
Janie presents to the clinic with hard ear wax in both ear canals. Instructions regarding
home removal of hard cerumen include: - ANSWER-Instill carbamide peroxide (Debrox)
twice daily until canals are clear.
Despite good blood pressure control, an NP might change a patient's drug from an ACE
inhibitor to an angiotensin II receptor blocker (ARB) because the ARB - ANSWER-Does
not produce a dry, hacking cough
Angiotensin-converting enzyme (ACE) inhibitors are the drug of choice in treating
hypertension in diabetic patients because they: - ANSWER-All of the above: improve
insulin sensitivity, reduce the production of angiotensin II, Improve renal hemodynamic
Which of the following adverse effects may occur due to a dihydropyridine-type calcium
channel blocker? - ANSWER-Edema of the hands and feet
Donald has been diagnosed with hyperlipidemia. Based on his lipid profile, atorvastatin
is prescribed. Rhabdomyolyisis is rare but serious adverse response to this drug.
Donald should be told to: - ANSWER-Report muscle weakness or tenderness and dark
urine to his provider immediately
Commercials on TV for erectile dysfunction medications warn about mixing them with
nitrates. Why? - ANSWER-Profound hypotension
Because of the pattern of cholesterol synthesis, reductase inhibitors are given: -
ANSWER-In the evening in a single daily dose
Which drug class is replacing beta blockers as the "go to" post-myocardial infarction
(MI) medication? - ANSWER-ACE inhibitors
Which of the following drugs has been associated with increased risk for MI in women -
ANSWER-Estrogen replacement
Patients at high risk for developing significant coronary heart disease are those with: -
ANSWER-Class III angina
Not all chest pain is caused by myocardial ischemia. Noncardiac causes of chest pain
include: - ANSWER-All of the above: Pulmonary embolism, Pneumonia,
Gastroesophageal reflux
When is ASA used in angina patients? - ANSWER-All angina patients should be taking
ASA unless it is contraindicated for allergy or other medical reasons.
Vasospastic angina is linked with - ANSWER-recreational drug use such as cocaine
Beta blockers are especially helpful for patients with exertional angina who also have: -
ANSWER-Arrythmias
The rationale for prescribing calcium channel blockers for angina can be based on the
need for: - ANSWER-Help with rate control
One of the three types of HF involves systolic dysfunction. Potential causes of this most
common form of HF include: - ANSWER-Myocardial ischemia and injury secondary to
myocardial infarction (MI)
Diagnosis of HF cannot be made by symptoms alone because many disorders share
the same symptoms. The most specific and sensitive diagnostic test for HF is: -
ANSWER-two dimensional echocardiograms that identify structural anomalies and
cardiac dysfunction
ACE inhibitors are contraindicated in pregnancy. While treatment of HF during
pregnancy is best done by a specialist, which of the following drug classes is
considered to be safe, at least in the later parts of pregnancy? - ANSWER-Beta
blockers
Angiotensin-converting enzyme (ACE) inhibitors are a central part of the treatment of
heart failure (HF) because they have more than one action to address the pathological
changes in this disorder. Which of the following pathological changes that take place in
HF is NOT addressed by ACE inhibitors - ANSWER-Activation of the sympathetic
nervous system that increases heart rate and preload
Which of the following classes of drugs is contraindicated in HF? - ANSWER-Calcium
channel blockers
What can x-rays contribute to the diagnosis and management of HF - ANSWER-They
provide an idea of general cardiac size and pulmonary great vessel distribution
The goals of treatment when prescribing antiretroviral therapy (ART) medication to
patients with human immunodeficiency (HIV) include: - ANSWER-All of the above:
Prolonging of survival, Improvement in quality of life, Prevention of vertical HIV
transmission
The goal of ART in HIV positive patients is: - ANSWER-Maximum suppression of HIV
replication
Patients who are taking ART need to have the following monitored: - ANSWER-Lipid
levels
Phenotype assays are used to measure _______ of antiretroviral therapy (ART). -
ANSWER-sensitivity
Art is recommended for HIV-positive patients who: - ANSWER-All of the above: Have a
hepatitis B co infection, Have a hx of AIDS, Are pregnant
Pernicious anemia is treated with - ANSWER-Vitamin B12
Before the beginning IM vit B12 therapy, which lab values should be obtained -
ANSWER-All of the above: Retic count & H&H, Iron, Vit B12
Patients who are being treated for folate deficiency require monitoring of: - ANSWERHematocrit and Reticulocyte count at two weeks
Monitoring for a patient taking iron to treat iron def anemia includes: - ANSWERHemoglobin, hematocrit, and ferritin four weeks after treatment is started
Attenuated vaccines are also known as - ANSWER-Live vaccines
The MMR vaccine is not recommended for pregnant women because - ANSWER-There
is a risk of the fetus developing congenital rubella syndrome
Hepatitis B vaccine is contraindicated in patients who: - ANSWER-Are allergic to yeast