NR508 Week 5 Quiz (Latest): Chamberlain College of Nursing
NR 508 Week 5 Quiz (Latest): Chamberlain College of Nursing
Question 1
The primary
... [Show More] care NP sees a patient who has a 1-week history of nasal congestion; red, watery eyes; cough; and a temperature ranging from 99.1° F to 100.5° F. The NP notes thin, white nasal discharge and an erythematous oropharynx without swelling or exudates. The NP should:
Correct!
reassure the patient that this is likely a viral infection.
obtain a nasal culture and consider antibiotic therapy.
prescribe antiviral medications and decongestants.
begin empiric antibiotic therapy to treat sinusitis.
Question 2
When prescribing TMP/SMX to children, the primary care NP should recall that:
folic acid supplements must be given to children who take this medication.
ou Answered
the medication should be given three or four times per day because of rapid metabolism.
TMP/SMX should not be prescribed for children younger than 2 years.
dosing is based on the trimethoprim component of the drug.
Question 3
A patient is taking levofloxacin to treat sinusitis. The patient calls the primary care NP to report pain just above the heel of the right foot. The NP should:
reassure the patient that this is a common side effect.
change to ciprofloxacin.
discontinue the levofloxacin.
change to ofloxacin.
Question 4
A child with a febrile illness is taking a cephalosporin. While in the clinic for a follow-up visit, the child has a tonic-clonic seizure. The primary care NP should:
suspect the development of a secondary central nervous system infection.
reassure the parent that seizures can occur while taking cephalosporins.
ask the child’s parent how much of the cephalosporin the child has taken.
administer acetaminophen because this is likely a febrile seizure.
Question 5
A patient who has genital herpes has frequent outbreaks. The patient asks the primary care NP why it is necessary to take oral acyclovir all the time and not just for acute outbreaks. The NP should explain that oral acyclovir may:
prevent the virus from developing resistance.
actually eradicate the virus and cure the disease.
cause episodes to be shorter and less frequent.
reduce the chance of transmitting the virus to others.
Question 6
A patient who has been taking ciprofloxacin for 14 days for treatment of a UTI is seen in the clinic for a follow-up urinalysis. The urinalysis reveals crystalluria. The primary care NP should:
Correct!
counsel the patient to increase fluid intake.
change the antibiotic to norfloxacin.
discontinue the ciprofloxacin.
decrease the dose of ciprofloxacin.
Question 7
A primary care NP sees a 5-year-old child for a tuberculin skin test. The child lives in a high-risk community, and a grandparent who babysits has active TB. The PPD shows a 6-mm area of induration. A chest radiograph is normal. The NP will refer this patient to an infectious disease specialist and should expect the patient to be on _____ for _____ months.
isoniazid and rifapentine; 3
ethambutol; 3
ethambutol and amikacin; 6
isoniazid; 6
Question 8
A patient who has BPH is taking doxazosin and finasteride. The patient asks the primary care NP whether he has an increased risk of prostate cancer. The NP should tell him:
he has an increased risk of a certain type of cancer.
his cancer risk is the same as any other man his age.
doxazosin will increase his cancer risk, but only slightly.
his overall cancer risk is increased.
Question 9
A woman has a urinary tract infection (UTI) and has been taking TMP-SMX for 3 days along with increased fluids. She reports continued dysuria and urinary frequency and has a consistent, low-grade fever. The primary care NP should:
prescribe ciprofloxacin twice daily for 3 days.
prescribe amoxicillin-clavulanate twice daily for 7 days.
order doxycycline twice daily for 7 to 14 days.
order TMP-SMX DS twice daily for 7 days.
Question 10
The primary care NP is preparing to prescribe sildenafil for a man who has erectile dysfunction. The NP should remember to tell this patient:
to use a condom if his sexual partner is pregnant.
dyspepsia may occur and may warrant discontinuation of the drug.
to avoid oral nitrates while taking this medication.
that the drug may cause penile aching.
Question 11
An adult patient has cellulitis. The patient is a single parent with health insurance who works and is attending classes at a local university. To treat this infection, the primary care nurse practitioner (NP) should prescribe:
ceftriaxone (Rocephin).
cefdinir (Omnicef).
cephalexin (Keflex).
cefadroxil (Duricef).
Question 12
A patient who has had two recent urinary tract infections is in the clinic with dysuria and fever. The primary care NP reviews the patient’s chart and notes that in both previous cases the causative organism and sensitivity were the same. The NP should:
order a microscopic evaluation of the urine and an antibiotic.
order a urine culture and treat empirically pending culture results.
order a urine culture and sensitivity and wait for results before treating.
treat the patient empirically without a culture.
Question 13
A patient is taking isoniazid, pyrazinamide, rifampin, and streptomycin to treat TB. The primary care NP should routinely perform:
serum glucose and liver function tests (LFTs).
color vision, serum glucose, and LFTs.
ophthalmologic, hearing, and serum glucose tests.
bone marrow density and ophthalmologic tests.
Question 14
A primary care NP sees a patient who reports a 2-week history of nasal congestion and runny nose. The NP performs a history and learns that the nasal discharge has changed from yellow to green in the past few days, accompanied by a fever of 102° F and unilateral facial pain. To treat this patient, the NP should:
prescribecefdinir twice daily for 10 days.
recommend symptomatic treatment because this is probably a viral infection.
order azithromycin daily for 5 days.
prescribe amoxicillin-clavulanate twice daily for 10 days.
Question 15
The primary care NP sees a child in the clinic who has a 5-day history of cough, poor fluid intake, and fever of 103° F. A chest radiograph shows areas of consolidation in the child’s lungs. The child’s cough is nonproductive, and the NP is unable to get a sputum specimen. The NP should:
give the child’s parents a specimen cup and ask that they try to bring in a sputum specimen for culture.
prescribe a broad-spectrum antibiotic to cover any possible causative organism.
ask colleagues in the clinic about children they have treated and what they have prescribed.
refer the child to a pulmonologist or infectious disease specialist to help determine the proper treatment.
Question 16
A patient has had severe diarrhea for 2 weeks. Laboratory testing reveals Clostridium difficile. The primary care NP should prescribe:
erythromycin.
fidaxomicin.
clarithromycin.
azithromycin.
Question 17
A patient who has HIV frequently expresses concerns about the costs of treatment. The primary care NP should:
discuss the risks associated with underdosing of antiretroviral therapies.
suggest the patient limit therapy to a one- or two-drug regimen.
recommend an occasional “drug holiday” when cell and viral counts are good.
suggest taking half doses of the medications on a regular basis.
Question 18
Which antibiotic requires administration of a loading dose?
E-Mycin
Ilosone
Erythrocin
Zithromax
Question 19
A primary care nurse practitioner (NP) is prescribing once-daily azithromycin to a 25-year-old woman. When teaching her about the drug, the NP should tell her to:
take the medication on an empty stomach.
cut the pill in half and take twice daily if side effects are severe.
expect severe gastrointestinal side effects while taking this drug.
use a backup contraception method other than oral contraceptive pills.
Question 20
A patient has a UTI and will begin treatment with an antibiotic. The patient reports moderate to severe suprapubic pain. The primary care NP should prescribe:
ibuprofen as needed.
phenazopyridine (Pyridium).
increased oral fluid intake to dilute urine.
bethanechol (Urecholine).
Question 21
A parent brings an 8-year-old child to the clinic because the child continues to wet the bed despite using cognitive-behavioral measures and a bed alarm system. The NP should prescribe:
solifenacin (VESIcare).
tolterodine (Detrol LA).
desmopressin (DDAVP).
phenazopyridine (Pyridium).
Question 22
A primary care nurse practitioner (NP) sees a 3-year-old child who has a history of recurrent otitis media. The child’s parent tells the NP that the child is allergic to penicillin. The NP learns that the child developed an all-over rash 2 days after starting amoxicillin at age 2 years. The NP should:
order a penicillin skin test.
order penicillin desensitization so the child can take penicillin when needed.
use amoxicillin when needed because actual allergy correlates poorly with patient report.
usecephalosporins when treating otitis media.
Question 23
A patient who is taking isoniazid and rifampin for latent TB is seen by the primary care NP for a routine follow-up visit. The patient reports having nausea, vomiting, and a decreased appetite. The NP should:
ask about alcohol intake.
reassure the patient that these side effects are common.
order liver and renal function tests and serum glucose.
suggest taking the medications with food.
Question 24
A patient comes to the clinic before a trip to an area where malaria is endemic. The primary care NP will prescribe:
tinidazole (Tindamax).
chloroquine (Plaquenil).
amantadine (Symmetrel).
metronidazole (Flagyl).
Chloroquine is used as malaria prophylaxis.
Question 25
A patient who is currently not sexually active has an outbreak of genital herpes. The patient asks the primary care NP how this could have occurred without active infection since being treated more than 2 years ago. The NP should tell the patient that:
the original infection may have been partially treated.
the infection must be due to a resistant herpes simplex virus (HSV) strain.
the current infection may be from contact with a toilet seat.
successful treatment won’t prevent future outbreaks of active infection. [Show Less]