NRNP 6566 FINAL EXAM LATEST 2023-2024 FORM A AND B /NRNP6566 FINAL EXAM QUESTIONS |AGRADE (WALDEN UNIVERSITY) 2 LATEST VERSIONS UPDATED APRIL 2023
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Question 1
Which statement is correct about fluoroquinolones?
fluoroquinolones are effective treatment for urinary tract infections and pyelonephritis
Fluoroquinolones are recommended treatment in uncomplicated skin infections
fluoroquinolones are not associated with tendon rupture
fluoroquinolones are never indicated in the treatment of pediatric infections
Question 2
A 42 year old year old women was admitted to the ICU with a severe asthmatic exacerbation. On rounds today, the patients T is 102.2. Her central IV line site is red, tender, and warm. Your remove the central line and order blood cultures along with IV cefepime. MRSA has been prevalent in this ICU. What additional medication should you order?
po
vancomycin
IV
gentamycin
IV
vancomycin
IV
pipercillin
Question 3
A 66-year-old male involved in a motor vehicle collision is admitted to the trauma unit with multiplesbone fractions and left hemothorax with chest tube placement. Current vital signs are BP 88/52 HR 120 T 98.4 RR 22. Past medical history is positive for end stage renal disease requiring hemodialysis three times a week. How should the NP manage his renal disease?
Hemodialysis Peritoneal dialysis
Continuous renal replacement therapy
No intervention until his blood pressure stabilizes
Question 4
What crucial feature of a penicillin is involved in its mechanism of action?
Carboxylic acid
β-lactam ring Acyl side
chain
Thiazolidine ring
Question 5
Which drug should the APRN select to treat a patient with an infected post operative surgical wound infected with a positive culture result for MRSA?
gentamycin ampicillin/sulbact
am
vancomycin amphoteracin
Question 6
Mr. D is a 56 year old male with newly diagnosed multiple myeloma who is admitted through the ER with back pain after falling against a bookcase at home. Chest x-ray shows a rib fracture. Electrolytes reveal a serum calcium of 12.7 mg/dl. How would you treat Mr. D?
Normal saline and loop diuretics Normal saline and thiazide diuretics Kayexalate enema
Glucose, insulin, and magnesium
Question 7
A 13-year-old thin, female comes to your office with a 6-month history of nondeliberate weight loss, polyuria and polydypsia. She has no other significant
illnesses. There are no abnormalities on physical examination except a random venous blood sugar of 237.
Which of the following statements regarding this case is FALSE?
Type 1 diabetes is confirmed by this test
A glucose tolerance test is not necessary to confirm diagnosis Obtain a fasting blood glucose
Insulin will probably be required
Question 8
A patient who is allergic to penicillins may also be allergic to
a Erythromycin
b Neomycin
c Tetracycline
.
d Cefazolin
Question 9
Joe is a 46 year old man with normal renal function diagnosed with heparin induced thrombocytopenia (HIT). In addition to stopping all unfractionated heparin products, the next appropriate step in treating this patient would be the addition of?
Low molecular weight heparin
aspirin Agratroban Plavix
Question 10
A 24-year-old male is a newly diagnosed type 1 diabetic. He weighs 62 kg and you decide to start him on insulin therapy because his blood glucose is high and he has ketonuria. His total daily dose of insulin to start with should be:
31 units
40 units
46 units
56 units
Question 11
A 48-year-old female wt 70 kg, is in the ICU with acute pancreatitis. Her vital signs are as follows: BP 92/60 mm Hg; heart rate 116 bpm; She is intubated with current ventilator settings of VT 700 mL, assist control (AC) rate 12 bpm, FiO2 0.85, and positive end expiratory pressure (PEEP) 5.0 cm H2O. Her ABG reveals a pH of 7.31, PaCO2 of 53 mm Hg, and a PaO2 of 62 mm Hg. Her chest radiograph shows diffuse, fluffy infiltrates.
Based upon this assessment the ACNP would order a decrease of PEEP to
5.0
an increase of rate to 16
change to SIMV
an increase of VT to 900 ml
Question 12
A 22 year old patient is transitioning from oral agents to insulin. He will be taking 20 units of lantus at bedtime and regular insulin before meals. What instructions should the NP provide about the timing and dose of regular insulin?
Take 5 units of regular insulin immediately after each meal
Take 5 units of regular insulin for each 15 grams of carbohydrate consumed immediately after each meal. [Show Less]