NURS 623 Exam 1Latest Update Questions and 100%
Verified Correct Answers
Is transmission of Lyme disease likely if the thick attachment is less than 48
hours? - correct answer ✔ No
What is the incubation period of Lyme disease? - correct answer ✔ 3 to 31 days
but typically around 7 to 14 days
How many stages does Lyme disease have? - correct answer ✔ 4
What is the first stage of Lyme disease called? - correct answer ✔ Early localized
Lyme disease
What is the second stage of Lyme disease called? - correct answer ✔ Early
disseminated Lyme disease
What is the third stage of Lyme disease called? - correct answer ✔ Late
disseminated Lyme disease
What is the fourth stage of Lyme disease called? - correct answer ✔ Late stage or
chronic Lyme arthritis
Which pathogen causes Lyme disease? - correct answer ✔ Borrelia burgdorferi
What may the patient present with that makes you suspect Lyme disease? -
correct answer ✔ Fever, rash, facial paralysis, arthritis, chills, headache, fatigue,
muscle and joint aches, and swollen lymph nodes
Which test is most commonly used to diagnose Lyme disease? - correct answer ✔
ELISA
Which test is performed to confirm ELISA results with Lyme disease? - correct
answer ✔ Immunoblot test
How long may stage 1 Lyme disease (early localized Lyme disease) last for? -
correct answer ✔ 1 to 4 weeks
Which symptoms may present with stage 1 (early localized) Lyme disease? -
correct answer ✔ Erythema migrans with bulls eye appearance, flu like symptoms
such as fever, chills, joint and muscle pain, stiff neck and headache, general
feeling of illness, and swollen lymph glands
A circular rash that may expand over time which may also have a bulls eye
appearance. - correct answer ✔ Erythema migrans
What is treatment for stage 1 (early localized) Lyme disease? - correct answer ✔
Doxycycline, Cefuroxime, or amoxicillin
How soon may stage 2 (early disseminated) Lyme disease present after initial
infection? - correct answer ✔ Weeks to months
,NURS 623 Exam 1Latest Update Questions and 100%
Verified Correct Answers
With this stage of Lyme disease, symptoms can range from mild to severe, or not
at all. Flu like symptoms may be similar to or worse than stage 1 and includes
fever, chills, joint and muscle pain, stiff neck and headache, swollen lymph nodes
or glands, fatigue, sore throat, visual disturbances such as blurry vision, paralysis
or weakness in the face, pain or numbness in the bite area, and heart palpitations.
- correct answer ✔ Stage 2 (early disseminated) Lyme disease
What is treatment of stage 2 (early disseminated) Lyme disease if IV treatment is
needed? - correct answer ✔ Azithromycin, doxycycline, amoxicillin, cefuroxime,
or ceftriaxone. (Most commonly is doxycycline except for children 8 years old and
younger or nursing/pregnant women).
What are oral antibiotic choices for treatment of stage 2 (early disseminated)
Lyme disease? - correct answer ✔ Azithromycin, doxycycline (except in children
<8 years old, nursing or pregnant women), amoxicillin, and cefuroxime. (Most
common is doxycycline except for <8 y.o., pregnant, or nursing).
When does stage 3 (late disseminated) Lyme disease typically present? - correct
answer ✔ When the infection has not been treated during stages 1 and 2. It
starts months or even years after the original tick bite.
What are symptoms of stage 3 (late disseminated) Lyme disease? - correct answer
✔ Severe headaches, arthritis of the large joints (knees, hips, etc.), heart
arrhythmia, brain disturbances (memory loss, mood disturbances, sleep
interruptions), difficulty concentrating and mental fogginess, temporary amnesia,
difficulty following conversations or speaking, numbness or tingling in the limbs
(arms, legs, feet, or hands), extreme fatigue, and temporary paralysis of facial
muscles
With this stage of Lyme disease, presentation is a recurrent form of joint
inflammation which may include episodes of severe arthritis symptoms. The most
common joint affected is the knee joint but it may also occur in other large or
small joints as well. - correct answer ✔ Stage 4- late stage or chronic Lyme
arthritis
Which symptoms will present with stage 4 late stage or chronic Lyme arthritis? -
correct answer ✔ Swelling, redness, and fluid buildup with episodes lasting
greater than 6 months
How long may symptoms of stage 4 late stage or chronic Lyme arthritis last? -
correct answer ✔ Months to years
, NURS 623 Exam 1Latest Update Questions and 100%
Verified Correct Answers
What history is important for assisting with the diagnosis of Lyme disease? -
correct answer ✔ Exposure to tick bites, recent camping trips, frequent yard
work, pets that go outside and have contact with the patient, duration and
characteristics of lesion(s).
What is the dosage and duration and first line treatment for an adult with early
Lyme disease? - correct answer ✔ Doxycycline 100 mg PO BID for 14-21 days
What is the second line treatment for adults with early Lyme disease? - correct
answer ✔ Amoxil 500 mg TID for 14-21 days
What is the causative agent of infectious mono? - correct answer ✔ Epstein Barr
virus
What is the incubation period for infectious mono? - correct answer ✔ 30 to 50
days
How is mono contacted? - correct answer ✔ Person via saliva (rarely via blood)
What is the common presentation of infectious mono? - correct answer ✔ Fever,
pharyngitis, adenopathy, fatigue, HA, glottis edema, pain behind eyes, petechiae
rash on palate
What lab test would most likely be elevated with infectious mono?
A. hgb
B. MCHC
C. liver function test
D. UA - correct answer ✔ C
What is the duration of infectious mono? - correct answer ✔ 3 to 4 weeks
How long can fatigue last with mono? - correct answer ✔ 6 to 12 months
Which patient education is important to discuss with mono?
A. none, it is all in their head
B. douching every day
C. splenic rest (no contact sports for 3 weeks)
D. all of the above - correct answer ✔ C
Which tests should be ordered with infectious mono? - correct answer ✔ CBC,
monospot, RPR titers, IgG, IgM, rapid strep test
True of false: Mono can cause abnormal LFT, splenic enlargement, lymphcytosis,
and fatigue. - correct answer ✔ True
