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NSG 6440 Predictor test latest questions and answers all are correct 2023 graded A+
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NSG 6440 Predictor test latest questions and answers all are correct 2023 graded A+
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NSG 6440; PREDICTOR TEST QUESTIONS AND ANS6 6 6 6 6 66
WERS WITH RATIONALE 100% CORRECT
6 6 6 6
Predictor6 test
1) A6156years6old6high6 school6student6 with6a6mild6 sore6throat6 and6low-
grade6 fever6 that6has6persisted6 for6about636weeks.6She6reports6general6 malaise,6 fatigue,6 and6los
s6of6appetite.6 The6NP6suspects6mononucleosis.6 Which6 of6the6following6 is6the6LEAST6appropr
iate6 intervention?
a. Palpate6the6lymph6 nodes6and6spleen
b. Examine6 the6posterior6 oropharynx6 for6petechiae
c. Obtain6 a6CBC,6throat6 culture,6 and6heterophil6 antibody6 test.
d. Obtain6an6urinalyses6 and6serum6for6LFTs6and6amylase6
Explanation:6 mononucleosis6 is6a6symptomatic6 infection6 caused6by6the6Epstein-
Bar6 virus.6Common6is6people615-
246years6of6age.6 Common6signs6 and6symptoms6 following6 incubation6period6(1-
26months)6 include6 fatigue,6 chills,6 malaise,6 anorexia,6 white6 tonsillar6 exudates6 and6lymphadenopat
hy6 or6posterior6 cervical6 region.6 Splenomegaly6 can6be6present.6 A6maculopapular6 or6occasionally6 a6
petechial6 rash6occurs6in6less6than615%6of6patients.6 A6diagnosis6 is6usually6 made6using6 the6Monos
pot.6In6addition,6 neutropenia6 and6lymphocytosis6 are6usually6 detected6in6the6CBC.
2) A6326years6old6male6patient6complaint6of6urinary6frequency6and6burning6on6urination6for63
6days.6Urinalyses6reveals6bacteriuria6and6positive6nitrites.6He6denies6any6past6hx.6Of6urinary6tract
6infections.6 The6initial6 treatment6 should6 be:
a. trimethoprim-sulfamethoxazole6 (Bactrim,6 Sulfatrim)6 for67-106day
b. ciprofloxacin6 (Cipro)6 for6 3-56days
c. Trimethoprim-Sulfamethoxazole6 for6 36days
d. 7506mg6ciprofloxacin6 as6a6one-time6 dose
Explanation:6 trimethoprim-
sulfamethoxazole6 (TMPS)6is6usually6 n6appropriate6medication6 to6treat6urinary6 tract6infections6 in6
most6patients.6 In6the6case6of6community6 resistance6 to6TMPS
>20%^,6another6medication6 should6 be6substituted.6 In6men,6 the6appropriate6length6 of6time6 is67-
106days.6Women6may6be6treated6for636days6for6uncomplicated6 UTI
3) Which6agent6 is6most6effective6 for6the6treatment6 of6nodulocystic6 acne?
a. Benzoyl6 peroxide6 (Benzac)
b. Retinoic6 acid6 (Retin6A)
c. Topical6 tetracycline
d. Isotretinoin)6
Explanation:6 Isotretinoin6 (Accutane)6 is6a6systemic6 agent6indicated6 for6treatment6 with6severe6inf
lammatory6 acne.6Guidelines6 for6its6use6must6 be6clearly6 understood6 by6the6patient.6 A6woman6of6chi
ldbearing6 age6must6 use6an6effective6 method6of6contraception6 because6isotretinoin6 is6teratogenic.6
1
,There6are6many6restrictions6 in6prescribing6 this6 medication6 because6of6the6teratogenic6effects6 is6giv
en6 during6 pregnancy.6 Therefore,6 it6is6a6pregnancy6 category6X.
2
,4) An6186y/o6woman6 is6taking6a6combined6 hormonal6 oral6contraceptive.6 She6should6 be
6instructed6 to6use6a6backup6method6 for6the6prevention6 of6pregnancy
a. Throughout6 the6week6of6placebo6pills
b. If6prescribed6topiramate6 (Topamax)6 for6the6treatment6 of6migraines.6
3
, c. If6prescribed6 amoxicillin/clavulanate6 (Augmentin)6 for6a6sinus6 infection
d. if6she6forgets6 to6take6a6single6 dose6of6the6 contraceptive
Explanation:6 Anticonvulsant6 including6 phenytoin6 (Dilantin),6 carbamazepine6 (Tegretol),6primido
ne6 (Mysoline),6 topiramate6 (Topamax)6 and6oxcarbazepine6 (Trileptal)6 reduce6the6effectiveness6 of6
contraceptives.6 Depo-medroxyprogesterone6 acetate6 injections6 or6levonorgestrel-
6releasing6 intrauterine6 devices6 would6 be6a6better6method6 of6contraceptive6 for6patients6 taking6anti
convulsants.6 Most6commonly6 used6antibiotics6 have6not6been6proven6to6reduce6the6effectiveness6
of6contraceptives.6 Rifampin6 is6an6exception,6 and6additional6 ….6Be6used6 by6women6taking6 this6 dru
g6and6using6 oral6contraceptives,6 transdermal,6 or6vaginal6 ring6preparations.
Additional6 backup6contraception6 should6 be6used6if6taking6 antifungal6 agents.6No6additional6protecti
on6is6needed6thought6 the6week6of6placebo6pills.6 Missing6 one6single6 dose6of6contraceptive6does6not6re
quire6 additional6 protection,6 missing6 more6than6one6doses6does.
5) A6446years6old6female6 patient6 has6diabetes.6Her6total6cholesterol6 (TC)6is62506mg/dl6 (6.56m
mol/L),6 LDL=61906mg/dL6(4.946mmol/L),6 HDL=6256mg/dL6 (656mmol/L),6 and6triglycerides=6344
6mg/dL6(8.946mmol/L).6 What6agent6have6 the6greatest6 effect6 on6improving6 her6lipid6 profile6 and6red
ucing6 morbidity6 and6mortality6 associates6 with6dyslipidemia?
a. Niacin6 (Niaspan)
b. Atorvastatin6
c. Omega636fatty6 acids
d. Fenofibrates
Explanation:6 First6and6foremost,6 it6is6essential6 to6educate6individuals6 on6a6heart-
healthy6lifestyle.6 LDL-
C6is6one6of6the6major6 culprits6 in6the6development6 of6atherosclerotic6 heart6disease.6The6target6level6
of6LDL-
C6is6between6506to670mg/dl6 to6prevent6 plaque6formation6 in6the6blood6vessels.6 Guidelines6 strongl
y6 recommend6 statin6therapy6because6they6primarily6 lower6 LDL-
C6levels,6 but6they6also6have6the6secondary6effects6 of6lowering6 triglyceride6 and6increasing6 HDL-
C6levels.
6) A6306years6old6female6comes6into6a6clinic6 with6classic6signs6and6symptoms6 of6appendicitis.
6The6NP6fails6 to6refer6the6patient6to6a6surgeon.6The6appendix6ruptures6 and6the6woman6die.6This6is
6an6example6 of
a. Failure6of6diligence
b. Professional6 liability
c. Negligence
d. Malpractice6
Explanation:6 malpractice,6 a6negligence6 tort,6occurs6when6a6health6 care6professional’s6 actions6 fall6b
ellow6 the6appropriate6 standard6of6care6and6hurts6 the6patient.6 In6this6 case6the6patient6 came6with6sing
s6 and6symptoms6 indicating6 appendicitis6 and6the6NP6failed6 to6refer6 the6patient..
7) A6NP6has6recently6 been6hired6 to6work6in6a6fast6track6facility.6 The6NP6employer6 asked6if
6she6has6“a6problem6prescribing6 medications6 for6emergency6 contraception.”6 The6NP6replies6
affirmatively.6 This6 is:
a. Grounds6 for6dismissal
4
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