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NR577 Exam verified questions and correct answer 2025-2026NR577 Exam verified questions and correct answer 2025-2026
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microcephaly and loss, in addition to infant and newborn blindness and neurologic problems.
a. 2 view chest XRAY b. CT angiography abdomen and pelvis c. MRI brain d. CT c-spine - correct answerB. Radiographic contrast media is directly nephrotoxic and is one of the leading causes of acute kidney injury. Those with preexisting kidney disease pose the greatest risk of significant nephropathy if given this contrast media. Of the listed imaging options, only the CT angiography uses the contrast media and a patient with a history of renal failure should not receive this agent. (Papadakis & McPhee. Current Medical Diagnosis and Treatment, 2019. Pg. 932.)
C. Appendicitis D. Cholecystitis - correct answerC. A. This disease is characterized by chronic abdominal pain that has alterations in bowel habits for more than 6 months. Symptoms include indigestion, chest pain, HA, fatigue, gynecologic symptoms and urologic dysfunction. B. Associated with noninflammatory diarrhea that affects the small intestine and interferes with the water and salt balance which is caused by viruses or toxins and is associated with large amounts of watery diarrhea, nausea, vomiting, and cramps. C. *Almost all patients have nausea with one or two episodes of vomiting. There is localized tenderness with guarding in the right lower quadrant and can be elicited with gentle palpation with one finger. There is tenderness or rigidity at McBurney's point and the psoas sign and obturator sign are indicative of inflammation and strongly suggestive of appendicitis. D. This disease is caused by a large or fatty meal and characterized by a sudden appearance of pain located in the epigastrium or hypochondrium. Associated with right upper quad tenderness and muscle guarding with rebound tenderness.
b. Routine cervical Papanicolaou screening c. Radiation therapy to control localized breast cancer d. Providing information on smoking cessation - correct answerB. A. Flu vaccine is a form primary prevention which aims to reduce or remove disease risk. B. Correct answer. Secondary prevention is aimed at early disease detection. A routine cervical pap screening is aimed at the early detection of cervical dysplasia or carcinoma. C. Radiation therapy to control breast cancer is a form of tertiary prevention which is aimed at limiting disease impact. D. Information on smoking cessation is a form of primary prevention.
resolved. She has tried simple OTC analgesics and lidocaine patches for pain. What is the next line of therapy? a. Oxycodone 10 mg by mouth every four hours as needed b. Gabapentin 300 mg by mouth three times daily c. Duloxetine 60 mg by mouth daily d. Amitriptyline 25 mg by mouth nightly - correct answerD. According to Papadakis and McPhee (2017), post herpetic neuralgia is more common in patients over the age of 55 who have have trigeminal involvement. Amitriptyline and other tricyclic antidepressants are the first line therapy after simple analgesics have been tried. Gabapentin, Duloxetine, and long acting opioids may be added if relief is not met.
A. Smoking cessation B. Flu vaccine C. Mammogram D. Radiation therapy for breast cancer. - correct answerC. Secondary preventions include techniques that promote early detection of disease
bigger. He also has a few moles that are similar on his face and neck. What would the NP suggest to the patient? A. These moles are most likely a benign growth called seborrheic keratosis. If they are bothersome, cryotherapy could be utilized as a treatment choice. B. Freckles tend to get bigger and change color as we age. Use sunscreen to protect them. C. These moles are concerning for malignant melanoma. A referral to dermatology for closer evaluation is strongly recommended. D. Melanocyti - correct answerC. The patient at increased risk for malignant melanoma are over 50 years of age, white and have recreational sun exposure. The history of the evolution of the mole is the most important historical reason for dermatology referral.
D. Achieving healthy eating, changing activity patterns, and family involvement. - correct answerD. The goal for children that are obese is to attain healthier eating habits as well as activity patterns. Treatment that involves the family has been associated with persistent weight loss and a decline in BMI. Children 2-5years old with a BMI >95% should lose 1lb/month. Pharmacotherapy by itself is not likely to sustain weight loss or result in significant weight loss
D. Choose either Acetaminophen or Ibuprofen now and instruct the mother to begin alternating the two medications at home as long as fever persists. - correct answerB. the treatment for fever of 39°C (102.2°F) or for discomfort is Acetaminophen 15mg per kg of weight. Ibuprofen is only indicated for children older than 6 months. Combining Acetaminophen and Ibuprofen is also incorrect for the same reason. It is not recommended, no matter what the age, to alternate Acetaminophen and Ibuprofen for fever.
c. Because your infant has a history of mild eczema, it is recommended to have allergy sensitivity testing prior to introducing peanut proteins to determine if peanut-containing food should be introduced at all. d. The history of eczema does not impact the recommendation for introducing peanut containing foods. Early introduction of peanut-containing foods is associate - correct answerB. Infants with mild-to-moderate eczema are advised to begin introducing peanut purees and peanut containing foods at approximately 6 months of age to reduce the risk of peanut allergens. If the infant had severe eczema or an allergy to egg, considering peanut specific IgE sensitization testing is strongly recommended prior to introducing peanut protein. If the peanut sensitization testing is negative, it is recommended to introduce peanut protein in puree form between ages 4-6 months. It is hypothesized that early introduction of peanut-containing foods is associated with a lower risk of developing a peanut allergen, but the timing of introduction of these foods is dependent on the patient's history of eczema and egg allergy