Download UTA Nurs 5338 Urgent Emergencies Exam Questions and Answers (Latest 2026) and more Exams Nursing in PDF only on Docsity!
Exam Questions and Answers (Latest
Describe the pharmacological treatment for gonorrhea - Correct Answers ✅Ceftriaxone 500 mg IM as a single dose, for persons weighing < 150 kg For persons weighing > 150 kg, ceftriaxone 1gm IM as a single dose Describe the pharmacological treatment for chlamydia - Correct Answers ✅Doxycycline 100 mg PO BID for 7 days During pregnancy, azithromycin 1 gm as a single dose to treat chlamydia Alternative regimens: Gentamicin 240 mg IM as a single dose + azithromycin 2 gm PO as a single dose Cefixime 800 mg orally as a single dose + doxycycline 100 mg PO BID for 7 days (if chlamydia CANNOT be excluded) When assessing a patient, what is done first? - Correct Answers ✅- Observe
- Inspect
- Listen
- Palpate, respectively Describe assessment findings for appendicitis - Correct Answers ✅Abdominal pain, usually severe; localized to the right lower quadrant (RLQ)
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Most common symptoms: anorexia, abdominal pain, nausea and vomiting (typically present in this order) Constipation and diarrhea occur after the pain Describe acute abdominal pain - Correct Answers ✅- severe, persistent pain
- sudden onset
- nausea, vomiting
- abdominal distention
- fever, signs of shock What is obturator sign? - Correct Answers ✅- The patient lies on the back with hip and knee flexed at 90 degrees while the knee is stabilized and the ankle rotated away from the body How is sepsis handled in the primary care setting? - Correct Answers ✅refer patient to the ED Describe treatment for an abscess - Correct Answers ✅I&D Describe assessment findings for cellulitis - Correct Answers ✅Erythema Warmth
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BV requires three or more of the following clinical signs and symptoms:
- Homogenous, thin, gray-white discharge coating the vaginal wall
- Vaginal pH >4.
- Positive whiff test: amine (fishy) odor after application of 10% KOH on vaginal discharge sample
- Presence of more than 20% epithelial cells (clue cells) on saline microscopy: microscopic evaluation of vaginal discharge on glass slide with normal saline shows few WBCs, and epithelial cells are obscured with coccobacilli. What is the most reliable predictor of bacterial vaginosis? - Correct Answers ✅Presence of clue cells identified by an experienced microscopist is the single most reliable predictor of BV For hematuria caused by an STI, when should follow up scheduled? - Correct Answers ✅one week Describe assessment findings for acute bronchitis - Correct Answers ✅Cough: dry and nonproductive, then productive; may be purulent URI symptoms Fatigue
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Fever due to bacterial infection; more common in smokers and patients with COPD Fever due to viral cause (unusual after first few days) Burning sensation in chest Crackles, wheezes Chest wall pain Perform detailed review of preexisting health conditions & exposure history When assessing skin disease, what's important to include? - Correct Answers ✅measurements When periorbital cellulitis is diagnosed, what's the next step?
- Correct Answers ✅refer to the ED What's important to remember when heroin is suspected? - Correct Answers ✅refer to ED prior to unconsciousness Define chemical dependence - Correct Answers ✅a condition caused by the chronic use of a drug producing tolerance. Negative symptoms result when the drug is stopped or reduced in dose
Exam Questions and Answers (Latest
- rarely, but can be indefinite Protracted withdrawal syndrome is commonly caused by - Correct Answers ✅- benzodiazepines
- may be present with alcohol and opioid addiction A patient has a plan to commit suicide, what's the next step?
- Correct Answers ✅- Call 911
- file application for detention
- do not take no for an answer What are the top 3 most harmful drugs? - Correct Answers ✅1. alcohol
- heroin
- crack cocaine
- methamphetamine
- cocaine
- tobacco What action do you take if a patient is homicidal? - Correct Answers ✅- Call 911
- file application for detention
- do not take no for an answer
Exam Questions and Answers (Latest
If a patient is suicidal, agreeing to this will prevent detention - Correct Answers ✅- a contract to call 911 instead of suicide
- the patient and provider both must sign it How long does it take for motrin to develop a therapeutic level? - Correct Answers ✅5 days or more Describe assessment findings for tenosynovitis - Correct Answers ✅- Median paresthesias affecting the thumb, index finger, middle finger, and radial side of the ring finger
- Nocturnal paresthesias
- Bilateral presentation common at first, but may be unilateral
- Positive Phalen's test
- Positive Tinel's test Describe Phalen's test - Correct Answers ✅Hold pt's wrists in acute flexion for 60 seconds, or you may ask pt's to press back of both hands together to form right angles. Describe Tinel's test - Correct Answers ✅Done to diagnose carpal tunnel Tap over the median nerve; Pain = positive
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- apply dressing as necessary to keep the wound from drying out and interfering with healing.
- apply a topical analgesia if painful List the most common causes of an abscess - Correct Answers ✅- MRSA
- rarely caused by parasites in the US, but common in other areas of the world
- IV drug users often present with one at the injection site When diagnosing an abscess, what are differential diagnosis?
- Correct Answers ✅- cellulitis
- sebaceous cyst
- necrotizing fasciitis What is necessary to I&D an abscess? - Correct Answers ✅- I&D kit with #11 scalpel
- wound culture
- iodoform gauze
- antibiotic therapy What antibiotics are used to treat an abscess? - Correct Answers ✅- Keflex
Exam Questions and Answers (Latest
- Bactrin DS
- Clindamycin
- Doxycycline Describe the pathophysiology for an allergic reaction - Correct Answers ✅- reaction to allergen
- These reactions are acquired, predictable, and rapid
- Allergy is one of four forms of hypersensitivity
- excessive activation of mast cells and basophils facilitated by IgE causing and inflammatory response ranging from uncomfortable to dangerous What is the treatment for allergic reactions? - Correct Answers ✅- avoid the allergen
- steroids
- antihistamines/decongestants
- epinephrine for anaphylaxis
- immunotherapy What is the treatment for an anaphylatic reaction? - Correct Answers ✅- Epinephrine injected immediately
- Dosage: 0.3mg (0.3ml, 1:1000) >30kg
- 0.15mg (0.3ml, 1:2000) 15-30kg
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Describe acute asthma treatment - Correct Answers ✅- inhaled short-acting beta-2 agonist
- oral corticosteroids
- L-acting beta agonists or leukotriene agonists How is severe asthma treated? - Correct Answers ✅- intravenous corticosteroids
- magnesium sulfate
- hospitalization What is a peak flow meter used for? - Correct Answers ✅- to measure peak expiratory flow rate
- important to monitor and diagnose asthma The addition of this is superior in treating bacterial vaginosis - Correct Answers ✅- several studies have found probiotics (containing lactobacillus, including L. rhamnosus, L. reuteri. L acidophilus, and L. fermentum)
- 88-90% cure rate at 1 month
- either taken orally or vaginally Describe Bell's Palsy - Correct Answers ✅- rapid onset unilateral facial paralysis caused by an inflamed facial nerve compressed by a narrow bone canal beneath the ear
Exam Questions and Answers (Latest
- usually self-limiting Describe the treatment for Bell's palsy - Correct Answers ✅- corticosteroids within 3 days after onset
- lacrilube for dry eye Describe how an animal bite is treated - Correct Answers ✅- wash the bite with soap and water
- antibiotics for dog, cat, and human bites that break skin and for immunocompromised
- First choice is Augmentin
- alternatively, doxycycline and metronidazole How much blood can a healthy person lose? - Correct Answers ✅- the loss of 10-15 % of total blood volume without causing medical issues
- blood donations typically take 8-10% of blood volume Describe treatment for superficial burns - Correct Answers ✅cooling water may provide pain relief and prevent damage Describe the treatment for partial thickness burns - Correct Answers ✅- cleaning may be required with soap and water
- apply dressing
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What diagnostic studies help confirm the patient has CHF? - Correct Answers ✅- brain natriuretic peptide (BNP) produced mainly in the cardiac ventricles of humans
- CMP
- chest X-ray
- eval lower extremities for edema Describe conjunctivitis - Correct Answers ✅Conjunctivitis, or pinkeye, is inflammation of the conjunctiva, generally caused by a pathogenic infection or by physical, allergic, or chemical irritation of the conjunctival surface. The most obvious sign of conjunctivitis, redness, results from the dilation of blood vessels deep to the conjunctival epithelium
- usually a viral infection Describe herpes of the eye - Correct Answers ✅- consists of linear branching corneal ulcer
- during eye exam stained with fluorescein dye
- patients with epitheal keratitis complain of foreign-body sensation, light sensitivity, redness and blurred vision
- focal or diffuse reduction in corneal sensation develops following recurrent epithelial keratitis
Exam Questions and Answers (Latest
The FNP has diagnosed the patient with herpes of the eye, what's the next step? - Correct Answers ✅- Opthalmic emergency
- Do not treat
- Consult opthalmology What follow up question should the FNP ask for an eye injury?
- Correct Answers ✅- Always ask someone with conjunctivitis if they have recently injured their eye or if they wear contact lenses
- Fluorescein dye is used with a woods lamp
- If the injury is from a tree branch or any vegetation, do not patch the eye
- Ophthalmic emergency
- Refer out for foreign body which is embedded in the eye When conducting a biopsy what should the FNP complete first? - Correct Answers ✅- always measure nevus or what you are biopsying and record What objective tests are conducted when Bell's Palsy is diagnosed? - Correct Answers ✅- eyebrow raise
- smile
Exam Questions and Answers (Latest
- Vitamin K is the antidote for increased INR What is the treatment for orofacial pain in primary care? - Correct Answers ✅- amoxicillin or clindamycin
- Peridex oral rinse and pain medication
- naproxen Describe assessment findings for ketoacidosis - Correct Answers ✅- nausea
- vomiting
- abdominal pain
- acetone breath
- deep breathing (kussmaul breathing)
- decreased consciousness What is the main cause of hyperosmolar non-ketotic state? - Correct Answers ✅dehydration What is the goal A1C for diabetics? - Correct Answers ✅- less than 7%
- 6.5%
Exam Questions and Answers (Latest
Describe vertigo - Correct Answers ✅Sense of movement and rotation of oneself or the surrounding environment with a typical spinning sensation Describe disequilibrium. - Correct Answers ✅- shakiness or instability when walking related to musculoskeletal disorder or multi sensory deficits
- feeling off balance Describe pre-syncope - Correct Answers ✅- lightheadedness, muscular weakness and feeling faint
- different from syncope Non-specific dizziness - Correct Answers ✅- often psychiatric in origin
- sometimes d/t hyperventilation
- sometimes caused by stroke Describe the Epley maneuver - Correct Answers ✅1. Involves sequential movement of head in 4 positions,
- Patient stays in each position for 30 seconds,
- 30% recurrence rate @ 1 year,
- 2nd treatment may be necessary
