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UTA Nurs 5338 Urgent Emergencies EXAM (updated 2026) Questions & Answers |, Exams of Advanced Education

Emory UniversityAdvanced Education

UTA Nurs 5338 Urgent Emergencies EXAM (updated 2026) Questions & Answers | With 100% Correct Answers graded A+ Guaranteed Success!!

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2025/2026

Available from 03/28/2026

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UTA Nurs 5338 Urgent Emergencies EXAM (updated 2026) Questions
& Answers | With 100% Correct Answers graded A+ Guaranteed
Success!!
Describe the pharmacological treatment for gonorrhea - ANSWER
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 - ANSWER
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? - ANSWER - Observe
- Inspect
- Listen
- Palpate, respectively
Describe assessment findings for appendicitis - ANSWER Abdominal pain,
usually severe; localized to the right lower quadrant (RLQ)
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 - ANSWER - severe, persistent pain
- sudden onset
- nausea, vomiting
- abdominal distention
- fever, signs of shock
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Download UTA Nurs 5338 Urgent Emergencies EXAM (updated 2026) Questions & Answers | and more Exams Advanced Education in PDF only on Docsity!

UTA Nurs 5338 Urgent Emergencies EXAM (updated 2026) Questions & Answers | With 100% Correct Answers graded A+ Guaranteed Success!! Describe the pharmacological treatment for gonorrhea - ANSWER 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 - ANSWER 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? - ANSWER - Observe

  • Inspect
  • Listen
  • Palpate, respectively Describe assessment findings for appendicitis - ANSWER Abdominal pain, usually severe; localized to the right lower quadrant (RLQ) 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 - ANSWER - severe, persistent pain
  • sudden onset
  • nausea, vomiting
  • abdominal distention
  • fever, signs of shock

What is obturator sign? - ANSWER - 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? - ANSWER refer patient to the ED Describe treatment for an abscess - ANSWER I&D Describe assessment findings for cellulitis - ANSWER Erythema Warmth Edema Pain Fever Lymphadenopathy Fissuring, scaling or maceration in toe webs may be source of colonization (treat with antifungal agents such as econazole, naftifine) History of recurrent abscesses How is a puncture wound from an animal bite treated? - ANSWER - typically not sutured closed

  • treat with Augmentin Describe assessment findings for bacterial vaginosis - ANSWER Most women with BV are asymptomatic Fishy or musty vaginal odor, more prominent after sexual intercourse and menses Thin, homogenous discharge No redness or edema Normal bimanual exam Describe the diagnostic study for bacterial vaginosis - ANSWER Amsel's criteria specify that diagnosis of BV requires three or more of the following clinical signs and symptoms:
  • Homogenous, thin, gray-white discharge coating the vaginal wall
  • Vaginal pH >4.

How does physical dependence develop? - ANSWER It can begin from low dose therapeutic use of a drug with medications such as benzodiazepines, opiods, antileptics and antidepressants; also recreational use When a high dose of a drug is used for recreation - ANSWER there is a greater duration in use and use began at an earlier age. This creates worsened physical dependence and severe withdrawal State the types of withdrawals - ANSWER - Acute withdrawal syndrome

  • post-acute withdrawal syndrome (PAWS) Describe acute withdrawal syndrome - ANSWER - Starts when a drug is stopped
  • continues for days, weeks, or months Describe protracted withdrawal - ANSWER - post-acute withdrawal syndrome (PAWS)
  • low grade continuation of some symptoms of acute withdrawal
  • occurs in a pattern of remitting-relapsing
  • often results in relapse into addiction and prolonged disability that affects chances of employment
  • rarely, but can be indefinite Protracted withdrawal syndrome is commonly caused by - ANSWER - benzodiazepines
  • may be present with alcohol and opioid addiction A patient has a plan to commit suicide, what's the next step? - ANSWER - Call 911
  • file application for detention
  • do not take no for an answer What are the top 3 most harmful drugs? - ANSWER 1. alcohol
  1. heroin
  2. crack cocaine
  3. methamphetamine
  4. cocaine
  1. tobacco What action do you take if a patient is homicidal? - ANSWER - Call 911
  • file application for detention
  • do not take no for an answer If a patient is suicidal, agreeing to this will prevent detention - ANSWER - 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? - ANSWER 5 days or more Describe assessment findings for tenosynovitis - ANSWER - 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 - ANSWER 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 - ANSWER Done to diagnose carpal tunnel Tap over the median nerve; Pain = positive When prescribing NSAIDS for long-term always assess - ANSWER kidney function Non-pharmacologic treatments for URI - ANSWER - commonly caused by viruses
  • remove triggers, such as smoking, allergens- What's important to remember when the assessment reveals AMS? - ANSWER It's a Medical Emergency It's important for the FNP to assess abdominal pain by - ANSWER - assessing the patient's history of the presenting complaint and the physical exam
  • 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? - ANSWER - avoid the allergen
  • steroids
  • antihistamines/decongestants
  • epinephrine for anaphylaxis
  • immunotherapy What is the treatment for an anaphylatic reaction? - ANSWER - Epinephrine injected immediately
  • Dosage: 0.3mg (0.3ml, 1:1000) >30kg
  • 0.15mg (0.3ml, 1:2000) 15-30kg
  • CALL 911 List several antagonistic drugs used to block allergic mediators - ANSWER - antihistamines
  • glucocorticoids
  • epinephrine
  • theophylline
  • cromolyn sodium
  • antileukotrienes, such as montelukast, zafirlukast
  • anti-cholinergics
  • compounds that impair eosinophil chemotaxis Iron deficiency anemia from diet is rare commonly caused by - ANSWER - GI bleeding from ulcers, colon cancer
  • anemias of chronic disease: chemotherapy, renal disease How is anemia treated? - ANSWER - ferrous sulfate, ferrous fumerate, ferrous gluconate
  • recombinant erythropoietin
  • epoetin alfa
  • parenteral iron Describe acute asthma treatment - ANSWER - inhaled short-acting beta- agonist
  • oral corticosteroids
  • L-acting beta agonists or leukotriene agonists How is severe asthma treated? - ANSWER - intravenous corticosteroids
  • magnesium sulfate
  • hospitalization What is a peak flow meter used for? - ANSWER - to measure peak expiratory flow rate
  • important to monitor and diagnose asthma The addition of this is superior in treating bacterial vaginosis - ANSWER - 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 - ANSWER - rapid onset unilateral facial paralysis caused by an inflamed facial nerve compressed by a narrow bone canal beneath the ear
  • usually self-limiting Describe the treatment for Bell's palsy - ANSWER - corticosteroids within 3 days after onset
  • lacrilube for dry eye Describe how an animal bite is treated - ANSWER - 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
  • chest X-ray
  • eval lower extremities for edema Describe conjunctivitis - ANSWER 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 - ANSWER - 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 The FNP has diagnosed the patient with herpes of the eye, what's the next step? - ANSWER - Opthalmic emergency
  • Do not treat
  • Consult opthalmology What follow up question should the FNP ask for an eye injury? - ANSWER - 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? - ANSWER - always measure nevus or what you are biopsying and record What objective tests are conducted when Bell's Palsy is diagnosed? - ANSWER - eyebrow raise
  • smile

What is the treatment for an acute asthma attack? - ANSWER - Duoneb, albuterol 2.5mg/ml and atrovent .5mg

  • then up to three albuterol nebulizers
  • O2 may be needed
  • solumedrol injection
  • monitor for tachycardia Is an I&D in primary care a sterile procedure? - ANSWER often not a sterile procedure What clinical prediction rule is used when DVT is suspected? - ANSWER - Wells score
  • D-dimer test (high sensitivity) What type of imaging is used to diagnose DVT? - ANSWER ultrasound of suspected veins How is DVT treated? - ANSWER - commonly treated outpatient
  • lovenox injections BID for a few days plus coumadin and then coumadin alone
  • INR is required (should be between 2.0-3.0)
  • coumadin diet
  • Vitamin K is the antidote for increased INR What is the treatment for orofacial pain in primary care? - ANSWER - amoxicillin or clindamycin
  • Peridex oral rinse and pain medication
  • naproxen Describe assessment findings for ketoacidosis - ANSWER - nausea
  • vomiting
  • abdominal pain
  • acetone breath
  • deep breathing (kussmaul breathing)
  • decreased consciousness
  • excessively heavy blood loss Describe otalgia - ANSWER - ear pain may be caused by:
  • impacted teeth
  • sinus disease
  • inflamed tonsils
  • infections of the nose and pharynx
  • throat cancer
  • occasionally as a sensory aura that precedes a migraine Describe otitis media - ANSWER Middle ear infection - bacterial or viral Complications include: perforated ear drum, chronic mastoiditis, scarring and hearing loss Describe the treatment for otitis media - ANSWER - first line: amoxicillin
  • if there's resistance or use of amoxicillin in the last 30 days then amoxicillin-clavulanate or another penicillin derivative plus beta lactamase inhibitor is recommended Prescribing antibiotics longer than this will likely result is side effects - ANSWER Prescribing antibiotics more than 7 days will have less side effects When prescribing azithromycin for otitis media, the FNP should know - ANSWER - For a short course
  • long-acting
  • more likely to be successful than short-acting alternatives
  • no improvement after 2-3 days of treatment, then change therapy Describe otitis externa - ANSWER Infection of the auditory canal. -History of trauma or moist environment. -Itching in the ear canal. -Intense pain with movement of pinna such as chewing. -Discharge may be watery at first, then purulent and thick mixed with pus and epithelial cells. Foul smelling.

-Conductive hearing loss. -Canal is red, edematous. Tympanic membrane obscure. Describe the treatment for bone fractures - ANSWER - either surgical or conservative

  • conservative treatment with pain management, immobilization, non- surgical stabilization
  • either open vs closed treatment How should an open fracture be treated in primary care? - ANSWER It's a medical emergency What are the pain sensitive structures in the head? - ANSWER - Brain tissue isn't sensitive to pain
  • periosteum of the skull
  • muscles
  • nerves
  • arteries
  • veins
  • subcutaneous tissues
  • eyes
  • ears
  • sinuses
  • mucous membranes What is the first line treatment for a headache? - ANSWER Naproxen Describe the symptoms of TBI - ANSWER - exchangeable with concussion
  • clumsiness
  • fatigue
  • confusion
  • nausea
  • blurry vision

What are considerations for using adhesive to close a wound? - ANSWER - less time to close

  • < 5cm in adults and children
  • less pain
  • reopens at a higher rate
  • similar risk for infection
  • avoid in areas of high tension Describe mastitis - ANSWER - inflamed breast tissue
  • commonly etiology is S. aureus
  • occasionally S. epidermis and streptococci How is mastitis classified? - ANSWER - milk stasis
  • non-infectious or infectious inflammation and abscess
  • differentiated based on leukocyte count and bacteria culture What are the symptoms of mastitis? - ANSWER - fever
  • pain
  • erythema Describe mastoiditis - ANSWER complication of acute otitis media with protrusion of the auricle, confirmed by CT scan with opacification of mastoid cells; can cause meningitis if left untreated Describe symptoms of meningitis - ANSWER - headache and neck stiffness
  • fever
  • confusion
  • altered consciousness
  • vomiting
  • photophobia
  • phonophobia
  • specific type of meningitis will present with a rash

How does meningitis present in children? - ANSWER - irritability and drowsiness Describe mononucleosis - ANSWER - Triad: LAD, fever, pharyngitis

  • positive monospot, atypical lymphocytosis
  • may see HSM, palatial petechiae and white or purple exudate