NR 508 Exam Questions with Answers A+ Graded

NR 508 Exam Questions with Answers A+ Graded
A patient who has diabetes reports intense discomfort when needing
to void. A urinalysis is normal. To treat this, the primary care NP should
consider prescribing:
flavoxate (Urispas).
bethanechol (Urecholine).
phenazopyridine (Pyridium).
oxybutynin chloride (Ditropan XL).
This patient is describing urge incontinence, or overactive bladder,
which occurs when the detrusor muscle is hyperactive, causing an
intense urge to void before the bladder is full. Urge incontinence is
associated with many conditions, including diabetes. Oxybutynin
chloride, which is an anticholinergic, acts to decrease detrusor
overactivity and is indicated for treatment of urge incontinence.
Flavoxate is used to treat dysuria associated with UTI. Bethanechol is
indicated for urinary retention. Phenazopyridine is used to treat
dysuria.
A patient reports difficulty returning to sleep after getting up to go to
the bathroom every night. A physical examination and a sleep hygiene
history are noncontributory. The primary care NP should prescribe:
zaleplon.
ZolpiMist.
ramelteon.
chloral hydrate.
ZolpiMist oral spray is useful for patients who have trouble returning to
sleep in the middle of the night. Zaleplon and ramelteon are used for
insomnia caused by difficulty with sleep onset. Chloral hydrate is not
typically used as outpatient therapy.
A 5-year-old child who has no previous history of otitis media is seen in
clinic with a temperature of 100° F. The primary care NP visualizes
bilateral erythematous, nonbulging, intact tympanic membranes. The
child is taking fluids well and is playing with toys in the examination
room. The NP should:
prescribe azithromycin once daily for 5 days.
prescribe amoxicillin twice daily for 10 days.
prescribe amoxicillin-clavulanate twice daily for 10 days.
initiate antibiotic therapy if the child’s condition worsens.
Signs and symptoms of otitis media that indicate a need for antibiotic
treatment include otalgia, fever, otorrhea, or a bulging yellow or red
tympanic membrane. This child has a low-grade fever, no history of
otitis media, a nonbulging tympanic membrane, and no otorrhea, so
watchful waiting is appropriate. When an antibiotic is started,
amoxicillin is the drug of choice.

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