UNIVERSITY OF MARYLAND HESI PACKRAT NURSING EXAM QUESTIONS AND CORRECT ANSWERS WITH NGN

UNIVERSITY OF MARYLAND HESI PACKRAT NURSING EXAM QUESTIONS AND CORRECT ANSWERS WITH NGN

A 16 year old has just moved schools. He is quiet, moody and not like himself
at all. Within six months he seems to have completely changed back to his
previous personality. What is the most likely diagnosis?
Adjustment disorder
What is the prophylactic antibiotic most commonly given before a dental
procedure if one is necessary?
Amoxicillin 2 grams po 1 hour before procedure
Wilson's disease is associated with a build up of what mineral?
There is a deficiency of the copper binding protein and therefore a buildup of
copper.
Name one oral medication that can be used for MRSA.
Linezolid (Zyvox) and Bactrim
Which cardiac medication is used to help with cardiac contractility after you
have optimized most of the other cardiac medications?
Digoxin
What medication used in hepatitis B infection helps prevent the need for liver
transplant?
Lamivudine
How is celiac disease most commonly diagnosed?
Endoscopic biopsy Mononucleosis
A 14 year old field hockey player presents with prominent adenopathy, white
purple exudates in the throat and a palpable spleen. What is the most likely
diagnosis?
Wernicke's aphasia
A patient presents with what appears to be an inability to understand speech.
Which aphasia should be at the top of your differential?
It is blood in the joint indicating a fracture even if the fracture line cannot be seen.
A fat pad sign on a lateral x-ray of the elbow has what significance?
It is blood in the joint indicating a fracture even if the fracture line cannot be seen.
A corkscrew appearance on barium study should make you think of what
diagnosis?
Esophageal spasms
What is the treatment for Turner's syndrome?
Cyclical estrogen and progesterone
What is the gold standard for diagnosing myocarditis?
Myocardial biopsy
By what age should a child be able to hold up her head?
3 months
On physical exam, you notice ulnar deviations and swan neck deformities.
What is the most likely diagnosis?
Rheumatoid arthritis
What is the most accurate way to diagnose urethritis?
Urine PCR
You hear a loud harsh holosystolic murmur in a child. It is heard best at the
LLSB. What is the most likely diagnosis?
Ventricular septal defect
The accessory pathway known as the James bundle should make you think of
what syndrome?
Lown-Ganong-Levine syndrome
A Blalock procedure is used to correct what congenital heart condition?
Tetralogy of Fallot
What medication can be used to control bleeding due to uterine atony?
Oxytocin (Pitocin)
What is the most common cause of a folate deficiency?
Alcoholism
List three risk factors for placental abruption.
HTN, smoking, AMA, cocaine use, PROM
What ejection fraction is typical for a patient with CHF?
35-40%
What is the major concern with using lithium?
It has a very narrow therapeutic window. Blood tests are needed every four weeks.
List the four most common places lung cancer will metastasize to.
Bone, brain, adrenals and liver
What is the main risk factor for esophagitis?
Immunocompromised patient
An EKG shows a regular rate of 50 beats per minute. The QRS is narrow and
there is no visible P wave. What is the most likely diagnosis?
Junctional rhythm
List two diagnoses which require antibiotic prophylaxis for "dirty
procedures?"
Prosthetic valve, valve repair with any prosthetic material, prior endocarditis
diagnosis, congential cyanotic heart defect

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