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NR 667 Vise call focused Possibilities with complete answers latest 2025/2026, Exams of Nursing

Watts School of NursingNursing

NR 667 Vise call focused Possibilities with complete answers latest 2025/2026NR 667 Vise call focused Possibilities with complete answers latest 2025/2026

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Available from 07/04/2025

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NR 667 Vise call focused Possibilities
with complete answers latest 2025/2026
1. BPH AUA Questions "Over the past month have you..." - correct answer1. Sensation
of incomplete emptying
2. Urinate less than 2 hours after you finished (Frequency)
3. How often have you found that you start and stop several times when urinating
4. found it difficult to postpose urination
5. Weak urinary stream
6. push or strain when urinating
7. how many times do you typically get up to urinate
Mild= 0-7
moderate= 8-19
Severe 20-35
BPH Labs - correct answerU/A
PSA
High PSA and free PSA (cancerous is high PSA and normal to low free PSA)
Renal panel
post void residual
BPH Differentials - correct answerProstatitis
Prostate cancer
UTI
Bladder cancer
BPH Assessment - correct answerDRE
Firm, smooth symmetrically enlarged prostate
BPH Non-pharm education - correct answerLimit bedtime fluids
Limit caffeine, alcohol, antihistamine/anticholinergics
Limit salt intake
BPH Pharm education - correct answerAlpha 1 Blocker
Flomax 0.4mg daily at bedtime
May cause dizziness
Follow up in 2-4 weeks
Urology if patient is not responding to treatment
Annual PSA and DRE if initial PSA >2.5
2. Sinusitis (Maxillary) Assessment findings - correct answerViral <10 days- treat
symptomatically with NSAIDs, Acetaminophen
Bacterial >10 days- <4 weeks
HEENT Exam- facial tenderness, post nasal drip, middle ear effusion, halitosis,
periorbital edema
Sinusitis differentials - correct answerAllergic Rhinitis
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with complete answers latest 2025/

  1. BPH AUA Questions "Over the past month have you..." - correct answer1. Sensation of incomplete emptying
  2. Urinate less than 2 hours after you finished (Frequency)
  3. How often have you found that you start and stop several times when urinating
  4. found it difficult to postpose urination
  5. Weak urinary stream
  6. push or strain when urinating
  7. how many times do you typically get up to urinate Mild= 0- moderate= 8- Severe 20- BPH Labs - correct answerU/A PSA High PSA and free PSA (cancerous is high PSA and normal to low free PSA) Renal panel post void residual BPH Differentials - correct answerProstatitis Prostate cancer UTI Bladder cancer BPH Assessment - correct answerDRE Firm, smooth symmetrically enlarged prostate BPH Non-pharm education - correct answerLimit bedtime fluids Limit caffeine, alcohol, antihistamine/anticholinergics Limit salt intake BPH Pharm education - correct answerAlpha 1 Blocker Flomax 0.4mg daily at bedtime May cause dizziness Follow up in 2-4 weeks Urology if patient is not responding to treatment Annual PSA and DRE if initial PSA >2.
  8. Sinusitis (Maxillary) Assessment findings - correct answerViral <10 days- treat symptomatically with NSAIDs, Acetaminophen Bacterial >10 days- <4 weeks HEENT Exam- facial tenderness, post nasal drip, middle ear effusion, halitosis, periorbital edema Sinusitis differentials - correct answerAllergic Rhinitis

with complete answers latest 2025/

dental abscess migraine Sinusitis labs - correct answerCBC, Sinus X-ray/CT if chronic Diagnosis based on history and PE unless complications Sinusitis non-pharm - correct answerRest, hydration, warm compress to sinuses Use humidifier/ saline nose spray Sinusitis pharm - correct answerWatchful waiting for viral vs bacterial Start prior to bacterial timeframe for immunocompromised or severe illness such as fever, moderate-severe pain, unilateral tenderness, worsening symptoms Adults- Augmentin 875/125mg BID x 10 days PCN allergy Doxy 100mg BID x 7 days Peds- Amoxiciilin 80-90mg/kg BID 5-7 days PCN allergy cefpodoxime 5 mg/kg q12h for 10 days (2 mo-12 yrs) or 200 mg q12h for 10 days (>12 yrs) Sinusitis follow-up - correct answerf/u 1 week for effectiveness or if symptoms worsen 3-5 days ENT if recurrent infections ER if meningitiis Immediate referral for periorbital edema

  1. Low back pain assessment - correct answerReferred, radiating, localized? OLDCARTs (Onset, location, duration, characteristics, aggravating, relieving, treatment, severity) Urinary issues Neuro issues Low back pain diagnostics - correct answerx-ray with injury or 4 weeks without resolution MRI and CT for disc disease CBC, CMP, CRP, UA Low back pain PE - correct answerMotor, sensory, and reflex observe gait assess lower extremity strength, and bulk of muscle and pulses DTR- Patellar nerve roots L2-L Achilles nerve roots S1-S Straight leg raise- herniated disc cross leg raise test

with complete answers latest 2025/

Reflux differentials - correct answerH. Pylori infection PUD Asthma

  1. Acute laryngopharyngitis presentation (Strep) - correct answersore throat, tonsillar exudate, cervical adenopathy, fever, no cough, petechiae on soft palate, beefy red tonsils, sandpaper rash Acute laryngopharyngitis presentation (Virus) - correct answerfever, cough, nasal congestion, hoarseness, diarrhea, viral rash Acute laryngopharyngitis diagnosis - correct answerrapid strep test Acute laryngopharyngitis non pharm - correct answergargle with warm salt water, increase fluids, change toothbrush 48-72 hours after abx Acute laryngopharyngitis pharm - correct answerPen V K 500 mg PO BID x 10 days Cephalexin 500mg PO BID x 10 days if PCN allergy No f/u unless worsening symptoms Allergic Rhinitis Presentation - correct answerclear nasal discharge, pale nasal mucosa, red and watery eyes along with nasal congestion, rhinorrhea, itching of nose, eyes, palate, sneezing, cough
  2. Allergic Rhinitis PE Assessmnet - correct answerAssess for conditions such as asthma, atopic dermatitis, sleep disordered breathing, conjunctivitis, otitis media Dark discolored area beneath lower eyelids transverse crease on tip of nose enlarged tonsils and adenoids Allergic Rhinitis testing - correct answerSpecific IgE testing (blood or skin) should be performed for patients with a clinical diagnosis of AR who do not respond to empiric treatment, or when diagnosis is uncertain, or when determination of specific target allergen is needed. (allergy panel) Allergic Rhinitis non pharm - correct answeravoid triggers such as allergens or environmental Allergic Rhinitis pharm - correct answerIntranasal steroids (Budesonide or Fluticasone) should be prescribed for patients whose symptoms affect quality of life or Oral second-generation/less sedating antihistamines (Cetirizine or Loratadine) should be prescribed for patients with AR and primary complaints of sneezing and itching

with complete answers latest 2025/

or Intranasal antihistamines may be prescribed for patients with seasonal, perennial, or episodic AR. Allergic Rhinitis follow-up - correct answerF/U 5-7 days after mono therapy, switch to another first line monotherapy if first failed Referral to ENT needed if symptoms persist or worsen

  1. UTI Presentation - correct answerUrgency, dysuria, increased frequency, incomplete bladder emptying, fever, chills, hematuria, lower abdominal pain/flank pain, dribbling of urine in men, foul smelling urine, small volume/ frequent voiding UTI diagnosis - correct answerUA- WBC positive, Nitrate positive, urine culture Pyridium can cause false positive May also collect STI test, C&S After 2-3 days, WBC >100, UTI older adult symptoms - correct answerNew onset of confusion fatigue UTI differentials - correct answerOveractive bladder, Vaginitis, STI, PID, prostatitis, BPH UTI pharm - correct answerE.Coli most common cause Macrobid 100mg BID x 5-7 days Keflex 500mg PO BID-TID 3-5 days UTI non pharm/preventative - correct answervoiding after sexual intercourse, practice genital hygiene, loose fitting clothing, improve glucose levels in diabetic
  2. Asthma PE findings - correct answerexp wheezing, SOB, non productive cough, tachypnea, tachycardia, accessory muscle use, sudden nocturnal dyspnea, decreased exercise tolerance, chest tightness Asthma diagnostics - correct answerPFT spirometry, peak flow monitoring Asthma Non pharm - correct answeravoid allergens and irritants, educate S/S of exacerbation, asthma action plan, immunizations UTD Asthma Pharm reliever - correct answerAll need PRN reliever- ICS- Formoterol (Symbicort) ICS-SABA SABA (albuterol) Asthma Pharm step 1-2 - correct answerlow-dose ICS plus formoterol (ICS-formoterol) and a SABA as needed.

with complete answers latest 2025/

Cardio- heart sounds, perform symmetrical pulses Lungs- SOB, pulmonary edema Neuro- occipital headache, headache upon awakening, dizziness Auscultate for carotid bruits bilaterally, abdominal bruits, and kidney bruits HTN Diagnostics - correct answerCBC, CMP, UA TSH, Lipid, fasting glucose EKG, CXR HTN non pharm - correct answerLifestyle modification: weight loss, smoking/alcohol cessation, healthy diet, and sodium reduction Maintain BP log 2x/ daily and bring to next f/u HTN pharm - correct answerDiuretics: Hydrochlorothiazide (HCTZ) 25mg/day max 50mg/day) *May worsen gout and elevate lipids and glucose. Preferred in patient with osteoporosis and African Americans. o Ace inhibitors (-PRIL): Complicated HTN, renal/cardio protective for DM patients. (Lisinopril 10mg/day) *Hyperkalemia risk. If patient develops angioedema transition to ARBs o ARB's (-SARTAN): Renal/cardio protective for DM patients. (Losartan 25mg/day) *Hyperkalemia risk. o CCB's (-PINE): Preferred in African American and patient >65 years old with (with stiff artery). (Amlodipine besylate 5mg/day) *Watch for lower extremity edema and avoid in GERD patients (weakens gastric sphincter). o Consider ACE/ARB in patients with DM, proteinuria, HF. (ACE/ARB contraindicated in pregnancy). o If stage 2 HTN, initiate 2 drug classes (Diuretics and CCB). o BP meds safe for pregnancy: Nifedipine, Labetalol, and Methyldopa HTN F/U - correct answerReassess in 1 month for effectiveness of BP-lowering medication therapy. If goal is met at 1 month, reassess in 3 to 6 months. If goal is not met after 1 month, consider different medication or titration

  1. Hyperlipidemia history - correct answerfamilial hypercholesterolemia, diet, exercise habits, tobacco, alcohol, or drug use, symptoms of peripheral arterial disease, angina, stroke, or presence of coronary artery disease Hyperlipidemia PE - correct answerBP, carotid/abdominal bruits, assess skin for xanthomas, listen for S4 sound, palpate all 4 extremities for intact peripheral pulses. Hyperlipidemia differentials - correct answerDMII, hypothyroid, metabolic syndrome Hyperlipidemia labs - correct answerA1C/ fasting glucose

with complete answers latest 2025/

TSH

Lipid panel UA Liver function Hyperlipidemia non pharm - correct answerLifestyle changes (diet and exercise), weight loss, smoking cessation, avoid alcohol, eat food with high omega 3 (fish) Hyperlipidemia pharm - correct answerhigh intensity if LDL > Moderate risk- statin + lifestyle changes Intitiate statin therapy as secondary prevention for patients with risk factors such as history of stroke