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Clinical Exam Quiz #2

Total questions: 89

Worksheet time: 45mins

Name
Class
Date
1.

Isla and Priya are chatting when Isla notices a red, swollen patch on Priya's leg that's warm and tender to the touch. Curious, they wonder what could be causing Priya's suspected cellulitis. Which of the following is a common culprit behind cellulitis?

a)

Staphylococcus aureus

b)

Candida albicans

c)

Herpes simplex virus

d)

Malassezia furfur

2.

Scarlett and Benjamin are chatting about their latest skincare adventures. Scarlett mentions to her doctor that she has been experiencing pruritis after trying a new lotion. What is the primary symptom she is likely describing?

a)

Redness

b)

Itching

c)

Swelling

d)

Blistering

3.

Evelyn and Daniel are chatting about skin health when Evelyn mentions she has red patches on her skin covered with silvery scales. Daniel suggests she visit a dermatologist. Which skin disorder is Evelyn most likely experiencing?

a)

Eczema

b)

Psoriasis

c)

Impetigo

d)

Scabies

4.

Grace and Harper are chatting when Grace mentions she has a painful, blistering rash on one side of her body. Her doctor says it's herpes zoster. Harper is curious—what is herpes zoster also known as?

a)

Chickenpox

b)

Shingles

c)

Cold sores

d)

Ringworm

5.

Grace, Anika, and Aiden are chatting about skin infections after Grace visits her doctor for a mysterious rash. The doctor says one of these is a yeast infection. Can you help them figure out which one it is?

a)

Tinea corporis

b)

Candidiasis

c)

Scabies

d)

Impetigo

6.

Liam, Hannah, and Isla had a sleepover at Isla's house. The next day, Liam started feeling super itchy and noticed a rash! When he visited the doctor, scabies was suspected. Can you guess the main way scabies spreads among friends?

a)

Airborne droplets

b)

Direct skin-to-skin contact

c)

Contaminated water

d)

Insect bites

7.

Scarlett and Olivia are chatting about their latest adventures when Scarlett mentions her visit to the dermatologist for a mysterious skin spot. The doctor tells her that some skin disorders can be malignant. Which of the following is a malignant skin disorder?

a)

Basal cell carcinoma

b)

Eczema

c)

Cellulitis

d)

Cyst

8.

Mason and Benjamin are chatting about their latest adventures, when Mason mentions he's been dealing with itchy, inflamed patches of skin. After a visit to his doctor, he's diagnosed with eczema. Which of the following is a common management strategy for Mason's condition?

a)

Use of topical corticosteroids

b)

Oral antibiotics

c)

Antiviral therapy

d)

Antifungal creams

9.

Maya and Elijah are chatting during lunch when Maya suddenly notices painful blisters on her lips. Concerned, she visits her doctor and learns it's a herpes simplex outbreak. Which medication is typically used to help Maya feel better?

a)

Acyclovir

b)

Amoxicillin

c)

Terbinafine

d)

Hydrocortisone

10.

Charlotte and her friend Grace are preparing for a science quiz about skin health. Grace asks: "If someone visits the doctor because they've noticed changes on their skin, and the doctor observes several lesions, which sign would be most indicative of a fungal skin infection?"

a)

Circular, scaly patches

b)

Vesicular eruptions

c)

Pustular lesions

d)

Ulceration

11.

Priya, Avery, and Lily are chatting about their summer adventures when Priya mentions she has intense itching and a rash. Her doctor says it's scabies! Avery and Lily want to help Priya figure out the best way to treat it. What is the primary treatment for scabies?

a)

Permethrin cream

b)

Oral antibiotics

c)

Topical corticosteroids

d)

Antiviral medication

12.

Scarlett and Elijah are chatting about their skin care routines. Scarlett mentions that her eczema flares up whenever she uses certain soaps or when the weather gets chilly. What important tip should Scarlett remember to help keep her eczema under control?

a)

Avoiding known triggers

b)

Increasing sun exposure

c)

Using oral antivirals

d)

Applying antifungal creams

13.

Priya and Avery are chatting at school when Priya notices Avery has grouped vesicles on an erythematous base around her mouth. Curious, Priya wonders which condition Avery might have. Can you help her figure it out?

a)

Herpes simplex

b)

Impetigo

c)

Cellulitis

d)

Tinea corporis

14.

James, Daniel, and Aiden decided to go on an adventurous hike in a mysterious forest. After their trip, James started feeling unwell and showed symptoms of Lyme disease. Can you guess how James most likely caught the disease during their fun outing?

a)

Tick bite

b)

Airborne droplets

c)

Direct skin contact

d)

Contaminated water

15.

Imagine Ava and Kai are nurses caring for Jackson, a patient in the hospital. Despite their teamwork and regular repositioning, Jackson develops a pressure ulcer! What extra preventive strategy should Ava and Kai try next to help Jackson?

a)

Use of specialized support surfaces and nutritional assessment

b)

Increase repositioning frequency to every 15 minutes

c)

Apply antifungal cream daily

d)

Begin oral antiviral therapy

16.

Abigail and Arjun are preparing for their medical exam. They discuss a case: Grace comes to the clinic with a red, warm, swollen area on her leg and fever. What is the most likely diagnosis and initial management plan?

a)

Cellulitis; start empiric antibiotics and monitor for systemic involvement

b)

Eczema; apply topical corticosteroids

c)

Herpes simplex; start antiviral therapy

d)

Fungal infection; use topical antifungals

17.

Maya and Liam are discussing how to help their friend Ava, who keeps having pesky herpes simplex outbreaks. If you were their healthcare provider, what would be the best long-term advice to give Ava?

a)

Initiate suppressive antiviral therapy and educate on trigger avoidance

b)

Use topical corticosteroids during outbreaks only

c)

Apply antifungal cream daily

d)

Recommend increased sun exposure

18.

Liam and Maya are preparing for their medical quiz when James bursts in, scratching his hands and showing them burrow-like lesions between his fingers. He asks, "What could this be, and how should I treat it?" Can you help them solve James's mystery?

a)

Scabies; prescribe permethrin cream and treat close contacts

b)

Impetigo; start oral antibiotics

c)

Herpes zoster; begin antiviral therapy

d)

Fungal infection; use topical antifungals

19.

Zoe and Liam are chatting about skin problems. Zoe mentions that her friend Grace, who has eczema, suddenly developed honey-colored crusts on her skin. Liam wonders what could be going on! What is the most likely diagnosis and what should Grace do next?

a)

Impetigo; start topical or oral antibiotics

b)

Herpes simplex; begin antiviral therapy

c)

Fungal infection; use topical antifungals

d)

Pressure ulcer; apply pressure-relieving devices

20.

Emma and Anika are studying together when Emma shares that her friend Olivia recently visited the doctor with a suspicious rash. The doctor suspected a fungal skin infection, but after a KOH test, the result was negative. What should Olivia's doctor do next?

a)

Reassess diagnosis and consider alternative causes such as eczema or bacterial infection

b)

Start oral antifungal therapy immediately

c)

Begin topical corticosteroids

d)

Refer for skin biopsy

21.

Noah and Olivia are having a friendly competition to spot unusual skin marks. Noah finds a new spot and visits a dermatologist, who explains the typical features of malignant skin disorders. Which of the following is NOT a typical feature of malignant skin disorders?

a)

Rapid growth

b)

Irregular borders

c)

Uniform color

d)

Bleeding

22.

Aiden, Nora, and Grace are chatting during recess. Suddenly, Nora starts scratching her head and discovers she has pediculosis (head lice)! The friends wonder how head lice can spread. Which of the following is a key factor in the transmission of pediculosis?

a)

Sharing personal items such as combs and hats

b)

Airborne droplets

c)

Contaminated water

d)

Tick bites

23.

Benjamin is leading a lively training session for new hospital staff on infection control. He invites Mia and Arjun to join him in a fun quiz round. Benjamin presents a scenario: "Imagine you are detectives reviewing patient cases to spot hospital-acquired infections. Which of the following conditions would NOT be considered a hospital-acquired infection?"

a)

Ventilator-associated pneumonia

b)

Catheter-associated UTI

c)

Malaria

d)

Surgical site infection

24.

Maya and her friend Liam are working in a hospital. Maya always wears gloves while caring for patients and tells Liam, "Wearing gloves alone keeps us safe from HAIs!" Is Maya correct?

a)

True

b)

False

25.

Jackson, Noah, and Benjamin are nurses in a busy hospital. They have a friendly competition to see who can best prevent urinary tract infections in patients who require urinary catheters. What is the most effective strategy they should use to win the title of "UTI Prevention Champion"?

a)

Use catheters only when absolutely necessary and remove them as soon as possible

b)

Change catheters every day

c)

Keep catheters in place for extended periods

d)

Use a catheter for every patient regardless of condition

26.

Oliver, Maya, and Elijah are chatting about how to support a friend with psoriasis who feels down because of the condition. Which of the following is a psychosocial intervention that could help their friend?

a)

Prescribing antibiotics.

b)

Providing emotional support and stress management techniques.

c)

Administering antifungal medication.

d)

Recommending surgical removal of affected skin.

27.

Evelyn and James are student nurses caring for Samuel, who has just been diagnosed with a herpesvirus infection. They want to make sure Samuel gets the best care possible! Which nursing intervention should Evelyn and James choose for Samuel?

a)

Administering antiviral medication.

b)

Prescribing antibiotics.

c)

Providing antifungal treatment.

d)

Recommending dietary changes.

28.

Aria, Sophia, and Aiden are discussing skin health. Olivia notices an unusual change in one of her moles and asks her friends for advice. Which of the following is a characteristic of skin cancer that she should be concerned about?

a)

Rapid healing of wounds

b)

Unusual changes in moles or skin lesions

c)

Increased skin elasticity

d)

Persistent dryness of the skin

29.

Abigail and Olivia are nurses on a mission to keep their immobile patient comfy and healthy in the hospital. What should they focus on first to prevent pressure ulcers and win the "Best Care Team" award?

a)

Ensuring proper hydration

b)

Regular repositioning of the patient

c)

Providing a high-protein diet

d)

Administering pain medication

30.

Charlotte's family is having a group chat with Hannah, Arjun, and Anika after one member was diagnosed with scabies. What important advice should they share to help everyone stay safe?

a)

How to assess the skin for signs of skin cancer

b)

How to provide care for a stage III or stage IV pressure ulcer

c)

How to maintain hygiene and prevent the spread of scabies

d)

How to administer medication for diabetes

31.

Emma and Henry are chatting about skin health when Emma mentions that her friend Elijah has been dealing with scaly white or yellowing plaques and itching on his scalp and other areas. They wonder what disease process these signs are indicative of. Can you help them solve this skin mystery?

a)

Seborrheic Dermatitis

b)

Eczema

c)

Psoriasis

d)

Hyperpigmentation

32.

Luna and James are chatting about their health when Luna mentions she's been dealing with itchy, inflamed skin. After a visit to her doctor, Luna learns she has eczema. The doctor tells her that eczema is often linked to which of the following conditions?

a)

Diabetes, hypertension, and obesity

b)

Asthma, allergies, and hay fever

c)

Arthritis, osteoporosis, and anemia

d)

Depression, anxiety, and insomnia

33.

Luna and Jackson are chatting about Luna's recent psoriasis diagnosis. Luna is feeling a bit down and needs some support. What emotional needs should Luna's friends help her with?

a)

Body image and depression risk

b)

Anger management and social skills

c)

Memory retention and cognitive function

d)

Sleep patterns and dietary habits

34.

Aiden and Sophia are chatting in the school hallway when Aiden mentions that his friend Jackson recently visited a dermatologist after noticing some changes on his skin. Sophia wonders what a common clinical presentation of psoriasis might look like. Can you help them figure out which of the following is a classic sign of psoriasis?

a)

Red, raised plaques with silvery-white scales

b)

Fluid-filled blisters on the skin

c)

Dark patches with uneven borders

d)

Small, itchy bumps that spread rapidly

35.

Evelyn and Mason are chatting about skin health when Evelyn mentions her friend Olivia, who recently visited her dermatologist. Olivia was surprised to learn that her red, scaly plaques—classic signs of psoriasis—tend to appear in specific spots. Can you help Evelyn and Mason figure out where psoriasis plaques are most commonly found?

a)

Palms, soles, and neck

b)

Scalp, elbows, knees, and back

c)

Face, chest, and abdomen

d)

Fingers, toes, and ears

36.

Emma and Grace are chatting about health when Emma mentions her recent visit to the doctor for genital sores. The doctor explained that these are most often caused by a certain type of herpes simplex virus. Can you help Emma and Grace figure out which type of herpes simplex virus is most often associated with genital herpes?

a)

Herpes simplex virus type 1 (HSV-1)

b)

Herpes simplex virus type 2 (HSV-2)

c)

Herpes simplex virus type 3 (HSV-3)

d)

Herpes simplex virus type 4 (HSV-4)

37.

Priya and Mason are chatting about health when Priya mentions she has developed oral cold sores. Mason bets he knows which type of Herpes Simplex Virus is usually behind this! Can you help them settle the debate?

a)

HSV-1

b)

HSV-2

c)

HSV-3

d)

HSV-4

38.

Scarlett and Kai are chatting about health mysteries, and Scarlett mentions that her friend Abigail recently developed lesions caused by Herpes Simplex Virus. Kai wonders, "How long does it usually take for these lesions to heal?" Can you help them solve this medical puzzle? What is the typical healing time for lesions caused by Herpes Simplex Virus?

a)

3–5 days

b)

7–10 days

c)

14–20 days

d)

1–2 days

39.

Grace and Benjamin are chatting at school when Grace notices Benjamin has painful blisters around his mouth. Curious, she asks him about it, and Benjamin says his doctor suspects a Herpes Simplex Virus outbreak. What symptoms might Benjamin experience along with these blisters?

a)

Fever, malaise, lymphadenopathy

b)

Headache, dizziness, nausea

c)

Muscle pain, fatigue, rash

d)

Cough, sore throat, runny nose

40.

Liam and Emma are chatting about their friend Benjamin, who has been having trouble breathing, wheezing, and coughing for weeks. After a visit to the doctor, they learn that Benjamin's condition is best described as which of the following?

a)

Chronic airway inflammation

b)

Acute lung infection

c)

Temporary airway blockage

d)

Permanent lung damage

41.

Maya and her friend Lily are chatting about their health. Maya shares that she’s been wheezing and feeling short of breath lately, so she visited her doctor. After a careful check-up, the doctor diagnosed Maya with asthma and recommended an inhaled corticosteroid to help her breathe easier. Which of the following medications is commonly prescribed for this purpose?

a)

Albuterol

b)

Fluticasone

c)

Ibuprofen

d)

Prednisone

42.

Nora and William are chatting about asthma at school. Nora mentions that her doctor recommended using a spacer with her inhaler. William is curious—what is the primary benefit of using a spacer for asthma management?

a)

It allows for a higher dose of medication to be delivered.

b)

It reduces the risk of oral thrush by decreasing medication deposition in the mouth.

c)

It increases the speed of medication delivery.

d)

It eliminates the need for regular inhaler maintenance.

43.

Aria and Samuel are chatting about their asthma treatments. Aria mentions that her doctor recently prescribed her a combination inhaler because her symptoms have been tough to control. Samuel wonders, "What’s the main reason doctors use combination inhalers for asthma management?"

a)

To reduce the need for oral corticosteroids

b)

To increase the risk of systemic side effects

c)

To provide both immediate and long-term relief of symptoms

d)

To decrease the effectiveness of treatment over time

44.

Arjun and David are chatting in the waiting room at their doctor's office. Arjun shares that he has been using inhaled corticosteroids for his asthma for several years, just like Charlotte. David wonders what side effects might come from using them for so long. Which of the following is a common side effect of long-term use of inhaled corticosteroids?

a)

Increased risk of pneumonia

b)

Decreased blood sugar levels

c)

Increased bone density

d)

Decreased risk of oral thrush

45.

Olivia, Noah, and Charlotte are nurses working together during a busy influenza outbreak in the hospital. As they discuss the best ways to keep their patients safe, which nursing action should they take to prevent the spread of influenza among their hospitalized patients?

a)

Standard precautions only

b)

Airborne isolation

c)

Droplet precautions with mask and gown

d)

Negative-pressure room

46.

It's flu season at the hospital, and Nurse Harper is teaming up with students Henry, Elijah, and Sophia to review health records. They're trying to guess which client is at the highest risk for flu complications. Who do you think it is?

a)

24-year-old athlete

b)

48-year-old smoker with DM2

c)

8-year-old vaccinated child

d)

16-year-old with mild asthma on inhaler

47.

Nora, Mia, and Arjun are excited for their school field trip! Nora has asthma and wants to make sure she can join in all the fun safely. What is the best advice for Nora?

a)

Carry inhaler

b)

Avoid all physical activity

c)

Restrict fluid intake

d)

Use a sedative

48.

During gym class, Aria and her friends Abigail and Charlotte are racing each other. Suddenly, Aria, a 12-year-old with a history of asthma, starts feeling short of breath and is brought to the emergency room. As you assess Aria, which of the following signs are you most likely to observe?

a)

Tachypnea and tachycardia

b)

Hypotension and bradycardia

c)

Bradypnea and tachycardia

d)

Tachypnea and bradycardia

49.

It's a busy morning in the respiratory unit! As Nurse Avery, you're making your rounds and checking on your patients: Emma, Elijah, and Sophia. Suddenly, you notice something concerning. Which patient would you rush to help first?

a)

The patient with dyspnea, retractions, and crackles

b)

The patient with an anterior-posterior chest diameter is 1:2

c)

The patient with clubbed fingers and resonance with percussion.

d)

The patient with a history of asthma and who is mildly wheezing.

50.

Scarlett and Aria, two nursing students, are shadowing Zoe as she cares for a patient who mentions feeling short of breath after surgery. Zoe challenges Scarlett and Aria to think like detectives: What additional assessments could they do to get a clearer picture of the patient’s condition? Select all that apply.

a)

pt rating of dyspnea on a scale of 1 to 10

b)

Frequency of hemoptysis

c)

Presence of retractions

d)

Feelings of anxiety

e)

Pt preferred position for sitting

51.

Hannah, a 45-year-old woman, tells her doctor that she often wakes up feeling tired and her partner Mason has noticed she sometimes stops breathing during sleep. She’s worried she might have obstructive sleep apnea (OSA). Which of the following symptoms in Hannah would make her doctor recommend a sleep study (polysomnography)? Select all that apply to help Hannah solve the mystery of her sleep!

a)

Hoarseness of voice

b)

Daytime sleepiness

c)

Loud snoring

d)

Rhinorrhea

e)

Insomnia

52.

During a lively health fair, Nurse Grace is chatting with Aria and Rohan about obstructive sleep apnea (OSA) after Aria shares her recent diagnosis. Which statements made by Nurse Grace to Aria and Rohan are spot-on? Select all that apply.

a)

“It is caused by a deviated nasal septum that interferes with nasal drainage.”

b)

“It causes narrowing of one or more sites of the upper airway, resulting in intermittent breathing patterns.”

c)

“It occurs because of allergens found in the environment, medications, or foods.”

d)

“It causes periods of time when there is no movement of air in or out of your body.”

e)

“It can be treated by using continuous positive airway pressure (CPAP).”

53.

Abigail, a nurse, is caring for a client with pneumonia in the hospital. She asks her friends William and Priya to help her spot signs of trouble. During her assessment, which finding would suggest that the client's infection is worsening toward sepsis?

a)

Productive cough with green sputum

b)

Temperature of 100.8°F (38.2°C)

c)

Respiratory rate of 28/min

d)

Fatigue and malaise

54.

Charlotte, a 32-year-old client, arrives at the emergency department with fever, chills, and confusion. William and Benjamin, her friends, are anxiously waiting as the healthcare provider suspects sepsis and orders laboratory tests. Which laboratory finding is most concerning for Charlotte?

a)

WBC 11,000/mm³

b)

Lactic acid 5 mmol/L

c)

Platelets 200,000/mm³

d)

Sodium 138 mEq/L

55.

Zoe and Daniel, two nurses in the emergency department, are in a friendly competition to see who can identify the cause of sepsis fastest. They know the “gold standard” for finding the culprit organism in sepsis is:

a)

Blood culture

b)

Urinalysis

c)

Chest X-ray

d)

White blood cell count

56.

Aria and Rohan are working together in the emergency department when Benjamin, a 45-year-old man, arrives with fever, rapid heart rate, and low blood pressure. The team suspects sepsis! As the clock ticks, which intervention should Aria and Rohan prioritize within the first hour to help Benjamin?

a)

Administer antipyretics

b)

Begin broad-spectrum antibiotics

c)

Obtain a chest x-ray

d)

Place client on NPO status

57.

During your shift, Charlotte and her friend Mia are chatting when Charlotte, who has sepsis, suddenly becomes confused and restless. What should you do first as the nurse?

a)

Reorient the client frequently

b)

Notify the provider immediately

c)

Administer acetaminophen

d)

Apply soft wrist restraints

58.

Rohan and Anika are playing doctor in the emergency department. Suddenly, Michael, a 45-year-old patient, arrives! Which assessment finding would make their game exciting by supporting a systemic inflammatory response (SIRS)?

a)

Blood pressure 118/74

b)

Heart rate 120 bpm

c)

Temperature 98.6°F

d)

Oxygen saturation 97%

59.

At a lively health seminar, Anika and her friends Elijah and Grace are listening to a nurse talk about sepsis prevention. Which statement by Anika shows she really understands the nurse’s advice?

a)

I should avoid vaccines if I’m older.

b)

I should seek care quickly if I develop a fever or confusion.

c)

UTIs are not serious in older adults.

d)

I don’t need to complete antibiotics if I feel better.

60.

Isla and Abigail are helping their grandfather, who has a tracheostomy, and want to make sure the trach site stays sparkling clean! What should they use to clean the trach site?

a)

hand sanitizer

b)

Soap and water

c)

Sterile Normal saline

d)

Nothing, does not need to be cleaned

61.

Aria, Scarlett, and Luna are on a hospital adventure! Today, Evelyn needs their help to prepare for a suctioning procedure. What equipment should they gather before starting? Select all that apply to help the team get ready!

a)

Suction kit

b)

Suction head, canisters, and tubing

c)

Otoscope

d)

PPE: protective eye wear, face mask

62.

Emma and Ethan are on a nursing adventure, caring for a patient with a tracheostomy. As they team up for trach site care, what signs of infection should they be on the lookout for? Select all that apply to help them ace their assessment!

a)

Red, swollen site, skin hot to touch

b)

Purulent Drainage around site

c)

Skin color appropriate for ethnicity and warm to touch

d)

Trach site not causing pain

63.

Grace is working in the hospital and is assigned to care for a patient who has a tracheostomy tube. She needs to suction the patient to maintain a clear airway. Which technique is BEST for Grace to use when suctioning the patient? Mason and Noah are watching and eager to learn the safest method!

a)

Apply suction during insertion of the tube

b)

Suction for 30 seconds

c)

Repeat suctioning until the tube is clear

d)

Hyperoxygenate before and after suctioning

64.

Grace and Scarlett are working together in the ICU, and they challenge each other to see who remembers the safest suctioning time for a patient’s airway. If Grace is about to suction, what is the MAXIMUM time she should limit the suctioning to keep her patient safe?

a)

5 – 10 seconds

b)

10 – 15 seconds

c)

30 – 45 seconds

d)

60 seconds

65.

Olivia and Daniel are chatting about their allergies. Olivia, who has allergic rhinitis, complains about her nose itching and sneezing nonstop. If you were her nurse, which intervention would you suggest to help Olivia reduce her exposure to allergens?

a)

Encourage frequent nose blowing

b)

Advise use of topical nasal decongestants daily

c)

Teach avoidance of known allergens

d)

Promote high-humidity environments

66.

Scarlett and Henry are friends, and Scarlett has been feeling under the weather with viral rhinitis—she has a clear runny nose and a mild fever. When Scarlett visits the doctor for a follow-up, which sign would show that she's starting to feel better?

a)

Thick yellow nasal secretions

b)

Decreased nasal congestion

c)

Increased coughing

d)

Facial pain

67.

Nora and David, two nurses in a lively clinic, are in a friendly competition to see who can best assess patients! Today, a patient comes in with nasal congestion, sore throat, and fever. Nora thinks it might be viral rhinitis, while David suspects bacterial sinusitis. Which nursing assessment will help them settle the debate and best differentiate viral rhinitis from bacterial sinusitis?

a)

Presence of fever

b)

Duration of symptoms

c)

Nasal congestion

d)

Sore throat

68.

Kai and Mia are chatting about staying healthy. Kai mentions he has viral rhinitis. What is the most important advice Mia should give him?

a)

Complete the full course of antibiotics

b)

Increase fluid intake

c)

Avoid antihistamines

d)

Restrict physical activity

69.

Benjamin and Priya are chatting about their weekend plans when Benjamin suddenly starts sneezing and has a runny nose. He visits his doctor, who diagnoses him with viral rhinitis. If Benjamin wants to feel better for his big weekend, which medication should he take for symptom relief?

a)

Broad-spectrum antibiotics

b)

Antihistamines

c)

Corticosteroids long-term

d)

Antifungals

70.

Ava and Emma are chatting about their friend Maya, who has a sore throat and visits the clinic. The doctor is trying to figure out if Maya's pharyngitis is caused by bacteria or a virus. Which clue in Maya's symptoms would make the doctor suspect a bacterial infection rather than a viral one?

a)

Cough

b)

Hoarseness

c)

White tonsillar exudates

d)

Runny nose

71.

Charlotte, the teacher, has lost her voice after a lively class with Abigail, Emma, and Priya. She’s been diagnosed with acute laryngitis. What should she be instructed to do?

a)

Whisper frequently

b)

Rest the voice

c)

Use lozenges continuously

d)

Speak loudly

72.

A client with HIV reports oral white patches. The nurse suspects:

a)

Leukoplakia

b)

Oral candidiasis

c)

Aphthous ulcers

d)

Laryngitis

73.

A client with HIV and pneumonia is placed in isolation primarily to:

a)

Protect the client

b)

Protect visitors

c)

Reduce workload

d)

Prevent stigma

74.

A client with HIV is at greatest risk for pneumonia when CD4 is:

a)

>500

b)

300-400

c)

<200

d)

Normal

75.

What stage of pressure injury is this?

a)

Stage 1

b)

Stage 2

c)

Stage 3

d)

Stage 4

e)

Unstageable

76.

What stage of pressure injury is this?

a)

Stage 1

b)

Stage 2

c)

Stage 3

d)

Stage 4

e)

unstageable

77.

Subcutaneous tissue is visible, but muscle, tendon, and bone are not exposed. What pressure injury stage is present?

a)

Stage 1

b)

Stage 2

c)

Stage 3

d)

Stage 4

78.

Which of the following isolation precautions is appropriate for a patient with active chickenpox?

a)

Standard precautions only

b)

Droplet precautions for 5 days after rash onset

c)

Airborne plus contact precautions until all lesions crust over

d)

Contact precautions for 7 days regardless of lesion status

79.

A new swine flu spreads around the world, impacting most countries in Europe, Asia, and the Americas. Which of the following best describes this disease occurrence?

a)

Pandemic

b)

Epidemic

c)

Outbreak

d)

Endemic

80.

A newly discovered strain of avian flu starts to spread throughout New Mexico, California, Utah, and Arizona. Which of the following best describes this disease occurrence?

a)

Pandemic

b)

Epidemic

c)

Outbreak

d)

Endemic

81.

A client has influenza symptoms that started 18 hours ago and is high risk for complications. Which medication is most appropriate?

a)

Broad-spectrum antibiotic

b)

Diphenhydramine only

c)

Osteltamivir

d)

Montelukast

82.

What is the recommended dose of salbutamol via an inhaler for acute asthma exacerbation?

a)

100-200 mcg every 4-6 hours

b)

400 mcg once daily

c)

50 mcg twice daily

d)

1 mg every 12 hours

83.

A nurse is providing discharge teaching to a patient with asthma and a new prescription for fluticasone/salmeterol. Which adverse effects should the nurse instruct the patient to report?

a)
Increased appetite and weight gain
b)
Nausea and vomiting
c)
Skin rash and itching
d)

White coating in the mouth

84.

(MCQ) Examples of inorganic dusts -

a)

Silica

b)

Cotton dust

c)

Jute dust

d)

Asbestos

85.

A 58‑year‑old construction worker with a 30‑year history of sandblasting and insulation work presents with progressive shortness of breath and a chronic nonproductive cough. Chest imaging shows upper‑lobe nodular fibrosis and pleural plaques.

Which of the following pairs of occupational pulmonary diseases and associated complications is most consistent with this patient’s exposure?

a)

Hypersensitivity pneumonitis and pulmonary edema

b)

Coal workers pneumoconiosis (Asbestos and silicosis)

c)

Byssinosis and reversible airway obstruction

d)

Sarcoidosis with bilateral hilar lymphadenopathy

86.

What is the maximum flow rate for oxygen delivery via a non-rebreather mask?

a)

6 liters per minute

b)

10 liters per minute

c)

15 liters per minute

d)

20 liters per minute

87.

What is the typical flow rate for oxygen delivery via a nasal cannula?

a)

1-6 liters per minute

b)

10-15 liters per minute

c)

20-25 liters per minute

d)

30-35 liters per minute

88.

What is the primary purpose of the oxygen reservoir bag in a non-rebreather mask?

a)

To store exhaled air

b)

To provide a backup air supply

c)

To increase oxygen concentration

d)

To measure oxygen flow

89.

What is the correct flow rate for oxygen delivery via a simple face mask?

a)

1-6 liters per minute

b)

6-10 liters per minute

c)

10-15 liters per minute

d)

15-20 liters per minute