NURS 620 Adult 1 Exam 2 Maryville
Claudication is the classic presenting symptom associated with which of the following? -
ANSarterial insufficiency
Risk factors for chronic arterial insufficiency?- - ANStobacco use
You are using the CURB 65 clinical tool, for determining which patient dx with CAP should be
hospitalized or treated at home. Mabel's score is 2- what should we do? - ANSShort inpatient
stay; if she is relatively healthy, she could be closely supervised outpatient
S/S of COPD correlate with which of the following?- - ANSChronic bronchitis with airway
obstruction
Presents with history of asthma without treatment for a while. She reports daily but not continual
symptoms that last longer than 1 week and present at night. She has been using her rescue
inhaler. Her FEV1 is 60-80% predicted- how would you classify her asthma? - ANSmoderate
persistent
What is the most common bacterial pathogen in CAP? - ANSStreptococcus PNA
Which obstructive lung disease is reversible - ANSasthma
George has COPD and a 40% FEV1. How would you classify the severity of his COPD -
ANSStage 3
Jason age 62 has Obstructive Sleep Apnea (OSA). Which of these is a contributing factor? -
ANShis collar size is 17 inches
A patient with CAD should be placed on which of the following as antiplatelet tx (first line) -
ANSAspirin
What is the desired therapeutic action of inhaled corticosteroids? - ANSreduction in airway
inflammation
What is the appropriate tx for a pt dx with chronic venous insufficiency - ANSuse of elastic
stockings
What is the most important measurement in a pulmonary function in a patient with asthma? -
ANSFEV forced expiratory volume
, Healthy 27 yo man, dx with CAP, which one of these is the best choice of tx? -
ANSazithromycin- macrolide
Salmeterol (Serevent) is an example of which of the following? - ANSlong acting beta
agonist(LABA)
fluticasone & budesonide (pulmocort) are examples of what? - ANSICS Inhaled Corticosteroid
Ipratropium (Atrovent) is an example of what? - ANSShort-acting muscarinic-antagonist (SAMA)
montelukast (Singulair) is an example of what? - ANSNON STEROIDAL PREVENTERS
Salbutamol (Ventolin) and Albuterol is an example of what? - ANSShort acting beta-2
andrenergic (SABA)
tiotropium (Spiriva) is an example of what? - ANS(LAMA) Long-acting muscarinic-antagonist
What is the most important goal of treating HTN - ANSAvoiding disease targeted organ damage
indicates severe asthma attack, requiring emergent treatment? - ANSinaudible breath sounds
When should a rescue course of prednisolone be issued for a asthma attack - ANSanytime its
needed for symptoms
What intervention would indicate a patient needs more education for her asthma? - ANSopening
a window at night
what is usually the earliest sign of coronary artery disease (CAD) - ANSintermittent claudication
what characteristic is a risk factor for PVD? - ANSmale gender
An asthmatic patient comes in for a follow up, as you assess his asthma control. He uses
albuterol for wheezing, cough, SOB 1 x week. He has been to the ER once for asthma
symptoms and coughs 3x a month at night. He is only prescribed albuterol. What would you
add? - ANSInhaled low dose corticosteroid
A patient presents with a dry cough, causing chest discomfort x 10 days. He has a runny nose
and fatigue. Nurse notes late expiratory wheeze in the lower lobes and rhinitis in the nasal
passages. Denies smoking, fever, wheezing. What do we expect? - ANSAcute bronchitis
According to JNC 8, a 40 yo with 168/88 with CKD should have treatment with? - ANSLisinopril
(ACE inhibitors)
Claudication is the classic presenting symptom associated with which of the following? -
ANSarterial insufficiency
Risk factors for chronic arterial insufficiency?- - ANStobacco use
You are using the CURB 65 clinical tool, for determining which patient dx with CAP should be
hospitalized or treated at home. Mabel's score is 2- what should we do? - ANSShort inpatient
stay; if she is relatively healthy, she could be closely supervised outpatient
S/S of COPD correlate with which of the following?- - ANSChronic bronchitis with airway
obstruction
Presents with history of asthma without treatment for a while. She reports daily but not continual
symptoms that last longer than 1 week and present at night. She has been using her rescue
inhaler. Her FEV1 is 60-80% predicted- how would you classify her asthma? - ANSmoderate
persistent
What is the most common bacterial pathogen in CAP? - ANSStreptococcus PNA
Which obstructive lung disease is reversible - ANSasthma
George has COPD and a 40% FEV1. How would you classify the severity of his COPD -
ANSStage 3
Jason age 62 has Obstructive Sleep Apnea (OSA). Which of these is a contributing factor? -
ANShis collar size is 17 inches
A patient with CAD should be placed on which of the following as antiplatelet tx (first line) -
ANSAspirin
What is the desired therapeutic action of inhaled corticosteroids? - ANSreduction in airway
inflammation
What is the appropriate tx for a pt dx with chronic venous insufficiency - ANSuse of elastic
stockings
What is the most important measurement in a pulmonary function in a patient with asthma? -
ANSFEV forced expiratory volume
, Healthy 27 yo man, dx with CAP, which one of these is the best choice of tx? -
ANSazithromycin- macrolide
Salmeterol (Serevent) is an example of which of the following? - ANSlong acting beta
agonist(LABA)
fluticasone & budesonide (pulmocort) are examples of what? - ANSICS Inhaled Corticosteroid
Ipratropium (Atrovent) is an example of what? - ANSShort-acting muscarinic-antagonist (SAMA)
montelukast (Singulair) is an example of what? - ANSNON STEROIDAL PREVENTERS
Salbutamol (Ventolin) and Albuterol is an example of what? - ANSShort acting beta-2
andrenergic (SABA)
tiotropium (Spiriva) is an example of what? - ANS(LAMA) Long-acting muscarinic-antagonist
What is the most important goal of treating HTN - ANSAvoiding disease targeted organ damage
indicates severe asthma attack, requiring emergent treatment? - ANSinaudible breath sounds
When should a rescue course of prednisolone be issued for a asthma attack - ANSanytime its
needed for symptoms
What intervention would indicate a patient needs more education for her asthma? - ANSopening
a window at night
what is usually the earliest sign of coronary artery disease (CAD) - ANSintermittent claudication
what characteristic is a risk factor for PVD? - ANSmale gender
An asthmatic patient comes in for a follow up, as you assess his asthma control. He uses
albuterol for wheezing, cough, SOB 1 x week. He has been to the ER once for asthma
symptoms and coughs 3x a month at night. He is only prescribed albuterol. What would you
add? - ANSInhaled low dose corticosteroid
A patient presents with a dry cough, causing chest discomfort x 10 days. He has a runny nose
and fatigue. Nurse notes late expiratory wheeze in the lower lobes and rhinitis in the nasal
passages. Denies smoking, fever, wheezing. What do we expect? - ANSAcute bronchitis
According to JNC 8, a 40 yo with 168/88 with CKD should have treatment with? - ANSLisinopril
(ACE inhibitors)
