NRNP 6531 final exam 2024/2025 questions with 100% correct answers

Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her exacerbations affect her activities and they occur at least twice weekly and may last for days. She is affected more than once weekly during the night with an exacerbation. Which category of asthma severity is Lisa in? - ANSWERS Moderate Persistent Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500 mg daily. At today's visit. Her blood pressure is 170/89. According to JNC VIII guidelines, what should you do next to control Harriet's blood pressure? - ANSWERS Add thiazide diuretic to Lisinopril 5mg daily What condition is associated with mucus production greater than 3 months per year for at least 2 consecutive years? - ANSWERS Chronic Bronchitis Risk factors for acute arterial insufficiency include which of the following? - ANSWERS Recent MI, Arterial Fibrillation, and Atherosclerosis Other than smoking cessation, which of the following slows the progression of COPD in smokers? - ANSWERS Engaging in moderate to high levels of physical activity Management of a patient with hypertension and an abdominal aortic aneurysm would include: - ANSWERS Referral to a cardiologist A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings are consistent with: - ANSWERS Systolic heart failure A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free? - ANSWERS A bronchodilator PRN and an inhaled corticosteroid A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these changes are consistent with which myocardial infarction territory? - ANSWERS Inferior wall Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes? - ANSWERS Acute bronchitis The most common correlate(s) with chronic bronchitis and emphysema is(are): - ANSWERS Cigarette smoke inhalation Which of the following is not a goal of treatment for the patient with cystic fibrosis? - ANSWERS Replacement of water soluble vitamins Which drug category contains the drugs that are the first line Gold standard therapy for COPD? - ANSWERS Inhaled beta-2 agonist bronchodilators Which of the following patient characteristics are associated with chronic bronchitis? - ANSWERS Normal weight, cyanosis, and greatly increased RR Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point about this medication? - ANSWERS It is not effective during an acute asthma attack Which of the following is not a risk factor for coronary arterial insufficiency? - ANSWERS Alcohol ingestion Which type of lung cancer has the poorest prognosis? - ANSWERS Small cell carcinoma A patient presents to the office with a blood pressure 142/80. This patient is classified as having: - ANSWERS Stage 1 hypertension In order to decrease deaths from lung cancer: - ANSWERS Patients should be counseled to quit smoking Which of the following medication classes should be avoided in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the patient? - ANSWERS Antihistamines Diagnostic confirmation of acute leukemia is based on: - ANSWERS Bone marrow aspiration & biopsy Which of the following are classic features of ulcerative colitis? - ANSWERS Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain, and weight loss Reed-Sternberg B lymphocytes are associated with which of the following disorders: - ANSWERS Hodgkin's lymphoma Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis? - ANSWERS Erythromycin daily