620 Adult - Respiratory System NP
Certification, Fitzgerald 4th ed Study
Guide Exam Questions With Accurate
Solutions 2025/2026 Updated.
c. chronic airway inflammation with superimposed bronchospasm - Answer which of the
following best describes asthma?
a. intermitten airway inflammation with occasional bronchospasm
b. a disease of bronchospasm that leads to airway inflammation
c. chronic airway inflammation with superimposed bronchospasm
d. relatively fixed airway constriction
d. hyperresonance on thoracic percussion - Answer the patient you are evaluating is having a
severe asthma flare. You have assessed that his condition is appropriate for office tx. You expect
to find the following on physical examination:
a. tripod posture
b. inspiratory crackles
c. increased vocal fremitus
d. hyperresonance on thoracic percussion
c. spirometry measurement - Answer a 44 y/o man has a long-standing hx of moderate
persistent asthma that is normally well controlled by fluticasone with salmeterol (Advair) via
metered-dose inhaler, one puff bid, nad the use of albuterol 1-2 times a week prn for wheezing.
Three days ago, he developed a sorethroat, clear nasal discharge, body aches, and a dry cough.
In the past 24 hrs, he has had intermittent wheezing that necessitated the use of albuterol, two
puffs every 3 hrs, which produced partial relief. Your next most appropriate action is to obtain a:
a. chest x-ray
b. measurement of oxygen saturation (SaO2)
c. spirometry measurement
d. sputum smear for WBCs
c. prednisone - Answer You examine Jane, a 24 y/o female who has an acute asthma flare
following a 3 day hx of UPR sxs (clear nasal discharge, dry cough, no fever). She has a hx of
moderate persistent asthma that is in good control and an acceptable peak expiratory flow
,b. salmeterol (Serevent)
c. prednisone
d. montelukast (Singulair)
b. provide a convenient method to check lung function at home - Answer Peak expiratory flow
meters:
a. should only be used in the presence of a medical professional
b. provide a convenient method to check lung function at home
c. are as accurate as spirometry
d. should not be used more than once daily
a. hyperinflation - Answer which of the following is most likely to appear on a chest x-ray of a
person during an acute severe asthma attack?
a. hyperinflation
b. atelectasis
c. consolidation
d. Kerley B signs
b. propranolol (beta-blocker) - Answer a 36- y/o male with asthma also need antihypertensive
therapy. Which of the following products should you try to avoid?
a. hydrochlorothiazide (thiazide)
b. propranolol (beta-blocker)
c. amlodipine (calcium channel blocker)
d. enalapril (ACEi)
c. morning sputum production - Answer which of the following is INCONSISTENT with the
presentation of asthma that is not well controlled?
a. troublesome nocturnal cough at least 2 nights per week
b. need for albuterol to relieve SOB at least twice a week
c. morning sputum production
d. two or more exacerbations/year requiring oral corticosteroids
, c. short-acting beta2 agonist (SABA)
d. inhaled corticosteroids
b. controllers to inhibit inflammatory responses - Answer in the tx of asthma, leukotriene
receptor antagonist should be used as:
a. controllers to prevent bronchospasm
b. controllers to inhibit inflammatory responses
c. relievers to tx acute bronchospasm
d. relievers to tx bronchospasm and inflammation
b. excessive albuterol use is a risk factor for asthma death - Answer Shirley is a 29 y/o with
moderate persistent asthma. She is not using prescribed inhaled corticosteroids, but is using
albuterol PRN to relieve her cough and wheeze with reported satisfactory clinical effect.
Currently she uses about 2 albuterol metered-dose inhalers per month and is requesting a
prescription refill. You consider:
a. her asthma is well controlled and albuterol use can continue
b. excessive albuterol use is a risk factor for asthma death
c. her asthma is not well controlled and salmeterol should be added to relieve bronchospasm
and reduce her albuterol use
d. her asthma has better control with albuterol than inhaled corticosteroids
d. rural residence - Answer According to the National Asthma Education and Prevention
Program Expert Panel Report-3 guidelines, which of the following is NOT a risk for asthma
death?
a. hospitalization or an emergency department visit for asthma in the past month
b. current use of systemic corticosteroids or recent withdrawal from systemic corticosteroids
c. difficulty perceiving airflow obstruction or its severity
d. rural residence
b. a taper is not needed if the prednisone regimen is for 7 days or less - Answer you see a 34
y/o male with moderate persistent asthma who has a severe asthma flare and a regimen of oral
prednisone is being considered. Which of the following is true?
a. a taper is needed for prednisone therapy lasting longer than 4 days
b. a taper is not needed if the prednisone regimen is for 7 days or less
Certification, Fitzgerald 4th ed Study
Guide Exam Questions With Accurate
Solutions 2025/2026 Updated.
c. chronic airway inflammation with superimposed bronchospasm - Answer which of the
following best describes asthma?
a. intermitten airway inflammation with occasional bronchospasm
b. a disease of bronchospasm that leads to airway inflammation
c. chronic airway inflammation with superimposed bronchospasm
d. relatively fixed airway constriction
d. hyperresonance on thoracic percussion - Answer the patient you are evaluating is having a
severe asthma flare. You have assessed that his condition is appropriate for office tx. You expect
to find the following on physical examination:
a. tripod posture
b. inspiratory crackles
c. increased vocal fremitus
d. hyperresonance on thoracic percussion
c. spirometry measurement - Answer a 44 y/o man has a long-standing hx of moderate
persistent asthma that is normally well controlled by fluticasone with salmeterol (Advair) via
metered-dose inhaler, one puff bid, nad the use of albuterol 1-2 times a week prn for wheezing.
Three days ago, he developed a sorethroat, clear nasal discharge, body aches, and a dry cough.
In the past 24 hrs, he has had intermittent wheezing that necessitated the use of albuterol, two
puffs every 3 hrs, which produced partial relief. Your next most appropriate action is to obtain a:
a. chest x-ray
b. measurement of oxygen saturation (SaO2)
c. spirometry measurement
d. sputum smear for WBCs
c. prednisone - Answer You examine Jane, a 24 y/o female who has an acute asthma flare
following a 3 day hx of UPR sxs (clear nasal discharge, dry cough, no fever). She has a hx of
moderate persistent asthma that is in good control and an acceptable peak expiratory flow
,b. salmeterol (Serevent)
c. prednisone
d. montelukast (Singulair)
b. provide a convenient method to check lung function at home - Answer Peak expiratory flow
meters:
a. should only be used in the presence of a medical professional
b. provide a convenient method to check lung function at home
c. are as accurate as spirometry
d. should not be used more than once daily
a. hyperinflation - Answer which of the following is most likely to appear on a chest x-ray of a
person during an acute severe asthma attack?
a. hyperinflation
b. atelectasis
c. consolidation
d. Kerley B signs
b. propranolol (beta-blocker) - Answer a 36- y/o male with asthma also need antihypertensive
therapy. Which of the following products should you try to avoid?
a. hydrochlorothiazide (thiazide)
b. propranolol (beta-blocker)
c. amlodipine (calcium channel blocker)
d. enalapril (ACEi)
c. morning sputum production - Answer which of the following is INCONSISTENT with the
presentation of asthma that is not well controlled?
a. troublesome nocturnal cough at least 2 nights per week
b. need for albuterol to relieve SOB at least twice a week
c. morning sputum production
d. two or more exacerbations/year requiring oral corticosteroids
, c. short-acting beta2 agonist (SABA)
d. inhaled corticosteroids
b. controllers to inhibit inflammatory responses - Answer in the tx of asthma, leukotriene
receptor antagonist should be used as:
a. controllers to prevent bronchospasm
b. controllers to inhibit inflammatory responses
c. relievers to tx acute bronchospasm
d. relievers to tx bronchospasm and inflammation
b. excessive albuterol use is a risk factor for asthma death - Answer Shirley is a 29 y/o with
moderate persistent asthma. She is not using prescribed inhaled corticosteroids, but is using
albuterol PRN to relieve her cough and wheeze with reported satisfactory clinical effect.
Currently she uses about 2 albuterol metered-dose inhalers per month and is requesting a
prescription refill. You consider:
a. her asthma is well controlled and albuterol use can continue
b. excessive albuterol use is a risk factor for asthma death
c. her asthma is not well controlled and salmeterol should be added to relieve bronchospasm
and reduce her albuterol use
d. her asthma has better control with albuterol than inhaled corticosteroids
d. rural residence - Answer According to the National Asthma Education and Prevention
Program Expert Panel Report-3 guidelines, which of the following is NOT a risk for asthma
death?
a. hospitalization or an emergency department visit for asthma in the past month
b. current use of systemic corticosteroids or recent withdrawal from systemic corticosteroids
c. difficulty perceiving airflow obstruction or its severity
d. rural residence
b. a taper is not needed if the prednisone regimen is for 7 days or less - Answer you see a 34
y/o male with moderate persistent asthma who has a severe asthma flare and a regimen of oral
prednisone is being considered. Which of the following is true?
a. a taper is needed for prednisone therapy lasting longer than 4 days
b. a taper is not needed if the prednisone regimen is for 7 days or less
