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NURS 620 Adult 1 Exam 2 Maryville- Questions
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and Answers 2023-2024 A GRADED
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You are using the CURB 65 clinical tool, for determining which patient dx with CAP
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should be hospitalized or treated at home. Mabel's score is 2- what should we do? -
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ANSWER Short inpatient stay; if she is relatively healthy, she could be closely
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supervised outpatient
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S/S of COPD correlate with which of the following?- - ANSWER Chronic bronchitis with
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airway obstruction
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Presents with history of asthma without treatment for a while. She reports daily but not
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continual symptoms that last longer than 1 week and present at night. She has been
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using her rescue inhaler. Her FEV1 is 60-80% predicted- how would you classify her
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asthma? - ANSWER moderate persistent
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Claudication is the classic presenting symptom associated with which of the following? -
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ANSWER arterial insufficiency
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Risk factors for chronic arterial insufficiency?- - ANSWER tobacco use
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What is the most common bacterial pathogen in CAP? - ANSWER Streptococcus PNA
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Which obstructive lung disease is reversible - ANSWER asthma
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George has COPD and a 40% FEV1. How would you classify the severity of his COPD -
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ANSWER Stage 3
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Jason age 62 has Obstructive Sleep Apnea (OSA). Which of these is a contributing
factor? - ANSWER his collar size is 17 inches
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A patient with CAD should be placed on which of the following as antiplatelet tx (first
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line) - ANSWER Aspirin
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What is the desired therapeutic action of inhaled corticosteroids? - ANSWER reduction
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in airway inflammation
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What is the appropriate tx for a pt dx with chronic venous insufficiency - ANSWER use
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of elastic stockings
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What is the most important measurement in a pulmonary function in a patient with
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asthma? - ANSWER FEV forced expiratory volume
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Healthy 27 yo man, dx with CAP, which one of these is the best choice of tx? -
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ANSWER azithromycin- macrolide
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Salmeterol (Serevent) is an example of which of the following? - ANSWER long acting
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beta agonist(LABA)
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fluticasone & budesonide (pulmocort) are examples of what? - ANSWER ICS Inhaled
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Corticosteroid
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Ipratropium (Atrovent) is an example of what? - ANSWER Short-acting muscarinic-
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antagonist (SAMA)
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montelukast (Singulair) is an example of what? - ANSWER NON STEROIDAL
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PREVENTERS
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Salbutamol (Ventolin) and Albuterol is an example of what? - ANSWER Short acting
beta-2 andrenergic (SABA)
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tiotropium (Spiriva) is an example of what? - ANSWER (LAMA) Long-acting muscarinic-
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antagonist
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What is the most important goal of treating HTN - ANSWER Avoiding disease targeted
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organ damage
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indicates severe asthma attack, requiring emergent treatment? - ANSWER inaudible
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breath sounds
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When should a rescue course of prednisolone be issued for a asthma attack - ANSWER
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anytime its needed for symptoms
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What intervention would indicate a patient needs more education for her asthma? -
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ANSWER opening a window at night
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what is usually the earliest sign of coronary artery disease (CAD) - ANSWER
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intermittent claudication
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Sp
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what characteristic is a risk factor for PVD? - ANSWER male gender
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An asthmatic patient comes in for a follow up, as you assess his asthma control. He
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uses albuterol for wheezing, cough, SOB 1 x week. He has been to the ER once for
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asthma symptoms and coughs 3x a month at night. He is only prescribed albuterol.
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What would you add? - ANSWER Inhaled low dose corticosteroid
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Sp
A patient presents with a dry cough, causing chest discomfort x 10 days. He has a
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runny nose and fatigue. Nurse notes late expiratory wheeze in the lower lobes and
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Sp
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Sp
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sh
ne
la
NURS 620 Adult 1 Exam 2 Maryville- Questions
tz
sh
and Answers 2023-2024 A GRADED
Sp
ne
la
tz
sh
Sp
You are using the CURB 65 clinical tool, for determining which patient dx with CAP
ne
should be hospitalized or treated at home. Mabel's score is 2- what should we do? -
la
ANSWER Short inpatient stay; if she is relatively healthy, she could be closely
tz
supervised outpatient
sh
Sp
ne
S/S of COPD correlate with which of the following?- - ANSWER Chronic bronchitis with
la
airway obstruction
tz
sh
Sp
Presents with history of asthma without treatment for a while. She reports daily but not
ne
continual symptoms that last longer than 1 week and present at night. She has been
la
using her rescue inhaler. Her FEV1 is 60-80% predicted- how would you classify her
tz
asthma? - ANSWER moderate persistent
sh
Sp
ne
Claudication is the classic presenting symptom associated with which of the following? -
la
ANSWER arterial insufficiency
tz
sh
Sp
Risk factors for chronic arterial insufficiency?- - ANSWER tobacco use
ne
What is the most common bacterial pathogen in CAP? - ANSWER Streptococcus PNA
la
tz
sh
Sp
Which obstructive lung disease is reversible - ANSWER asthma
ne
George has COPD and a 40% FEV1. How would you classify the severity of his COPD -
la
ANSWER Stage 3
tz
sh
Sp
ne
Jason age 62 has Obstructive Sleep Apnea (OSA). Which of these is a contributing
factor? - ANSWER his collar size is 17 inches
la
tz
sh
A patient with CAD should be placed on which of the following as antiplatelet tx (first
Sp
line) - ANSWER Aspirin
ne
la
What is the desired therapeutic action of inhaled corticosteroids? - ANSWER reduction
tz
sh
in airway inflammation
Sp
ne
What is the appropriate tx for a pt dx with chronic venous insufficiency - ANSWER use
la
of elastic stockings
tz
sh
Sp
What is the most important measurement in a pulmonary function in a patient with
ne
asthma? - ANSWER FEV forced expiratory volume
la
sh
Sp
la
Sp
, ne
tz
sh
ne
la
Healthy 27 yo man, dx with CAP, which one of these is the best choice of tx? -
tz
ANSWER azithromycin- macrolide
sh
Sp
ne
Salmeterol (Serevent) is an example of which of the following? - ANSWER long acting
la
beta agonist(LABA)
tz
sh
Sp
fluticasone & budesonide (pulmocort) are examples of what? - ANSWER ICS Inhaled
ne
Corticosteroid
la
tz
Ipratropium (Atrovent) is an example of what? - ANSWER Short-acting muscarinic-
sh
Sp
antagonist (SAMA)
ne
montelukast (Singulair) is an example of what? - ANSWER NON STEROIDAL
la
tz
PREVENTERS
sh
Sp
ne
Salbutamol (Ventolin) and Albuterol is an example of what? - ANSWER Short acting
beta-2 andrenergic (SABA)
la
tz
sh
tiotropium (Spiriva) is an example of what? - ANSWER (LAMA) Long-acting muscarinic-
Sp
ne
antagonist
la
What is the most important goal of treating HTN - ANSWER Avoiding disease targeted
tz
sh
organ damage
Sp
ne
indicates severe asthma attack, requiring emergent treatment? - ANSWER inaudible
la
breath sounds
tz
sh
Sp
When should a rescue course of prednisolone be issued for a asthma attack - ANSWER
ne
anytime its needed for symptoms
la
tz
sh
What intervention would indicate a patient needs more education for her asthma? -
Sp
ANSWER opening a window at night
ne
la
what is usually the earliest sign of coronary artery disease (CAD) - ANSWER
tz
intermittent claudication
sh
Sp
ne
what characteristic is a risk factor for PVD? - ANSWER male gender
la
tz
An asthmatic patient comes in for a follow up, as you assess his asthma control. He
sh
Sp
uses albuterol for wheezing, cough, SOB 1 x week. He has been to the ER once for
ne
asthma symptoms and coughs 3x a month at night. He is only prescribed albuterol.
la
What would you add? - ANSWER Inhaled low dose corticosteroid
tz
sh
Sp
A patient presents with a dry cough, causing chest discomfort x 10 days. He has a
ne
runny nose and fatigue. Nurse notes late expiratory wheeze in the lower lobes and
la
sh
Sp
la
Sp
