NGR5172 FINAL EXAM
NGR5172 FINAL EXAM 2025 LATEST SPRING
SUMMER QUARTER 100% RASMUSSEN
COLLEGE ALREADY GRADED A VERSION 1
Exam With 300 Complete Questions And
Correct Detailed Answers (Verified Answers)
|Already Graded A+|Brand New Version!!
A FNP is evaluating a patient who has COPD. The patient uses a LABA twice daily. The patient
reports having increased exertional dyspnea, a frequent cough, and poor sleep. The patient
also uses a short-acting β-adrenergic agonist (SABA) five or six times each day. Pulse oximetry
reveals an oxygen saturation of 92%. The patient's FEV1/forced vital capacity is 65, and FEV1 is
55% of predicted. The NP should prescribe a(n):
combination ICS/LABA inhaler.
oral corticosteroid.
long-acting anticholinergic.
A+ TEST BANK 1
, NGR5172 FINAL EXAM
long-acting oral theophylline.
combination ICS/LABA inhaler.
Providers should administer combination inhaled therapies for symptomatic patients with
stable COPD and FEV1 less than 60%. Oral corticosteroids have not been shown to be
effective, even in severe cases of COPD. Long-acting anticholinergic medications may be used
as monotherapy in early stages of COPD. Long-acting theophylline is poorly tolerated because
of side effects.
DIF: Cognitive Level: Applying (Application)
REF: 213
A parent brings in a 2-month-old infant with a 5-day history of a white coating on the tongue
and decreased oral intake. The primary care NP should prescribe:
nystatin oral suspension, 200,000 units qid.
clotrimazole, one troche tid.
chlorhexidine, 15 mL oral rinse bid.
carbamide peroxide, 2 to 3 drops tid.
nystatin oral suspension, 200,000 units qid.
Nystatin is an antifungal medication and is indicated for treatment of oral candidiasis, or
thrush. Clotrimazole is an antifungal but is not indicated for oral candidiasis in infants because
the patient must be able to allow the troche to dissolve. Chlorhexidine is used to treat
gingivitis. Carbamide peroxide is used to treat minor oral inflammation.
DIF: Cognitive Level: Applying (Application)
REF: 182
A+ TEST BANK 2
, NGR5172 FINAL EXAM
A patient has been treated for severe contact dermatitis on both arms with clobetasol
propionate cream. At a follow-up visit, the primary care NP notes that the condition has
cleared. The NP should:
prescribe triamcinolone cream for 2 weeks.
recommend continuing treatment for 2 more weeks.
discontinue the clobetasol and schedule a follow-up visit in 2 weeks.
discontinue the clobetasol and recommend prn use for occasional flare-ups.
prescribe triamcinolone cream for 2 weeks.
Treatment should be discontinued when the skin condition has resolved. Tapering the
corticosteroid will prevent recurrence of the skin condition. Tapering is best done by gradually
reducing the potency and dosing frequency at 2-week intervals. This patient was on a very
high potency steroid, so changing to a medium frequency with follow-up in 2 weeks is an
appropriate action. Discontinuing the steroid abruptly can lead to recurrence.
DIF: Cognitive Level: Applying (Application)
REF: 160
A family nurse practitioner (FNP) is evaluating a patient with asthma who reports having
wheezing and coughing 1 or 2 days each week and awakening from sleep three or four times
each month with asthma symptoms. The patient's forced expiratory volume in 1 second
(FEV1) is 80% of the predicted value. The patient's current medication regimen is an albuterol
metered-dose inhaler, 2 puffs every 4 hours as needed. The FNP should prescribe:
montelukast (Singulair) po daily.
ipratropium bromide bid with albuterol.
a low-dose inhaled corticosteroid (ICS), 2 puffs bid.
A+ TEST BANK 3
, NGR5172 FINAL EXAM
a long-acting β-adrenergic agonist (LABA), 1 puff bid.
a low-dose inhaled corticosteroid (ICS), 2 puffs bid.
This patient has symptoms of mild, persistent asthma. The preferred controller medication in
adults and children with persistent asthma is a low-dose ICS. Montelukast is a leukotriene
modifier, which may be considered as an alternative to a low-dose ICS but is not the first
option to try. Ipratropium is often used during an acute exacerbation but not for long-term
control. LABA medications are used in patients with moderate persistent symptoms.
DIF: Cognitive Level: Applying (Application)
REF: 210
A 5-year-old child has atopic dermatitis that is refractory to treatment with hydrocortisone
acetone 2.5% cream. The prescriber should prescribe:
desonide cream 0.01%.
triamcinolone acetonide.
fluocinolone cream 0.2%.
betamethasone dipropionate ointment 0.05%.
triamcinolone acetonide.
An over-the-counter steroid has failed to treat this child's dermatitis, so the NP should
prescribe something in a higher strength. Triamcinolone is a medium-strength steroid and
should be used. The other three are in groups I and II, which are high-strength steroids and
are not recommended in children.
DIF: Cognitive Level: Applying (Application)
REF: 154| 156
A+ TEST BANK 4
NGR5172 FINAL EXAM 2025 LATEST SPRING
SUMMER QUARTER 100% RASMUSSEN
COLLEGE ALREADY GRADED A VERSION 1
Exam With 300 Complete Questions And
Correct Detailed Answers (Verified Answers)
|Already Graded A+|Brand New Version!!
A FNP is evaluating a patient who has COPD. The patient uses a LABA twice daily. The patient
reports having increased exertional dyspnea, a frequent cough, and poor sleep. The patient
also uses a short-acting β-adrenergic agonist (SABA) five or six times each day. Pulse oximetry
reveals an oxygen saturation of 92%. The patient's FEV1/forced vital capacity is 65, and FEV1 is
55% of predicted. The NP should prescribe a(n):
combination ICS/LABA inhaler.
oral corticosteroid.
long-acting anticholinergic.
A+ TEST BANK 1
, NGR5172 FINAL EXAM
long-acting oral theophylline.
combination ICS/LABA inhaler.
Providers should administer combination inhaled therapies for symptomatic patients with
stable COPD and FEV1 less than 60%. Oral corticosteroids have not been shown to be
effective, even in severe cases of COPD. Long-acting anticholinergic medications may be used
as monotherapy in early stages of COPD. Long-acting theophylline is poorly tolerated because
of side effects.
DIF: Cognitive Level: Applying (Application)
REF: 213
A parent brings in a 2-month-old infant with a 5-day history of a white coating on the tongue
and decreased oral intake. The primary care NP should prescribe:
nystatin oral suspension, 200,000 units qid.
clotrimazole, one troche tid.
chlorhexidine, 15 mL oral rinse bid.
carbamide peroxide, 2 to 3 drops tid.
nystatin oral suspension, 200,000 units qid.
Nystatin is an antifungal medication and is indicated for treatment of oral candidiasis, or
thrush. Clotrimazole is an antifungal but is not indicated for oral candidiasis in infants because
the patient must be able to allow the troche to dissolve. Chlorhexidine is used to treat
gingivitis. Carbamide peroxide is used to treat minor oral inflammation.
DIF: Cognitive Level: Applying (Application)
REF: 182
A+ TEST BANK 2
, NGR5172 FINAL EXAM
A patient has been treated for severe contact dermatitis on both arms with clobetasol
propionate cream. At a follow-up visit, the primary care NP notes that the condition has
cleared. The NP should:
prescribe triamcinolone cream for 2 weeks.
recommend continuing treatment for 2 more weeks.
discontinue the clobetasol and schedule a follow-up visit in 2 weeks.
discontinue the clobetasol and recommend prn use for occasional flare-ups.
prescribe triamcinolone cream for 2 weeks.
Treatment should be discontinued when the skin condition has resolved. Tapering the
corticosteroid will prevent recurrence of the skin condition. Tapering is best done by gradually
reducing the potency and dosing frequency at 2-week intervals. This patient was on a very
high potency steroid, so changing to a medium frequency with follow-up in 2 weeks is an
appropriate action. Discontinuing the steroid abruptly can lead to recurrence.
DIF: Cognitive Level: Applying (Application)
REF: 160
A family nurse practitioner (FNP) is evaluating a patient with asthma who reports having
wheezing and coughing 1 or 2 days each week and awakening from sleep three or four times
each month with asthma symptoms. The patient's forced expiratory volume in 1 second
(FEV1) is 80% of the predicted value. The patient's current medication regimen is an albuterol
metered-dose inhaler, 2 puffs every 4 hours as needed. The FNP should prescribe:
montelukast (Singulair) po daily.
ipratropium bromide bid with albuterol.
a low-dose inhaled corticosteroid (ICS), 2 puffs bid.
A+ TEST BANK 3
, NGR5172 FINAL EXAM
a long-acting β-adrenergic agonist (LABA), 1 puff bid.
a low-dose inhaled corticosteroid (ICS), 2 puffs bid.
This patient has symptoms of mild, persistent asthma. The preferred controller medication in
adults and children with persistent asthma is a low-dose ICS. Montelukast is a leukotriene
modifier, which may be considered as an alternative to a low-dose ICS but is not the first
option to try. Ipratropium is often used during an acute exacerbation but not for long-term
control. LABA medications are used in patients with moderate persistent symptoms.
DIF: Cognitive Level: Applying (Application)
REF: 210
A 5-year-old child has atopic dermatitis that is refractory to treatment with hydrocortisone
acetone 2.5% cream. The prescriber should prescribe:
desonide cream 0.01%.
triamcinolone acetonide.
fluocinolone cream 0.2%.
betamethasone dipropionate ointment 0.05%.
triamcinolone acetonide.
An over-the-counter steroid has failed to treat this child's dermatitis, so the NP should
prescribe something in a higher strength. Triamcinolone is a medium-strength steroid and
should be used. The other three are in groups I and II, which are high-strength steroids and
are not recommended in children.
DIF: Cognitive Level: Applying (Application)
REF: 154| 156
A+ TEST BANK 4
