FNP 2 EXAM 1 COMPREHENSIVE EXAMINATION TEST WITH COMPLETE QUESTIONS AND SOLUTIONS

FNP 2 EXAM 1 COMPREHENSIVE
EXAMINATION TEST WITH COMPLETE
QUESTIONS AND SOLUTIONS


◉ Define COPD Answer: Common and preventable, persistent
airflow limitation usually progressive assoc. with enhanced chronic
inflammatory response in airways and lungs to noxious particles/gas


◉ What may cause the airflow limitation? Answer: Inflammation
Fibrosis/plugs
Increased airway resistance
Alveolar attachment loss
Elastic recoil decrease


◉ Name some risk factors associated with COPD. Answer: Smoking
Air polutants
Asthma
Chronic bronchitis
Socioeconomic status
Respiratory infections


◉ What factors MUST be in place to make a diagnosis of COPD?
Answer: Dyspnea

, Sputum production
Chronic cough
Exposure to risk factors
*Spirometry MUST be done and FEV1/FVC <0.70*


◉ T/F
Spirometry should never be performed after a dose of a short-acting
inhaled bronchodilator. Answer: False - spirometry should only be
performed after a SABA is given.


◉ What diagnostic value is indicative of COPD? Answer: FEV1/FVC
<0.70


◉ How does dyspnea usually present in COPD? Answer: Progressive,
persistent and characteristically worse with exercise


◉ How does a cough usually present with COPD? Answer: May be
intermittent and may be unproductive.


◉ Is there always sputum production with coughs in COPD patients?
Answer: No, but it is commone


◉ What kinds of self-administered tests are available to measure
quality of control of COPD? Answer: COPD Assessment Test - CAT
Clinical COPD Questionnaire - CCQ