NRNP 6531 EXAM QUESTIONS WITH
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? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |
ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-Chronic |Bronchitis
Risk |factors |for |acute |arterial |insufficiency |include |which |of |the |following? |- |CORRECT |
ANSWER✔✔-Recent |MI, |Arterial |Fibrillation, |and |Atherosclerosis
Other |than |smoking |cessation, |which |of |the |following |slows |the |progression |of |COPD |in |
smokers? |- |CORRECT |ANSWER✔✔-Engaging |in |moderate |to |high |levels |of |physical |activity
Management |of |a |patient |with |hypertension |and |an |abdominal |aortic |aneurysm |would |
include: |- |CORRECT |ANSWER✔✔-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: |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-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? |- |
CORRECT |ANSWER✔✔-Inferior |wall
Antibiotic |administration |has |been |demonstrated |to |be |of |little |benefit |to |the |treatment |of |
which |of |the |following |disease |processes? |- |CORRECT |ANSWER✔✔-Acute |bronchitis
The |most |common |correlate(s) |with |chronic |bronchitis |and |emphysema |is(are): |- |CORRECT |
ANSWER✔✔-Cigarette |smoke |inhalation
Which |of |the |following |is |not |a |goal |of |treatment |for |the |patient |with |cystic |fibrosis? |- |
CORRECT |ANSWER✔✔-Replacement |of |water |soluble |vitamins
Which |drug |category |contains |the |drugs |that |are |the |first |line |Gold |standard |therapy |for |
COPD? |- |CORRECT |ANSWER✔✔-Inhaled |beta-2 |agonist |bronchodilators
Which |of |the |following |patient |characteristics |are |associated |with |chronic |bronchitis? |- |
CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-It |is |not |effective |during |an |
acute |asthma |attack
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? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |
ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-Chronic |Bronchitis
Risk |factors |for |acute |arterial |insufficiency |include |which |of |the |following? |- |CORRECT |
ANSWER✔✔-Recent |MI, |Arterial |Fibrillation, |and |Atherosclerosis
Other |than |smoking |cessation, |which |of |the |following |slows |the |progression |of |COPD |in |
smokers? |- |CORRECT |ANSWER✔✔-Engaging |in |moderate |to |high |levels |of |physical |activity
Management |of |a |patient |with |hypertension |and |an |abdominal |aortic |aneurysm |would |
include: |- |CORRECT |ANSWER✔✔-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: |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-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? |- |
CORRECT |ANSWER✔✔-Inferior |wall
Antibiotic |administration |has |been |demonstrated |to |be |of |little |benefit |to |the |treatment |of |
which |of |the |following |disease |processes? |- |CORRECT |ANSWER✔✔-Acute |bronchitis
The |most |common |correlate(s) |with |chronic |bronchitis |and |emphysema |is(are): |- |CORRECT |
ANSWER✔✔-Cigarette |smoke |inhalation
Which |of |the |following |is |not |a |goal |of |treatment |for |the |patient |with |cystic |fibrosis? |- |
CORRECT |ANSWER✔✔-Replacement |of |water |soluble |vitamins
Which |drug |category |contains |the |drugs |that |are |the |first |line |Gold |standard |therapy |for |
COPD? |- |CORRECT |ANSWER✔✔-Inhaled |beta-2 |agonist |bronchodilators
Which |of |the |following |patient |characteristics |are |associated |with |chronic |bronchitis? |- |
CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-It |is |not |effective |during |an |
acute |asthma |attack
