Rationales & Advanced Nursing Study Guide| Expert
Guarantee Pass and 100% Accurate | Well Verified
and Updated | Frequently Most Tested Questions |
Latest Exam and Newest Version!!!
When reading a TST(PPD) all of the following indicate a positive test except
ANSWER:
Healthy
In the employee health office, you have diagnosed latent TB in an employee who
has a
positive tuberculin skin test (TST) You have a positive QuantiFERON (QFT) test
and a
chest x-ray that shows no active disease. What other diagnostic test would you
order
before starting this employee on INH therapy?
ANSWER:
LFT
The estimated attributed cause of lung cancer from active cigarette smoking is?
ANSWER:
90%
Assessment finding of greatest concern in an individual who smokes with a
chronic
cough that warrants CT scan
ANSWER:
Persistent cough or change
As a primary care clinician, recommendations you would give a patient for
smoking
cessation would be all the following except?
,ANSWER:
Recommend against e-cigs
Bacterial causes of acute bronchitis include all of the following except:
ANSWER:
Pneumonia
Which of the following is done to confirm a diagnosis of pneumonia?
ANSWER:
Chest Xray/Chest
radiograph
Guidelines recommend high risk patients be screened for lung cancer beginning
at
ANSWER:
55
Which of the following best describes asthma?
ANSWER:
Chronic airway inflammation with
superimposed bronchospasms
Treatment for a pulmonary embolus would include all the following
pharmacological
agents except?
ANSWER:
Plavix
Classic EKG changes seen in an individual with pulmonary emboli are:
ANSWER:
T inverted waves
in lead 3, S waves in lead 1, Q waves in lead 3
A patient presents to your office with significant shortness of breath,
tachycardia, and
recent history of travel. Your immediate concern would be to rule out?
,ANSWER:
Pulmonary Embolism
Which of the following statements about lung cancer is NOT true?
ANSWER:
Usually dx early
Which of the following is NOT part of the differential diagnosis for a patient who
complains of cough?
ANSWER:
Obesity
Which of the following is the gold standard in assessment and diagnosis of
COPD?
ANSWER:
Post-
Bronchodilated spirometery (spirometery is the gold standard)
An example of a SAMA you would use in the treatment of COPD is:
ANSWER:
ipratropium/Atrovent
HFA (short acting)
A patient diagnosed with acute bronchitis and cough 5 days ago, calls to report
that his
cough is persistent since yesterday. He has no other new symptoms. How
should the NP
manage this patient?
ANSWER:
Order an antitussive (for relief and severity of cough),
Dextromethorphan/Guaitenn soml, Deloyn 10ml BID
Ryan is a 28 year old male who presents to your practice with symptoms
consistent with
acute bronchitis. Risk factors associated with acute bronchitis include the
following
EXCEPT?
, ANSWER:
Male gender
When providing Ryan with patient education about his acute bronchitis, you
explain
acute bronchitis is
ANSWER:
Acute onset or persistent cough with or without sputum
A 50 year old male patient presents to your practice with cough, pharyngitis,
nasal
discharge, and fever. Which of these symptoms is most common with acute
bronchitis?
ANSWER:
cough
A 25 year old female presents to the office with a hx of asthma. She states that
she was
uses her albuterol inhalers 2-3 times a week with good relief symptoms and that
is why
she doesn't use the ICS that was previously prescribed. She does not consider
her
asthma to interfere with her life. She is requesting a refill of her albuterol. Your
priority
advise to the patient is that
ANSWER:
not effective recommend ICS
Which of the following is a basis of drug therapy used in the treatment of
moderate
persistent asthma?
ANSWER:
Low to medium IS + long acting bronchodilator (flutacusone+salmetrol-Advair)
Flutucosone propronate salmetrol
Which of the following would be an appropriate treatment choice for a 40-year-
old
female diagnosed with community aquired pneumonia who has no co-