NUR 6111 Exam 2 Study Guide| High-Yield Q & A
Rationales & Advanced Nursing Study Guide| Expert
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and Updated | Frequently Most Tested Questions |
Latest Exam and Newest Version!!!
What indicates a positive TST reading at 48-72 hours for patients with no risk
factors?
ANSWER:
>15mm
What is the recommended diagnostic test to order before starting INH therapy
for a patient with latent TB?
ANSWER:
Liver Function Tests (LFT)
What percentage of lung cancer cases are attributed to cigarette smoking?
ANSWER:
90%.
What assessment finding is of greatest concern in a smoker with a chronic
cough that warrants a CT scan?
ANSWER:
Persistent cough or change in cough.
What is a recommendation against smoking cessation that should not be given
to patients?
ANSWER:
Recommend against E-cigs.
Which bacterial cause is NOT associated with acute bronchitis?
ANSWER:
,C. Pneumonia.
All of the following are expected symptoms of pneumonia EXCEPT
ANSWER:
not AMS was something else
What diagnostic test is used to confirm a diagnosis of pneumonia?
ANSWER:
Chest X-ray (CXR).
At what age do guidelines recommend high-risk patients begin screening for
lung cancer?
ANSWER:
55 years old.
How is asthma best described?
ANSWER:
Chronic airway inflammation with superimposed bronchospasms.
Which pharmacological agent is NOT included in the treatment for a pulmonary
embolus?
ANSWER:
Plavix.
What classic EKG changes are seen in pulmonary embolism?
ANSWER:
S waves in lead I, Q waves in lead III, Inverted T waves in lead III.
What immediate concern should be ruled out for a patient presenting with
significant shortness of breath and tachycardia after recent travel?
ANSWER:
Pulmonary embolism (PE).
Which statement about lung cancer is NOT true?
ANSWER:
Usually diagnosed early.
,Which condition is NOT part of the differential diagnosis for a patient who
complains of cough?
ANSWER:
Obesity.
What is the gold standard for assessment and diagnosis of COPD?
ANSWER:
Post-bronchodilator spirometry.
What is an example of a SAMA used in the treatment of COPD?
ANSWER:
Ipratropium (Atrovent).
How should a patient with acute bronchitis and persistent cough be managed?
ANSWER:
Order an antitussive, such as Dextromethorphan.
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 hx of asthma. She states that she
was using her albuterol inhaler 2 tt times a week w good relief and that is why
, she doesn't use the ICS that she was previously prescribed. She does not
consider her asthma to interfere with her life and is requesting albuterol refill.
Your priority is to advise the patient that:
ANSWER:
Regular use of SABA (albuterol) is not recommended due to increased airway
hyper-responsiveness.
What is the basis of drug therapy for moderate persistent asthma?
ANSWER:
Low to medium dose ICS plus a long-acting bronchodilator.
What is an appropriate treatment choice for a 40-year-old female diagnosed with
CAP and co-morbidities?
ANSWER:
Doxycycline and azithromycin.
Which medication should NOT be prescribed for a patient with tympanostomy
tubes and ear pain?
ANSWER:
Cipro (hydrocortisone).
A 35 year old female presents with redness in her eyes, yellowish drainage and
some discomfort She does not feel comfortable using her contact lenses. She
has no visual disturbance. Her son who is in grade school had the same problem
and was treated by the pediatrician. You diagnose her with acute bacterial
conjunctivitis. The most appropriate antibiotic to prescribe is:
ANSWER:
Levofloxacin.
Lily has nasal congestion with purulent nasal discharge and facial pain without
improvement for the past 12 days. She has a PCN allergy. The best option for
initial therapy is:
ANSWER:
Moxifloxacin, levofloxacin, or doxycycline.
What is the recommended pharmacological management for acute bacterial
sinusitis?
Rationales & Advanced Nursing Study Guide| Expert
Guarantee Pass and 100% Accurate | Well Verified
and Updated | Frequently Most Tested Questions |
Latest Exam and Newest Version!!!
What indicates a positive TST reading at 48-72 hours for patients with no risk
factors?
ANSWER:
>15mm
What is the recommended diagnostic test to order before starting INH therapy
for a patient with latent TB?
ANSWER:
Liver Function Tests (LFT)
What percentage of lung cancer cases are attributed to cigarette smoking?
ANSWER:
90%.
What assessment finding is of greatest concern in a smoker with a chronic
cough that warrants a CT scan?
ANSWER:
Persistent cough or change in cough.
What is a recommendation against smoking cessation that should not be given
to patients?
ANSWER:
Recommend against E-cigs.
Which bacterial cause is NOT associated with acute bronchitis?
ANSWER:
,C. Pneumonia.
All of the following are expected symptoms of pneumonia EXCEPT
ANSWER:
not AMS was something else
What diagnostic test is used to confirm a diagnosis of pneumonia?
ANSWER:
Chest X-ray (CXR).
At what age do guidelines recommend high-risk patients begin screening for
lung cancer?
ANSWER:
55 years old.
How is asthma best described?
ANSWER:
Chronic airway inflammation with superimposed bronchospasms.
Which pharmacological agent is NOT included in the treatment for a pulmonary
embolus?
ANSWER:
Plavix.
What classic EKG changes are seen in pulmonary embolism?
ANSWER:
S waves in lead I, Q waves in lead III, Inverted T waves in lead III.
What immediate concern should be ruled out for a patient presenting with
significant shortness of breath and tachycardia after recent travel?
ANSWER:
Pulmonary embolism (PE).
Which statement about lung cancer is NOT true?
ANSWER:
Usually diagnosed early.
,Which condition is NOT part of the differential diagnosis for a patient who
complains of cough?
ANSWER:
Obesity.
What is the gold standard for assessment and diagnosis of COPD?
ANSWER:
Post-bronchodilator spirometry.
What is an example of a SAMA used in the treatment of COPD?
ANSWER:
Ipratropium (Atrovent).
How should a patient with acute bronchitis and persistent cough be managed?
ANSWER:
Order an antitussive, such as Dextromethorphan.
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 hx of asthma. She states that she
was using her albuterol inhaler 2 tt times a week w good relief and that is why
, she doesn't use the ICS that she was previously prescribed. She does not
consider her asthma to interfere with her life and is requesting albuterol refill.
Your priority is to advise the patient that:
ANSWER:
Regular use of SABA (albuterol) is not recommended due to increased airway
hyper-responsiveness.
What is the basis of drug therapy for moderate persistent asthma?
ANSWER:
Low to medium dose ICS plus a long-acting bronchodilator.
What is an appropriate treatment choice for a 40-year-old female diagnosed with
CAP and co-morbidities?
ANSWER:
Doxycycline and azithromycin.
Which medication should NOT be prescribed for a patient with tympanostomy
tubes and ear pain?
ANSWER:
Cipro (hydrocortisone).
A 35 year old female presents with redness in her eyes, yellowish drainage and
some discomfort She does not feel comfortable using her contact lenses. She
has no visual disturbance. Her son who is in grade school had the same problem
and was treated by the pediatrician. You diagnose her with acute bacterial
conjunctivitis. The most appropriate antibiotic to prescribe is:
ANSWER:
Levofloxacin.
Lily has nasal congestion with purulent nasal discharge and facial pain without
improvement for the past 12 days. She has a PCN allergy. The best option for
initial therapy is:
ANSWER:
Moxifloxacin, levofloxacin, or doxycycline.
What is the recommended pharmacological management for acute bacterial
sinusitis?
