NURS 620 ADULT 1 EXAM 2
QUESTIONS AND CORRECT DETAILED
ANSWERS (ALREADY GRADED A+);
3 major goals of COPD Management - correct answer- 1.
Maximize functional capacity
2. Prevent and treat secondary medical complications
3. Improve quality of life by reducing respiratory symptoms
5 P signs of PVD/DVT? - correct answer- pain
pallor
pulselessness
paralysis
paresthesia
a new 58yo pt has a BP 152/90, first time seeing this patient,
what should you do? - correct answer- Come back for 3
more BP checks
A patient presents with a dry cough, causing chest discomfort x
10 days. He has a runny nose and fatigue. Nurse notes late
expiratory wheeze in the lower lobes and rhinitis in the nasal
,passages. Denies smoking, fever, wheezing. What do we expect?
- correct answer- Acute bronchitis
A patient presents with cough for 1 weeks and chills/fever of
102.6 today. On exam the provider notes a productive cough,
rhonchi in lower lobes bilateral and dullness on percussion.
What is the most likely diagnosis? - correct answer-
Bacterial pneumonia
A patient with CAD should be placed on which of the following
as antiplatelet tx (first line) - correct answer- Aspirin
According to JNC 8, a 40 yo with 168/88 with CKD should have
treatment with? - correct answer- Lisinopril (ACE
inhibitors)
African Americans dx with HTN without chronic kidney disease
should use - correct answer- CCBs and thiazides
An asthmatic patient comes in for a follow up, as you assess his
asthma control. He uses albuterol for wheezing, cough, SOB 1 x
week. He has been to the ER once for asthma symptoms and
coughs 3x a month at night. He is only prescribed albuterol.
, What would you add? - correct answer- Inhaled low dose
corticosteroid
At what LDL level would you start a person on a statin with no
risk factors regardless of comorbidities? - correct answer-
>190
BP goals per JNC 8 - correct answer- ≤ 60 y/o or DM, CKD
<140/90; ≥ 60 y/o <150/90
Cardinal Symptoms of asthma? - correct answer- Cough,
wheeze, SOB
characteristics of an acute asthma exacerbation - correct
answer- •Peak flow less than 50% predicted normal
•Failure to respond to a beta2-agonist
•Severe coughing or wheezing
•rapid and gasping breathing
Classification of COPD severity - correct answer- I. Mild =
FEV1 ≥80%
II. Moderate = FEV1 50-80%
QUESTIONS AND CORRECT DETAILED
ANSWERS (ALREADY GRADED A+);
3 major goals of COPD Management - correct answer- 1.
Maximize functional capacity
2. Prevent and treat secondary medical complications
3. Improve quality of life by reducing respiratory symptoms
5 P signs of PVD/DVT? - correct answer- pain
pallor
pulselessness
paralysis
paresthesia
a new 58yo pt has a BP 152/90, first time seeing this patient,
what should you do? - correct answer- Come back for 3
more BP checks
A patient presents with a dry cough, causing chest discomfort x
10 days. He has a runny nose and fatigue. Nurse notes late
expiratory wheeze in the lower lobes and rhinitis in the nasal
,passages. Denies smoking, fever, wheezing. What do we expect?
- correct answer- Acute bronchitis
A patient presents with cough for 1 weeks and chills/fever of
102.6 today. On exam the provider notes a productive cough,
rhonchi in lower lobes bilateral and dullness on percussion.
What is the most likely diagnosis? - correct answer-
Bacterial pneumonia
A patient with CAD should be placed on which of the following
as antiplatelet tx (first line) - correct answer- Aspirin
According to JNC 8, a 40 yo with 168/88 with CKD should have
treatment with? - correct answer- Lisinopril (ACE
inhibitors)
African Americans dx with HTN without chronic kidney disease
should use - correct answer- CCBs and thiazides
An asthmatic patient comes in for a follow up, as you assess his
asthma control. He uses albuterol for wheezing, cough, SOB 1 x
week. He has been to the ER once for asthma symptoms and
coughs 3x a month at night. He is only prescribed albuterol.
, What would you add? - correct answer- Inhaled low dose
corticosteroid
At what LDL level would you start a person on a statin with no
risk factors regardless of comorbidities? - correct answer-
>190
BP goals per JNC 8 - correct answer- ≤ 60 y/o or DM, CKD
<140/90; ≥ 60 y/o <150/90
Cardinal Symptoms of asthma? - correct answer- Cough,
wheeze, SOB
characteristics of an acute asthma exacerbation - correct
answer- •Peak flow less than 50% predicted normal
•Failure to respond to a beta2-agonist
•Severe coughing or wheezing
•rapid and gasping breathing
Classification of COPD severity - correct answer- I. Mild =
FEV1 ≥80%
II. Moderate = FEV1 50-80%
