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MARYVILLE NUR 615 FINAL EXAM 2026/2027
QUESTIONS AND SOLUTIONS RATED A+
✔✔The first line antibiotic choice for a patient with comorbidities who is
immunosuppresed who has pneumonia and can be treated outpatient would be: -
✔✔levofloxacin

✔✔The first line drug of choice for a previously healthy adult patient diagnosed with
CAP would be: - ✔✔Azithromycin

✔✔The most common bacterial pathogen in CAP is: - ✔✔Strep pneumoniae

✔✔Education for patients who use an inhaled a beta-agonist and an inhaled
corticosteroid includes: - ✔✔inhale beta agonist first then corticosteroid

✔✔Education for patients with COPD who use inhaled corticosteroids includes: -
✔✔Rinse mouth after use

✔✔Patients with COPD require monitoring of: - ✔✔Their beta2-agonist use

✔✔Patients with a COPD exacerbation may require - ✔✔a systemic corticosteroid burst

✔✔MEdications used in the management of patients with COPD include: - ✔✔Inhaled
beta 2 agonist, inhaled anticholinergics (ipratopium), and inhaled corticosteroids

✔✔One of the goals of asthma management in children is: - ✔✔participation in school
and sports activities

✔✔Pregnant patients with asthma may safely use ____ throughout their pregnancy -
✔✔inhaled corticosteroids

✔✔Patients who are at risk for fatal asthma attacks include patients with: - ✔✔history of
intubation/ICU admission for asthma

✔✔Asthma exacerbation at home are managed by the patient by: - ✔✔Increasing
frequency of beta 2 agnost and contacting provider

✔✔Monitoring a patient with persistent asthma includes: - ✔✔Evaluating the patient
every 1-6 months

✔✔The first line therapy for mild persistent asthma is: - ✔✔Low dose inhaled
corticosteriods

, ✔✔Treatment for mild intermittent asthma is: - ✔✔Albuterol, a short acting beta 2
agonist

✔✔A stepwise approach to the pharmacologic management of asthma: - ✔✔Begins
with determining the severity of asthma and assessing asthma control

✔✔One goal of asthma therapy outlined in NHLBI Expert Panel 3 guidelines is: -
✔✔require infrequent use of beta 2 agonist for relief of symptoms

✔✔In children ages 5-11 years, mild persistent asthma is diagnosed when asthma
symptoms occur: - ✔✔3-4 times a month at nighttime

✔✔Prior to developing a plan for the treatment of asthma, the patients asthma should
be classified according to the NHLBI Expert Panel 3 guidelines. In adults, mild
persistent asthma is classified as asthma symptoms that occur: - ✔✔more than twice
weekly and less than once a day

✔✔The first line treatment for cough related to an upper respiratory tract infections in a
5 year old is: - ✔✔Fluids and symptomatic care

✔✔George is a 60 year old patient with hypertension. The first line decongestant would
be: - ✔✔Nasal oxymetazoline

✔✔Cough and cold medicine that contains a sympthomimetic decongestant such as
phenylephrine shluld be used cautiously in what populations: - ✔✔older adults, infants,
patients with hypertension

✔✔Decongestants such as pseudophedrine: - ✔✔Should be avoided in patients 4 years
and younger

✔✔When recommending dimenhydrate (Dramamine) to treat motion sickness, patients
should be instructed: - ✔✔To take 15 minutes prior to needed it

✔✔Antihistamines such as loratadine are prescribed for seasonal allergies because
they: - ✔✔are less sedating

✔✔William is a 72 year old male who occasionally takes diphenhydramine for his
seasonal allergies. Monitoring for this patients taking diphenhydramine would include
assessing for: - ✔✔Urinary retention

✔✔Patients with allergic rhinitis may benefit from a prescription of: - ✔✔Fluticasone,
cetrizine, and OTC cromolyn nasal spray

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