NURS 5338 Final Exam
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. A 24year-old patient reports experiencing wheezing chest tightness about once a month
usually drink exercise with viral illness. She otherwise is healthy and has normal
spirometry between episodes according to the GINA guidelines what is the preferred
initial treatment?
A. Daily low dose ICS
B. As needed low dose ICS-Formoterol
C. SABA as needed
D. Montelukast daily - Correct Answer: B. As needed low dose ICS
2. A 10-year-old child has asthma symptoms daily and wakes up at night twice a week with
coughing. He uses albuterol several times a week and has two exacerbation in the past
six months what is the preferred step three treatment as per GINA guidelines?
A. Daily low dose ICS as needed with SABA
B. Daily medium dose ICS
C. Daily low dose ICS-LABA
D. Montelukast monotherapy - Correct Answer: C. Daily low dose ICS-LABA
3. A 45-year-old patient with asthma already on daily low-dose ICS-LABA but continues to
have daily symptoms. Use his risk inhaler almost daily and wakes up at night multiple
times per week. What is the preferred next step in management as per GINA guidelines?
A. Increase SABA dose
B. Switch to LAMA inhaler
C. Step up to medium dose ICS-LABA
D. Start oral corticosteroids - Correct Answer: C. Step up to medium dose ICS-
LABA
,4. A patient comes in with wheezing, chest tightness cough and shortness of breath. They
are stable and able to give a focused history. Their results for FEV1/FEC Ratio is below
normal range. What is the next step to try and diagnose asthma?
A. No more testing is needed
B. Repeat spirometry and look for FEV1 improvement of ≥ 12%
C. Administer SABA, Repeat spirometry and look for FEV1 improvement of ≥ 12%
D. Administer SABA, Repeat spirometry and look for FEV1 improvement of < 12% -
Correct Answer: C. Administer SABA, Repeat spirometry and look for FEV1
improvement of ≥ 12%
5. A 42 y/o man follow up visit for asthma was diagnosed one month ago after spirometry
showed an FEV1/FVC ratio of 0.6 and an increase in FEV1 a 15% After albuterol admin.
The patient was started on a daily low dose inhaled corticosteroid ICS-LABA inhaler. He
has some exaerbations. Serum IgE is 10I u/ml and eosinophils are 50 cells/uL. What are
the next steps?
A. Consider alternative diagnosis
B. Add LAMA
C. Start omlizumab
D. Change the ICS-LABA to a medium dose
E. No changes - Correct Answer: D. Change the ICS-LABA to a medium dose
6. A 29 y/o man presents to the clinic due to two months of mild intermittent dyspnea. The
patient was diagnosed with mild intermittent asthma as a child and based on symptoms
and used to use an albuterol inhaler when playing sports. The patient has not used an
inhaler in 10 yrs. Vital signs are normal. Which PFT findings are most likely?
A. Inc in FEV1 from 400 to 420ml after albuterol admin
B. Dec in FEV1 after methacholine admin
C. DLCO of 75% with normal PFT
D. DLCO of 110% with normal PFT - Correct Answer: B. Dec in FEV1 after
methacholine admin.
7. A severe decrease in FEV one with provocation testing (methacholine or exercise) also
indicates asthma
,8. What is the Normal range for DLCO (diffusing capacity of the lungs for carbon monoxide)
test?
A. 75% to 140% of the predictive value
B. 60% to 75% of the predictive value or lower limit of normal
C. Less than 40% predictive value - Correct Answer: A. 75% to 140% of the
predictive value
9. Which of the following is the most potent risk factor for lower extremity vascular
occlusive disease?
A. Cigarette smoking
B. Chewing tobacco
C. Obesity
D. Thyroid disease
E. Hyperlipidemia - Correct Answer: A. Cigarette smoking
10. Which category of drug are the following?
11. Albuterol sulfate/ Salbutamol
12. Levabuterol Tartrate/HCL
A. SABA
B. LABA
C. Low dose ICS-formoterol
D. Low dose ICS
E. LAMA
F. ICS-LABA - Correct Answer: A. SABA
13. Which category of drug are the following?
14. beclomethasone, budesonide, fluticasone furoate, fluticasone
15. propionate, mometasone.
A. SABA
B. LABA
C. Low dose ICS-formoterol
D. Low dose ICS
E. LAMA
, F. ICS-LABA - Correct Answer: D. Low dose ICS
16. Joyce is taking a long acting beta agonist for her asthma what additional medication
should she be taking?
A. SABA
B. LTRA
C. ICS
D. LAMA - Correct Answer: C. ICS
17. The barrel chest characteristic of emphysema is a result of.
A. Hyperinflation
B. Hypoinflation
C. Bone deformity
D. Autoimmune condition - Correct Answer: A. Hyperinflation
18. FEV1/FVC < 0.7 indicates
A. Restriction
B. Obstruction
C. Normal
D. Infection - Correct Answer: B. Obstruction
19. Step 1 asthma treatment:
A. ICS
B. LABA
C. PRN SABA
D. Steroids - Correct Answer: C. PRN SABA
20. SMART Therapy uses
A. SABA
B. ICS-formoterol
C. LABA only
D. Steroid only - Correct Answer: B. ICS-formoterol
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. A 24year-old patient reports experiencing wheezing chest tightness about once a month
usually drink exercise with viral illness. She otherwise is healthy and has normal
spirometry between episodes according to the GINA guidelines what is the preferred
initial treatment?
A. Daily low dose ICS
B. As needed low dose ICS-Formoterol
C. SABA as needed
D. Montelukast daily - Correct Answer: B. As needed low dose ICS
2. A 10-year-old child has asthma symptoms daily and wakes up at night twice a week with
coughing. He uses albuterol several times a week and has two exacerbation in the past
six months what is the preferred step three treatment as per GINA guidelines?
A. Daily low dose ICS as needed with SABA
B. Daily medium dose ICS
C. Daily low dose ICS-LABA
D. Montelukast monotherapy - Correct Answer: C. Daily low dose ICS-LABA
3. A 45-year-old patient with asthma already on daily low-dose ICS-LABA but continues to
have daily symptoms. Use his risk inhaler almost daily and wakes up at night multiple
times per week. What is the preferred next step in management as per GINA guidelines?
A. Increase SABA dose
B. Switch to LAMA inhaler
C. Step up to medium dose ICS-LABA
D. Start oral corticosteroids - Correct Answer: C. Step up to medium dose ICS-
LABA
,4. A patient comes in with wheezing, chest tightness cough and shortness of breath. They
are stable and able to give a focused history. Their results for FEV1/FEC Ratio is below
normal range. What is the next step to try and diagnose asthma?
A. No more testing is needed
B. Repeat spirometry and look for FEV1 improvement of ≥ 12%
C. Administer SABA, Repeat spirometry and look for FEV1 improvement of ≥ 12%
D. Administer SABA, Repeat spirometry and look for FEV1 improvement of < 12% -
Correct Answer: C. Administer SABA, Repeat spirometry and look for FEV1
improvement of ≥ 12%
5. A 42 y/o man follow up visit for asthma was diagnosed one month ago after spirometry
showed an FEV1/FVC ratio of 0.6 and an increase in FEV1 a 15% After albuterol admin.
The patient was started on a daily low dose inhaled corticosteroid ICS-LABA inhaler. He
has some exaerbations. Serum IgE is 10I u/ml and eosinophils are 50 cells/uL. What are
the next steps?
A. Consider alternative diagnosis
B. Add LAMA
C. Start omlizumab
D. Change the ICS-LABA to a medium dose
E. No changes - Correct Answer: D. Change the ICS-LABA to a medium dose
6. A 29 y/o man presents to the clinic due to two months of mild intermittent dyspnea. The
patient was diagnosed with mild intermittent asthma as a child and based on symptoms
and used to use an albuterol inhaler when playing sports. The patient has not used an
inhaler in 10 yrs. Vital signs are normal. Which PFT findings are most likely?
A. Inc in FEV1 from 400 to 420ml after albuterol admin
B. Dec in FEV1 after methacholine admin
C. DLCO of 75% with normal PFT
D. DLCO of 110% with normal PFT - Correct Answer: B. Dec in FEV1 after
methacholine admin.
7. A severe decrease in FEV one with provocation testing (methacholine or exercise) also
indicates asthma
,8. What is the Normal range for DLCO (diffusing capacity of the lungs for carbon monoxide)
test?
A. 75% to 140% of the predictive value
B. 60% to 75% of the predictive value or lower limit of normal
C. Less than 40% predictive value - Correct Answer: A. 75% to 140% of the
predictive value
9. Which of the following is the most potent risk factor for lower extremity vascular
occlusive disease?
A. Cigarette smoking
B. Chewing tobacco
C. Obesity
D. Thyroid disease
E. Hyperlipidemia - Correct Answer: A. Cigarette smoking
10. Which category of drug are the following?
11. Albuterol sulfate/ Salbutamol
12. Levabuterol Tartrate/HCL
A. SABA
B. LABA
C. Low dose ICS-formoterol
D. Low dose ICS
E. LAMA
F. ICS-LABA - Correct Answer: A. SABA
13. Which category of drug are the following?
14. beclomethasone, budesonide, fluticasone furoate, fluticasone
15. propionate, mometasone.
A. SABA
B. LABA
C. Low dose ICS-formoterol
D. Low dose ICS
E. LAMA
, F. ICS-LABA - Correct Answer: D. Low dose ICS
16. Joyce is taking a long acting beta agonist for her asthma what additional medication
should she be taking?
A. SABA
B. LTRA
C. ICS
D. LAMA - Correct Answer: C. ICS
17. The barrel chest characteristic of emphysema is a result of.
A. Hyperinflation
B. Hypoinflation
C. Bone deformity
D. Autoimmune condition - Correct Answer: A. Hyperinflation
18. FEV1/FVC < 0.7 indicates
A. Restriction
B. Obstruction
C. Normal
D. Infection - Correct Answer: B. Obstruction
19. Step 1 asthma treatment:
A. ICS
B. LABA
C. PRN SABA
D. Steroids - Correct Answer: C. PRN SABA
20. SMART Therapy uses
A. SABA
B. ICS-formoterol
C. LABA only
D. Steroid only - Correct Answer: B. ICS-formoterol
