MARYVILLE NURS 620 ADULT 1 EXAM 1
CONCEPT REVIEW GUIDE 2026 PATIENT
PRIORITIZATION AND CLINICAL DECISION
MAKING
◉ Risk factors for chronic arterial insufficiency?-
Answer: tobacco use
◉ You are using the CURB 65 clinical tool, for determining which
patient dx with CAP should be hospitalized or treated at home.
Mabel's score is 2- what should we do?
Answer: Short inpatient stay; if she is relatively healthy, she could be
closely supervised outpatient
◉ S/S of COPD correlate with which of the following?-
Answer: Chronic bronchitis with airway obstruction
◉ Presents with history of asthma without treatment for a while.
She reports daily but not continual symptoms that last longer than 1
week and present at night. She has been using her rescue inhaler.
Her FEV1 is 60-80% predicted- how would you classify her asthma?
Answer: moderate persistent
,◉ What is the most common bacterial pathogen in CAP?
Answer: Streptococcus PNA
◉ Which obstructive lung disease is reversible
Answer: asthma
◉ George has COPD and a 40% FEV1. How would you classify the
severity of his COPD
Answer: Stage 3
◉ Jason age 62 has Obstructive Sleep Apnea (OSA). Which of these is
a contributing factor?
Answer: his collar size is 17 inches
◉ A patient with CAD should be placed on which of the following as
antiplatelet tx (first line)
Answer: Aspirin
◉ What is the desired therapeutic action of inhaled corticosteroids?
Answer: reduction in airway inflammation
◉ What is the appropriate tx for a pt dx with chronic venous
insufficiency
, Answer: use of elastic stockings
◉ What is the most important measurement in a pulmonary
function in a patient with asthma?
Answer: FEV forced expiratory volume
◉ Healthy 27 yo man, dx with CAP, which one of these is the best
choice of tx?
Answer: azithromycin- macrolide
◉ Salmeterol (Serevent) is an example of which of the following?
Answer: long acting beta agonist(LABA)
◉ fluticasone & budesonide (pulmocort) are examples of what?
Answer: ICS Inhaled Corticosteroid
◉ Ipratropium (Atrovent) is an example of what?
Answer: Short-acting muscarinic-antagonist (SAMA)
◉ montelukast (Singulair) is an example of what?
Answer: NON STEROIDAL PREVENTERS
CONCEPT REVIEW GUIDE 2026 PATIENT
PRIORITIZATION AND CLINICAL DECISION
MAKING
◉ Risk factors for chronic arterial insufficiency?-
Answer: tobacco use
◉ You are using the CURB 65 clinical tool, for determining which
patient dx with CAP should be hospitalized or treated at home.
Mabel's score is 2- what should we do?
Answer: Short inpatient stay; if she is relatively healthy, she could be
closely supervised outpatient
◉ S/S of COPD correlate with which of the following?-
Answer: Chronic bronchitis with airway obstruction
◉ Presents with history of asthma without treatment for a while.
She reports daily but not continual symptoms that last longer than 1
week and present at night. She has been using her rescue inhaler.
Her FEV1 is 60-80% predicted- how would you classify her asthma?
Answer: moderate persistent
,◉ What is the most common bacterial pathogen in CAP?
Answer: Streptococcus PNA
◉ Which obstructive lung disease is reversible
Answer: asthma
◉ George has COPD and a 40% FEV1. How would you classify the
severity of his COPD
Answer: Stage 3
◉ Jason age 62 has Obstructive Sleep Apnea (OSA). Which of these is
a contributing factor?
Answer: his collar size is 17 inches
◉ A patient with CAD should be placed on which of the following as
antiplatelet tx (first line)
Answer: Aspirin
◉ What is the desired therapeutic action of inhaled corticosteroids?
Answer: reduction in airway inflammation
◉ What is the appropriate tx for a pt dx with chronic venous
insufficiency
, Answer: use of elastic stockings
◉ What is the most important measurement in a pulmonary
function in a patient with asthma?
Answer: FEV forced expiratory volume
◉ Healthy 27 yo man, dx with CAP, which one of these is the best
choice of tx?
Answer: azithromycin- macrolide
◉ Salmeterol (Serevent) is an example of which of the following?
Answer: long acting beta agonist(LABA)
◉ fluticasone & budesonide (pulmocort) are examples of what?
Answer: ICS Inhaled Corticosteroid
◉ Ipratropium (Atrovent) is an example of what?
Answer: Short-acting muscarinic-antagonist (SAMA)
◉ montelukast (Singulair) is an example of what?
Answer: NON STEROIDAL PREVENTERS
