3P Respiratory
A 3 year-old presents with a history of fever and cough over the past 24 hours. Findings on the
exam reveal: temperature of 102°F, apical heart rate of 157 beats/minute, and respiratory rate of
40 breaths/minute. Tachypnea in this child is most likely related to - ANS-the child's febrile state.
\A 37-year-old female has an audible stridor. This type of stridor is consistent with: - ANS-a
foreign object lodged in the upper trachea.
\A 48-year-old woman states that she began smoking about 10 cigarettes per day at 20 years of
age. How should this subjective history be documented? - ANS-14 pack year history
\A 65-year-old man presents with complaints of daytime sleepiness, unrestful sleep, and loud
snoring. These symptoms are MOST consistent with: - ANS-obstructive sleep apnea (OSA).
\A 65-year-old obese man with a past medical history of hypertension complains of increased
fatigue during the day. The practitioner orders a polysomnogram to test for: - ANS-obstructive
sleep apnea (OSA).
\A condition associated with a chronic cough that produces copious amounts of purulent sputum
is most likely: - ANS-bronchiectasis.
\A deviated trachea could be caused by all of the following except: - ANS-pneumonia.
\A patient presents with a productive cough. Which one of the following descriptions of the
mucus is correct? - ANS-Tenacious sputum is consistent with patients who have cystic fibrosis.
\A patient who is receiving warfarin (Coumadin) requires the initiation of doxycycline (Doryx) for
the treatment of pneumonia. The nurse practitioner knows that: - ANS-the warfarin (Coumadin)
dose may need to be decreased.
\A patient who presents with a long history of cigarette smoking exhibits a dry to productive
cough with dyspnea and weight loss. These symptoms could be consistent with: - ANS-a
neoplasm of the lung.
\A patient who walked into the examination room, may be observed to be sitting and leaning
forward in his chair. Lips were pursed during exhalation and arms are supported on the table.
This position could be consistent with patients who have: - ANS-chronic obstructive pulmonary
disease.
\A patient with pertussis is allergic to macrolide antibiotics and is being treated with trimethoprim
sulfamethoxazole. She does NOT need to be monitored for: - ANS-elevated liver enzymes.
\Adventitious breath sounds, such as crackles, are: - ANS-popping, frying sounds, may be low
or high- pitched and usually heard on inspiration.
\An acute viral illness that presents with a burning retrosternal discomfort and a dry cough is
suggestive of: - ANS-tracheobronchitis.
\An example of a long- acting bronchodilator is: - ANS-salmeterol (Serevent Diskus).
\Azithromycin (Zithromax) and other macrolides are safe to administer with: - ANS-carvedilol
(Coreg).
\Benzonatate (Tessalon Perles), a non-narcotic antitussive,: - ANS-should be swallowed whole.
\Benzonatate (Tessalon Perles), used to treat cough, is classified as a(n): - ANS-non-narcotic
antitussive.
, \Breath sounds auscultated over the periphery of the lung fields are quiet and wispy during the
inspiratory phase followed by a short, almost silent expiratory phase. These breath sounds are
considered: - ANS-vesicular.
\Breath sounds consisting of a full inspiratory and expiratory phase with the inspiratory phase
usually being louder and normally heard over the trachea and larynx are considered: -
ANS-bronchial.
\Breath sounds consisting of a full inspiratory phase and a shortened and softer expiratory
phase normally audible over the hilar region of the chest are termed: - ANS-bronchovesicular.
\Breath sounds heard on chest over the hilar region are: - ANS-bronchovesicular.
\Breath sounds heard over the periphery of the lung fields are: - ANS-vesicular.
\Caution is advised when theophylline (Theo-24) is prescribed for patients with a history of: -
ANS-atrial fibrillation.
\Dextromethorphan, a cough suppressant, is safe to administer to patients who have: -
ANS-hypertension.
\Diminished breath sounds should be interpreted as: - ANS-an abnormal finding warranting
further evaluation.
\Doxycycline (Vibramycin) is the preferred treatment of pneumonia caused by: -
ANS-Mycoplasma pneumoniae.
\Doxycycline (Vibramycin), for the treatment of pneumonia, is classified as a: - ANS-tetracycline.
\Factors that aggravate costochondritis may include: - ANS-movement of the chest, trunk, and
arms.
\Fluticasone/salmeterol is a combination inhaler that is branded as: - ANS-Advair Diskus.
\For asthma symptoms occurring daily with nighttime symptoms greater than one time per week,
the preferred daily treatment is a: - ANS-long-acting bronchodilator and an inhaled
corticosteroid.
\For complaints of dysphonia related to the use of mometasone (Asmanex), the patient should
be advised to: - ANS-utilize a spacer for administration.
\For previously healthy children with mild to moderate symptoms of suspected bacterial
community-acquired pneumonia secondary to Streptococcus pneumoniae, the first- line therapy
is: - ANS-amoxicillin (Amoxil).
\Glucocorticoids are indicated for the treatment of: - ANS-asthma exacerbations.
\In adults with community-acquired pneumonia in which B- lactamase producing Haemophilus
influenzae is identified as the causative organism, the outpatient treatment of choice is: -
ANS-Cefixime (Suprax).
\In Augmentin, amoxicillin and clavulanate are combined. The action of clavulanate is to: -
ANS-bind to beta lactamase, hindering enzymatic activity.
\In the treatment of pneumonia, a macrolide such as clarithromycin should NOT be
coadministered with: - ANS-atorvastatin.
\Increased anteroposterior diameter of the chest, purse-lipped breathing, and dyspnea with
talking, suggest: - ANS-chronic obstructive pulmonary disease.
\Inhaled antimuscarinic agents, such as ipratropium bromide (Atrovent HFA),: - ANS-reduce
exacerbation rates better than beta2-agonists.
\Leukotriene antagonists such as montelukast (Singulair) should not be prescribed if the patient
has preexisting: - ANS-depression.
A 3 year-old presents with a history of fever and cough over the past 24 hours. Findings on the
exam reveal: temperature of 102°F, apical heart rate of 157 beats/minute, and respiratory rate of
40 breaths/minute. Tachypnea in this child is most likely related to - ANS-the child's febrile state.
\A 37-year-old female has an audible stridor. This type of stridor is consistent with: - ANS-a
foreign object lodged in the upper trachea.
\A 48-year-old woman states that she began smoking about 10 cigarettes per day at 20 years of
age. How should this subjective history be documented? - ANS-14 pack year history
\A 65-year-old man presents with complaints of daytime sleepiness, unrestful sleep, and loud
snoring. These symptoms are MOST consistent with: - ANS-obstructive sleep apnea (OSA).
\A 65-year-old obese man with a past medical history of hypertension complains of increased
fatigue during the day. The practitioner orders a polysomnogram to test for: - ANS-obstructive
sleep apnea (OSA).
\A condition associated with a chronic cough that produces copious amounts of purulent sputum
is most likely: - ANS-bronchiectasis.
\A deviated trachea could be caused by all of the following except: - ANS-pneumonia.
\A patient presents with a productive cough. Which one of the following descriptions of the
mucus is correct? - ANS-Tenacious sputum is consistent with patients who have cystic fibrosis.
\A patient who is receiving warfarin (Coumadin) requires the initiation of doxycycline (Doryx) for
the treatment of pneumonia. The nurse practitioner knows that: - ANS-the warfarin (Coumadin)
dose may need to be decreased.
\A patient who presents with a long history of cigarette smoking exhibits a dry to productive
cough with dyspnea and weight loss. These symptoms could be consistent with: - ANS-a
neoplasm of the lung.
\A patient who walked into the examination room, may be observed to be sitting and leaning
forward in his chair. Lips were pursed during exhalation and arms are supported on the table.
This position could be consistent with patients who have: - ANS-chronic obstructive pulmonary
disease.
\A patient with pertussis is allergic to macrolide antibiotics and is being treated with trimethoprim
sulfamethoxazole. She does NOT need to be monitored for: - ANS-elevated liver enzymes.
\Adventitious breath sounds, such as crackles, are: - ANS-popping, frying sounds, may be low
or high- pitched and usually heard on inspiration.
\An acute viral illness that presents with a burning retrosternal discomfort and a dry cough is
suggestive of: - ANS-tracheobronchitis.
\An example of a long- acting bronchodilator is: - ANS-salmeterol (Serevent Diskus).
\Azithromycin (Zithromax) and other macrolides are safe to administer with: - ANS-carvedilol
(Coreg).
\Benzonatate (Tessalon Perles), a non-narcotic antitussive,: - ANS-should be swallowed whole.
\Benzonatate (Tessalon Perles), used to treat cough, is classified as a(n): - ANS-non-narcotic
antitussive.
, \Breath sounds auscultated over the periphery of the lung fields are quiet and wispy during the
inspiratory phase followed by a short, almost silent expiratory phase. These breath sounds are
considered: - ANS-vesicular.
\Breath sounds consisting of a full inspiratory and expiratory phase with the inspiratory phase
usually being louder and normally heard over the trachea and larynx are considered: -
ANS-bronchial.
\Breath sounds consisting of a full inspiratory phase and a shortened and softer expiratory
phase normally audible over the hilar region of the chest are termed: - ANS-bronchovesicular.
\Breath sounds heard on chest over the hilar region are: - ANS-bronchovesicular.
\Breath sounds heard over the periphery of the lung fields are: - ANS-vesicular.
\Caution is advised when theophylline (Theo-24) is prescribed for patients with a history of: -
ANS-atrial fibrillation.
\Dextromethorphan, a cough suppressant, is safe to administer to patients who have: -
ANS-hypertension.
\Diminished breath sounds should be interpreted as: - ANS-an abnormal finding warranting
further evaluation.
\Doxycycline (Vibramycin) is the preferred treatment of pneumonia caused by: -
ANS-Mycoplasma pneumoniae.
\Doxycycline (Vibramycin), for the treatment of pneumonia, is classified as a: - ANS-tetracycline.
\Factors that aggravate costochondritis may include: - ANS-movement of the chest, trunk, and
arms.
\Fluticasone/salmeterol is a combination inhaler that is branded as: - ANS-Advair Diskus.
\For asthma symptoms occurring daily with nighttime symptoms greater than one time per week,
the preferred daily treatment is a: - ANS-long-acting bronchodilator and an inhaled
corticosteroid.
\For complaints of dysphonia related to the use of mometasone (Asmanex), the patient should
be advised to: - ANS-utilize a spacer for administration.
\For previously healthy children with mild to moderate symptoms of suspected bacterial
community-acquired pneumonia secondary to Streptococcus pneumoniae, the first- line therapy
is: - ANS-amoxicillin (Amoxil).
\Glucocorticoids are indicated for the treatment of: - ANS-asthma exacerbations.
\In adults with community-acquired pneumonia in which B- lactamase producing Haemophilus
influenzae is identified as the causative organism, the outpatient treatment of choice is: -
ANS-Cefixime (Suprax).
\In Augmentin, amoxicillin and clavulanate are combined. The action of clavulanate is to: -
ANS-bind to beta lactamase, hindering enzymatic activity.
\In the treatment of pneumonia, a macrolide such as clarithromycin should NOT be
coadministered with: - ANS-atorvastatin.
\Increased anteroposterior diameter of the chest, purse-lipped breathing, and dyspnea with
talking, suggest: - ANS-chronic obstructive pulmonary disease.
\Inhaled antimuscarinic agents, such as ipratropium bromide (Atrovent HFA),: - ANS-reduce
exacerbation rates better than beta2-agonists.
\Leukotriene antagonists such as montelukast (Singulair) should not be prescribed if the patient
has preexisting: - ANS-depression.
