NURS 635 TEST BANK 2025/2026 QUESTIONS WITH
ANSWERS GRADED A+
✔✔What does digoxin due to women? - ✔✔Increase mortality
✔✔When to use digoxin? - ✔✔When ACEIs, beta-blockers, and diuretics have not
improved function
✔✔Antidote to digoxin? - ✔✔Digibind
25% of pts get digoxin toxicity
✔✔What increases digoxin toxicity? - ✔✔Hypokalemia
*pt on albuterol can lower serum potassium level
✔✔Heart failure stage 1 drug choice - ✔✔ACEI
ARBs useful, but more expensive
Diuretics
✔✔Heart failure stage 2 drug choice - ✔✔ACEI or ARB if intolerant to ACEI
Beta-blocker
Diuretics
✔✔Heart failure stage 3 drug choice - ✔✔ACEIs and Beta blocker
Diuretics - loop diuretic (furosemide, digoxin
Potassium sparing diuretics (spironolactone)
✔✔Heart failure stage 4 drug choice - ✔✔Stage 3 treatment + inotropes (dobutamine)
✔✔What is a child's compensatory mechanism for tet spell? - ✔✔squatting down
✔✔What is patent ductus arteriosus (PDA)? - ✔✔congenital heart defect with
continuous machine like murmur heard over left upper sternal border in both systole and
diastole
bounding pulse and thrill on palpation
✔✔How to treat PDA? - ✔✔IV NSAID - indomethacin
✔✔What is Raynaud's Disease? - ✔✔Vasospastic disorder typically seen during cold
weather.
Involves small arteries and arterioles fingers, sometimes toes
✔✔What is asthma? - ✔✔Obstructive airway disease associated with airflow
obstruction, mucus production, hyperreactivity of bronchial tissue, and inflammation
, ✔✔Risk factors for asthma? - ✔✔environmental exposure (tobacco smoke, animal
dander or fur, dust mites, mold, weather, viral respiratory infection, obesity, stress) and
genetics
✔✔What is mild intermittent asthma? - ✔✔symptoms occur 2x or less than in a week
✔✔What is exercise-induced asthma (EIA)? - ✔✔transient airway obstruction 5-15 min
after physical exertion; should always carry and inhaler with them
✔✔Method of treating asthma ? - ✔✔Use stepwise treatment plan.
Determine how severe asthma and assess asthma control.
✔✔What is mild persistent asthma? - ✔✔More than 2 times weekly but not daily and 3-4
times per month of nightly awakenings... Add Inhaled corticosteroids
✔✔What is moderate asthma? - ✔✔Having daily asthmatic symptoms
✔✔Medication to treat mild persistent asthma? - ✔✔short-acting beta2 agonist (SABA)
plus low-dose inhaled corticosteroid (ICS)
✔✔Medication for moderate persistent asthma? - ✔✔SABA for acute symptoms and
long-term control with inhaled medium-dose corticosteroid (first-line for long-term
control) and LABA (salmeterol) but with caution
✔✔What is severe persistent asthma? - ✔✔continuous symptoms
✔✔Medication for severe persistent asthma? - ✔✔LABA plus a high-potency ICS plus
oral corticosteroid
✔✔What is necessary when educating patient on inhaler? - ✔✔Have patient
demonstrate how to use
✔✔What to look for when asthma unresponsive to inhaler? - ✔✔Patient technique when
using inhaler
Noncompliance with prescription medication
✔✔If patient using beta adrenergic agonist and ICS, which one should they use first? -
✔✔SABA first because need to open airway, then allow greater penetration of ICS
✔✔What is an early treatment in asthma plan? - ✔✔smoking cessation
✔✔What are SABAs indicated for? - ✔✔PRN use because short term
✔✔Side effects of SABAs? - ✔✔increased heart rate
ANSWERS GRADED A+
✔✔What does digoxin due to women? - ✔✔Increase mortality
✔✔When to use digoxin? - ✔✔When ACEIs, beta-blockers, and diuretics have not
improved function
✔✔Antidote to digoxin? - ✔✔Digibind
25% of pts get digoxin toxicity
✔✔What increases digoxin toxicity? - ✔✔Hypokalemia
*pt on albuterol can lower serum potassium level
✔✔Heart failure stage 1 drug choice - ✔✔ACEI
ARBs useful, but more expensive
Diuretics
✔✔Heart failure stage 2 drug choice - ✔✔ACEI or ARB if intolerant to ACEI
Beta-blocker
Diuretics
✔✔Heart failure stage 3 drug choice - ✔✔ACEIs and Beta blocker
Diuretics - loop diuretic (furosemide, digoxin
Potassium sparing diuretics (spironolactone)
✔✔Heart failure stage 4 drug choice - ✔✔Stage 3 treatment + inotropes (dobutamine)
✔✔What is a child's compensatory mechanism for tet spell? - ✔✔squatting down
✔✔What is patent ductus arteriosus (PDA)? - ✔✔congenital heart defect with
continuous machine like murmur heard over left upper sternal border in both systole and
diastole
bounding pulse and thrill on palpation
✔✔How to treat PDA? - ✔✔IV NSAID - indomethacin
✔✔What is Raynaud's Disease? - ✔✔Vasospastic disorder typically seen during cold
weather.
Involves small arteries and arterioles fingers, sometimes toes
✔✔What is asthma? - ✔✔Obstructive airway disease associated with airflow
obstruction, mucus production, hyperreactivity of bronchial tissue, and inflammation
, ✔✔Risk factors for asthma? - ✔✔environmental exposure (tobacco smoke, animal
dander or fur, dust mites, mold, weather, viral respiratory infection, obesity, stress) and
genetics
✔✔What is mild intermittent asthma? - ✔✔symptoms occur 2x or less than in a week
✔✔What is exercise-induced asthma (EIA)? - ✔✔transient airway obstruction 5-15 min
after physical exertion; should always carry and inhaler with them
✔✔Method of treating asthma ? - ✔✔Use stepwise treatment plan.
Determine how severe asthma and assess asthma control.
✔✔What is mild persistent asthma? - ✔✔More than 2 times weekly but not daily and 3-4
times per month of nightly awakenings... Add Inhaled corticosteroids
✔✔What is moderate asthma? - ✔✔Having daily asthmatic symptoms
✔✔Medication to treat mild persistent asthma? - ✔✔short-acting beta2 agonist (SABA)
plus low-dose inhaled corticosteroid (ICS)
✔✔Medication for moderate persistent asthma? - ✔✔SABA for acute symptoms and
long-term control with inhaled medium-dose corticosteroid (first-line for long-term
control) and LABA (salmeterol) but with caution
✔✔What is severe persistent asthma? - ✔✔continuous symptoms
✔✔Medication for severe persistent asthma? - ✔✔LABA plus a high-potency ICS plus
oral corticosteroid
✔✔What is necessary when educating patient on inhaler? - ✔✔Have patient
demonstrate how to use
✔✔What to look for when asthma unresponsive to inhaler? - ✔✔Patient technique when
using inhaler
Noncompliance with prescription medication
✔✔If patient using beta adrenergic agonist and ICS, which one should they use first? -
✔✔SABA first because need to open airway, then allow greater penetration of ICS
✔✔What is an early treatment in asthma plan? - ✔✔smoking cessation
✔✔What are SABAs indicated for? - ✔✔PRN use because short term
✔✔Side effects of SABAs? - ✔✔increased heart rate
