Fitzgerald Respiratory
1. Which of the following best describes asthma?
A. intermittent airway inflammation with occasional bronchospasm
B. a disease of bronchospasm that leads to airway inflammation
C. chronic airway inflammation with superimposed bronchospasm
D. relatively fixed airway constriction
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-C.
chronic airway inflammation with superimposed bronchospasm
2. The patient you are evaluating is having a severe asthma flare. You have assessed
that his condition is appropriate for office treatment. You expect to find the following on
physical examination:
A. tripod posture.
B. inspiratory crackles.
C. increased vocal fremitus.
D. hyperresonance on thoracic percussion.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-D.
hyperresonance on thoracic percussion.
3. A 44-year-old man has a long-standing history of moderate persistent asthma that is
normally well controlled by fluticasone with salmeterol (Advair®) via metered-dose
inhaler, one puff twice a day, and the use of albuterol 1 to 2 times a week as needed for
wheezing. Three days ago, he developed a sore throat, clear nasal discharge, body
aches, and a dry cough. In the past 24 hours, he has had intermittent wheezing that
necessitated the use of albuterol, two puffs every 3 hours, which produced partial relief.
Your next most appropriate action is to obtain a:
A. chest radiograph.
B. measurement of oxygen saturation (SaO2).
C. spirometry measurement.
D. sputum smear for white blood cells (WBCs).
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-C.
spirometry measurement.
4. You examine Jane, a 24-year-old woman who has an acute asthma flare following a
3-day history of upper respiratory tract symptoms (clear nasal discharge, dry cough, no
,fever). She has a history of moderate persistent asthma that is in good control and an
acceptable peak expiratory flow (PEF). She is using budesonide (Pulmicort®) and
albuterol as directed and continues to have difficulty with coughing and wheezing. At
home, her PEF is 55% of personal best. In the office, her forced expiratory volume at 1
second (FEV1) is 65% of predicted. Her medication regimen should be adjusted to
include:
A. theophylline.
B. salmeterol (Serevent®).
C. prednisone.
D. montelukast (Singulair®).
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-C.
prednisone.
4. You examine Jane, a 24-year-old woman who has an acute asthma flare following a
3-day history of upper respiratory tract symptoms (clear nasal discharge, dry cough, no
fever). She has a history of moderate persistent asthma that is in good control and an
acceptable peak expiratory flow (PEF). She is using budesonide (Pulmicort®) and
albuterol as directed and continues to have difficulty with coughing and wheezing. At
home, her PEF is 55% of personal best. In the office, her forced expiratory volume at 1
second (FEV1) is 65% of predicted. You also prescribe:
A. amoxicillin.
B. azithromycin.
C. levofloxacin.
D. no antimicrobial therapy.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edition.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edit - CORRECT ANSWER-D. no
antimicrobial therapy.
6. Peak expiratory flow meters:
A. should only be used in the presence of a medical professional.
B. provide a convenient method to check lung function at home.
C. are as accurate as spirometry.
D. should not be used more than once daily.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-B.
provide a convenient method to check lung function at home.
7. Which of the following is most likely to appear on a chest radiograph of a person
during an acute severe asthma attack?
A. hyperinflation
, B. atelectasis
C. consolidation
D. Kerley B signs
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-A.
hyperinflation
8. A 36-year-old man with asthma also needs antihypertensive therapy. Which of the
following products should you avoid prescribing?
A. hydrochlorothiazide
B. propranolol
C. amlodipine
D. enalapril
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 134). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-B.
propranolol
9. Which of the following is inconsistent with the presentation of asthma that is not well
controlled?
A. a troublesome nocturnal cough at least 2 nights per week
B. need for albuterol to relieve shortness of breath at least twice a week
C. morning sputum production
D. two or more exacerbations/year requiring oral corticosteroids
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 134). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-C.
morning sputum production
10. The cornerstone of moderate persistent asthma drug therapy is the use of:
A. oral theophylline.
B. mast cell stabilizers.
C. short-acting beta2-agonists (SABA).
D. inhaled corticosteroids.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 134). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-D.
inhaled corticosteroids.
11. Sharon is a 29-year-old woman with moderate persistent asthma. She is not using
prescribed inhaled corticosteroids, but is using albuterol PRN to relieve her cough and
wheeze with reported satisfactory clinical effect. Currently she uses about two albuterol
metered-dose inhalers per month and is requesting a prescription refill. You consider
that:
A. her asthma is well controlled and albuterol use can continue.
1. Which of the following best describes asthma?
A. intermittent airway inflammation with occasional bronchospasm
B. a disease of bronchospasm that leads to airway inflammation
C. chronic airway inflammation with superimposed bronchospasm
D. relatively fixed airway constriction
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-C.
chronic airway inflammation with superimposed bronchospasm
2. The patient you are evaluating is having a severe asthma flare. You have assessed
that his condition is appropriate for office treatment. You expect to find the following on
physical examination:
A. tripod posture.
B. inspiratory crackles.
C. increased vocal fremitus.
D. hyperresonance on thoracic percussion.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-D.
hyperresonance on thoracic percussion.
3. A 44-year-old man has a long-standing history of moderate persistent asthma that is
normally well controlled by fluticasone with salmeterol (Advair®) via metered-dose
inhaler, one puff twice a day, and the use of albuterol 1 to 2 times a week as needed for
wheezing. Three days ago, he developed a sore throat, clear nasal discharge, body
aches, and a dry cough. In the past 24 hours, he has had intermittent wheezing that
necessitated the use of albuterol, two puffs every 3 hours, which produced partial relief.
Your next most appropriate action is to obtain a:
A. chest radiograph.
B. measurement of oxygen saturation (SaO2).
C. spirometry measurement.
D. sputum smear for white blood cells (WBCs).
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-C.
spirometry measurement.
4. You examine Jane, a 24-year-old woman who has an acute asthma flare following a
3-day history of upper respiratory tract symptoms (clear nasal discharge, dry cough, no
,fever). She has a history of moderate persistent asthma that is in good control and an
acceptable peak expiratory flow (PEF). She is using budesonide (Pulmicort®) and
albuterol as directed and continues to have difficulty with coughing and wheezing. At
home, her PEF is 55% of personal best. In the office, her forced expiratory volume at 1
second (FEV1) is 65% of predicted. Her medication regimen should be adjusted to
include:
A. theophylline.
B. salmeterol (Serevent®).
C. prednisone.
D. montelukast (Singulair®).
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-C.
prednisone.
4. You examine Jane, a 24-year-old woman who has an acute asthma flare following a
3-day history of upper respiratory tract symptoms (clear nasal discharge, dry cough, no
fever). She has a history of moderate persistent asthma that is in good control and an
acceptable peak expiratory flow (PEF). She is using budesonide (Pulmicort®) and
albuterol as directed and continues to have difficulty with coughing and wheezing. At
home, her PEF is 55% of personal best. In the office, her forced expiratory volume at 1
second (FEV1) is 65% of predicted. You also prescribe:
A. amoxicillin.
B. azithromycin.
C. levofloxacin.
D. no antimicrobial therapy.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edition.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edit - CORRECT ANSWER-D. no
antimicrobial therapy.
6. Peak expiratory flow meters:
A. should only be used in the presence of a medical professional.
B. provide a convenient method to check lung function at home.
C. are as accurate as spirometry.
D. should not be used more than once daily.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-B.
provide a convenient method to check lung function at home.
7. Which of the following is most likely to appear on a chest radiograph of a person
during an acute severe asthma attack?
A. hyperinflation
, B. atelectasis
C. consolidation
D. Kerley B signs
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-A.
hyperinflation
8. A 36-year-old man with asthma also needs antihypertensive therapy. Which of the
following products should you avoid prescribing?
A. hydrochlorothiazide
B. propranolol
C. amlodipine
D. enalapril
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 134). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-B.
propranolol
9. Which of the following is inconsistent with the presentation of asthma that is not well
controlled?
A. a troublesome nocturnal cough at least 2 nights per week
B. need for albuterol to relieve shortness of breath at least twice a week
C. morning sputum production
D. two or more exacerbations/year requiring oral corticosteroids
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 134). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-C.
morning sputum production
10. The cornerstone of moderate persistent asthma drug therapy is the use of:
A. oral theophylline.
B. mast cell stabilizers.
C. short-acting beta2-agonists (SABA).
D. inhaled corticosteroids.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice
Preparation (Page 134). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER-D.
inhaled corticosteroids.
11. Sharon is a 29-year-old woman with moderate persistent asthma. She is not using
prescribed inhaled corticosteroids, but is using albuterol PRN to relieve her cough and
wheeze with reported satisfactory clinical effect. Currently she uses about two albuterol
metered-dose inhalers per month and is requesting a prescription refill. You consider
that:
A. her asthma is well controlled and albuterol use can continue.
