NUR 524 Exam 1 Content Questions HEENT
Pulmonary Disorders with correct answers
QUESTION |#1. |Which |of |the |following |persons |should |be |screened |for |lung |cancer |with |a |low-dose |
computed |tomography |based |on |the |USPSTF |Grade |B |recommendation |for |lung |cancer |screening:
A |48 |yr |old |women |who |admits |to |smoking |½ |PPD |for |20 |years
A |63 |yr |old |male |who |had |a |20 |pack |year |smoking |history |and |states |he |quit |smoking |when |he |was |
44.
A |68 |yr |old |male |who |states |he |has |smoked |a |1.5 |packs |of |cigarettes |for |the |past |15 |years.
A |60 |yr |old |women |who |has |lived |with |a |2 |PPD |smoker |for |the |40 |years |they |have |been |married. |- |
✔✔💯ANSWER |is |C. |1.5 |PPD |times |15 |years |equals |a |22.5 |pack |year |smoking |history. |Patient |is |also |
in |the |age |frame |of |50- |80 |yrs |old.
Pack-year |is |10 |( |must |be |20 |pack |year).
Pt |quit |more |than |15 |yrs |ago.
Recommendation |does |not |address |second |hand |smoke.
The |USPSTF |recommends |annual |screening |for |lung |cancer |with |low-dose |computed |tomography |
(LCDT) |in |adults |aged |50 |to |80 |years |who |have |a |20 |pack-year |smoking |history |and |currently |smoke |
or |have |quit |within |the |past |15 |years. |Screening |should |be |discontinued |once |a |person |has |not |
smoked |for |15 |years |or |develops |a |health |problem |that |substantially |limits |life |expectancy |or |the |
ability |or |willingness |to |have |curative |lung |surgery. |(Moyer |& |USPSTF, |2014)
QUESTION |#2. |Which |finding |will |most |likely |lead |the |practitioner |to |believe |a |patient |has |acute |
bronchitis |in |a |patient |complaining |of |cough:
When |evaluating |spirometry, |the |patient's |FEV1/FVC |is |< |0.7.
The |cough |occurs |more |often |at |night |and |early |in |the |morning.
The |patient |states |they |sometimes |vomit |after |a |coughing |spell.
Pt |has |a |productive |cough |that |purulent. |- |✔✔💯ANSWER |is |D. |The |cough |in |acute |bronchitis |may |be
|dry |and |nonproductive |but |it |may |progress |to |a |productive |cough |that |has |clear |sputum |that |may |
then |become |mucoid. |(Buttaro |et |al., |2020, |p. |442)
Post |bronchodilator |of |FEV1/FVC |< |0.7 |seen |in |COPD. |(Buttaro |et |al., |2020, |p. |477)
A |cough |occurring |at |night/early |in |am |likely |Asthma. |(Buttaro |et |al., |2020, |p. |447)
Vomiting |after |a |coughing |spell |is |more |typical |with |Pertussis. |(Buttaro |et |al., |2020 |p. |443)
, NUR 524 Exam 1 Content Questions HEENT
Pulmonary Disorders with correct answers
QUESTION |#3. |When |evaluating |use |of |inhaled |medication |treatments |using |the |World |Health |
Organization's |GOLD |guidelines |for |COPD |treatment, |inhaled |corticosteroids |(ICS) |are |primarily |used |
starting |at |what |Group/Stage |(they |may |be |also |used |at |advanced |stages |as |well).
Group |A/Stage |1.
Group |B/Stage |2.
Group |C/Stage |3.
Group |D/Stage |4. |- |✔✔💯Answer |is |C. |Group |C/Stage |3 |is |the |recommended |starting |stage |for
Bronchodilator |is |recommended.
LAMA |or |LABA |and |then |use |of |both |LAMA |and |LABA |if |symptoms |persist
LAMA/LABA |and |ICS |combination |is |used |here |as |well |in |this |advanced |stage.
QUESTION |#4. |Evaluation |of |a |patient |with |ear |pain |includes |itching, |fullness, |pain |with |pressure |to |
tragus |and |otorrhea |that |is |white |in |color. |The |examiner |cannot |decide |if |the |tympanic |membrane |is |
intact. |Which |listed |treatment |should |be |avoided:
Gentamycin |ear |drop
Ofloxacin |ear |drop
Polymyxin |B |with |neomycin
Hydrocortisone |- |✔✔💯Answer |is |A. |Gentamycin |can |cause |ototoxicity |if |the |TM |is |not |intact. |B., |C. |
& |D. |are |all |safe |and |effective |choices |that |may |be |part |of |treatment. |(Buttaro |et |al., |2020, |p. |392)
QUESTION |#5. |Diagnosing |Asthma |is |based |on |all |but |the |following:
Evidence |that |airflow |obstruction |is |at |least |partially |reversible.
Pt |has |episodic |symptoms |such |as |wheezing, |coughing, |shortness |of |breath.
Abnormal |lung |auscultation |findings.
Exclusion |of |other |potential |differential |diagnoses. |- |✔✔💯Answer |is |C. |Lung |auscultation |can |be |
helpful |but |may |not |show |abnormal |findings, |especially |between |episodes. |A., |B. |and |D. |are |listed |as |
the |three |components |that |the |diagnosis |of |asthma |is |derived |from.
A |24-year-old |male |presents |to |your |office |with |"an |annoying |cough". |When |you |ask |your |OLDCARTS, |
you |learn |that |the |cough |has |"been |going |on |for |about |10 |days", |and |that |recently |has |been |
producing |a |light |yellow |exudate |with |most |of |the |coughing |episodes. |He |is |not |running |a |fever, |and |
states |no |trouble |breathing |apart |from |the |cough. |He |spoke |to |"a |neighbor |in |the |medical |field" |who |
said |he |should |come |in |and |obtain |an |antibiotic |prescription. |You:
Prescribe |a |macrolide |(e.g. |azithromycin) |and |have |the |patient |follow |up |in |2 |weeks
Pulmonary Disorders with correct answers
QUESTION |#1. |Which |of |the |following |persons |should |be |screened |for |lung |cancer |with |a |low-dose |
computed |tomography |based |on |the |USPSTF |Grade |B |recommendation |for |lung |cancer |screening:
A |48 |yr |old |women |who |admits |to |smoking |½ |PPD |for |20 |years
A |63 |yr |old |male |who |had |a |20 |pack |year |smoking |history |and |states |he |quit |smoking |when |he |was |
44.
A |68 |yr |old |male |who |states |he |has |smoked |a |1.5 |packs |of |cigarettes |for |the |past |15 |years.
A |60 |yr |old |women |who |has |lived |with |a |2 |PPD |smoker |for |the |40 |years |they |have |been |married. |- |
✔✔💯ANSWER |is |C. |1.5 |PPD |times |15 |years |equals |a |22.5 |pack |year |smoking |history. |Patient |is |also |
in |the |age |frame |of |50- |80 |yrs |old.
Pack-year |is |10 |( |must |be |20 |pack |year).
Pt |quit |more |than |15 |yrs |ago.
Recommendation |does |not |address |second |hand |smoke.
The |USPSTF |recommends |annual |screening |for |lung |cancer |with |low-dose |computed |tomography |
(LCDT) |in |adults |aged |50 |to |80 |years |who |have |a |20 |pack-year |smoking |history |and |currently |smoke |
or |have |quit |within |the |past |15 |years. |Screening |should |be |discontinued |once |a |person |has |not |
smoked |for |15 |years |or |develops |a |health |problem |that |substantially |limits |life |expectancy |or |the |
ability |or |willingness |to |have |curative |lung |surgery. |(Moyer |& |USPSTF, |2014)
QUESTION |#2. |Which |finding |will |most |likely |lead |the |practitioner |to |believe |a |patient |has |acute |
bronchitis |in |a |patient |complaining |of |cough:
When |evaluating |spirometry, |the |patient's |FEV1/FVC |is |< |0.7.
The |cough |occurs |more |often |at |night |and |early |in |the |morning.
The |patient |states |they |sometimes |vomit |after |a |coughing |spell.
Pt |has |a |productive |cough |that |purulent. |- |✔✔💯ANSWER |is |D. |The |cough |in |acute |bronchitis |may |be
|dry |and |nonproductive |but |it |may |progress |to |a |productive |cough |that |has |clear |sputum |that |may |
then |become |mucoid. |(Buttaro |et |al., |2020, |p. |442)
Post |bronchodilator |of |FEV1/FVC |< |0.7 |seen |in |COPD. |(Buttaro |et |al., |2020, |p. |477)
A |cough |occurring |at |night/early |in |am |likely |Asthma. |(Buttaro |et |al., |2020, |p. |447)
Vomiting |after |a |coughing |spell |is |more |typical |with |Pertussis. |(Buttaro |et |al., |2020 |p. |443)
, NUR 524 Exam 1 Content Questions HEENT
Pulmonary Disorders with correct answers
QUESTION |#3. |When |evaluating |use |of |inhaled |medication |treatments |using |the |World |Health |
Organization's |GOLD |guidelines |for |COPD |treatment, |inhaled |corticosteroids |(ICS) |are |primarily |used |
starting |at |what |Group/Stage |(they |may |be |also |used |at |advanced |stages |as |well).
Group |A/Stage |1.
Group |B/Stage |2.
Group |C/Stage |3.
Group |D/Stage |4. |- |✔✔💯Answer |is |C. |Group |C/Stage |3 |is |the |recommended |starting |stage |for
Bronchodilator |is |recommended.
LAMA |or |LABA |and |then |use |of |both |LAMA |and |LABA |if |symptoms |persist
LAMA/LABA |and |ICS |combination |is |used |here |as |well |in |this |advanced |stage.
QUESTION |#4. |Evaluation |of |a |patient |with |ear |pain |includes |itching, |fullness, |pain |with |pressure |to |
tragus |and |otorrhea |that |is |white |in |color. |The |examiner |cannot |decide |if |the |tympanic |membrane |is |
intact. |Which |listed |treatment |should |be |avoided:
Gentamycin |ear |drop
Ofloxacin |ear |drop
Polymyxin |B |with |neomycin
Hydrocortisone |- |✔✔💯Answer |is |A. |Gentamycin |can |cause |ototoxicity |if |the |TM |is |not |intact. |B., |C. |
& |D. |are |all |safe |and |effective |choices |that |may |be |part |of |treatment. |(Buttaro |et |al., |2020, |p. |392)
QUESTION |#5. |Diagnosing |Asthma |is |based |on |all |but |the |following:
Evidence |that |airflow |obstruction |is |at |least |partially |reversible.
Pt |has |episodic |symptoms |such |as |wheezing, |coughing, |shortness |of |breath.
Abnormal |lung |auscultation |findings.
Exclusion |of |other |potential |differential |diagnoses. |- |✔✔💯Answer |is |C. |Lung |auscultation |can |be |
helpful |but |may |not |show |abnormal |findings, |especially |between |episodes. |A., |B. |and |D. |are |listed |as |
the |three |components |that |the |diagnosis |of |asthma |is |derived |from.
A |24-year-old |male |presents |to |your |office |with |"an |annoying |cough". |When |you |ask |your |OLDCARTS, |
you |learn |that |the |cough |has |"been |going |on |for |about |10 |days", |and |that |recently |has |been |
producing |a |light |yellow |exudate |with |most |of |the |coughing |episodes. |He |is |not |running |a |fever, |and |
states |no |trouble |breathing |apart |from |the |cough. |He |spoke |to |"a |neighbor |in |the |medical |field" |who |
said |he |should |come |in |and |obtain |an |antibiotic |prescription. |You:
Prescribe |a |macrolide |(e.g. |azithromycin) |and |have |the |patient |follow |up |in |2 |weeks
