620 Adult - Respiratory System NP
Certification, Fitzgerald 4th ed Exam
Questions And Answers
c. chronic airway inflammation with superimposed bronchospasm -
correct answer ✅which of the following best describes asthma?
a. intermitten 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
d. hyperresonance on thoracic percussion -
correct answer ✅the patient you are evaluating is having a severe
asthma flare. You have assessed that his condition is appropriate for
office tx. You expect to find the following on physical examination:
a. tripod posture
b. inspiratory crackles
c. increased vocal fremitus
d. hyperresonance on thoracic percussion
c. spirometry measurement -
correct answer ✅a 44 y/o man has a long-standing hx of moderate
persistent asthma that is normally well controlled by fluticasone
with salmeterol (Advair) via metered-dose inhaler, one puff bid, nad
,620 Adult - Respiratory System NP
Certification, Fitzgerald 4th ed Exam
Questions And Answers
the use of albuterol 1-2 times a week prn for wheezing. Three days
ago, he developed a sorethroat, clear nasal discharge, body aches,
and a dry cough. In the past 24 hrs, he has had intermittent
wheezing that necessitated the use of albuterol, two puffs every 3
hrs, which produced partial relief. Your next most appropriate
action is to obtain a:
a. chest x-ray
b. measurement of oxygen saturation (SaO2)
c. spirometry measurement
d. sputum smear for WBCs
c. prednisone -
correct answer ✅You examine Jane, a 24 y/o female who has an
acute asthma flare following a 3 day hx of UPR sxs (clear nasal
discharge, dry cough, no fever). She has a hx 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 sec (FEV1) is 65% of predicted.
Her medication regime should be adjusted to include:
a. theophylline
,620 Adult - Respiratory System NP
Certification, Fitzgerald 4th ed Exam
Questions And Answers
b. salmeterol (Serevent)
c. prednisone
d. montelukast (Singulair)
b. provide a convenient method to check lung function at home -
correct answer ✅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
a. hyperinflation -
correct answer ✅which of the following is most likely to appear on
a chest x-ray of a person during an acute severe asthma attack?
a. hyperinflation
b. atelectasis
c. consolidation
d. Kerley B signs
, 620 Adult - Respiratory System NP
Certification, Fitzgerald 4th ed Exam
Questions And Answers
b. propranolol (beta-blocker) -
correct answer ✅a 36- y/o male with asthma also need
antihypertensive therapy. Which of the following products should
you try to avoid?
a. hydrochlorothiazide (thiazide)
b. propranolol (beta-blocker)
c. amlodipine (calcium channel blocker)
d. enalapril (ACEi)
c. morning sputum production -
correct answer ✅which of the following is INCONSISTENT with the
presentation of asthma that is not well controlled?
a. troublesome nocturnal cough at least 2 nights per week
b. need for albuterol to relieve SOB at least twice a week
c. morning sputum production
d. two or more exacerbations/year requiring oral corticosteroids
d. inhaled corticosteroids -
correct answer ✅the cornerstone of moderate persistent asthma
drug therapy is the use of:
Certification, Fitzgerald 4th ed Exam
Questions And Answers
c. chronic airway inflammation with superimposed bronchospasm -
correct answer ✅which of the following best describes asthma?
a. intermitten 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
d. hyperresonance on thoracic percussion -
correct answer ✅the patient you are evaluating is having a severe
asthma flare. You have assessed that his condition is appropriate for
office tx. You expect to find the following on physical examination:
a. tripod posture
b. inspiratory crackles
c. increased vocal fremitus
d. hyperresonance on thoracic percussion
c. spirometry measurement -
correct answer ✅a 44 y/o man has a long-standing hx of moderate
persistent asthma that is normally well controlled by fluticasone
with salmeterol (Advair) via metered-dose inhaler, one puff bid, nad
,620 Adult - Respiratory System NP
Certification, Fitzgerald 4th ed Exam
Questions And Answers
the use of albuterol 1-2 times a week prn for wheezing. Three days
ago, he developed a sorethroat, clear nasal discharge, body aches,
and a dry cough. In the past 24 hrs, he has had intermittent
wheezing that necessitated the use of albuterol, two puffs every 3
hrs, which produced partial relief. Your next most appropriate
action is to obtain a:
a. chest x-ray
b. measurement of oxygen saturation (SaO2)
c. spirometry measurement
d. sputum smear for WBCs
c. prednisone -
correct answer ✅You examine Jane, a 24 y/o female who has an
acute asthma flare following a 3 day hx of UPR sxs (clear nasal
discharge, dry cough, no fever). She has a hx 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 sec (FEV1) is 65% of predicted.
Her medication regime should be adjusted to include:
a. theophylline
,620 Adult - Respiratory System NP
Certification, Fitzgerald 4th ed Exam
Questions And Answers
b. salmeterol (Serevent)
c. prednisone
d. montelukast (Singulair)
b. provide a convenient method to check lung function at home -
correct answer ✅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
a. hyperinflation -
correct answer ✅which of the following is most likely to appear on
a chest x-ray of a person during an acute severe asthma attack?
a. hyperinflation
b. atelectasis
c. consolidation
d. Kerley B signs
, 620 Adult - Respiratory System NP
Certification, Fitzgerald 4th ed Exam
Questions And Answers
b. propranolol (beta-blocker) -
correct answer ✅a 36- y/o male with asthma also need
antihypertensive therapy. Which of the following products should
you try to avoid?
a. hydrochlorothiazide (thiazide)
b. propranolol (beta-blocker)
c. amlodipine (calcium channel blocker)
d. enalapril (ACEi)
c. morning sputum production -
correct answer ✅which of the following is INCONSISTENT with the
presentation of asthma that is not well controlled?
a. troublesome nocturnal cough at least 2 nights per week
b. need for albuterol to relieve SOB at least twice a week
c. morning sputum production
d. two or more exacerbations/year requiring oral corticosteroids
d. inhaled corticosteroids -
correct answer ✅the cornerstone of moderate persistent asthma
drug therapy is the use of:
