NRNP 6531 Final Exam Questions With
Solved Solutions Rated A+.
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist
daily. Her exacerbations affect her activities and they occur at least twice weekly and may last
for days. She is affected more than once weekly during the night with an exacerbation. Which
category of asthma severity is Lisa in? - Answer Moderate Persistent
Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her
hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium
1500 mg daily. At today's visit. Her blood pressure is 170/89. According to JNC VIII guidelines,
what should you do next to control Harriet's blood pressure? - Answer Add thiazide diuretic to
Lisinopril 5mg daily
What condition is associated with mucus production greater than 3 months per year for at least
2 consecutive years? - Answer Chronic Bronchitis
Risk factors for acute arterial insufficiency include which of the following? - Answer Recent MI,
Arterial Fibrillation, and Atherosclerosis
Other than smoking cessation, which of the following slows the progression of COPD in
smokers? - Answer Engaging in moderate to high levels of physical activity
Management of a patient with hypertension and an abdominal aortic aneurysm would include:
- Answer Referral to a cardiologist
A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema.
The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that
these findings are consistent with: - Answer Systolic heart failure
A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most
effective in keeping him symptom-free? - Answer A bronchodilator PRN and an inhaled
corticosteroid
A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the
past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware
, The most common correlate(s) with chronic bronchitis and emphysema is(are): - Answer
Cigarette smoke inhalation
Which of the following is not a goal of treatment for the patient with cystic fibrosis? - Answer
Replacement of water soluble vitamins
Which drug category contains the drugs that are the first line Gold standard therapy for COPD? -
Answer Inhaled beta-2 agonist bronchodilators
Which of the following patient characteristics are associated with chronic bronchitis? - Answer
Normal weight, cyanosis, and greatly increased RR
Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important
teaching point about this medication? - Answer It is not effective during an acute asthma
attack
Which of the following is not a risk factor for coronary arterial insufficiency? - Answer Alcohol
ingestion
Which type of lung cancer has the poorest prognosis? - Answer Small cell carcinoma
A patient presents to the office with a blood pressure 142/80. This patient is classified as having:
- Answer Stage 1 hypertension
In order to decrease deaths from lung cancer: - Answer Patients should be counseled to quit
smoking
Which of the following medication classes should be avoided in patients with acute or chronic
bronchitis because it will contribute to ventilation-perfusion mismatch in the patient? - Answer
Antihistamines
Diagnostic confirmation of acute leukemia is based on: - Answer Bone marrow aspiration &
biopsy
Solved Solutions Rated A+.
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist
daily. Her exacerbations affect her activities and they occur at least twice weekly and may last
for days. She is affected more than once weekly during the night with an exacerbation. Which
category of asthma severity is Lisa in? - Answer Moderate Persistent
Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her
hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium
1500 mg daily. At today's visit. Her blood pressure is 170/89. According to JNC VIII guidelines,
what should you do next to control Harriet's blood pressure? - Answer Add thiazide diuretic to
Lisinopril 5mg daily
What condition is associated with mucus production greater than 3 months per year for at least
2 consecutive years? - Answer Chronic Bronchitis
Risk factors for acute arterial insufficiency include which of the following? - Answer Recent MI,
Arterial Fibrillation, and Atherosclerosis
Other than smoking cessation, which of the following slows the progression of COPD in
smokers? - Answer Engaging in moderate to high levels of physical activity
Management of a patient with hypertension and an abdominal aortic aneurysm would include:
- Answer Referral to a cardiologist
A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema.
The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that
these findings are consistent with: - Answer Systolic heart failure
A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most
effective in keeping him symptom-free? - Answer A bronchodilator PRN and an inhaled
corticosteroid
A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the
past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware
, The most common correlate(s) with chronic bronchitis and emphysema is(are): - Answer
Cigarette smoke inhalation
Which of the following is not a goal of treatment for the patient with cystic fibrosis? - Answer
Replacement of water soluble vitamins
Which drug category contains the drugs that are the first line Gold standard therapy for COPD? -
Answer Inhaled beta-2 agonist bronchodilators
Which of the following patient characteristics are associated with chronic bronchitis? - Answer
Normal weight, cyanosis, and greatly increased RR
Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important
teaching point about this medication? - Answer It is not effective during an acute asthma
attack
Which of the following is not a risk factor for coronary arterial insufficiency? - Answer Alcohol
ingestion
Which type of lung cancer has the poorest prognosis? - Answer Small cell carcinoma
A patient presents to the office with a blood pressure 142/80. This patient is classified as having:
- Answer Stage 1 hypertension
In order to decrease deaths from lung cancer: - Answer Patients should be counseled to quit
smoking
Which of the following medication classes should be avoided in patients with acute or chronic
bronchitis because it will contribute to ventilation-perfusion mismatch in the patient? - Answer
Antihistamines
Diagnostic confirmation of acute leukemia is based on: - Answer Bone marrow aspiration &
biopsy
