NSG 554 Primary Care
NSG 554 Primary Care Newest
2025/2026 With Complete Questions
And Correct Answers |Already
Graded A+||Brand New
Version!||Wilkes
A patient develops a dry, nonproductive cough and is diagnosed with bronchitis. Several days
later, the cough becomes productive with mucoid sputum. What may be prescribed to help
with symptoms?
a. Antibiotic therapy
b. Antitussive medication
c. Bronchodilator treatment
d. Mucokinetic agents
ANS: B
- Correct Answer :Antitussive medications are occasionally useful for short-term relief of
coughing. Antibiotic
therapy is generally not needed and should be avoided unless a bacterial cause is likely.
Bronchodilator medications show no demonstrated reduction in symptoms and are not
recommended. Mucokinetic agents have no evidence to support their use.
A nonsmoking adult with a history of cardiovascular disease reports having a chronic cough
without fever or upper airway symptoms. A chest radiograph is normal. What will the
provider consider initially as the cause of this patient's cough?
a. ACE inhibitor medication use
b. Chronic obstructive pulmonary disease
c. Gastroesophageal reflux disease
d. Psychogenic cough
ANS: A
A+ TEST BANK 1
, NSG 554 Primary Care
- Correct Answer :About 10% of patients taking ACE inhibitors will develop chronic cough. COPD,
GERD, and
psychogenic causes are possible, but given this patient's cardiovascular history, the possibility
of ACE inhibitor-induced cough should be investigated initially
A young adult patient develops a cough persisting longer than 2 months. The provider
prescribes pulmonary function tests and a chest radiograph, which are normal. The patient
denies abdominal complaints. There are no signs of rhinitis or sinusitis and the patient does
not take any medications. What will the provider evaluate next to help determine the cause of
this cough?
a. 24-hour esophageal pH monitoring
b. Methacholine challenge test
c. Sputum culture
d. Tuberculosis testing
ANS: B
- Correct Answer :Chronic cough without other symptoms may indicate asthma. If PFTs are
normal, a
methacholine challenge test may be performed. 24-hour esophageal pH monitoring is
sometimes performed to evaluate for GERD, but this patient does not have abdominal
symptoms and this test is usually not performed because it is inconvenient. Sputum culture is
not indicated. TB is less likely.
Which is characteristic of obstructive bronchitis and not emphysema?
a. Damage to the alveolar wall
b. Destruction of alveolar architecture
c. Mild alteration in lung tissue compliance
d. Mismatch of ventilation and perfusion
ANS: C
- Correct Answer :Obstructive bronchitis causes much less parenchymal damage than
emphysema does, so there
is milder alteration in lung tissue compliance. The other symptoms are characteristic of
emphysema.
Which test is the most diagnostic for chronic obstructive pulmonary disease (COPD)?
a. COPD Assessment Test
b. Forced expiratory time maneuver
c. Lung radiograph
A+ TEST BANK 2
, NSG 554 Primary Care
d. Spirometry for FVC and FEV1
ANS: D
- Correct Answer :Spirometry testing is the gold standard for diagnosis and assessment of COPD
because it is
reproducible and objective. The forced expiratory time maneuver is easy to perform in a clinic
setting and is a good screening to indicate a need for confirmatory spirometry. Lung
radiographs are non-specific but may indicate hyperexpansion of lungs. The COPD
assessment test helps measure health status impairment in persons already diagnosed with
COPD.
. A patient diagnosed with chronic obstructive pulmonary disease reports daily symptoms of
dyspnea and cough. Which medication will the primary health care provider prescribe?
a. Ipratropium bromide
b. Pirbuterol acetate
c. Salmeterol xinafoate
d. Theophylline
ANS: A
- Correct Answer :Ipratropium bromide is an anticholinergic medication and is used as first-line
therapy in
patients with daily symptoms. Pirbuterol acetate and salmeterol xinafoate are both
beta2-adrenergics and are used to relieve bronchospasm; pirbuterol is a short-term medication
used for symptomatic relief and salmeterol is a long-term medication useful for reducing
nocturnal symptoms. Theophylline is a third-line agent.
An adult patient who had pertussis immunizations as a child is exposed to pertussis and
develops a runny nose, low-grade fever, and upper respiratory illness symptoms without a
paroxysmal cough. What is recommended for this patient?
a. A prescription for a macrolides
b. Isolation if paroxysmal cough develops
c. Pertussis vaccine booster
d. Symptomatic care only
ANS: A
A+ TEST BANK 3
, NSG 554 Primary Care
- Correct Answer :Adults previously immunized against pertussis may still get the disease without
the classic
whooping cough sign seen in children and are contagious from the beginning of the catarrhal
stage of runny nose and common cold symptoms. Macrolide antibiotics are useful for
reducing symptoms and for decreasing shedding of bacteria to limit spread of the disease.
Patients should be isolated for 5 days from the start of treatment. Pertussis vaccine booster
will not alter the course of the disease once exposed. Symptomatic care only will not reduce
symptoms or decrease disease spread.
A 35-year old patient develops acute viral bronchitis. Which is the focus for the management
of symptoms in this patient?
a. Trimethoprim-sulfamethoxazole therapy
b. Antibiotic therapy
c. Supportive care
d. Antitussive therapy
ANS: C
- Correct Answer :The mainstay of treatment in acute bronchitis is directed toward symptom
reduction and
supportive care. Data suggest that 85% of patients diagnosed with acute bronchitis will
improve without specific treatment. Trimethoprim-sulfamethoxazole is prescribed for
pertussis when macrolides are not an option. Antibiotic therapy is not effective in treating
viral acute bronchitis.
A young adult patient without a previous history of lung disease has an increased respiratory
rate and reports a feeling of "not getting enough air." The provider auscultates clear breath
sounds and notes no signs of increased respiratory effort. Which diagnostic test will the
provider perform initially?
a. Chest radiograph
b. Complete blood count
c. Computerized tomography
d. Spirometry
ANS: B
- Correct Answer :This patient has no signs indicating lung disease but does exhibit signs of
hypoxia. A CBC
would evaluate for anemia, which is a more common cause of hypoxia in otherwise healthy
adults. Chest radiography is used to evaluate infectious causes. CT is used if interstitial lung
disease is suspected. Spirometry is useful to diagnose asthma and COPD.
A+ TEST BANK 4
NSG 554 Primary Care Newest
2025/2026 With Complete Questions
And Correct Answers |Already
Graded A+||Brand New
Version!||Wilkes
A patient develops a dry, nonproductive cough and is diagnosed with bronchitis. Several days
later, the cough becomes productive with mucoid sputum. What may be prescribed to help
with symptoms?
a. Antibiotic therapy
b. Antitussive medication
c. Bronchodilator treatment
d. Mucokinetic agents
ANS: B
- Correct Answer :Antitussive medications are occasionally useful for short-term relief of
coughing. Antibiotic
therapy is generally not needed and should be avoided unless a bacterial cause is likely.
Bronchodilator medications show no demonstrated reduction in symptoms and are not
recommended. Mucokinetic agents have no evidence to support their use.
A nonsmoking adult with a history of cardiovascular disease reports having a chronic cough
without fever or upper airway symptoms. A chest radiograph is normal. What will the
provider consider initially as the cause of this patient's cough?
a. ACE inhibitor medication use
b. Chronic obstructive pulmonary disease
c. Gastroesophageal reflux disease
d. Psychogenic cough
ANS: A
A+ TEST BANK 1
, NSG 554 Primary Care
- Correct Answer :About 10% of patients taking ACE inhibitors will develop chronic cough. COPD,
GERD, and
psychogenic causes are possible, but given this patient's cardiovascular history, the possibility
of ACE inhibitor-induced cough should be investigated initially
A young adult patient develops a cough persisting longer than 2 months. The provider
prescribes pulmonary function tests and a chest radiograph, which are normal. The patient
denies abdominal complaints. There are no signs of rhinitis or sinusitis and the patient does
not take any medications. What will the provider evaluate next to help determine the cause of
this cough?
a. 24-hour esophageal pH monitoring
b. Methacholine challenge test
c. Sputum culture
d. Tuberculosis testing
ANS: B
- Correct Answer :Chronic cough without other symptoms may indicate asthma. If PFTs are
normal, a
methacholine challenge test may be performed. 24-hour esophageal pH monitoring is
sometimes performed to evaluate for GERD, but this patient does not have abdominal
symptoms and this test is usually not performed because it is inconvenient. Sputum culture is
not indicated. TB is less likely.
Which is characteristic of obstructive bronchitis and not emphysema?
a. Damage to the alveolar wall
b. Destruction of alveolar architecture
c. Mild alteration in lung tissue compliance
d. Mismatch of ventilation and perfusion
ANS: C
- Correct Answer :Obstructive bronchitis causes much less parenchymal damage than
emphysema does, so there
is milder alteration in lung tissue compliance. The other symptoms are characteristic of
emphysema.
Which test is the most diagnostic for chronic obstructive pulmonary disease (COPD)?
a. COPD Assessment Test
b. Forced expiratory time maneuver
c. Lung radiograph
A+ TEST BANK 2
, NSG 554 Primary Care
d. Spirometry for FVC and FEV1
ANS: D
- Correct Answer :Spirometry testing is the gold standard for diagnosis and assessment of COPD
because it is
reproducible and objective. The forced expiratory time maneuver is easy to perform in a clinic
setting and is a good screening to indicate a need for confirmatory spirometry. Lung
radiographs are non-specific but may indicate hyperexpansion of lungs. The COPD
assessment test helps measure health status impairment in persons already diagnosed with
COPD.
. A patient diagnosed with chronic obstructive pulmonary disease reports daily symptoms of
dyspnea and cough. Which medication will the primary health care provider prescribe?
a. Ipratropium bromide
b. Pirbuterol acetate
c. Salmeterol xinafoate
d. Theophylline
ANS: A
- Correct Answer :Ipratropium bromide is an anticholinergic medication and is used as first-line
therapy in
patients with daily symptoms. Pirbuterol acetate and salmeterol xinafoate are both
beta2-adrenergics and are used to relieve bronchospasm; pirbuterol is a short-term medication
used for symptomatic relief and salmeterol is a long-term medication useful for reducing
nocturnal symptoms. Theophylline is a third-line agent.
An adult patient who had pertussis immunizations as a child is exposed to pertussis and
develops a runny nose, low-grade fever, and upper respiratory illness symptoms without a
paroxysmal cough. What is recommended for this patient?
a. A prescription for a macrolides
b. Isolation if paroxysmal cough develops
c. Pertussis vaccine booster
d. Symptomatic care only
ANS: A
A+ TEST BANK 3
, NSG 554 Primary Care
- Correct Answer :Adults previously immunized against pertussis may still get the disease without
the classic
whooping cough sign seen in children and are contagious from the beginning of the catarrhal
stage of runny nose and common cold symptoms. Macrolide antibiotics are useful for
reducing symptoms and for decreasing shedding of bacteria to limit spread of the disease.
Patients should be isolated for 5 days from the start of treatment. Pertussis vaccine booster
will not alter the course of the disease once exposed. Symptomatic care only will not reduce
symptoms or decrease disease spread.
A 35-year old patient develops acute viral bronchitis. Which is the focus for the management
of symptoms in this patient?
a. Trimethoprim-sulfamethoxazole therapy
b. Antibiotic therapy
c. Supportive care
d. Antitussive therapy
ANS: C
- Correct Answer :The mainstay of treatment in acute bronchitis is directed toward symptom
reduction and
supportive care. Data suggest that 85% of patients diagnosed with acute bronchitis will
improve without specific treatment. Trimethoprim-sulfamethoxazole is prescribed for
pertussis when macrolides are not an option. Antibiotic therapy is not effective in treating
viral acute bronchitis.
A young adult patient without a previous history of lung disease has an increased respiratory
rate and reports a feeling of "not getting enough air." The provider auscultates clear breath
sounds and notes no signs of increased respiratory effort. Which diagnostic test will the
provider perform initially?
a. Chest radiograph
b. Complete blood count
c. Computerized tomography
d. Spirometry
ANS: B
- Correct Answer :This patient has no signs indicating lung disease but does exhibit signs of
hypoxia. A CBC
would evaluate for anemia, which is a more common cause of hypoxia in otherwise healthy
adults. Chest radiography is used to evaluate infectious causes. CT is used if interstitial lung
disease is suspected. Spirometry is useful to diagnose asthma and COPD.
A+ TEST BANK 4
