NUR 524 Exam 1 Questions and Answers Already Passed Latest Update 2025-2026
What is the treatment for intermittent asthma (step 1)? - Answers PRN SABA (albuterol and
other -buterols)
What are the treatments for mild persistent asthma (step 2)? - Answers Low dose ICS
(fluticasone, budesonide)+ SABA (PRN)
True or False: Peak Flow Meters are as accurate as Spirometry - Answers False - PFMs are used
at home for monitoring, spirometry is used for asthma diagnosis in office.
What are the clinical findings in an exam for an asthma flare? - Answers Percussion
Hyperresonance
Decreased tac fremitus
Low diaphragm
Increased AP ratio (barreling)
What is the normal FEV1 of a patient in between 40-59? What % of a normal FEV1 would be
considered intermittent asthma for this patient? - Answers 75%.
Greater than 80% of expected
What is the normal FEV1 of a patient in between 8-19? What % of a normal FEV1 would be
considered mild persistent asthma for this patient? - Answers 85%
Greater than or equal to 80% of expected
What is the normal FEV1 of a patient in between 20-39? What % of a normal FEV1 would be
considered moderate persistent asthma for this patient? - Answers 80%
In between 60 and 80% of expected
What is the normal FEV1 of a patient in between 60-80? What % of a normal FEV1 would be
considered severe persistent asthma for this patient? - Answers 70%
Less than 60% of expected
When are systemic steroids warranted for treatment of asthma? What is the regimen? -
Answers In moderate to severe exacerbations and when there is partial response to SABA
therapy. Typically 5-10day dose without taper.
What is an example of a LABA? What type of asthma is it used to treat? - Answers Salmeterol
Moderate to Severe persistent asthma (steps 3-6)
, What spirometry measurements confirm airflow obstruction when diagnosing COPD? Once
diagnosed, how is the grade of severity of COPD determined? - Answers FEV1/FVC ratio of less
than 70%
FEV1 deviation from expected percentage.
What are the goals of COPD treatment? - Answers Relieve symptoms and reduce risk of future
adverse health events (incl of exacerbations)
What medication type is recommended at all levels of treatment of COPD? - Answers SABA like
albuterol
What is the primary culprit in a COPD exacerbation caused by a respiratory tract infection? -
Answers Viruses
When do you need a chest film for a COPD exacerbation? - Answers When trying to rule out a
concomitant pneumonia
What is a key difference between the treatment steps for asthma and COPD? - Answers Earlier
utilization of LAMAs like tiotropium in COPD
What is the first line treatment for severe COPD? - Answers high dose ICS (fluticasone)+
LABA(salmeterol) + LAMA (tiotropium)
In a patient who has had the BCG vax for TB, when should you consider a TB skin test positive? -
Answers 10mm or more of induration
When is a TB skin test induration of 5mm or more considered positive? - Answers -Patient has
HIV/Hx of organ transplant/Is immunosuppressed
-Patient has had recent contact with a TB infected person
-Patient who has a chest film showing fibrotic changes consistent with prior TB
When is a TB skin test induration of 10mm or more considered positive? - Answers Recent
immigrants from a high prevalence country
IV drug users
People in high risk settings
Children under 4
People with diseases that put them at high risk
Children exposed to high risk patients
When is a TB skin test induration of 15mm or more considered positive? - Answers In any
What is the treatment for intermittent asthma (step 1)? - Answers PRN SABA (albuterol and
other -buterols)
What are the treatments for mild persistent asthma (step 2)? - Answers Low dose ICS
(fluticasone, budesonide)+ SABA (PRN)
True or False: Peak Flow Meters are as accurate as Spirometry - Answers False - PFMs are used
at home for monitoring, spirometry is used for asthma diagnosis in office.
What are the clinical findings in an exam for an asthma flare? - Answers Percussion
Hyperresonance
Decreased tac fremitus
Low diaphragm
Increased AP ratio (barreling)
What is the normal FEV1 of a patient in between 40-59? What % of a normal FEV1 would be
considered intermittent asthma for this patient? - Answers 75%.
Greater than 80% of expected
What is the normal FEV1 of a patient in between 8-19? What % of a normal FEV1 would be
considered mild persistent asthma for this patient? - Answers 85%
Greater than or equal to 80% of expected
What is the normal FEV1 of a patient in between 20-39? What % of a normal FEV1 would be
considered moderate persistent asthma for this patient? - Answers 80%
In between 60 and 80% of expected
What is the normal FEV1 of a patient in between 60-80? What % of a normal FEV1 would be
considered severe persistent asthma for this patient? - Answers 70%
Less than 60% of expected
When are systemic steroids warranted for treatment of asthma? What is the regimen? -
Answers In moderate to severe exacerbations and when there is partial response to SABA
therapy. Typically 5-10day dose without taper.
What is an example of a LABA? What type of asthma is it used to treat? - Answers Salmeterol
Moderate to Severe persistent asthma (steps 3-6)
, What spirometry measurements confirm airflow obstruction when diagnosing COPD? Once
diagnosed, how is the grade of severity of COPD determined? - Answers FEV1/FVC ratio of less
than 70%
FEV1 deviation from expected percentage.
What are the goals of COPD treatment? - Answers Relieve symptoms and reduce risk of future
adverse health events (incl of exacerbations)
What medication type is recommended at all levels of treatment of COPD? - Answers SABA like
albuterol
What is the primary culprit in a COPD exacerbation caused by a respiratory tract infection? -
Answers Viruses
When do you need a chest film for a COPD exacerbation? - Answers When trying to rule out a
concomitant pneumonia
What is a key difference between the treatment steps for asthma and COPD? - Answers Earlier
utilization of LAMAs like tiotropium in COPD
What is the first line treatment for severe COPD? - Answers high dose ICS (fluticasone)+
LABA(salmeterol) + LAMA (tiotropium)
In a patient who has had the BCG vax for TB, when should you consider a TB skin test positive? -
Answers 10mm or more of induration
When is a TB skin test induration of 5mm or more considered positive? - Answers -Patient has
HIV/Hx of organ transplant/Is immunosuppressed
-Patient has had recent contact with a TB infected person
-Patient who has a chest film showing fibrotic changes consistent with prior TB
When is a TB skin test induration of 10mm or more considered positive? - Answers Recent
immigrants from a high prevalence country
IV drug users
People in high risk settings
Children under 4
People with diseases that put them at high risk
Children exposed to high risk patients
When is a TB skin test induration of 15mm or more considered positive? - Answers In any
