NRNP 6531 exam with precise detailed
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answers
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? ||- ||correct ||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? ||- ||
correct ||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? ||- ||correct ||answer ||Chronic ||Bronchitis
Risk ||factors ||for ||acute ||arterial ||insufficiency ||include ||which ||of ||the ||following? ||- ||correct ||
answer ||Recent ||MI, ||Arterial ||Fibrillation, ||and ||Atherosclerosis
Other ||than ||smoking ||cessation, ||which ||of ||the ||following ||slows ||the ||progression ||of ||COPD ||in ||
smokers? ||- ||correct ||answer ||Engaging ||in ||moderate ||to ||high ||levels ||of ||physical ||activity
Management ||of ||a ||patient ||with ||hypertension ||and ||an ||abdominal ||aortic ||aneurysm ||would ||
include: ||- ||correct ||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: ||- ||correct ||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? ||- ||correct ||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 ||that ||these ||changes ||are ||consistent ||with ||which ||myocardial ||infarction ||
territory? ||- ||correct ||answer ||Inferior ||wall
Antibiotic ||administration ||has ||been ||demonstrated ||to ||be ||of ||little ||benefit ||to ||the ||treatment ||
of ||which ||of ||the ||following ||disease ||processes? ||- ||correct ||answer ||Acute ||bronchitis
The ||most ||common ||correlate(s) ||with ||chronic ||bronchitis ||and ||emphysema ||is(are): ||- ||correct ||
answer ||Cigarette ||smoke ||inhalation
Which ||of ||the ||following ||is ||not ||a ||goal ||of ||treatment ||for ||the ||patient ||with ||cystic ||fibrosis? ||- ||
correct ||answer ||Replacement ||of ||water ||soluble ||vitamins
Which ||drug ||category ||contains ||the ||drugs ||that ||are ||the ||first ||line ||Gold ||standard ||therapy ||for
||COPD? ||- ||correct ||answer ||Inhaled ||beta-2 ||agonist ||bronchodilators
Which ||of ||the ||following ||patient ||characteristics ||are ||associated ||with ||chronic ||bronchitis? ||- ||
correct ||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? ||- ||correct ||answer ||It ||is ||not ||effective ||
during ||an ||acute ||asthma ||attack
Which ||of ||the ||following ||is ||not ||a ||risk ||factor ||for ||coronary ||arterial ||insufficiency? ||- ||correct ||
answer ||Alcohol ||ingestion
Which ||type ||of ||lung ||cancer ||has ||the ||poorest ||prognosis? ||- ||correct ||answer ||Small ||cell ||
carcinoma
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answers
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? ||- ||correct ||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? ||- ||
correct ||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? ||- ||correct ||answer ||Chronic ||Bronchitis
Risk ||factors ||for ||acute ||arterial ||insufficiency ||include ||which ||of ||the ||following? ||- ||correct ||
answer ||Recent ||MI, ||Arterial ||Fibrillation, ||and ||Atherosclerosis
Other ||than ||smoking ||cessation, ||which ||of ||the ||following ||slows ||the ||progression ||of ||COPD ||in ||
smokers? ||- ||correct ||answer ||Engaging ||in ||moderate ||to ||high ||levels ||of ||physical ||activity
Management ||of ||a ||patient ||with ||hypertension ||and ||an ||abdominal ||aortic ||aneurysm ||would ||
include: ||- ||correct ||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: ||- ||correct ||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? ||- ||correct ||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 ||that ||these ||changes ||are ||consistent ||with ||which ||myocardial ||infarction ||
territory? ||- ||correct ||answer ||Inferior ||wall
Antibiotic ||administration ||has ||been ||demonstrated ||to ||be ||of ||little ||benefit ||to ||the ||treatment ||
of ||which ||of ||the ||following ||disease ||processes? ||- ||correct ||answer ||Acute ||bronchitis
The ||most ||common ||correlate(s) ||with ||chronic ||bronchitis ||and ||emphysema ||is(are): ||- ||correct ||
answer ||Cigarette ||smoke ||inhalation
Which ||of ||the ||following ||is ||not ||a ||goal ||of ||treatment ||for ||the ||patient ||with ||cystic ||fibrosis? ||- ||
correct ||answer ||Replacement ||of ||water ||soluble ||vitamins
Which ||drug ||category ||contains ||the ||drugs ||that ||are ||the ||first ||line ||Gold ||standard ||therapy ||for
||COPD? ||- ||correct ||answer ||Inhaled ||beta-2 ||agonist ||bronchodilators
Which ||of ||the ||following ||patient ||characteristics ||are ||associated ||with ||chronic ||bronchitis? ||- ||
correct ||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? ||- ||correct ||answer ||It ||is ||not ||effective ||
during ||an ||acute ||asthma ||attack
Which ||of ||the ||following ||is ||not ||a ||risk ||factor ||for ||coronary ||arterial ||insufficiency? ||- ||correct ||
answer ||Alcohol ||ingestion
Which ||type ||of ||lung ||cancer ||has ||the ||poorest ||prognosis? ||- ||correct ||answer ||Small ||cell ||
carcinoma
