NURS 5461 FINAL EXAM WITH
COMPLETE ANSWERS
Cough cTreatment c- cCORRECT✅✅Treat cprimary ccause
Get crid cof cthe csource, cthe ccough cgoes caway
Soothe ccough
Dextromethorophan
Inhaled cmeds- cIpratropium
Benzonatate
Codeine-last cresort
Hemoptysis cmost ccommon ccauses c- cCORRECT✅✅inflammatory—bronchitis,
cbronchiectasis, cpneumonia, cTB
A ccough ccan clast chow clong csometimes cafter ca cURI? c- cCORRECT✅✅up cto c8
cweeks
Acute cbronchitis c- cCORRECT✅✅a ctemporary cinflammation cof cthe cmucous
cmembranes cthat cline cthe ctrachea cand cbronchial cpassageways; ccauses ca ccough
cthat cmay cproduce cmucus
5th cmost ccommon ccause cof cto csee ca cHCP
Pneumonia csymptoms c- cCORRECT✅✅-coughing
-fatigue
-pleuritic cpain
-fever
-increased cWBC c
-rust ccolored csputum
-crackles
-tachypnea
CURB-65 c- cCORRECT✅✅1) cConfusion c
2) cBUN>19
3) cRR>30
4) cBP<90/60
5) c65yo
One cor cless cindicates cpatient ccan cbe ctreated coutpatient, c>1 c=hospitalization
Single cPulmonary cNodule c- cCORRECT✅✅"Coin clesion" c
A csingle cparenchymal clung clesion csmaller cthan c3cm cW/O cPNA c, catelectasis, cor
clymphadenopathy
Pure csubsolid cSPN c< c5mm crequire cno cfollow-up
, if cSPN c< c8mm cfollow cFleischner cSociety cguidelines con cintervals cfor crepeat cCT
If cSPN c>8mm crefer cspecialist
Sleep capnea c- cCORRECT✅✅a csleep cdisorder ccharacterized cby ctemporary
ccessations cof cbreathing cduring csleep cand crepeated cmomentary cawakenings
cCentral capneas—absent cairflow cand crespiratory cefforts-Neurological cdiseases
cObstructive capneas c[OSA]-Tongue cand csoft cpalate cfall cbackward
What cis cthe cdefinitive ctest cfor csleep capnea c- cCORRECT✅✅Overnight
cPolysomnogram
Age cRelated cPulmonary cChanges c- cCORRECT✅✅• cReduced cairway csize
•Shallow calveolar csacs
•Decline cin cchest cwall ccompliance
• cIntercostal cmuscle catrophy
• cReduction cin cdiaphragmatic cstrength cby c25%
Who cor cwhen cshould cyou cconsider csilent caspiration c- cCORRECT✅✅Consider
cpossibility cof csilent caspiration, cespecially cin cthose cwith cfrequent cpneumonias,
cneurologic cdeficits, cor cresidence cin cextended-care cfacilities
Initial cTherapies cfor cAsthma cand cCOPD c- cCORRECT✅✅Asthma: cnever cuse
cLABA cwithout cICS
COPD: cstart ctreatment cwith cLABA cand/or cLAMA, cwithout cICS
What crecommendation cdoes cGINA cmake cfor ccontrollers? c- cCORRECT✅✅GINA
crecommends ctreatment cwith clow-dose cICS cfor cmost cpatients cwith casthma, ceven
cthose cwith cinfrequent csymptoms, cto creduce cthe crisk cof cserious cexacerbations.
GINA cstepwise capproach cfor cAsthma c- cCORRECT✅✅1. cConsider clow cdose cICS,
cPRN cSABA
2. cLow cdose cICS cor cLTRA, cPRN cSABA
3. cLow cdose cICS/LABA, cPRN cSABA cor cICS/Formoterol c
4. cMed/High cdose cICS/LABA, csame
5. cRefer cto casthma cspecialist cfor cadd con ctherapy
Asthma cSymptoms care ccaused cby? c- cCORRECT✅✅Symptoms care cassociated
cwith cvariable cexpiratory cairflow, ci.e. cdifficulty cbreathing cair cout cof cthe clungs cdue cto
cBronchoconstriction
cAirway cwall cthickening c
cIncreased cmucus
Most clikely cto cbe casthma cif? c- cCORRECT✅✅More cthan cone ctype cof csymptom
c(wheeze, cshortness cof cbreath, ccough, cchest ctightness)
cSymptoms coften cworse cat cnight cor cin cthe cearly cmorning
COMPLETE ANSWERS
Cough cTreatment c- cCORRECT✅✅Treat cprimary ccause
Get crid cof cthe csource, cthe ccough cgoes caway
Soothe ccough
Dextromethorophan
Inhaled cmeds- cIpratropium
Benzonatate
Codeine-last cresort
Hemoptysis cmost ccommon ccauses c- cCORRECT✅✅inflammatory—bronchitis,
cbronchiectasis, cpneumonia, cTB
A ccough ccan clast chow clong csometimes cafter ca cURI? c- cCORRECT✅✅up cto c8
cweeks
Acute cbronchitis c- cCORRECT✅✅a ctemporary cinflammation cof cthe cmucous
cmembranes cthat cline cthe ctrachea cand cbronchial cpassageways; ccauses ca ccough
cthat cmay cproduce cmucus
5th cmost ccommon ccause cof cto csee ca cHCP
Pneumonia csymptoms c- cCORRECT✅✅-coughing
-fatigue
-pleuritic cpain
-fever
-increased cWBC c
-rust ccolored csputum
-crackles
-tachypnea
CURB-65 c- cCORRECT✅✅1) cConfusion c
2) cBUN>19
3) cRR>30
4) cBP<90/60
5) c65yo
One cor cless cindicates cpatient ccan cbe ctreated coutpatient, c>1 c=hospitalization
Single cPulmonary cNodule c- cCORRECT✅✅"Coin clesion" c
A csingle cparenchymal clung clesion csmaller cthan c3cm cW/O cPNA c, catelectasis, cor
clymphadenopathy
Pure csubsolid cSPN c< c5mm crequire cno cfollow-up
, if cSPN c< c8mm cfollow cFleischner cSociety cguidelines con cintervals cfor crepeat cCT
If cSPN c>8mm crefer cspecialist
Sleep capnea c- cCORRECT✅✅a csleep cdisorder ccharacterized cby ctemporary
ccessations cof cbreathing cduring csleep cand crepeated cmomentary cawakenings
cCentral capneas—absent cairflow cand crespiratory cefforts-Neurological cdiseases
cObstructive capneas c[OSA]-Tongue cand csoft cpalate cfall cbackward
What cis cthe cdefinitive ctest cfor csleep capnea c- cCORRECT✅✅Overnight
cPolysomnogram
Age cRelated cPulmonary cChanges c- cCORRECT✅✅• cReduced cairway csize
•Shallow calveolar csacs
•Decline cin cchest cwall ccompliance
• cIntercostal cmuscle catrophy
• cReduction cin cdiaphragmatic cstrength cby c25%
Who cor cwhen cshould cyou cconsider csilent caspiration c- cCORRECT✅✅Consider
cpossibility cof csilent caspiration, cespecially cin cthose cwith cfrequent cpneumonias,
cneurologic cdeficits, cor cresidence cin cextended-care cfacilities
Initial cTherapies cfor cAsthma cand cCOPD c- cCORRECT✅✅Asthma: cnever cuse
cLABA cwithout cICS
COPD: cstart ctreatment cwith cLABA cand/or cLAMA, cwithout cICS
What crecommendation cdoes cGINA cmake cfor ccontrollers? c- cCORRECT✅✅GINA
crecommends ctreatment cwith clow-dose cICS cfor cmost cpatients cwith casthma, ceven
cthose cwith cinfrequent csymptoms, cto creduce cthe crisk cof cserious cexacerbations.
GINA cstepwise capproach cfor cAsthma c- cCORRECT✅✅1. cConsider clow cdose cICS,
cPRN cSABA
2. cLow cdose cICS cor cLTRA, cPRN cSABA
3. cLow cdose cICS/LABA, cPRN cSABA cor cICS/Formoterol c
4. cMed/High cdose cICS/LABA, csame
5. cRefer cto casthma cspecialist cfor cadd con ctherapy
Asthma cSymptoms care ccaused cby? c- cCORRECT✅✅Symptoms care cassociated
cwith cvariable cexpiratory cairflow, ci.e. cdifficulty cbreathing cair cout cof cthe clungs cdue cto
cBronchoconstriction
cAirway cwall cthickening c
cIncreased cmucus
Most clikely cto cbe casthma cif? c- cCORRECT✅✅More cthan cone ctype cof csymptom
c(wheeze, cshortness cof cbreath, ccough, cchest ctightness)
cSymptoms coften cworse cat cnight cor cin cthe cearly cmorning
