NSG 555 EXAM 1 NURSE PRACTITIONERS IN PRIMARY CARE
NEWEST PROCTORED LATEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
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What are the indications for prescribing oral corticosteroids in
asthma management? - ANSWER-Worsening symptoms not
responding to increased reliever or ICS for 2-3 days, rapid
deterioration, or FEV1/PEF <60% normal.
What is the recommended dosage for adults taking oral
corticosteroids for asthma? - ANSWER-40-50mg in the morning
for 5-7 days.
What does the GINA guideline state about antibiotics for asthma
exacerbations? - ANSWER-Do not routinely prescribe antibiotics
for exacerbations.
What is the typical duration of a chronic cough? - ANSWER-A
chronic cough lasts over 8 weeks.
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What are the clinical findings associated with chronic cough? -
ANSWER-Usually resolves within 3 weeks; persistent, usually dry,
minimally productive cough.
What should be considered if a cough lasts more than 3 weeks? -
ANSWER-Consider pertussis.
What diagnostic test is recommended if a cough persists for more
than 8 weeks? - ANSWER-CXR (chest X-ray) if ACE inhibitor
therapy is current and post-infectious cough is ruled out.
What should be done if pertussis is suspected in a chronic cough
case? - ANSWER-Perform PCR testing.
What are the treatment options for a positive pertussis diagnosis?
- ANSWER-Treat with a macrolide and revaccinate with Tdap.
What treatment is suggested for upper airway cough syndrome
(UACS)? - ANSWER-Give decongestants or first-generation
antihistamines.
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What are the treatment options for refractory chronic cough? -
ANSWER-Lidocaine, morphine sulfate, or speech therapy with
pregabalin or gabapentin.
How is Chronic Obstructive Pulmonary Disease (COPD)
diagnosed? - ANSWER-Presence of chronic respiratory
symptoms and confirmed by non-fully reversible airflow
obstruction (FEV1/FVC <0.7 post-bronchodilation).
What are the GOLD grades for COPD based on FEV1? -
ANSWER-1: ≥80% predicted, 2: 50-79%, 3: 30-49%, 4: <30%.
What defines the severity and exacerbation risk in COPD? -
ANSWER-E: ≥2 moderate exacerbations or 1 requiring
hospitalization; A: 0-1 moderate exacerbation (not hospitalized)
with mMRC 0-1 and CAT <10; B: 0-1 moderate exacerbation (not
hospitalized) with mMRC ≥2 and CAT ≥10.
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What medication is indicated for chronic bronchitis in severe
COPD with a history of exacerbations? - ANSWER-PDE Inhibitor
(roflumilast).
What vaccinations are recommended for COPD patients? -
ANSWER-COVID-19, flu, pneumococcal, RSV, Tdap, shingles.
What inhaler combination is not recommended for asthma
management? - ANSWER-LABA + ICS; instead, use triple
therapy LABA + LAMA + ICS.
What is the recommended treatment for Group E in COPD
management? - ANSWER-LABA + LAMA; consider adding ICS if
blood eosinophils are 300 or greater.
What is the first-line treatment for exacerbations in COPD? -
ANSWER-SABA with or without SAMA.