Apea Review Fnp Capstone Practicum And Intensive (NR-667)

1-What characteristic should make the nurse practitioner suspect that a pneumonia is secondary to DRSP? Your answer is incorrect Recent airplane travel Exposure to another patient who has DRSP Adolescence Recent antibiotic exposure 2-What characteristic best distinguishes asthma from COPD? Your answer is incorrect Severity of shortness of breath Need for rescue medicine Use of steroids for exacerbations Presence of inflammation 3- A 70 year old smoker presents with right unilateral wheezing. A chest x-ray demonstrates right enlarged hilar nodes. What should be done next? Your answer is incorrect Refer to oncology Order CT chest with contrast Order pulmonary function tests Order CBC, CMP 4- A 74 year old patient has symptoms of depression. Treatment with sertraline is being considered. Which studies might be most important to order? Your answer is incorrect EKG, B12, TSH B12, folate, TSH CBC, B12, folate EKG, B12, folate, TSH 5- A patient who was on Lisinopril developed a cough. What finding in this patient supports a diagnosis of ACE inhibitor related cough? Your answer is correct It is accompanied by a wheeze. It is a productive cough. He has shortness of breath. Cough started 4 days after lisinopril was begun. 6- A 24 year old college student (otherwise healthy, non-smoker) has community acquired pneumonia. She has taken amoxicillin with clavulanate for the past 3 days. Her fever persists. How should she be managed? Your answer is correct Continue amoxicillin with clavulanate for 2 more days. Stop amoxicillin with clavulanate and start levofloxacin. Start doxycycline. Stop amoxicillin with clavulanate and start azithromycin. 7- A young adult who has asthma has used low dose steroid inhaler twice daily with good control for the past 3 months. In the last two weeks, he has had daily symptoms of cough and chest tightness. What plan would help alleviate his symptoms? Your answer is incorrect Add oral steroid once daily for 5 days Add a LABA twice daily Add a long acting anticholinergic medication Discontinue the steroid, add a LABA 8- What patient is most likely to harbor an atypical pathogen? Your answer is incorrect A 19 year old type 1 diabetic A 27 year old with asthma, recent sinus infection treated with amox/clav A 39 year old smoker of 1 PPD A 48 year old who has teenagers in the household 9- A patient who has moderate persistent asthma takes fluticasone twice daily but is still having symptoms. What medication listed below will be of little benefit in management of this patient’s wheezing and cough? Select all that apply. Your answer is incorrect Theophylline Albuterol Tiotropium Salmeterol 10- Mr. Boudreaux, a 78 year old male smoker, has Stage II COPD. He has received a prescription for ipratropium. What problem is likely after he begins the ipratropium? Medical History: Dysrhythmias, Cataracts, Osteoporosis, Glaucoma, HTN, Pre-DM Your answer is incorrect Hypertension Urinary retention Pathologic fracture Increased intraocular pressure 11- A 30 year old female patient with moderate persistent asthma has a temperature of 102°F, bilateral wheezes, mild SOB, and purulent sputum. How should she be managed today? Meds: Fluticasone/salmeterol BID, Albuterol PRN, Amlodipine 5 mg, levothyroxine 88 mcg daily, metformin 1000 mg BID Your answer is correct Order nebulized albuterol, treat with doxycycline Treat with ciprofloxacin, nebulized albuterol every 4-6 hours as needed Treat as acute bronchitis, use oral steroids only Treat as pneumonia with levofloxacin, use nebulized albuterol every 4-6 hours as needed for wheezing