ANCC Adult- Gerontology Complete Exam Questions with Correct Answers

Acute cough Correct Answer 3 weeks Subacute cough Correct Answer 3-8 weeks Chronic cough Correct Answer 8 weeks Acute Bronchitis Correct Answer inflammation of the bronchioles Acute bronchitis etiology Correct Answer almost always viral Acute Bronchitis symptoms Correct Answer cough that usually lasts 10-20 days Acute Bronchitis Treatment Correct Answer OTC antitussive, NSAIDs, antibiotics NOT recommended Pneumonia etiology Correct Answer *S. pneumoniae *M. pneumoniae *C. pneumoniae Pneumonia treatment Correct Answer *healthy with no recent antibiotics=macrolide or doxy *comorbidities or recent antibiotic=DRSP=resp quinolone OR beta-lactam + macrolide OR beta-lactam +Doxy Pneumonia length of treatment Correct Answer *minimum 5 days *average 5-10 days *re-evaluate after 48-72 hrs if poor response Pneumovax Correct Answer *PPSV: 19-64 with increased risk *PCV13 + PPSV23: all adults /= 65, or 19-64 with asplenia, immunocompromised, CSF leaks, cochlear implant, advanced CKD COPD Correct Answer persistent airflow limitation that is usually progressive and associated with enhanced chronic inflammatory response in the airways and lung to noxious particles or gases COPD Diagnosis Correct Answer *symptoms compatible with COPD (DOE, cough, sputum) *spirometry=FEV1/FVC ration 70% plus FEV1 80% predicted *no alternative explanation for symptoms *Alpha-1 antitrypsin deficiency