Nurse Practitioner Certification Examination And Practice
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A 74-year-old woman with well-controlled hypertension who is taking hydrochlorothiazide
presents with a 3-day history of unilateral throbbing headache with difficulty chewing because
of pain. On physical examination, you find a tender, noncompressible temporal artery. Blood
pressure (BP) is 160/88 mm Hg, apical pulse is 98 bpm, and respiratory rate is 22/min; the
patient is visibly uncomfortable. The most likely diagnosis is: - CORRECT ANSWERS
giant cell arteritis.
Therapeutic interventions for the patient in Question 1 should include: - CORRECT
ANSWERS systemic corticosteroid therapy for many months.
Concomitant disease seen with giant cell arteritis includes: - CORRECT ANSWERS
polymyalgia rheumatica.
One of the most serious complications of giant cell arteritis is: - CORRECT ANSWERS
blindness.
Which of the following best describes asthma? - CORRECT ANSWERS chronic airway
inflammation with superimposed bronchospasm
The patient you are evaluating is having an asthma flare. You have assessed that his condition is
appropriate for office treatment. You expect to find the following on physical examination: -
CORRECT ANSWERS hyperresonance on thoracic percussion
A 44-year-old man has a long-standing history of moderate persistent asthma that is normally
well controlled by fluticasone with salmeterol (Advair) via metered-dose inhaler, 1 puff twice a
day, and the use of albuterol one to two times a week as needed for wheezing. Three days ago,
he developed a sore throat, clear nasal discharge, body aches, and a dry cough. In the past 24
hours, he has had intermittent wheezing that necessitated the use of albuterol, 2 puffs every 3
,Nurse Practitioner Certification Examination And Practice
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hours, which produced partial relief. Your next most appropriate action is to obtain a: -
CORRECT ANSWERS peak expiratory flow (PEF) measurement.
You examine a 24-year-old woman who has an acute asthma flare. She is using budesonide
(Pulmicort) and albuterol as directed and continues to have difficulty with coughing and
wheezing. Her PEF is 55% of personal best. Her medication regimen should be adjusted to
include: - CORRECT ANSWERS prednisone.
Which of the following is most likely to appear on a chest radiograph of a person during an
acute asthma attack? - CORRECT ANSWERS hyperinflation
A 36-year-old man with asthma also needs antihypertensive therapy. Which of the following
products should you avoid prescribing? - CORRECT ANSWERS propranolol
Which of the following is inconsistent with the clinical presentation of poorly controlled
asthma? - CORRECT ANSWERS morning sputum production
Consistent:
-a troublesome nocturnal cough at least 2 nights per week
-need for albuterol to relieve shortness of breath at least twice a week
-patient report that asthma is somewhat controlled
The cornerstone of moderate persistent asthma drug therapy is the use of: - CORRECT
ANSWERS inhaled corticosteroids
Sharon is a 29-year-old woman with moderate intermittent asthma. She is not using prescribed
inhaled corticosteroids, but is using albuterol prn to relieve her cough and wheeze with
,Nurse Practitioner Certification Examination And Practice
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reported satisfactory clinical effect. Currently she uses about 2 albuterol metered-dose inhalers
per month and is requesting a prescription refill. You consider that: - CORRECT
ANSWERS excessive albuterol use is a risk factor for asthma death.
In the treatment of asthma, leukotriene receptor antagonists should be used as: - CORRECT
ANSWERS inflammatory inhibitors.
According to the National Asthma Education and Prevention Program Expert Panel Report-3
(NAEPP EPR-3) guidelines, which of the following is not a risk for asthma death? - CORRECT
ANSWERS rural residence
An 18-year-old high school senior presents, asking for a letter stating that he should not
participate in gym class because he has asthma. The most appropriate response is to: -
CORRECT ANSWERS remind him that with appropriate asthma care, he should be
capable of participating in gym class.
After inhaled corticosteroid or leukotriene modifier therapy is initiated, clinical effects are
usually seen: - CORRECT ANSWERS within 1 to 2 weeks.
Compared with albuterol, levalbuterol (Xopenex) has: - CORRECT ANSWERS the ability
potentially to provide greater bronchodilation with a lower dose.
Which of the following is consistent with the NAEPP comment on the use of inhaled
corticosteroids (ICS) for a child with asthma? - CORRECT ANSWERS The potential but
small risk of delayed growth with ICS is well balanced by their effectiveness.
A potential adverse effect from ICS use is: - CORRECT ANSWERS oral candidiasis.
, Nurse Practitioner Certification Examination And Practice
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Clinical findings characteristic of asthma include all of the following except: - CORRECT
ANSWERS a congested cough that is worse during the day.
Which of the following best describes the mechanism of action of short-acting beta2-agonists? -
CORRECT ANSWERS smooth muscle relaxation
Regarding the use of long-acting beta2-agonists (LABAs), which of the following is true? -
CORRECT ANSWERS Use of LABAs is associated with a small increase in risk of asthma
death.
Which of the following is the therapeutic objective of using inhaled ipratropium bromide in the
treatment of acute asthma exacerbation? - CORRECT ANSWERS inhibition of
muscarinic cholinergic receptors
Which of the following is true regarding the use of systemic corticosteroids? - CORRECT
ANSWERS These medications provide action against the formation of various inflammatory
mediators.
Compared with short-acting beta2 agonists, long-acting beta2 agonists: - CORRECT
ANSWERS should be added to therapy only when ICS use does not provide adequate
asthma control.
Most prescribers are well versed in the relative potency of ICS and prescribe an appropriate
dose for the patient's clinical presentation. - CORRECT ANSWERS False
Approximately 80% of the dose of an ICS is systemically absorbed. - CORRECT ANSWERS
False
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A 74-year-old woman with well-controlled hypertension who is taking hydrochlorothiazide
presents with a 3-day history of unilateral throbbing headache with difficulty chewing because
of pain. On physical examination, you find a tender, noncompressible temporal artery. Blood
pressure (BP) is 160/88 mm Hg, apical pulse is 98 bpm, and respiratory rate is 22/min; the
patient is visibly uncomfortable. The most likely diagnosis is: - CORRECT ANSWERS
giant cell arteritis.
Therapeutic interventions for the patient in Question 1 should include: - CORRECT
ANSWERS systemic corticosteroid therapy for many months.
Concomitant disease seen with giant cell arteritis includes: - CORRECT ANSWERS
polymyalgia rheumatica.
One of the most serious complications of giant cell arteritis is: - CORRECT ANSWERS
blindness.
Which of the following best describes asthma? - CORRECT ANSWERS chronic airway
inflammation with superimposed bronchospasm
The patient you are evaluating is having an asthma flare. You have assessed that his condition is
appropriate for office treatment. You expect to find the following on physical examination: -
CORRECT ANSWERS hyperresonance on thoracic percussion
A 44-year-old man has a long-standing history of moderate persistent asthma that is normally
well controlled by fluticasone with salmeterol (Advair) via metered-dose inhaler, 1 puff twice a
day, and the use of albuterol one to two times a week as needed for wheezing. Three days ago,
he developed a sore throat, clear nasal discharge, body aches, and a dry cough. In the past 24
hours, he has had intermittent wheezing that necessitated the use of albuterol, 2 puffs every 3
,Nurse Practitioner Certification Examination And Practice
Preparation #1 Questions And Answers Latest Downloaded
2025/2026 A Complete Solution All Answers 100% Correct
Detailed Best Rated A+ For Success
hours, which produced partial relief. Your next most appropriate action is to obtain a: -
CORRECT ANSWERS peak expiratory flow (PEF) measurement.
You examine a 24-year-old woman who has an acute asthma flare. She is using budesonide
(Pulmicort) and albuterol as directed and continues to have difficulty with coughing and
wheezing. Her PEF is 55% of personal best. Her medication regimen should be adjusted to
include: - CORRECT ANSWERS prednisone.
Which of the following is most likely to appear on a chest radiograph of a person during an
acute asthma attack? - CORRECT ANSWERS hyperinflation
A 36-year-old man with asthma also needs antihypertensive therapy. Which of the following
products should you avoid prescribing? - CORRECT ANSWERS propranolol
Which of the following is inconsistent with the clinical presentation of poorly controlled
asthma? - CORRECT ANSWERS morning sputum production
Consistent:
-a troublesome nocturnal cough at least 2 nights per week
-need for albuterol to relieve shortness of breath at least twice a week
-patient report that asthma is somewhat controlled
The cornerstone of moderate persistent asthma drug therapy is the use of: - CORRECT
ANSWERS inhaled corticosteroids
Sharon is a 29-year-old woman with moderate intermittent asthma. She is not using prescribed
inhaled corticosteroids, but is using albuterol prn to relieve her cough and wheeze with
,Nurse Practitioner Certification Examination And Practice
Preparation #1 Questions And Answers Latest Downloaded
2025/2026 A Complete Solution All Answers 100% Correct
Detailed Best Rated A+ For Success
reported satisfactory clinical effect. Currently she uses about 2 albuterol metered-dose inhalers
per month and is requesting a prescription refill. You consider that: - CORRECT
ANSWERS excessive albuterol use is a risk factor for asthma death.
In the treatment of asthma, leukotriene receptor antagonists should be used as: - CORRECT
ANSWERS inflammatory inhibitors.
According to the National Asthma Education and Prevention Program Expert Panel Report-3
(NAEPP EPR-3) guidelines, which of the following is not a risk for asthma death? - CORRECT
ANSWERS rural residence
An 18-year-old high school senior presents, asking for a letter stating that he should not
participate in gym class because he has asthma. The most appropriate response is to: -
CORRECT ANSWERS remind him that with appropriate asthma care, he should be
capable of participating in gym class.
After inhaled corticosteroid or leukotriene modifier therapy is initiated, clinical effects are
usually seen: - CORRECT ANSWERS within 1 to 2 weeks.
Compared with albuterol, levalbuterol (Xopenex) has: - CORRECT ANSWERS the ability
potentially to provide greater bronchodilation with a lower dose.
Which of the following is consistent with the NAEPP comment on the use of inhaled
corticosteroids (ICS) for a child with asthma? - CORRECT ANSWERS The potential but
small risk of delayed growth with ICS is well balanced by their effectiveness.
A potential adverse effect from ICS use is: - CORRECT ANSWERS oral candidiasis.
, Nurse Practitioner Certification Examination And Practice
Preparation #1 Questions And Answers Latest Downloaded
2025/2026 A Complete Solution All Answers 100% Correct
Detailed Best Rated A+ For Success
Clinical findings characteristic of asthma include all of the following except: - CORRECT
ANSWERS a congested cough that is worse during the day.
Which of the following best describes the mechanism of action of short-acting beta2-agonists? -
CORRECT ANSWERS smooth muscle relaxation
Regarding the use of long-acting beta2-agonists (LABAs), which of the following is true? -
CORRECT ANSWERS Use of LABAs is associated with a small increase in risk of asthma
death.
Which of the following is the therapeutic objective of using inhaled ipratropium bromide in the
treatment of acute asthma exacerbation? - CORRECT ANSWERS inhibition of
muscarinic cholinergic receptors
Which of the following is true regarding the use of systemic corticosteroids? - CORRECT
ANSWERS These medications provide action against the formation of various inflammatory
mediators.
Compared with short-acting beta2 agonists, long-acting beta2 agonists: - CORRECT
ANSWERS should be added to therapy only when ICS use does not provide adequate
asthma control.
Most prescribers are well versed in the relative potency of ICS and prescribe an appropriate
dose for the patient's clinical presentation. - CORRECT ANSWERS False
Approximately 80% of the dose of an ICS is systemically absorbed. - CORRECT ANSWERS
False
