NRNP 6531 questions with verified answers
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist
daily. Her exacerbations affect her activities and they occur at least twice weekly and may last
for days. She is affected more than once weekly during the night with an exacerbation. Which
category of asthma severity is Lisa in? - Correct Answer ✔✔ - Moderate Persistent
Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her
hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and
Calcium 1500 mg daily. At today's visit. Her blood pressure is 170/89. According to JNC VIII
guidelines, what should you do next to control Harriet's blood pressure? - Correct Answer ✔✔
- Add thiazide diuretic to Lisinopril 5mg daily
What condition is associated with mucus production greater than 3 months per year for at least
2 consecutive years? - Correct Answer ✔✔ - Chronic Bronchitis
Risk factors for acute arterial insufficiency include which of the following? - Correct Answer ✔
✔ - Recent MI, Arterial Fibrillation, and Atherosclerosis
Other than smoking cessation, which of the following slows the progression of COPD in
smokers? - Correct Answer ✔✔ - Engaging in moderate to high levels of physical activity
Management of a patient with hypertension and an abdominal aortic aneurysm would include: -
Correct Answer ✔✔ - Referral to a cardiologist
A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema.
The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that
these findings are consistent with: - Correct Answer ✔✔ - Systolic heart failure
A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most
effective in keeping him symptom-free? - Correct Answer ✔✔ - A bronchodilator PRN and an
inhaled corticosteroid
A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the
past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is
, aware that these changes are consistent with which myocardial infarction territory? - Correct
Answer ✔✔ - Inferior wall
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which
of the following disease processes? - Correct Answer ✔✔ - Acute bronchitis
The most common correlate(s) with chronic bronchitis and emphysema is(are): - Correct
Answer ✔✔ - Cigarette smoke inhalation
Which of the following is not a goal of treatment for the patient with cystic fibrosis? - Correct
Answer ✔✔ - Replacement of water soluble vitamins
Which drug category contains the drugs that are the first line Gold standard therapy for
COPD? - Correct Answer ✔✔ - Inhaled beta-2 agonist bronchodilators
Which of the following patient characteristics are associated with chronic bronchitis? - Correct
Answer ✔✔ - Normal weight, cyanosis, and greatly increased RR
Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important
teaching point about this medication? - Correct Answer ✔✔ - It is not effective during an
acute asthma attack
Which of the following is not a risk factor for coronary arterial insufficiency? - Correct Answer
✔✔ - Alcohol ingestion
Which type of lung cancer has the poorest prognosis? - Correct Answer ✔✔ - Small cell
carcinoma
A patient presents to the office with a blood pressure 142/80. This patient is classified as
having: - Correct Answer ✔✔ - Stage 1 hypertension
In order to decrease deaths from lung cancer: - Correct Answer ✔✔ - Patients should be
counseled to quit smoking
Which of the following medication classes should be avoided in patients with acute or chronic
bronchitis because it will contribute to ventilation-perfusion mismatch in the patient? - Correct
Answer ✔✔ - Antihistamines
Diagnostic confirmation of acute leukemia is based on: - Correct Answer ✔✔ - Bone marrow
aspiration & biopsy
Which of the following are classic features of ulcerative colitis? - Correct Answer ✔✔ -
Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal
pain, and weight loss
Reed-Sternberg B lymphocytes are associated with which of the following disorders: - Correct
Answer ✔✔ - Hodgkin's lymphoma
Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis? -
Correct Answer ✔✔ - Erythromycin daily
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist
daily. Her exacerbations affect her activities and they occur at least twice weekly and may last
for days. She is affected more than once weekly during the night with an exacerbation. Which
category of asthma severity is Lisa in? - Correct Answer ✔✔ - Moderate Persistent
Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her
hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and
Calcium 1500 mg daily. At today's visit. Her blood pressure is 170/89. According to JNC VIII
guidelines, what should you do next to control Harriet's blood pressure? - Correct Answer ✔✔
- Add thiazide diuretic to Lisinopril 5mg daily
What condition is associated with mucus production greater than 3 months per year for at least
2 consecutive years? - Correct Answer ✔✔ - Chronic Bronchitis
Risk factors for acute arterial insufficiency include which of the following? - Correct Answer ✔
✔ - Recent MI, Arterial Fibrillation, and Atherosclerosis
Other than smoking cessation, which of the following slows the progression of COPD in
smokers? - Correct Answer ✔✔ - Engaging in moderate to high levels of physical activity
Management of a patient with hypertension and an abdominal aortic aneurysm would include: -
Correct Answer ✔✔ - Referral to a cardiologist
A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema.
The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that
these findings are consistent with: - Correct Answer ✔✔ - Systolic heart failure
A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most
effective in keeping him symptom-free? - Correct Answer ✔✔ - A bronchodilator PRN and an
inhaled corticosteroid
A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the
past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is
, aware that these changes are consistent with which myocardial infarction territory? - Correct
Answer ✔✔ - Inferior wall
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which
of the following disease processes? - Correct Answer ✔✔ - Acute bronchitis
The most common correlate(s) with chronic bronchitis and emphysema is(are): - Correct
Answer ✔✔ - Cigarette smoke inhalation
Which of the following is not a goal of treatment for the patient with cystic fibrosis? - Correct
Answer ✔✔ - Replacement of water soluble vitamins
Which drug category contains the drugs that are the first line Gold standard therapy for
COPD? - Correct Answer ✔✔ - Inhaled beta-2 agonist bronchodilators
Which of the following patient characteristics are associated with chronic bronchitis? - Correct
Answer ✔✔ - Normal weight, cyanosis, and greatly increased RR
Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important
teaching point about this medication? - Correct Answer ✔✔ - It is not effective during an
acute asthma attack
Which of the following is not a risk factor for coronary arterial insufficiency? - Correct Answer
✔✔ - Alcohol ingestion
Which type of lung cancer has the poorest prognosis? - Correct Answer ✔✔ - Small cell
carcinoma
A patient presents to the office with a blood pressure 142/80. This patient is classified as
having: - Correct Answer ✔✔ - Stage 1 hypertension
In order to decrease deaths from lung cancer: - Correct Answer ✔✔ - Patients should be
counseled to quit smoking
Which of the following medication classes should be avoided in patients with acute or chronic
bronchitis because it will contribute to ventilation-perfusion mismatch in the patient? - Correct
Answer ✔✔ - Antihistamines
Diagnostic confirmation of acute leukemia is based on: - Correct Answer ✔✔ - Bone marrow
aspiration & biopsy
Which of the following are classic features of ulcerative colitis? - Correct Answer ✔✔ -
Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal
pain, and weight loss
Reed-Sternberg B lymphocytes are associated with which of the following disorders: - Correct
Answer ✔✔ - Hodgkin's lymphoma
Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis? -
Correct Answer ✔✔ - Erythromycin daily
