CMN568 / CMN 568 UNIT 3 / & FINAL EXAMS
(LATEST 2025 UPDATES STUDY BUNDLE WITH
COMPLETE SOLUTIONS) INTRO TO FAMILY NP EXAM
QUESTIONS AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A - SOUTH ALABAMA
What are the 3 characteristics of Asthma
.....ANSWER.....Bronchoconstriction
Airway Inflammation
Reversible airflow limitation
Which inhaled anticholinergic is best used for asthma pt. w/an
intolerance to beta agonist or w/ bronchospasms due to beta
blocker meds? .....ANSWER.....Ipratropium Bromide
What is the primary tx for pt. w/moderate to severe asthma
exacerbations who do not respond promptly and completely to
SABA? .....ANSWER.....Systemic Corticosteroids
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Which bacterial infections predispose exacerbations of asthma
.....ANSWER.....M. Pneumoniae and C. Pneumoniae
Is routine use of antimicrobials recommended for acute
exacerbations of asthma .....ANSWER.....No, only use when
likelihood of acute bacterial respiratory tract infection
Name short acting beta agonist .....ANSWER.....albuterol,
levalbuterol, bitolerol, pirbuterol, terbutaline
What does a SABA do? .....ANSWER.....acts directly by relaxing
bronchial smooth muscles.
What do long-term pharmacologic agents accomplish for asthma
pt. .....ANSWER.....act primarily to attenuate airway
inflammation.
Why take long-term pharmacologic agents for asthma daily?
.....ANSWER.....to achieve and maintain control of persistent
asthma independent of symptoms.
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What does the NAEPP recommend as the cornerstone of daily
treatment of persistent asthma? .....ANSWER.....daily anti-
inflammatory therapy with inhaled corticosteroids
Role of corticosteroids with asthma .....ANSWER.....Reduce
inflammation (acute and chronic) = improved airflow, decreased
airway hyper-responsiveness and fewer asthma exacerbations,
and potentiate the action of beta-adrenergic agonist.
1st. line treatment agent for all pt w/persistent asthma (long
term controller) .....ANSWER.....Inhaled Corticosteroids
How often to most patient use inhaled corticosteroids?
.....ANSWER.....Twice daily to provide adequate control.
How long can it take to see maximum response of inhaled
corticosterioids? .....ANSWER.....Months
What can a patient do to reduce side effects of inhaled
corticosteroids? .....ANSWER.....Rinse mouth after each use
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A patient has an exacerbation of asthma, what is the most
effective treatment to achieve prompt control?
.....ANSWER.....Systemic (oral) corticosteroids
Dose of oral corticosteroids for children during exacerbation of
asthma .....ANSWER.....1-2 mg/kg/day.
Can be either a single dose or divided BID.
MAX 60 mg/day
Dose of oral corticosteroids for adults during exacerbation of
asthma .....ANSWER.....40-60 mg/day
either as a single dose of divided BID
Duration of treatment of oral corticosteroids for asthma
exacerbation .....ANSWER.....3-10 days or until symptoms resolve
(no evidence that tapering dose of PO steroids prevents relapse)