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NRNP 6531 UPDATE ACTUAL EXAM, QUESTIONS
AND CORRECT DETAILED ANSWERS GUARANTEED
PASS!!
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? - 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? - 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? - ANSWER - Chronic Bronchitis
Risk factors for acute arterial insufficiency include which of the following? - ANSWER - Recent MI, Arterial Fibrillation, and Atherosclerosis
Other than smoking cessation, which of the following slows the progression of COPD in smokers? - ANSWER - Engaging in moderate to high levels of physical activity
Management of a patient with hypertension and an abdominal aortic aneurysm would include: - ANSWER - Referral to a cardiologist
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pg. 2 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: - 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? - 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? - ANSWER - Inferior wall
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes? - ANSWER - Acute bronchitis
The most common correlate(s) with chronic bronchitis and emphysema is(are): - ANSWER - Cigarette smoke inhalation
Which of the following is not a goal of treatment for the patient with cystic fibrosis? - ANSWER - Replacement of water soluble vitamins
Which drug category contains the drugs that are the first line Gold standard therapy for COPD? - ANSWER - Inhaled beta-2 agonist bronchodilators
Which of the following patient characteristics are associated with chronic bronchitis? - 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? - ANSWER - It is not effective during an acute asthma attack
Which of the following is not a risk factor for coronary arterial insufficiency? - ANSWER - Alcohol ingestion
Which type of lung cancer has the poorest prognosis? - ANSWER - Small cell carcinoma
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