NUR 6111 – Exam 2 (Advanced Practice
Nursing I) – () Actual Exam
Questions and Correct Answers
When reading a TST(PPD) all of the following indicate a positive test except -
Answer--Healthy
In the employee health office, you have diagnosed latent TB in an employee who has a
positive tuberculin skin test (TST) You have a positive QuantiFERON (QFT) test and a
chest x-ray that shows no active disease. What other diagnostic test would you order
before starting this employee on INH therapy? - Answer--LFT
The estimated attributed cause of lung cancer from active cigarette smoking is? -
Answer--90%
Assessment finding of greatest concern in an individual who smokes with a chronic
cough that warrants CT scan - Answer--Persistent cough or change
As a primary care clinician, recommendations you would give a patient for smoking
cessation would be all the following except? - Answer--Recommend against e-cigs
Bacterial causes of acute bronchitis include all of the following except: -
Answer--Pneumonia
All of the following are expected symptoms of pneumonia EXCEPT: - Answer--read the
question
carefully-altered mental status is not an answer
, Which of the following is done to confirm a diagnosis of pneumonia? - Answer--Chest
Xray/Chest
radiograph
Guidelines recommend high risk patients be screened for lung cancer beginning at -
Answer--55
Which of the following best describes asthma? - Answer--Chronic airway inflammation
with
superimposed bronchospasms
Treatment for a pulmonary embolus would include all the following pharmacological
agents except? - Answer--Plavix
Classic EKG changes seen in an individual with pulmonary emboli are: - Answer--T
inverted waves
in lead 3, S waves in lead 1, Q waves in lead 3
A patient presents to your office with significant shortness of breath, tachycardia, and
recent history of travel. Your immediate concern would be to rule out? -
Answer--Pulmonary Embolism
Which of the following statements about lung cancer is NOT true? - Answer--Usually dx
early
Which of the following is NOT part of the differential diagnosis for a patient who
complains of cough? - Answer--Obesity
Which of the following is the gold standard in assessment and diagnosis of COPD? -
Answer--Post-
Bronchodilated spirometery (spirometery is the gold standard)
An example of a SAMA you would use in the treatment of COPD is: -
Answer--ipratropium/Atrovent
HFA (short acting)
A patient diagnosed with acute bronchitis and cough 5 days ago, calls to report that his
cough is persistent since yesterday. He has no other new symptoms. How should the
NP
manage this patient? - Answer--Order an antitussive (for relief and severity of cough),
Nursing I) – () Actual Exam
Questions and Correct Answers
When reading a TST(PPD) all of the following indicate a positive test except -
Answer--Healthy
In the employee health office, you have diagnosed latent TB in an employee who has a
positive tuberculin skin test (TST) You have a positive QuantiFERON (QFT) test and a
chest x-ray that shows no active disease. What other diagnostic test would you order
before starting this employee on INH therapy? - Answer--LFT
The estimated attributed cause of lung cancer from active cigarette smoking is? -
Answer--90%
Assessment finding of greatest concern in an individual who smokes with a chronic
cough that warrants CT scan - Answer--Persistent cough or change
As a primary care clinician, recommendations you would give a patient for smoking
cessation would be all the following except? - Answer--Recommend against e-cigs
Bacterial causes of acute bronchitis include all of the following except: -
Answer--Pneumonia
All of the following are expected symptoms of pneumonia EXCEPT: - Answer--read the
question
carefully-altered mental status is not an answer
, Which of the following is done to confirm a diagnosis of pneumonia? - Answer--Chest
Xray/Chest
radiograph
Guidelines recommend high risk patients be screened for lung cancer beginning at -
Answer--55
Which of the following best describes asthma? - Answer--Chronic airway inflammation
with
superimposed bronchospasms
Treatment for a pulmonary embolus would include all the following pharmacological
agents except? - Answer--Plavix
Classic EKG changes seen in an individual with pulmonary emboli are: - Answer--T
inverted waves
in lead 3, S waves in lead 1, Q waves in lead 3
A patient presents to your office with significant shortness of breath, tachycardia, and
recent history of travel. Your immediate concern would be to rule out? -
Answer--Pulmonary Embolism
Which of the following statements about lung cancer is NOT true? - Answer--Usually dx
early
Which of the following is NOT part of the differential diagnosis for a patient who
complains of cough? - Answer--Obesity
Which of the following is the gold standard in assessment and diagnosis of COPD? -
Answer--Post-
Bronchodilated spirometery (spirometery is the gold standard)
An example of a SAMA you would use in the treatment of COPD is: -
Answer--ipratropium/Atrovent
HFA (short acting)
A patient diagnosed with acute bronchitis and cough 5 days ago, calls to report that his
cough is persistent since yesterday. He has no other new symptoms. How should the
NP
manage this patient? - Answer--Order an antitussive (for relief and severity of cough),
