NURS 620 Adult 1 Exam 2 2026|2027 Advanced Practice Questions
with Complete A+ Solutions 100% Correct!!!
What would be considered Moderate Persistent Asthma? - Correct Answer -Symptoms daily, Awakening
>1x weekly but not nightly, some limitation in daily life, FEV1 >60%
What would be considered Severe Persistent Asthma? - Correct Answer -Symptoms throughout day,
Awakening 7x/WK, use of SABA several x/D, extreme limited daily life, FEV1 <60%
Normal FEV1/FVC - Correct Answer -8-19 = 85%; 20-39 = 80%; 40-59 = 75%; 60-80 = 70%
What are the steps in the "Stepwise Approach" to asthma? - Correct Answer -Step 1 - Intermittent: SABA
PRN
Step 2 - Mild Persistent: Low ICS
Step 3 - Moderate persit: Low ICS+LABA or Medium ICS
Step 4-6 Severe Persistent: consult specialist
What are considered 'quick relievers' of asthma? - Correct Answer -SABA (albuterol-Ventolin), SAMA
(ipratropium-Atrovent), systemic CS
,What are considered 'controllers' of asthma? - Correct Answer -ICS (fluticasone-Flovent, budesonide-
Pulmocort), LABA (salmeterol-Servent), Cromolyn inhaler (Intal), Leukotrienes (montelukast-Singulair),
Methylxanthines (Theophylline) Anti-IgE therapy (Xolair)
ICS patient education - Correct Answer -Take every day, have patient demo technique, instruct on spacer,
instruct to rinse and spit after use
When is combo therapy of LABA + ICS indicated - Correct Answer -for moderate or severe persistent
asthma
Two types of ICS/LABA Combo asthma medications - Correct Answer -Fluticason/Salmeterol = Advair &
budesonide/Formoterol = Symbicort
What is the goal of asthma education - Correct Answer -encourage self-managment
Patient education for asthma - Correct Answer -monitor and log asthma exacerbations-when-where-
triggers
personalized Asthma Plan
Medication technique
Environmental control
, What is the cardinal symptom of COPD and primary symptom for seeking medical care? - Correct Answer
-Dyspnea (progressive and persistent labored breathing and/or Air hunger)
Differential dx for COPD? - Correct Answer -Asthma, bronchietasis, CHF
Classification of COPD severity - Correct Answer -I. Mild = FEV1 ≥80%
II. Moderate = FEV1 50-80%
III. Severe = 30-50%
IV. Very severe = <30%
COPD diagnostic testing - Correct Answer -Spirometry, ABGs, CXR, WBC, Sputum culture
3 major goals of COPD Management - Correct Answer -1. Maximize functional capacity
2. Prevent and treat secondary medical complications
3. Improve quality of life by reducing respiratory symptoms
What is the goal of oxygen therapy in COPD? - Correct Answer -Maintain O2 sat of 90% or better
with Complete A+ Solutions 100% Correct!!!
What would be considered Moderate Persistent Asthma? - Correct Answer -Symptoms daily, Awakening
>1x weekly but not nightly, some limitation in daily life, FEV1 >60%
What would be considered Severe Persistent Asthma? - Correct Answer -Symptoms throughout day,
Awakening 7x/WK, use of SABA several x/D, extreme limited daily life, FEV1 <60%
Normal FEV1/FVC - Correct Answer -8-19 = 85%; 20-39 = 80%; 40-59 = 75%; 60-80 = 70%
What are the steps in the "Stepwise Approach" to asthma? - Correct Answer -Step 1 - Intermittent: SABA
PRN
Step 2 - Mild Persistent: Low ICS
Step 3 - Moderate persit: Low ICS+LABA or Medium ICS
Step 4-6 Severe Persistent: consult specialist
What are considered 'quick relievers' of asthma? - Correct Answer -SABA (albuterol-Ventolin), SAMA
(ipratropium-Atrovent), systemic CS
,What are considered 'controllers' of asthma? - Correct Answer -ICS (fluticasone-Flovent, budesonide-
Pulmocort), LABA (salmeterol-Servent), Cromolyn inhaler (Intal), Leukotrienes (montelukast-Singulair),
Methylxanthines (Theophylline) Anti-IgE therapy (Xolair)
ICS patient education - Correct Answer -Take every day, have patient demo technique, instruct on spacer,
instruct to rinse and spit after use
When is combo therapy of LABA + ICS indicated - Correct Answer -for moderate or severe persistent
asthma
Two types of ICS/LABA Combo asthma medications - Correct Answer -Fluticason/Salmeterol = Advair &
budesonide/Formoterol = Symbicort
What is the goal of asthma education - Correct Answer -encourage self-managment
Patient education for asthma - Correct Answer -monitor and log asthma exacerbations-when-where-
triggers
personalized Asthma Plan
Medication technique
Environmental control
, What is the cardinal symptom of COPD and primary symptom for seeking medical care? - Correct Answer
-Dyspnea (progressive and persistent labored breathing and/or Air hunger)
Differential dx for COPD? - Correct Answer -Asthma, bronchietasis, CHF
Classification of COPD severity - Correct Answer -I. Mild = FEV1 ≥80%
II. Moderate = FEV1 50-80%
III. Severe = 30-50%
IV. Very severe = <30%
COPD diagnostic testing - Correct Answer -Spirometry, ABGs, CXR, WBC, Sputum culture
3 major goals of COPD Management - Correct Answer -1. Maximize functional capacity
2. Prevent and treat secondary medical complications
3. Improve quality of life by reducing respiratory symptoms
What is the goal of oxygen therapy in COPD? - Correct Answer -Maintain O2 sat of 90% or better
