NRNP-6531-14-Prim Care Adults Week 5 Knowledge Check....98%

• Question 1 1 out of 1 points 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? Selected Answer: c. Moderate persistent Answers: a. Mild intermittent b. Mild persistent c. Moderate persistent • Question 2 1 out of 1 points In order to decrease deaths from lung cancer: Selected Answer: d. Patients should be counseled to quit smoking Answers: a. All smokers should be screened annually b. All patients should be screened annually c. Only high risk patients should be screened routinely d. Patients should be counseled to quit smoking • Question 3 1 out of 1 points Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point about this medication? Selected Answer: a. It is not effective during an acute asthma attack. Answers: a. It is not effective during an acute asthma attack. b. It may take 2 to 3 days to begin working. c. This drug works within 10 minutes. d. This drug may be used by patients 6 years and older. • Question 4 1 out of 1 points 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? Selected Answer: b. Add a thiazide diuretic to the Lisinopril 5mg daily Answers: a. Increase her Lisinopril to 20mg daily b. Add a thiazide diuretic to the Lisinopril 5mg daily c. Discontinue the Lisinopril and start a combination of ACE Inhibitor and calcium channel blocker d. Discontinue the Lisinopril and start a diuretic • Question 5 1 out of 1 points 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? Selected Answer: a. Inferior wall Answers: a. Inferior wall b. Anterior wall c. Apical wall d. Lateral wall • Question 6 0 out of 1 points A patient presents to the office with a blood pressure 142/80. This patient is classified as having: Selected Answer: d. Stage 2 hypertension Answers: a. Normal blood pressure b. Prehypertension c. Stage 1 hypertension d. Stage 2 hypertension • Question 7 1 out of 1 points Other than smoking cessation, which of the following slows the progression of COPD in smokers? Selected Answer: c. Engaging in moderate to high levels of physical activity Answers: a. Making sure the environment is free of all pollutants b. Eliminating all pets from the environment c. Engaging in moderate to high levels of physical activity d. Remaining indoors with air conditioning as much as possible • Question 8 1 out of 1 points Which of the following best describes hypertrophic cardiomyopathy? Selected Answer: c. Enlarged left ventricle and septum Answers: a. A weakened and enlarged myocardium b. Poor ventricular filling and weakened myocardium c. Enlarged left ventricle and septum d. None of the above • Question 9 1 out of 1 points Risk factors for acute arterial insufficiency include which of the following? Selected Answer: d. All of the above Answers: a. Recent myocardial infarction b. Atrial fibrillation c. Atherosclerosis d. All of the above • Question 10 1 out of 1 points Which of the following is not a goal of treatment for the patient with cystic fibrosis? Selected Answer: d. Replace water-soluble vitamins Answers: a. Prevent intestinal obstruction b. Provide adequate nutrition c. Promote clearance of secretions d. Replace water-soluble vitamins • Question 11 1 out of 1 points Which type of lung cancer has the poorest prognosis? Selected Answer: c. Small cell carcinoma Answers: a. Adenocarcinoma b. Epidermoid carcinoma c. Small cell carcinoma d. Large cell carcinoma • Question 12 1 out of 1 points Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes? Selected Answer: b. Acute bronchitis Answers: a. Chronic sinusitis b. Acute bronchitis c. Bacterial pneumonia d. Acute exacerbation of chronic bronchitis • Question 13 1 out of 1 points Which of the following patient characteristics are associated with chronic bronchitis? Selected Answer: a. Overweight, cyanosis, and normal or slightly increased respiratory rate Answers: a. Overweight, cyanosis, and normal or slightly increased respiratory rate b. Underweight, pink skin, and increased respiratory rate c. Overweight, pink skin, and normal or slightly increased respiratory rate d. Normal weight, cyanosis, and greatly increased respiratory rate • Question 14 1 out of 1 points 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? Selected Answer: b. Antihistimines Answers: a. Xanthines b. Antihistimines c. Steroids d. Anticholinergics • Question 15 1 out of 1 points Which drug category contains the drugs that are the first line Gold standard therapy for COPD? Selected Answer: b. Inhaled beta-2 agonist bronchodilators Answers: a. Corticosteroids b. Inhaled beta-2 agonist bronchodilators c. Inhaled anticholinergic bronchodilators d. Xanthines • Question 16 1 out of 1 points Which of the following is not a risk factor for coronary arterial insufficiency? Selected Answer: d. Alcohol ingestion Answers: a. Hyperhomocysteinemia b. Smoking c. Genetic factors d. Alcohol ingestion • Question 17 1 out of 1 points A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free? Selected Answer: d. A bronchodilator PRN and an inhaled corticosteroid Answers: a. A long-acting bronchodilator b. An inhaled corticosteroid and cromolyn c. Theophylline and a short acting bronchodilator d. A bronchodilator PRN and an inhaled corticosteroid • Question 18 1 out of 1 points Management of a patient with hypertension and an abdominal aortic aneurysm would include: Selected Answer: c. referral to a cardiologist Answers: a. computed tomography scan without contrast b. changing the patient’s BP medications c. referral to a cardiologist d. immediate cardiac catheterization • Question 19 1 out of 1 points What condition is associated with mucus production greater than 3 months per year for at least 2 consecutive years? Selected Answer: d. Chronic bronchitis Answers: a. Asthma b. Emphysema c. Chronic obstructive lung disease d. Chronic bronchitis • Question 20 1 out of 1 points The most common correlate(s) with chronic bronchitis and emphysema is(are): Selected Answer: b. Cigarette smoking Answers: a. Familial and genetic factors b. Cigarette smoking c. Air pollution d.