NAECB Practice Exam 2023/ 75 Questions
with correct Answers/ Graded A+/Verified.
The superintendent of a local school has asked the school nurse to organize an
educational asthma program for elementary aged children w/ asthma and their families.
The school board has become increasingly alarmed at the number of absentees due to
asthma. The majority of children in this school speak Spanish. Which of the following
should the school nurse consider FIRST when making the educational program?
A. Reading level of the primary care-givers
B. Understanding of cultural beliefs of the students' families
C. Age-appropriate activities to teach asthma principles
D. Asthma severity of students that missed the most school - -B
-A 45 yo female c/o awakening during the night with coughing and wheezing, starting
about 1 mo ago. Her symptoms slightly improved on the weekends. Her father had
allergic rhinitis. She reports having asthma as a child but has not had symptoms in
years. She has a cat that has always slept in her bedroom. Three months ago she started
a new job for a maid service. She smokes, but has been trying to quit. Which of the
following is MOST likely contributing to symptoms?
A. Animal dander
B. Tobacco smoke
C. Family hx of atopy
D. occupational exposure - -D
-A 23 yo female with asthma is treated with fluticasone inhaler. According to EP-3
guidelines, which of the following represents achieving a goal of asthma control in the
impairment domain?
A. Preventing progressive loss of lung function
,B. Achieving normal spirometry based on gender and age
C. Avoiding hospitalization d/t asthma
D. Requiring a quick relief medication four or fewer times a week - -B
-Which of the following is MOST important in implementing infection control strategies
during an influenza outbreak?
A. washing hands
B. wearing gloves
C. donning gown
D. using a mask - -A
-A 15 yo boy w/ asthma presents to the school nurse office unable to speak in complete
sentences. He is audibly wheezing through expirations and cannot perform a peak flow
manuever (personal best 540 L/min). After 2 puffs of albuterol his HR is 110/min, resp
rate is 32/min, SpO2 is 89%. Ten minutes later his peak expiratory flow rate is
250L/min and physical findings are unchanged. Which of the following is the BEST
course of action at this time?
A. Repeat quick relief medication and recheck PEFR
B. Call 911 immediately
C. Initiate oral corticosteroid as directed by the written asthma action plan
D. Start O2 and repeat oximetry in 10 minutes. - -B
-A 28 yo male truck driver with moderate persistent asthma c/o frequent cough, stuffy
nose, and post-nasal drainage during the fall. He reports that these symptoms interfere
with his sleep and driving. Allergy-skin testing indicates a positive reaction to ragweed
and Aspergillus. Which of the following treatments should the asthma educator FIRST
suggest he discuss with his clinician?
A. nasal decongestant spray
B. allergy immunotherapy
, C. Oral antihistamines
D. corticosteroid nasal spray - -D
-Which of the following asthma medications may require more than 2 months to take
full effect?
A. Omalizumab (Xolair)
B. Tiotropium (Spiriva)
C. Budesonide (Pulmicort)
D. Montelukast (Singulair) - -A
-A college student with asthma, who is a second generation Vietnamese-American, is
living on her own for the first time. In addition to her medical history, asthma trigger
assessment, and current asthma control, which of the following information would be
most helpful in completing an educational needs assessment?
A. Past tobacco exposure
B. Patient's primary language
C. Self-management decisions
D. Frequency of quick-relief inhaler use - -D
-Which of the following should be completed FIRST when developing an asthma
education program?
A. Establish specific objectives
B. Hire a certified asthma educator
C. Identify possible sources of funding
D. Seek third party reimbursement - -A
-A 14 yo boy with intermittent asthma would like to participate in upcoming soccer
tryouts. He is concerned about having an asthma episode during the the tryouts. He has
not needed his albuterol for several months. As asthma educator would recommend:
with correct Answers/ Graded A+/Verified.
The superintendent of a local school has asked the school nurse to organize an
educational asthma program for elementary aged children w/ asthma and their families.
The school board has become increasingly alarmed at the number of absentees due to
asthma. The majority of children in this school speak Spanish. Which of the following
should the school nurse consider FIRST when making the educational program?
A. Reading level of the primary care-givers
B. Understanding of cultural beliefs of the students' families
C. Age-appropriate activities to teach asthma principles
D. Asthma severity of students that missed the most school - -B
-A 45 yo female c/o awakening during the night with coughing and wheezing, starting
about 1 mo ago. Her symptoms slightly improved on the weekends. Her father had
allergic rhinitis. She reports having asthma as a child but has not had symptoms in
years. She has a cat that has always slept in her bedroom. Three months ago she started
a new job for a maid service. She smokes, but has been trying to quit. Which of the
following is MOST likely contributing to symptoms?
A. Animal dander
B. Tobacco smoke
C. Family hx of atopy
D. occupational exposure - -D
-A 23 yo female with asthma is treated with fluticasone inhaler. According to EP-3
guidelines, which of the following represents achieving a goal of asthma control in the
impairment domain?
A. Preventing progressive loss of lung function
,B. Achieving normal spirometry based on gender and age
C. Avoiding hospitalization d/t asthma
D. Requiring a quick relief medication four or fewer times a week - -B
-Which of the following is MOST important in implementing infection control strategies
during an influenza outbreak?
A. washing hands
B. wearing gloves
C. donning gown
D. using a mask - -A
-A 15 yo boy w/ asthma presents to the school nurse office unable to speak in complete
sentences. He is audibly wheezing through expirations and cannot perform a peak flow
manuever (personal best 540 L/min). After 2 puffs of albuterol his HR is 110/min, resp
rate is 32/min, SpO2 is 89%. Ten minutes later his peak expiratory flow rate is
250L/min and physical findings are unchanged. Which of the following is the BEST
course of action at this time?
A. Repeat quick relief medication and recheck PEFR
B. Call 911 immediately
C. Initiate oral corticosteroid as directed by the written asthma action plan
D. Start O2 and repeat oximetry in 10 minutes. - -B
-A 28 yo male truck driver with moderate persistent asthma c/o frequent cough, stuffy
nose, and post-nasal drainage during the fall. He reports that these symptoms interfere
with his sleep and driving. Allergy-skin testing indicates a positive reaction to ragweed
and Aspergillus. Which of the following treatments should the asthma educator FIRST
suggest he discuss with his clinician?
A. nasal decongestant spray
B. allergy immunotherapy
, C. Oral antihistamines
D. corticosteroid nasal spray - -D
-Which of the following asthma medications may require more than 2 months to take
full effect?
A. Omalizumab (Xolair)
B. Tiotropium (Spiriva)
C. Budesonide (Pulmicort)
D. Montelukast (Singulair) - -A
-A college student with asthma, who is a second generation Vietnamese-American, is
living on her own for the first time. In addition to her medical history, asthma trigger
assessment, and current asthma control, which of the following information would be
most helpful in completing an educational needs assessment?
A. Past tobacco exposure
B. Patient's primary language
C. Self-management decisions
D. Frequency of quick-relief inhaler use - -D
-Which of the following should be completed FIRST when developing an asthma
education program?
A. Establish specific objectives
B. Hire a certified asthma educator
C. Identify possible sources of funding
D. Seek third party reimbursement - -A
-A 14 yo boy with intermittent asthma would like to participate in upcoming soccer
tryouts. He is concerned about having an asthma episode during the the tryouts. He has
not needed his albuterol for several months. As asthma educator would recommend:
