NURS 620 Adult 1 Exam 2 Maryville-
Questions and Answers 2022/2023
Claudication is the classic presenting symptom associated with which of the following? -
ANSWER arterial insufficiency
Risk factors for chronic arterial insufficiency?- - ANSWER tobacco use
You are using the CURB 65 clinical tool, for determining which patient dx with CAP
should be hospitalized or treated at home. Mabel's score is 2- what should we do? -
ANSWER Short inpatient stay; if she is relatively healthy, she could be closely
supervised outpatient
S/S of COPD correlate with which of the following?- - ANSWER Chronic bronchitis with
airway obstruction
Presents with history of asthma without treatment for a while. She reports daily but not
continual symptoms that last longer than 1 week and present at night. She has been
using her rescue inhaler. Her FEV1 is 60-80% predicted- how would you classify her
asthma? - ANSWER moderate persistent
What is the most common bacterial pathogen in CAP? - ANSWER Streptococcus PNA
Which obstructive lung disease is reversible - ANSWER asthma
George has COPD and a 40% FEV1. How would you classify the severity of his COPD -
ANSWER Stage 3
Jason age 62 has Obstructive Sleep Apnea (OSA). Which of these is a contributing
factor? - ANSWER his collar size is 17 inches
A patient with CAD should be placed on which of the following as antiplatelet tx (first
line) - ANSWER Aspirin
What is the desired therapeutic action of inhaled corticosteroids? - ANSWER reduction
in airway inflammation
What is the appropriate tx for a pt dx with chronic venous insufficiency - ANSWER use
of elastic stockings
What is the most important measurement in a pulmonary function in a patient with
asthma? - ANSWER FEV forced expiratory volume
, Healthy 27 yo man, dx with CAP, which one of these is the best choice of tx? -
ANSWER azithromycin- macrolide
Salmeterol (Serevent) is an example of which of the following? - ANSWER long acting
beta agonist(LABA)
fluticasone & budesonide (pulmocort) are examples of what? - ANSWER ICS Inhaled
Corticosteroid
Ipratropium (Atrovent) is an example of what? - ANSWER Short-acting muscarinic-
antagonist (SAMA)
montelukast (Singulair) is an example of what? - ANSWER NON STEROIDAL
PREVENTERS
Salbutamol (Ventolin) and Albuterol is an example of what? - ANSWER Short acting
beta-2 andrenergic (SABA)
tiotropium (Spiriva) is an example of what? - ANSWER (LAMA) Long-acting muscarinic-
antagonist
What is the most important goal of treating HTN - ANSWER Avoiding disease targeted
organ damage
indicates severe asthma attack, requiring emergent treatment? - ANSWER inaudible
breath sounds
When should a rescue course of prednisolone be issued for a asthma attack - ANSWER
anytime its needed for symptoms
What intervention would indicate a patient needs more education for her asthma? -
ANSWER opening a window at night
what is usually the earliest sign of coronary artery disease (CAD) - ANSWER
intermittent claudication
what characteristic is a risk factor for PVD? - ANSWER male gender
An asthmatic patient comes in for a follow up, as you assess his asthma control. He
uses albuterol for wheezing, cough, SOB 1 x week. He has been to the ER once for
asthma symptoms and coughs 3x a month at night. He is only prescribed albuterol.
What would you add? - ANSWER Inhaled low dose corticosteroid
A patient presents with a dry cough, causing chest discomfort x 10 days. He has a
runny nose and fatigue. Nurse notes late expiratory wheeze in the lower lobes and
Questions and Answers 2022/2023
Claudication is the classic presenting symptom associated with which of the following? -
ANSWER arterial insufficiency
Risk factors for chronic arterial insufficiency?- - ANSWER tobacco use
You are using the CURB 65 clinical tool, for determining which patient dx with CAP
should be hospitalized or treated at home. Mabel's score is 2- what should we do? -
ANSWER Short inpatient stay; if she is relatively healthy, she could be closely
supervised outpatient
S/S of COPD correlate with which of the following?- - ANSWER Chronic bronchitis with
airway obstruction
Presents with history of asthma without treatment for a while. She reports daily but not
continual symptoms that last longer than 1 week and present at night. She has been
using her rescue inhaler. Her FEV1 is 60-80% predicted- how would you classify her
asthma? - ANSWER moderate persistent
What is the most common bacterial pathogen in CAP? - ANSWER Streptococcus PNA
Which obstructive lung disease is reversible - ANSWER asthma
George has COPD and a 40% FEV1. How would you classify the severity of his COPD -
ANSWER Stage 3
Jason age 62 has Obstructive Sleep Apnea (OSA). Which of these is a contributing
factor? - ANSWER his collar size is 17 inches
A patient with CAD should be placed on which of the following as antiplatelet tx (first
line) - ANSWER Aspirin
What is the desired therapeutic action of inhaled corticosteroids? - ANSWER reduction
in airway inflammation
What is the appropriate tx for a pt dx with chronic venous insufficiency - ANSWER use
of elastic stockings
What is the most important measurement in a pulmonary function in a patient with
asthma? - ANSWER FEV forced expiratory volume
, Healthy 27 yo man, dx with CAP, which one of these is the best choice of tx? -
ANSWER azithromycin- macrolide
Salmeterol (Serevent) is an example of which of the following? - ANSWER long acting
beta agonist(LABA)
fluticasone & budesonide (pulmocort) are examples of what? - ANSWER ICS Inhaled
Corticosteroid
Ipratropium (Atrovent) is an example of what? - ANSWER Short-acting muscarinic-
antagonist (SAMA)
montelukast (Singulair) is an example of what? - ANSWER NON STEROIDAL
PREVENTERS
Salbutamol (Ventolin) and Albuterol is an example of what? - ANSWER Short acting
beta-2 andrenergic (SABA)
tiotropium (Spiriva) is an example of what? - ANSWER (LAMA) Long-acting muscarinic-
antagonist
What is the most important goal of treating HTN - ANSWER Avoiding disease targeted
organ damage
indicates severe asthma attack, requiring emergent treatment? - ANSWER inaudible
breath sounds
When should a rescue course of prednisolone be issued for a asthma attack - ANSWER
anytime its needed for symptoms
What intervention would indicate a patient needs more education for her asthma? -
ANSWER opening a window at night
what is usually the earliest sign of coronary artery disease (CAD) - ANSWER
intermittent claudication
what characteristic is a risk factor for PVD? - ANSWER male gender
An asthmatic patient comes in for a follow up, as you assess his asthma control. He
uses albuterol for wheezing, cough, SOB 1 x week. He has been to the ER once for
asthma symptoms and coughs 3x a month at night. He is only prescribed albuterol.
What would you add? - ANSWER Inhaled low dose corticosteroid
A patient presents with a dry cough, causing chest discomfort x 10 days. He has a
runny nose and fatigue. Nurse notes late expiratory wheeze in the lower lobes and
