Nurse exam practical questions with answers week 4
1. A 65-year-old patient that has a history of diabetes, coronary artery disease, and renal insufficiency
is post-operative day 3 from a hip replacement. Which of these factors puts the patient at the highest risk
for a pulmonary embolism?
Diabetes
Coronary artery
disease
Renal
insufficiency
Hip
replacement
1. Where do most pulmonary emboli originate?
Upper extremities
Mesenteric
circulation
Portal
circulation
Lower
extremities
A patient diagnosed with asthma has uncontrolled symptoms despite good adherence to the prescribed
inhaled corticosteroid (ICS) regimen. As the nurse practitioner, what is your next step in the management
of this patient?
Step-up treatment with a combination low dose ICS and Long-Acting-Beta-Agonist
(LABA)
Add a combination low dose ICS-formoterol (with budesonide) for both
maintenance and symptom reliever
Add Short-Acting-Beta-Agonist (SABA) as needed to the maintenance controller
treatment
, Check for common problems such as inhaler technique, persistent allergen
exposure, and comorbidities
1. The use of bubble studies during echocardiogram (ECHO) are useful in the diagnosis
of
.
Patent foramen ovale
(PFO) Pulmonary
hypertension (PH)
Low ejection fraction
(EF)
Elevated right sided ventricular
pressure (RSVP)
1. Sildenafil should not be taken with because it could lead to
hypotension due to increased vasodilation.
Calcium channel
blockers (CCB)
Riociguat
Nitrates
Epoprostenol
1. Which of the following pharmacologic interventions is FDA approved for Chronic
Thromboembolic Pulmonary Hypertension (CTEPH)?
Calcium channel
blockers (CCB)
Riociguat
Epoprostenol
Endothelin receptor
antagonist
1. A 65-year-old patient that has a history of diabetes, coronary artery disease, and renal insufficiency
is post-operative day 3 from a hip replacement. Which of these factors puts the patient at the highest risk
for a pulmonary embolism?
Diabetes
Coronary artery
disease
Renal
insufficiency
Hip
replacement
1. Where do most pulmonary emboli originate?
Upper extremities
Mesenteric
circulation
Portal
circulation
Lower
extremities
A patient diagnosed with asthma has uncontrolled symptoms despite good adherence to the prescribed
inhaled corticosteroid (ICS) regimen. As the nurse practitioner, what is your next step in the management
of this patient?
Step-up treatment with a combination low dose ICS and Long-Acting-Beta-Agonist
(LABA)
Add a combination low dose ICS-formoterol (with budesonide) for both
maintenance and symptom reliever
Add Short-Acting-Beta-Agonist (SABA) as needed to the maintenance controller
treatment
, Check for common problems such as inhaler technique, persistent allergen
exposure, and comorbidities
1. The use of bubble studies during echocardiogram (ECHO) are useful in the diagnosis
of
.
Patent foramen ovale
(PFO) Pulmonary
hypertension (PH)
Low ejection fraction
(EF)
Elevated right sided ventricular
pressure (RSVP)
1. Sildenafil should not be taken with because it could lead to
hypotension due to increased vasodilation.
Calcium channel
blockers (CCB)
Riociguat
Nitrates
Epoprostenol
1. Which of the following pharmacologic interventions is FDA approved for Chronic
Thromboembolic Pulmonary Hypertension (CTEPH)?
Calcium channel
blockers (CCB)
Riociguat
Epoprostenol
Endothelin receptor
antagonist
