NR565 / NR 565 ALL EXAMS
COVERED AND COMBINED
FINAL EXAM QUESTION BANK
2023/24) WITH COMPLETE
QUESTIONS & 100% CORRECT
ANSWERS WITH RATIONALES
WELL EXPLAINED BY EXPERTS
ALREADY PASSED!!!!! GRADED
A+ 2024 LATEST UPDATE WITH
100% GUARANTEED SUCCESS
AFTER DOWNLOAD (ALL YOU
NEED TO PASS YOUR EXAMS)
,
,A patient with asthma reports daily symptoms requiring a short-acting B2-agonist for relief. The patient
has used oral glucocorticoids three times in the past three months and reports awakening at night with
symptoms about once a week. The patient's forced expiratory volume in 1 second (FEV1) is 75% of
predicted values. Which regimen does the provider determine is best for this patient?
Daily low-dose inhaled glucocorticoid/LABA with a SABA as needed.
Which medication will a provider prescribe for an asthma patient as part of step 1 management?
Short acting B2 agonists
A patient with stable COPD is prescribed a bronchodilator by the provider. Which type of bronchodilator
is preferred for this patient?
A long-acting inhaled B2 agonist (LABA)
A patient with severe, chronic COPD uses an inhaled long-acting inhaled B2 agonist
(LABA)/glucocorticoid but continues to have frequent exacerbation of symptoms. What change in
therapy will the provider discuss with the patient?
Adding roflumilast
A patient develops an asthma exacerbation. The patient's medication history lists an inhaled
glucocorticoid, montelukast, and short acting B2 agonist as needed via metered-dose inhaler (MDI). The
patient's respiratory rate is 18 breaths/minute, heart rate is 96 beats/min, and an oxygen saturation is
95%. The provider auscultates mild expiratory wheezes bilaterally. What action will the provider take
first?
Question the patient about how much albuterol has been used.
A provider is conducting a smoking cessation class in the community. Which effects will be included in
the discussion about physiologic effects of nicotine?
Increased blood pressure
Vomiting
Increased alertness
Suppression of appetite
A patient reports a desire to stop smoking and asks about nonprescription aids to help with smoking
cessation. What intervention will the provider recommend for this patient?
Start a nicotine replacement product and call 1 800 QUIT NOW
A patient with a desire to stop smoking asks a provider about nicotine chewing gum. The patient
currently smokes 30 cigarettes per day. What instructions willJUsee the provider give the patient?
Use the 4-mg strength gum and chew one piece every 2 to 3 hours.
, A patient takes oral theophylline twice daily for chronic stable angina. After developing an infection, the
patient went to an after-hours clinic where ciprofloxacin was prescribed. What action will the patient's
primary provider take when the patient follows up the next day?
Reduce the theophylline dose
A child with allergic rhinitis has used budesonide for several years. The parents are concerned that the
child's rate of growth has slowed. What action will the provider take to address the parent's concerns?
Discuss changing to fluticasone with the parents.
A patient with seasonal and perennial rhinitis requests a prescription for the most effective drug for
treating the condition. Which medication will the provider recommend?
Fluticasone propionate
A patient with a cold used phenylephrine nasal spray, 2 sprays every 4 hours for a wee k. Since then it
has been impossible to discontinue the medication because the nasal congestion has increased. What
action will the provider take?
Order an intranasal glucocorticoid to be used while the phenylephrine is withdrawn.
A patient requests medication for insomnia. The provider notes that the patient is restless and anxious
with a heart rate of 90 beats/minute, and blood pressure of 130/85 mmHg. Current medications are the
combination product loratadine/pseudoephedrine every 12 hours for allergic rhinitis. What action will
the provider take?
Discuss changing to an intranasal glucocoricoid and loratidine
A patient with a cough has been advised to use guaifenesin. When the patient asks why this particular
drug, what response will the provider provide?
It stimulates the flow of secretions so they are easier to cough up.
A child with perennial allergic rhinitis has been using an intranasal glucocorticoid. After the child
develops frequent nosebleeds, the provider orders montelukast to replace the inhaler. What statement
will the provider include when teaching the child's parents about montelukast?
This drug will help prevent inflammation without causing nosebleeds.
A patient who recently recovered from acute bronchitis reports a lingering dry cough that p revents
sleep. Which over-the-counter medication will the provider recommend to best manage the symptoms?
Diphenhydramine
Which medication for asthma can a provider prescribe off-label to treat allergic rhinitis?
Omalizumab
A provider prescribes montelukast for a child with asthma. Which statement by the child's parent
indicates understanding of this medication?
I may noticde mood changes in my child.
COVERED AND COMBINED
FINAL EXAM QUESTION BANK
2023/24) WITH COMPLETE
QUESTIONS & 100% CORRECT
ANSWERS WITH RATIONALES
WELL EXPLAINED BY EXPERTS
ALREADY PASSED!!!!! GRADED
A+ 2024 LATEST UPDATE WITH
100% GUARANTEED SUCCESS
AFTER DOWNLOAD (ALL YOU
NEED TO PASS YOUR EXAMS)
,
,A patient with asthma reports daily symptoms requiring a short-acting B2-agonist for relief. The patient
has used oral glucocorticoids three times in the past three months and reports awakening at night with
symptoms about once a week. The patient's forced expiratory volume in 1 second (FEV1) is 75% of
predicted values. Which regimen does the provider determine is best for this patient?
Daily low-dose inhaled glucocorticoid/LABA with a SABA as needed.
Which medication will a provider prescribe for an asthma patient as part of step 1 management?
Short acting B2 agonists
A patient with stable COPD is prescribed a bronchodilator by the provider. Which type of bronchodilator
is preferred for this patient?
A long-acting inhaled B2 agonist (LABA)
A patient with severe, chronic COPD uses an inhaled long-acting inhaled B2 agonist
(LABA)/glucocorticoid but continues to have frequent exacerbation of symptoms. What change in
therapy will the provider discuss with the patient?
Adding roflumilast
A patient develops an asthma exacerbation. The patient's medication history lists an inhaled
glucocorticoid, montelukast, and short acting B2 agonist as needed via metered-dose inhaler (MDI). The
patient's respiratory rate is 18 breaths/minute, heart rate is 96 beats/min, and an oxygen saturation is
95%. The provider auscultates mild expiratory wheezes bilaterally. What action will the provider take
first?
Question the patient about how much albuterol has been used.
A provider is conducting a smoking cessation class in the community. Which effects will be included in
the discussion about physiologic effects of nicotine?
Increased blood pressure
Vomiting
Increased alertness
Suppression of appetite
A patient reports a desire to stop smoking and asks about nonprescription aids to help with smoking
cessation. What intervention will the provider recommend for this patient?
Start a nicotine replacement product and call 1 800 QUIT NOW
A patient with a desire to stop smoking asks a provider about nicotine chewing gum. The patient
currently smokes 30 cigarettes per day. What instructions willJUsee the provider give the patient?
Use the 4-mg strength gum and chew one piece every 2 to 3 hours.
, A patient takes oral theophylline twice daily for chronic stable angina. After developing an infection, the
patient went to an after-hours clinic where ciprofloxacin was prescribed. What action will the patient's
primary provider take when the patient follows up the next day?
Reduce the theophylline dose
A child with allergic rhinitis has used budesonide for several years. The parents are concerned that the
child's rate of growth has slowed. What action will the provider take to address the parent's concerns?
Discuss changing to fluticasone with the parents.
A patient with seasonal and perennial rhinitis requests a prescription for the most effective drug for
treating the condition. Which medication will the provider recommend?
Fluticasone propionate
A patient with a cold used phenylephrine nasal spray, 2 sprays every 4 hours for a wee k. Since then it
has been impossible to discontinue the medication because the nasal congestion has increased. What
action will the provider take?
Order an intranasal glucocorticoid to be used while the phenylephrine is withdrawn.
A patient requests medication for insomnia. The provider notes that the patient is restless and anxious
with a heart rate of 90 beats/minute, and blood pressure of 130/85 mmHg. Current medications are the
combination product loratadine/pseudoephedrine every 12 hours for allergic rhinitis. What action will
the provider take?
Discuss changing to an intranasal glucocoricoid and loratidine
A patient with a cough has been advised to use guaifenesin. When the patient asks why this particular
drug, what response will the provider provide?
It stimulates the flow of secretions so they are easier to cough up.
A child with perennial allergic rhinitis has been using an intranasal glucocorticoid. After the child
develops frequent nosebleeds, the provider orders montelukast to replace the inhaler. What statement
will the provider include when teaching the child's parents about montelukast?
This drug will help prevent inflammation without causing nosebleeds.
A patient who recently recovered from acute bronchitis reports a lingering dry cough that p revents
sleep. Which over-the-counter medication will the provider recommend to best manage the symptoms?
Diphenhydramine
Which medication for asthma can a provider prescribe off-label to treat allergic rhinitis?
Omalizumab
A provider prescribes montelukast for a child with asthma. Which statement by the child's parent
indicates understanding of this medication?
I may noticde mood changes in my child.
