NU 623
Adult Healthcare
Final Exams Review (Qns & Ans)
2025
1. Which intervention is most appropriate for managing chronic
obstructive pulmonary disease (COPD) exacerbation?
a. Inhaled corticosteroids
b. Short-acting bronchodilators
c. Antihistamines
d. Oral decongestants
Rationale: Short-acting bronchodilators are the first line of
treatment for acute exacerbations of COPD as they provide rapid
relief of bronchospasm.
©2025
,2. Which diagnostic test is most appropriate to confirm a
diagnosis of deep vein thrombosis (DVT)?
a. D-dimer test
b. Compression ultrasonography
c. Venography
d. MRI
Rationale: Compression ultrasonography is the preferred
diagnostic test for DVT due to its high sensitivity and specificity.
3. What is the most appropriate initial management for a patient
presenting with diabetic ketoacidosis (DKA)?
a. Administration of oral hypoglycemics
b. Intravenous insulin infusion
c. High-dose glucagon injection
d. Sodium bicarbonate therapy
Rationale: Intravenous insulin infusion is essential to reduce
blood glucose levels and address the metabolic derangements
associated with DKA.
©2025
, Fill-in-the-Blank Questions
4. For a patient with atrial fibrillation, the recommended target
INR range for anticoagulation therapy is __________.
ANS: 2.0 to 3.0
Rationale: Maintaining an INR within this range helps to
prevent thromboembolic events while minimizing the risk of
bleeding.
5. In patients with chronic kidney disease, the target hemoglobin
level for anemia management is __________.
ANS: 10 to 11.5 g/dL
Rationale: Maintaining hemoglobin levels within this range
helps to manage anemia without increasing the risk of
cardiovascular events.
6. __________ is the preferred imaging modality for evaluating
suspected appendicitis in adults.
©2025
, ANS: CT scan
Rationale: A CT scan is highly accurate for diagnosing
appendicitis and can help identify alternative diagnoses in adults.
True/False Questions
7. True or False: Statin therapy is indicated for all patients with a
history of myocardial infarction.
ANS: True
Rationale: Statin therapy is recommended for secondary
prevention in patients with a history of myocardial infarction to
reduce the risk of recurrent cardiovascular events.
8. True or False: In patients with congestive heart failure,
angiotensin-converting enzyme (ACE) inhibitors are
contraindicated in the presence of hyperkalemia.
ANS: True
©2025
Adult Healthcare
Final Exams Review (Qns & Ans)
2025
1. Which intervention is most appropriate for managing chronic
obstructive pulmonary disease (COPD) exacerbation?
a. Inhaled corticosteroids
b. Short-acting bronchodilators
c. Antihistamines
d. Oral decongestants
Rationale: Short-acting bronchodilators are the first line of
treatment for acute exacerbations of COPD as they provide rapid
relief of bronchospasm.
©2025
,2. Which diagnostic test is most appropriate to confirm a
diagnosis of deep vein thrombosis (DVT)?
a. D-dimer test
b. Compression ultrasonography
c. Venography
d. MRI
Rationale: Compression ultrasonography is the preferred
diagnostic test for DVT due to its high sensitivity and specificity.
3. What is the most appropriate initial management for a patient
presenting with diabetic ketoacidosis (DKA)?
a. Administration of oral hypoglycemics
b. Intravenous insulin infusion
c. High-dose glucagon injection
d. Sodium bicarbonate therapy
Rationale: Intravenous insulin infusion is essential to reduce
blood glucose levels and address the metabolic derangements
associated with DKA.
©2025
, Fill-in-the-Blank Questions
4. For a patient with atrial fibrillation, the recommended target
INR range for anticoagulation therapy is __________.
ANS: 2.0 to 3.0
Rationale: Maintaining an INR within this range helps to
prevent thromboembolic events while minimizing the risk of
bleeding.
5. In patients with chronic kidney disease, the target hemoglobin
level for anemia management is __________.
ANS: 10 to 11.5 g/dL
Rationale: Maintaining hemoglobin levels within this range
helps to manage anemia without increasing the risk of
cardiovascular events.
6. __________ is the preferred imaging modality for evaluating
suspected appendicitis in adults.
©2025
, ANS: CT scan
Rationale: A CT scan is highly accurate for diagnosing
appendicitis and can help identify alternative diagnoses in adults.
True/False Questions
7. True or False: Statin therapy is indicated for all patients with a
history of myocardial infarction.
ANS: True
Rationale: Statin therapy is recommended for secondary
prevention in patients with a history of myocardial infarction to
reduce the risk of recurrent cardiovascular events.
8. True or False: In patients with congestive heart failure,
angiotensin-converting enzyme (ACE) inhibitors are
contraindicated in the presence of hyperkalemia.
ANS: True
©2025
