NGR6200 Exam 3 Questions And Answers
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Which of the following statements are true in reference to signs of consolidation? (Select all
that apply) - Answer✔-Transmitted sound of "E" changes to "Ay"
-Transmitted sound of 1,2,3 is clear
-Auscultation in the bases reveals a predominate expiratory phase
A 36 year old man with asthma also needs antihypertensive therapy. Which agent would you
avoid prescribing? - Answer✔propranolol
A patient with COPD has been prescribed home oxygen. How often must the patient wear the
nasal cannula for optimal benefit? - Answer✔18 hours a day
The CURB 65 is used to: - Answer✔Predict prognosis in CAP and help determine outpatient vs
inpatient treatment
The definitive test for sleep apnea is: - Answer✔an overnight polysomnogram
The nurse practitioner assesses a PPD on the forearm of a patient being screened for
employment. The induration is 7 mm. How should this finding be interpreted? -
Answer✔negative, insignificant
Treatment of latent TB consists of: - Answer✔isoniazid daily for 9 months
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What is the desired action of ipratropium bromide (Atrovent) when used in treating chronic
obstructive pulmonary disease (COPD)? - Answer✔bronchodilator effect
Which of the following drugs can cause interstitial lung disease? (Select all that apply) -
Answer✔-amiodarone
-nitrofurantoin
-methotrexate
-phenytoin
Which of the following worsen OSA? (Select all that apply) - Answer✔-Supine position
-REM sleep
Asthma is diagnosed when the change in the FEV1 from the pre-to post bronchodilation is: -
Answer✔12% greater
The inspiratory phase of respiration is greater than the expiratory phase with which breath
sound? - Answer✔vesicular
This drug is a prodrug that is converted in the liver to morphine and is often used as an
antitussive. Some individuals are "rapid metabolizers" of this drug and have increased blood
levels leading to depressed respirations. The name of the drug is_____________? -
Answer✔codeine
Which of the following is consistent with the diagnosis of all stages of COPD? -
Answer✔FEV1/FVC ratio <.70
Which of the following descriptions are considered a positive TST? (Choose all that apply) -
Answer✔-A 7 mm area of induration in an individual with a chest x-ray demonstrating healed
TB disease
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-A patient on entanercept with a 7 mm area of induration
The NP wants to prescribe a prednisone burst for a 30 kg child with an asthma exacerbations.
The pharmacy has prednisolone 15 mg/5mL and the NP decides to calculate 2 mg/kg/day
divided every 12 hours. What amount of mL will she tell the parents to administer for each
dose? - Answer✔10 mL every 12 hours
A child weighing 44 lb. is in need of an oral prednisone burst for an asthma exacerbation. The
prednisolone is supplied at 15 mg/5ml. What would be the daily amount of mL for 1.5
mg/kg/day dosage? - Answer✔10 mL
A child with CAP weighing 27 kg would need the following mL every 12 hours of
amoxicillin/clavulanate (use Augmentin ES-600/42.9/5mL and dose it at 90 mg/kg/day PO
divided q 12 hours) - Answer✔10 mL
Which of the following statements are true in regards to the GINA guidelines? - Answer✔ICS-
LABA are recommended for rescue
The most recent GOLD Guidelines recommended the following: (select all that apply) -
Answer✔-Patients with eosinophilia may respond to ICS
-ICS can increase the risk of pneumonia
-LABA and LAMA are helpful in COPD
serevent - Answer✔LABA
levalbuterol - Answer✔SABA
tiotropium (Spiriva) - Answer✔anticholinergic
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montelukast - Answer✔leukotriene receptor antagonist
dextromephorthan - Answer✔antitussive
pseudoephederine - Answer✔decongestant
loratadine - Answer✔non-sedating antihistamine
chlorpheniramine - Answer✔sedating antihistamine
Lytic lesion - Answer✔Decreased density of the bone
Flattening of the diaphram - Answer✔Seen with COPD
Rib notching - Answer✔Seen with connective tissue diseases, hyperparathyroidism
Steeple sign - Answer✔Seen with subglottal narrowing in children with croup
Oreo cookie sign - Answer✔Sign of pericardial effusion seen on lateral xray
Dextrocardia - Answer✔Congenital anomaly
Hilar enlargement - Answer✔Indicates lung cancer or infection
Kerly B lines - Answer✔Alveolar opacities seen in heart failure
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