EXAM VERSION WITH ACCURATE QUESTIONS AND
DETAILED ANSWERS | EXPERT VERIFIED FOR
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Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her
exacerbations affect her activities and they occur at least twice weekly and may last for days. She is
affected more than once weekly during the night with an exacerbation. Which category of asthma
severity is Lisa in? - CORRECT ANSWER-Moderate Persistent
Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her hypertension.
Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500 mg daily. At
today's visit. Her blood pressure is 170/89. According to JNC VIII guidelines, what should you do next to
control Harriet's blood pressure? - CORRECT ANSWER-Add thiazide diuretic to Lisinopril 5mg daily
What condition is associated with mucus production greater than 3 months per year for at least 2
consecutive years? - CORRECT ANSWER-Chronic Bronchitis
Risk factors for acute arterial insufficiency include which of the following? - CORRECT ANSWER-Recent
MI, Arterial Fibrillation, and Atherosclerosis
Other than smoking cessation, which of the following slows the progression of COPD in smokers? -
CORRECT ANSWER-Engaging in moderate to high levels of physical activity
Management of a patient with hypertension and an abdominal aortic aneurysm would include: -
CORRECT ANSWER-Referral to a cardiologist
A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The
echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings
are consistent with: - CORRECT ANSWER-Systolic heart failure
A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective
in keeping him symptom-free? - CORRECT ANSWER-A bronchodilator PRN and an inhaled corticosteroid
, A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past
hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these
changes are consistent with which myocardial infarction territory? - CORRECT ANSWER-Inferior wall
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the
following disease processes? - CORRECT ANSWER-Acute bronchitis
The most common correlate(s) with chronic bronchitis and emphysema is(are): - CORRECT ANSWER-
Cigarette smoke inhalation
Which of the following is not a goal of treatment for the patient with cystic fibrosis? - CORRECT
ANSWER-Replacement of water soluble vitamins
Which drug category contains the drugs that are the first line Gold standard therapy for COPD? -
CORRECT ANSWER-Inhaled beta-2 agonist bronchodilators
Which of the following patient characteristics are associated with chronic bronchitis? - CORRECT
ANSWER-Normal weight, cyanosis, and greatly increased RR
Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point
about this medication? - CORRECT ANSWER-It is not effective during an acute asthma attack
Which of the following is not a risk factor for coronary arterial insufficiency? - CORRECT ANSWER-
Alcohol ingestion
Which type of lung cancer has the poorest prognosis? - CORRECT ANSWER-Small cell carcinoma
A patient presents to the office with a blood pressure 142/80. This patient is classified as having: -
CORRECT ANSWER-Stage 1 hypertension
In order to decrease deaths from lung cancer: - CORRECT ANSWER-Patients should be counseled to quit
smoking