(2025/2026) NURS 552 PRIMARY HEALTH
CARE NURSING ADULT MIDTERM
EXAM QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
VERIFIED ANSWERS
Sharon is a 29-year-old woman with moderate persistent
asthma. She has a prescription for an ICS that she does
not use, stating, "I'm finding that the albuterol works
better." Currently she uses about two albuterol metered-
dose inhalers per month, "that keeps my cough and
wheeze under control." She is requesting a prescription
refill. You consider that:
A. Her asthma is well controlled, and albuterol use can
continue
B. Excessive albuterol use is a risk factor for asthma death
C. Her asthma is not well controlled, and salmeterol
(Serevent) should be added to relieve bronchospasm and
reduce her albuterol use
D. Her asthma has better control with albuterol than ICSs
Correct Answer B. Excessive albuterol use is a risk factor
for asthma death
In the treatment of asthma, an LTM should be used as a:
A. Controller to prevent bronchospasm
B. Controller to inhibit inflammatory responses
,C. Reliever to treat acute bronchospasm
D. Reliever to treat inflammation Correct Answer B.
Controller to inhibit inflammatory responses
Which of the following is not a risk for asthma death?
A. Hospitalization or an emergency department visit for
asthma in the past month
B. Current use of systemic corticosteroids or recent
withdrawal from systemic corticosteroids
C. Difficulty perceiving airflow obstruction or its severity
D. Rural residence Correct Answer D. Rural residence
An 18-year-old high school senior presents, asking for a
letter stating that he should not participate in gym class
because he has asthma. The most appropriate action is
to:
A. Write the note because gym class participation could
trigger asthma symptoms
B. Excuse him from outdoor activities only to avoid pollen
exposure
C. Assess his level of asthma control and make changes
in his treatment plan if needed so he can participate
D. Write a note excusing him from gym until his follow-up
examination in 2 months Correct Answer C. Assess his
level of asthma control and make changes in his treatment
plan if needed so he can participate
You see a 34-year-old man with moderate persistent
asthma who has an asthma flare, and a regimen of oral
,prednisone is prescribed for 7 days. Which of the following
is true?
A. A taper is needed for prednisone therapy lasting longer
than 4 days
B. A taper is not needed if the prednisone regimen is
usually for 14 days or less
C. A taper is not needed regardless of duration of
prednisone therapy
D. A taper is needed if the patient is taking concomitant
ICSs Correct Answer B. A taper is not needed if the
prednisone regimen is usually for 14 days or less
After ICS is initiated, improvement in control is usually
seen:
A. On the first day of use
B. Within 2 to 8 days
C. In about 3 to 4 weeks
D. In about 1 to 2 months Correct Answer B. Within 2 to 8
days
Compared with albuterol, levalbuterol (Xopenex) has:
A. A different mechanism of action
B. The potential ability to provide greater bronchodilation
with a lower dose
C. An anti-inflammatory effect similar to that of an ICS
D. A contraindication to use in elderly patients Correct
Answer B. The potential ability to provide greater
bronchodilation with a lower dose
, Which of the following is consistent with the use of ICSs
for a child with asthma?
A. The potential but small risk of delayed growth with ICSs
is well balanced by their effectiveness
B. ICSs should be used only if an LTM fails to control
asthma
C. Permanent growth stunting is consistently noted in
children using ICSs
D. An LTN is equal in therapeutic effect to the use of a
LABA Correct Answer A. The potential but small risk of
delayed growth with ICSs is well balanced by their
effectiveness
A potential adverse effect from ICS use is:
A. Oral candidiasis
B. Tachycardia
C. Gastrointestinal upset
D. Insomnia Correct Answer A. Oral candidiasis
Clinical findings characteristic of poorly controlled asthma
include all of the following except:
A. A recurrent spasmodic cough that is worse at night
B. Recurrent SOB and chest tightness with exercise
C. A congested cough that is worse during the day
D. Wheezing with and without associated respiratory
infections Correct Answer C. A congested cough that is
worse during the day
CARE NURSING ADULT MIDTERM
EXAM QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
VERIFIED ANSWERS
Sharon is a 29-year-old woman with moderate persistent
asthma. She has a prescription for an ICS that she does
not use, stating, "I'm finding that the albuterol works
better." Currently she uses about two albuterol metered-
dose inhalers per month, "that keeps my cough and
wheeze under control." She is requesting a prescription
refill. You consider that:
A. Her asthma is well controlled, and albuterol use can
continue
B. Excessive albuterol use is a risk factor for asthma death
C. Her asthma is not well controlled, and salmeterol
(Serevent) should be added to relieve bronchospasm and
reduce her albuterol use
D. Her asthma has better control with albuterol than ICSs
Correct Answer B. Excessive albuterol use is a risk factor
for asthma death
In the treatment of asthma, an LTM should be used as a:
A. Controller to prevent bronchospasm
B. Controller to inhibit inflammatory responses
,C. Reliever to treat acute bronchospasm
D. Reliever to treat inflammation Correct Answer B.
Controller to inhibit inflammatory responses
Which of the following is not a risk for asthma death?
A. Hospitalization or an emergency department visit for
asthma in the past month
B. Current use of systemic corticosteroids or recent
withdrawal from systemic corticosteroids
C. Difficulty perceiving airflow obstruction or its severity
D. Rural residence Correct Answer D. Rural residence
An 18-year-old high school senior presents, asking for a
letter stating that he should not participate in gym class
because he has asthma. The most appropriate action is
to:
A. Write the note because gym class participation could
trigger asthma symptoms
B. Excuse him from outdoor activities only to avoid pollen
exposure
C. Assess his level of asthma control and make changes
in his treatment plan if needed so he can participate
D. Write a note excusing him from gym until his follow-up
examination in 2 months Correct Answer C. Assess his
level of asthma control and make changes in his treatment
plan if needed so he can participate
You see a 34-year-old man with moderate persistent
asthma who has an asthma flare, and a regimen of oral
,prednisone is prescribed for 7 days. Which of the following
is true?
A. A taper is needed for prednisone therapy lasting longer
than 4 days
B. A taper is not needed if the prednisone regimen is
usually for 14 days or less
C. A taper is not needed regardless of duration of
prednisone therapy
D. A taper is needed if the patient is taking concomitant
ICSs Correct Answer B. A taper is not needed if the
prednisone regimen is usually for 14 days or less
After ICS is initiated, improvement in control is usually
seen:
A. On the first day of use
B. Within 2 to 8 days
C. In about 3 to 4 weeks
D. In about 1 to 2 months Correct Answer B. Within 2 to 8
days
Compared with albuterol, levalbuterol (Xopenex) has:
A. A different mechanism of action
B. The potential ability to provide greater bronchodilation
with a lower dose
C. An anti-inflammatory effect similar to that of an ICS
D. A contraindication to use in elderly patients Correct
Answer B. The potential ability to provide greater
bronchodilation with a lower dose
, Which of the following is consistent with the use of ICSs
for a child with asthma?
A. The potential but small risk of delayed growth with ICSs
is well balanced by their effectiveness
B. ICSs should be used only if an LTM fails to control
asthma
C. Permanent growth stunting is consistently noted in
children using ICSs
D. An LTN is equal in therapeutic effect to the use of a
LABA Correct Answer A. The potential but small risk of
delayed growth with ICSs is well balanced by their
effectiveness
A potential adverse effect from ICS use is:
A. Oral candidiasis
B. Tachycardia
C. Gastrointestinal upset
D. Insomnia Correct Answer A. Oral candidiasis
Clinical findings characteristic of poorly controlled asthma
include all of the following except:
A. A recurrent spasmodic cough that is worse at night
B. Recurrent SOB and chest tightness with exercise
C. A congested cough that is worse during the day
D. Wheezing with and without associated respiratory
infections Correct Answer C. A congested cough that is
worse during the day
