NP RESPIRATORY QUESTIONS AND CORRECT
DETAILED ANSWERS - JUST RELEASED, 100 %
VERIFIED
The gold standard for diagnosing pneumonia on chest X-ray is the presence of:
Ans: infiltrates
The finding of infiltrates on chest X-ray, in conjunction with clinical findings of fever, chest pain,
dyspnea, and sputum production on clinical exam, should direct the examiner to consider
pneumonia as the diagnosis
Quiz A 75-year-old female with emphysema who has been treated with inhaled steroids for
many years should
Ans: should be screened for osteoporosis
, Older females are at higher risk than others for osteoporosis. This female patient, who has used
inhaled steroids and smokes, has multiple risk factors for osteoporosis. Additionally, she
probably has emphysema because she smoked (or still smokes). If she is Asian or Caucasian, she
has still another risk factor. Screening for osteoporosis should be considered when managing
patients with multiple risk factors
Quiz The most common symptom associated with acute bronchitis is:
Ans: cough
Fever (temp > 101°F) is an unusual symptom associated with acute bronchitis. Cough is the
most common symptom associated with acute bronchitis. Purulent sputum is identified in more
than 50% of patients with acute bronchitis. The color imparted to the sputum is usually due to
sloughing of epithelial cells, not bacterial infection. Concurrent upper respiratory symptoms are
typical of acute bronchitis. Pharyngitis is common.
Quiz A patient with asthma uses one puff twice daily of fluticasone and has an albuterol inhaler
for PRN use. He requests a refill on his albuterol inhaler. His last prescription was filled 5 weeks
ago. What action by the NP is appropriate?
Ans: Increase the dose of the inhaled steroid, refill the albuterol
The patient is using his short-acting bronchodilator excessively if he needs a refill of his inhaler
in only 5 weeks. Inhalers typically contain 200 puffs. They should be used two or fewer times
per week. His inhaled steroid dose should be increased and his albuterol inhaler should be
refilled. In fact, he should not be without a prescription for the albuterol. Consideration could
be given to prescribing a long-acting bronchodilator and increasing the steroid, but this is not
the best choice because this does not include a refill of the albuterol and this patient cannot be
without access to a rescue inhaler.
DETAILED ANSWERS - JUST RELEASED, 100 %
VERIFIED
The gold standard for diagnosing pneumonia on chest X-ray is the presence of:
Ans: infiltrates
The finding of infiltrates on chest X-ray, in conjunction with clinical findings of fever, chest pain,
dyspnea, and sputum production on clinical exam, should direct the examiner to consider
pneumonia as the diagnosis
Quiz A 75-year-old female with emphysema who has been treated with inhaled steroids for
many years should
Ans: should be screened for osteoporosis
, Older females are at higher risk than others for osteoporosis. This female patient, who has used
inhaled steroids and smokes, has multiple risk factors for osteoporosis. Additionally, she
probably has emphysema because she smoked (or still smokes). If she is Asian or Caucasian, she
has still another risk factor. Screening for osteoporosis should be considered when managing
patients with multiple risk factors
Quiz The most common symptom associated with acute bronchitis is:
Ans: cough
Fever (temp > 101°F) is an unusual symptom associated with acute bronchitis. Cough is the
most common symptom associated with acute bronchitis. Purulent sputum is identified in more
than 50% of patients with acute bronchitis. The color imparted to the sputum is usually due to
sloughing of epithelial cells, not bacterial infection. Concurrent upper respiratory symptoms are
typical of acute bronchitis. Pharyngitis is common.
Quiz A patient with asthma uses one puff twice daily of fluticasone and has an albuterol inhaler
for PRN use. He requests a refill on his albuterol inhaler. His last prescription was filled 5 weeks
ago. What action by the NP is appropriate?
Ans: Increase the dose of the inhaled steroid, refill the albuterol
The patient is using his short-acting bronchodilator excessively if he needs a refill of his inhaler
in only 5 weeks. Inhalers typically contain 200 puffs. They should be used two or fewer times
per week. His inhaled steroid dose should be increased and his albuterol inhaler should be
refilled. In fact, he should not be without a prescription for the albuterol. Consideration could
be given to prescribing a long-acting bronchodilator and increasing the steroid, but this is not
the best choice because this does not include a refill of the albuterol and this patient cannot be
without access to a rescue inhaler.
