CMN 568 INTRO TO FAMILY NP
CMN 568 FINAL EXAM
COMPLETE GUIDE WITH QUESTIONS AND VERIFIED
ANSWERS
. 1. A five-year-old child requires daily use of a short-acting beta2-agonist for wheezing
and the child's symptoms exacerbate at least twice a week during physical exercise. The
parent reports that the child has a dry cough at night, which occurs several times a
week. The child's asthma is classified as:
a. Mild persistent
b. Moderate intermittent
c. Moderate persistent
d. Severe persistent
Answer: a. Mild persistent
b. Moderate intermittent
c. Moderate persistent
d. Severe persistent
. 2. You are prescribing a short course of oral steroids for a 5-year-old with asthma.
She weighs 20 kilograms. Which is an appropriate dose?
a. Prednisolone 25 mg BID
b. Prednisolone 15mg BID
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c. Prednisolone 15 mg once a day
d. Prednisolone 10mg once a day
Answer: a. Prednisolone 25 mg BID
b. Prednisolone 15mg BID
c. Prednisolone 15 mg once a day
d. Prednisolone 10mg once a day
3. 3. What is an appropriate medication regimen to initiate for a pediatric patient
that you have diagnosed as having moderate persistent asthma
a. prn SABA
b. prn SABA and low dose ICS + LABA the key part I mistakenly left out this
patient was not on any medications
c. prn SABA and oral LTRA
d. low dose ICS
Answer: a. prn SABA
b. prn SABA and low dose ICS + LABA the key part I mistakenly left out this patient was
not on any medications
c. prn SABA and oral LTRA
d. low dose ICS
4. 4. A 10-year-old with exercise-induced bronchospasm should be instructed to:
a. use a long-acting antimuscarinic agent (LAMA) prior to exercise b, use a
short-acting beta agonist (SABA) prior to exercise
c. use an inhaled corticosteroid (ICS) prior to exercise
d. avoid all vigorous sports such as football or basketball
, Answer: a. use a long-acting antimuscarinic agent (LAMA) prior to exercise
b, use a short-acting beta agonist (SABA) prior to exercise
c. use an inhaled corticosteroid (ICS) prior to exercise
d. avoid all vigorous sports such as football or basketball
5. 5. A 29-year-old patient complains of chest tightness and cough at least 3 days
a week. He denies any limitations with his activities. He reports waking up
coughing 2-3 times a month. The patient's asthma is classified as:
a. mild persistent asthma
b. moderate persistent asthma
c. severe persistent asthma
d. intermittent asthma
Answer: a. mild persistent asthma
b. moderate persistent asthma
c. severe persistent asthma
d. intermittent asthma
6. 6. A 39-year-old female patient with a diagnosis of asthma is presently taking a
low-dose ICS daily and SABA prn.You the nurse practitioner have assessed that the
patient's asthma is not well controlled. Which is an appropriate action of the nurse
practitioner:
a. add a daily inhaled SABA
b. add daily long-term oral corticosteroids
c. discontinue her low-dose ICS and add a high-dose ICS
b. add a daily inhaled LABA
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Answer: b. add a daily inhaled LABA
7. 7. A 54-year-old patient is diagnosed with COPD and based on symptoms and
exacerbations, he is in Group A. Which is an appropriate medication for the nurse
practitioner to initiate?
a. Albuterol MDI
b. Theophylline
c. Budesonide MDI
d. Fluticasone
Answer: a. Albuterol MDI
8. 8. A 63-year-old male with COPD (Gold Group C) visits your office for
medication treatment. As the nurse practitioner what preferred first choice
medication will you prescribe?
a. prn short-acting beta-agonists
b. prn short-acting anticholinergics
c. daily long-acting anticholinergics
d. daily low-dose inhaled corticosteroids
Answer: c. daily long-acting anticholinergics
9. 9. A 44-year-old male patient is seen in your clinic today with an asthma
exacerbation. In addition to his ICS, you the nurse practitioner have prescribed a short
course of oral steroids. What is the appropriate dose for this patient:
a. Prednisone 40 mg po BID
CMN 568 FINAL EXAM
COMPLETE GUIDE WITH QUESTIONS AND VERIFIED
ANSWERS
. 1. A five-year-old child requires daily use of a short-acting beta2-agonist for wheezing
and the child's symptoms exacerbate at least twice a week during physical exercise. The
parent reports that the child has a dry cough at night, which occurs several times a
week. The child's asthma is classified as:
a. Mild persistent
b. Moderate intermittent
c. Moderate persistent
d. Severe persistent
Answer: a. Mild persistent
b. Moderate intermittent
c. Moderate persistent
d. Severe persistent
. 2. You are prescribing a short course of oral steroids for a 5-year-old with asthma.
She weighs 20 kilograms. Which is an appropriate dose?
a. Prednisolone 25 mg BID
b. Prednisolone 15mg BID
, @LECTJULIESOLUTIONSSTUVIA
c. Prednisolone 15 mg once a day
d. Prednisolone 10mg once a day
Answer: a. Prednisolone 25 mg BID
b. Prednisolone 15mg BID
c. Prednisolone 15 mg once a day
d. Prednisolone 10mg once a day
3. 3. What is an appropriate medication regimen to initiate for a pediatric patient
that you have diagnosed as having moderate persistent asthma
a. prn SABA
b. prn SABA and low dose ICS + LABA the key part I mistakenly left out this
patient was not on any medications
c. prn SABA and oral LTRA
d. low dose ICS
Answer: a. prn SABA
b. prn SABA and low dose ICS + LABA the key part I mistakenly left out this patient was
not on any medications
c. prn SABA and oral LTRA
d. low dose ICS
4. 4. A 10-year-old with exercise-induced bronchospasm should be instructed to:
a. use a long-acting antimuscarinic agent (LAMA) prior to exercise b, use a
short-acting beta agonist (SABA) prior to exercise
c. use an inhaled corticosteroid (ICS) prior to exercise
d. avoid all vigorous sports such as football or basketball
, Answer: a. use a long-acting antimuscarinic agent (LAMA) prior to exercise
b, use a short-acting beta agonist (SABA) prior to exercise
c. use an inhaled corticosteroid (ICS) prior to exercise
d. avoid all vigorous sports such as football or basketball
5. 5. A 29-year-old patient complains of chest tightness and cough at least 3 days
a week. He denies any limitations with his activities. He reports waking up
coughing 2-3 times a month. The patient's asthma is classified as:
a. mild persistent asthma
b. moderate persistent asthma
c. severe persistent asthma
d. intermittent asthma
Answer: a. mild persistent asthma
b. moderate persistent asthma
c. severe persistent asthma
d. intermittent asthma
6. 6. A 39-year-old female patient with a diagnosis of asthma is presently taking a
low-dose ICS daily and SABA prn.You the nurse practitioner have assessed that the
patient's asthma is not well controlled. Which is an appropriate action of the nurse
practitioner:
a. add a daily inhaled SABA
b. add daily long-term oral corticosteroids
c. discontinue her low-dose ICS and add a high-dose ICS
b. add a daily inhaled LABA
, @LECTJULIESOLUTIONSSTUVIA
Answer: b. add a daily inhaled LABA
7. 7. A 54-year-old patient is diagnosed with COPD and based on symptoms and
exacerbations, he is in Group A. Which is an appropriate medication for the nurse
practitioner to initiate?
a. Albuterol MDI
b. Theophylline
c. Budesonide MDI
d. Fluticasone
Answer: a. Albuterol MDI
8. 8. A 63-year-old male with COPD (Gold Group C) visits your office for
medication treatment. As the nurse practitioner what preferred first choice
medication will you prescribe?
a. prn short-acting beta-agonists
b. prn short-acting anticholinergics
c. daily long-acting anticholinergics
d. daily low-dose inhaled corticosteroids
Answer: c. daily long-acting anticholinergics
9. 9. A 44-year-old male patient is seen in your clinic today with an asthma
exacerbation. In addition to his ICS, you the nurse practitioner have prescribed a short
course of oral steroids. What is the appropriate dose for this patient:
a. Prednisone 40 mg po BID
