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Walden University: NRNP 6531 Exam: Walden University | 100% Verified Q & A
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Walden University: NRNP 6531 Exam: Walden University | 100% Verified Q & A
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Walden University: NRNP 6531 Exam: Walden University |100% Verified Q & A
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? -
ANSWERModerate 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? -
ANSWERAdd 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? - ANSWERChronic Bronchitis
Risk factors for acute arterial insufficiency include which of the following? -
ANSWERRecent MI, Arterial Fibrillation, and Atherosclerosis
Other than smoking cessation, which of the following slows the progression of COPD in
smokers? - ANSWEREngaging in moderate to high levels of physical activity
Management of a patient with hypertension and an abdominal aortic aneurysm would
include: - ANSWERReferral 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: - ANSWERSystolic heart
failure
A 20 year old is diagnosed with mild persistent asthma. What drug combination would
be most effective in keeping him symptom-free? - ANSWERA 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? - ANSWERInferior wall
, Antibiotic administration has been demonstrated to be of little benefit to the treatment of
which of the following disease processes? - ANSWERAcute bronchitis
The most common correlate(s) with chronic bronchitis and emphysema is(are): -
ANSWERCigarette smoke inhalation
Which of the following is not a goal of treatment for the patient with cystic fibrosis? -
ANSWERReplacement of water soluble vitamins
Which drug category contains the drugs that are the first line Gold standard therapy for
COPD? - ANSWERInhaled beta-2 agonist bronchodilators
Which of the following patient characteristics are associated with chronic bronchitis? -
ANSWERNormal 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? - ANSWERIt is not effective during an acute
asthma attack
Which of the following is not a risk factor for coronary arterial insufficiency? -
ANSWERAlcohol ingestion
Which type of lung cancer has the poorest prognosis? - ANSWERSmall cell carcinoma
A patient presents to the office with a blood pressure 142/80. This patient is classified
as having: - ANSWERStage 1 hypertension
In order to decrease deaths from lung cancer: - ANSWERPatients should be counseled
to quit smoking
Which of the following medication classes should be avoided in patients with acute or
chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the
patient? - ANSWERAntihistamines
Diagnostic confirmation of acute leukemia is based on: - ANSWERBone marrow
aspiration & biopsy
Which of the following are classic features of ulcerative colitis? - ANSWERRemissions
and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain,
and weight loss
Reed-Sternberg B lymphocytes are associated with which of the following disorders: -
ANSWERHodgkin's lymphoma
Which of the following is not appropriate suppression therapy for chronic bacterial
prostatitis? - ANSWERErythromycin daily
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