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CMN568 INTRO TO FAMILY NP UNIT 3 EXAM QUESTION BANK LATEST COMPLETE 250 QUESTIONS AND CORRECT DETAILED ANSWERS ALREADY GRADED A+| click on AVAILABLE IN PACKAGE DEAL. You'll get more for less! OR SCROLL TO THE BOTTOM RIGHT CORNER AFTER OPE$26.99
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CMN568 INTRO TO FAMILY NP UNIT 3 EXAM QUESTION BANK LATEST COMPLETE 250 QUESTIONS AND CORRECT DETAILED ANSWERS ALREADY GRADED A+| click on AVAILABLE IN PACKAGE DEAL. You'll get more for less! OR SCROLL TO THE BOTTOM RIGHT CORNER AFTER OPE
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CMN 568
Institution
CMN 568
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CMN568 INTRO TO FAMILY NP UNIT 3 EXAM QUESTION BANK
LATEST 2024-2025 COMPLETE 250 QUESTIONS AND CORRECT
DETAILED ANSWERS ALREADY GRADED A+
QUESTION: A patient has an exacerbation of asthma, what is the most effective treatment to
achieve prompt control? - ANSWER-Systemic (oral) corticosteroids
QUESTION: Dose of oral corticosteroids for children during exacerbation of asthma - ANSWER-
1-2 mg/kg/day.
Can be either a single dose or divided BID.
MAX 60 mg/day
QUESTION: Dose of oral corticosteroids for adults during exacerbation of asthma - ANSWER-40-
60 mg/day
either as a single dose of divided BID
QUESTION: Duration of treatment of oral corticosteroids for asthma exacerbation - ANSWER-3-
10 days or until symptoms resolve
(no evidence that tapering dose of PO steroids prevents relapse)
What are the 3 characteristics of Asthma - ANSWER-Bronchoconstriction
Airway Inflammation
Reversible airflow limitation
QUESTION: Which inhaled anticholinergic is best used for asthma pt. w/an intolerance to beta
agonist or w/ bronchospasms due to beta blocker meds? - ANSWER-Ipratropium Bromide
QUESTION: What is the primary tx for pt. w/moderate to severe asthma exacerbations who do
not respond promptly and completely to SABA? - ANSWER-Systemic Corticosteroids
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QUESTION: Which bacterial infections predispose exacerbations of asthma - ANSWER-M.
Pneumoniae and C. Pneumoniae
QUESTION: Is routine use of antimicrobials recommended for acute exacerbations of asthma -
ANSWER-No, only use when likelihood of acute bacterial respiratory tract infection
QUESTION: Name short acting beta agonist - ANSWER-albuterol, levalbuterol, bitolerol,
pirbuterol, terbutaline
QUESTION: What does a SABA do? - ANSWER-acts directly by relaxing bronchial smooth
muscles.
QUESTION: What do long-term pharmacologic agents accomplish for asthma pt. - ANSWER-act
primarily to attenuate airway inflammation.
QUESTION: Why take long-term pharmacologic agents for asthma daily? - ANSWER-to achieve
and maintain control of persistent asthma independent of symptoms.
QUESTION: What does the NAEPP recommend as the cornerstone of daily treatment of
persistent asthma? - ANSWER-daily anti-inflammatory therapy with inhaled corticosteroids
QUESTION: Role of corticosteroids with asthma - ANSWER-Reduce inflammation (acute and
chronic) = improved airflow, decreased airway hyper-responsiveness and fewer asthma
exacerbations, and potentiate the action of beta-adrenergic agonist.
QUESTION: 1st. line treatment agent for all pt w/persistent asthma (long term controller) -
ANSWER-Inhaled Corticosteroids
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QUESTION: How often to most patient use inhaled corticosteroids? - ANSWER-Twice daily to
provide adequate control.
QUESTION: How long can it take to see maximum response of inhaled corticosterioids? -
ANSWER-Months
QUESTION: What can a patient do to reduce side effects of inhaled corticosteroids? - ANSWER-
Rinse mouth after each use
QUESTION: When treating exacerbation of asthma, what is the preferred treatment plan? -
ANSWER-Alternate days rather than daily treatment.
QUESTION: What additional medications are required to be given concurrent with systemic
corticosteroids to prevent corticosteroid induced bone mineral loss? - ANSWER-Vitamin D and
Calcium
QUESTION: Should systemic corticosteroids be rapidly discontinued? - ANSWER-No, to prevent
adrenal insufficiency
QUESTION: Name some mediator inhibitors to treat asthma - ANSWER-Cromolyn sodium and
nedocromil
QUESTION: What is the mechanism of action of mediator inhibitors? - ANSWER-prevent asthma
symptoms, improve airway function in pt w/mild persistent of exercise induce asthma
QUESTION: When are mediator inhibitors effective? - ANSWER-Before allergen exposure or
exercise
Do not relieve asthmatic symptoms once present.
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QUESTION: Name the Long acting beta 2 agonist (LABA) for asthma - ANSWER-Salmeterol and
Formoteol
QUESTION: How are LABA's delivered? - ANSWER-dry powder
QUESTION: What are LABA's used for - ANSWER-Long term prevention of asthma symptoms
Nocturnal symptoms
Prevention of exercise induced bronchospasm
QUESTION: Should LABA be used as monotherapy - ANSWER-NO
linked to fatal asthma when used alone
has no anti-inflammatory effects- so use w/a corticosteroid.
QUESTION: What does LABA + low or medium dose of corticosteroids given together provide
for the patient. - ANSWER-The equivalent to what would be if doubled the inhaled
corticosteroid.
QUESTION: Name the action of anticholinergic agents, short acting muscarinic agents (SAMA)
and long acting muscarinic agents (LAMA) - ANSWER-Reverse vagally medicated bronchospasm
but NOT allergen or exercise induced broncospasms
QUESTION: Is Ipratropium bromide (SAMA) as effect as a SABA for relief of acute bronchospasm
- ANSWER-No
QUESTION: What is the benefit to adding Tiotropium to therapy bronchodilator (salmeterol) or
inadequately controlled low-dose inhaler. - ANSWER-Improves lung function and reduces
frequency of asthma exacerbations.
4
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