Walden NRNP6531 2021 April Week 5 Knowledge Check Latest

NRNP6531 Advanced Practice Care of Adults Across the Lifespan

Week 5 Knowledge Check

Question 1          Other than smoking cessation, which of the following slows the progression of COPD in smokers             

a. Making sure the environment is free of all pollutants

b. Eliminating all pets from the environment

 c. Engaging in moderate to high levels of physical activity

d. Remaining indoors with air conditioning as much as possible

                                               

•             Question 2          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?                                   

a. Xanthines

 b. Antihistimines

c. Steroids

d. Anticholinergics

•             Question 3          A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free?                                             

a. A long-acting bronchodilator

b. An inhaled corticosteroid and cromolyn

                c. Theophylline and a short acting bronchodilator

                 d. A bronchodilator PRN and an inhaled corticosteroid

•             Question 4          Risk factors for acute arterial insufficiency include which of the following?                                           

                a. Recent myocardial infarction

                b. Atrial fibrillation

                c. Atherosclerosis

                 d. All of the above

•             Question 5          Which of the following best describes hypertrophic cardiomyopathy?                                   

                a. A weakened and enlarged myocardium

                b. Poor ventricular filling and weakened myocardium

                 c. Enlarged left ventricle and septum

                d. None of the above

                                               

•             Question 6          Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point about this medication?                                     

a. It is not effective during an acute asthma attack.

                b. It may take 2 to 3 days to begin working.

                c. This drug works within 10 minutes.

                d. This drug may be used by patients 6 years and older.

•             Question 7          A patient presents to the office with a blood pressure 142/80. This patient is classified as having:                                               

                a. Normal blood pressure

                b. Prehypertension

                c. Stage 1 hypertension

                 d. Stage 2 hypertension

•             Question 8          What condition is associated with mucus production greater than 3 months per year for at least 2 consecutive years?                                        

                a. Asthma

                b. Emphysema

                c. Chronic obstructive lung disease

                 d. Chronic bronchitis

•             Question 9          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?                                           

                a. Increase her Lisinopril to 20mg daily

                 b. Add a thiazide diuretic to the Lisinopril 5mg daily

                c. Discontinue the Lisinopril and start a combination of ACE Inhibitor and calcium channel blocker

                d. Discontinue the Lisinopril and start a diuretic

•             Question 10        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?

                a. Mild intermittent

                b. Mild persistent

                 c. Moderate persistent

•             Question 11        Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?                                       

a. Chronic sinusitis

                 b. Acute bronchitis

                c. Bacterial pneumonia

                d. Acute exacerbation of chronic bronchitis

•             Question 12        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:                                     

                a. Mitral regurgitation

                 b. Systolic heart failure

                c. Cardiac myxoma

                d. Diastolic heart failure

•             Question 13        Which type of lung cancer has the poorest prognosis?                                   

                a. Adenocarcinoma

                b. Epidermoid carcinoma

                 c. Small cell carcinoma

                d. Large cell carcinoma

•             Question 14        Management of a patient with hypertension and an abdominal aortic aneurysm would include:                                               

                a. computed tomography scan without contrast

                b. changing the patient’s BP medications

                 c. referral to a cardiologist

                d. immediate cardiac catheterization

•             Question 15

                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?                                

                 a. Inferior wall

                b. Anterior wall

                c. Apical wall

                d. Lateral wall

•             Question 16        Which of the following patient characteristics are associated with chronic bronchitis?     

                 a. Overweight, cyanosis, and normal or slightly increased respiratory rate

                b. Underweight, pink skin, and increased respiratory rate

                c. Overweight, pink skin, and normal or slightly increased respiratory rate

                d. Normal weight, cyanosis, and greatly increased respiratory rate

•             Question 17        In order to decrease deaths from lung cancer:                                  

                a. All smokers should be screened annually

                b. All patients should be screened annually

                c. Only high risk patients should be screened routinely

                 d. Patients should be counseled to quit smoking

•             Question 18        Which of the following is not a risk factor for coronary arterial insufficiency?                       

                a. Hyperhomocysteinemia

                b. Smoking

                c. Genetic factors

                 d. Alcohol ingestion

•             Question 19        Which drug category contains the drugs that are the first line Gold standard therapy for COPD?                                

                a. Corticosteroids

                 b. Inhaled beta-2 agonist bronchodilators

                c. Inhaled anticholinergic bronchodilators

                d. Xanthines

•             Question 20        Which of the following is not a goal of treatment for the patient with cystic fibrosis?       

                a. Prevent intestinal obstruction

                b. Provide adequate nutrition

                c. Promote clearance of secretions

                 d. Replace water-soluble vitamins