







Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
APEA 6440 Respiratory Q BANK with actual answers APEA 6440 Respiratory Q BANK with actual answers APEA 6440 Respiratory Q BANK with actual answers APEA 6440 Respiratory Q BANK with actual answers APEA 6440 Respiratory Q BANK with actual answers APEA 6440 Respiratory Q BANK with actual answers APEA 6440 Respiratory Q BANK with actual answers APEA 6440 Respiratory Q BANK with actual answers APEA 6440 Respiratory Q BANK with actual answers APEA 6440 Respiratory Q BANK with actual answers APEA 6440 Respiratory Q BANK with actual answers APEA 6440 Respiratory Q BANK with actual answers APEA 6440 Respiratory Q BANK with actual answers APEA 6440 Respiratory Q BANK with actual answers APEA 6440 Respiratory Q BANK with actual answers
Typology: Exams
1 / 13
This page cannot be seen from the preview
Don't miss anything!
c. peak flow capacity d. expiratory flow
APEA 6440 Respiratory Q BANK with actual answers
Staphylococcus pneumonia is more common
a pt with acute bronchitis and cough for 5 days calls to report that his cough is productive of discolored sputum. He has no other new sxs. How should the NP manage this? a. consider pneumonia; prescribe a macrolide antibiotic b. continue the original plan c. encourage the pt to return to the clinic for a recheck d. order a chest x-ray and tx accordingly a pt with acute bronchitis was dx at an urgent care center 10 days ago. He reports he was given an anti-tussive for nighttime cough, a steroid injection and oral steroids, an antibiotic, and a nasal decongestant. Which of these interventions was actually indicated for acute bronchitis? a. steroid injection and oral steroids b. antibiotic c. decongestant and antitussive d. antibiotic and steroids
APEA 6440 Respiratory Q BANK with actual answers
a pt with asthma uses one puff twice daily of an inhaled steroid 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? a. refill the albuterol only b. prescribe a longer acting bronchodilator, continue the steroid c. increase the dose of the inhaled steroid, refill the albuterol d. prescribe a long acting bronchodilator and increase the steroid Good asthma management is characterized by using short- acting bronchodilators (rescue inhaler) no more than
28 b. it decreases parasympathetic tone and
. produces bronchodilation
a long hx of exposure to second hand cigarette smoke from his wife. What dx is most likely? a. lung cancer b. emphysema c. COPD d. allergic cough Ipratropium is very widely used in the tx of COPD. Which of the following statements about ipratropium is correct? a. it slows the progression of COPD b. it decreases parasympathetic tone and produces bronchodilation c. it has anti-inflammatory actions and reduces bronchoconstriction d. it is more effective than a beta agonist in producing bronchodilation 29 c. Pulmonary function tests^ which of the following may be used to dx COPD?
. a. chest x-ray b. CT scan of the chest c. Pulmonary function tests d. arterial blood gases
41 uncomplicated pneumonia in outpatients
. who are otherwise healthy and have not had recent antibiotic exposure
choice for tx for him? a. erythromycin b. levofloxacin c. clarithromycin d. amoxicillin macrolides like azithromycin or clarithromycin or a tetracylinc like doxycyline is used for initial tx of
42 co-morbidities and/or those who have^ fluoroquinolones are commonly used first line for patients with
. suspected macrolide resistant strains of Streptococcus
43 b. add a long acting beta agonist
. he is using it too frequently, should be used only a few times weekly because if it used to frequently it will lose its effectiveness over time
a pt with COPD has been using albuterol with good relief for SOB. He is using it 3-4 times daily over the past 4 weeks. How should the NP manage this? a. encourage its use b. add a long acting beta agonist c. tell him to use it only once daily d. add an oral steroid
44 a. levalbuterol
. other examples are: albuterol, pirbuterol, or bitolterol
an example of a short-acting beta agonist is: a. levalbuterol b. salmeterol c. mometasone d. beclomethasone
45 c. guafenesin^ an older adult has a cold. She calls your office to ask for advice
. for an agent to help her runny nose and congestion. She has hypertension, COPD, and glaucoma. What agent is safe to use? a. pseudoephedrine b. oxymetazoline nasal spray c. guafenesin d. diphenhydramine
47 a. lymphocytosis and atypical lymphocytes^ in a pt with monoucleosis, which laboratory abnormality is most
. common? a. lymphocytosis and atypical lymphocytes b. elevated monocytes c. a decreased total white count d. elevated liver enzymes
48 a. infiltrates the Gold Standard for dxing pneumonia on chest x-ray is the
. presence of: a. infiltrates b. interstitial fluid c. cavitation d. "pooling"
49 Yes^ can pts with pneumonia have some GI sxs like nausea, vomiting,
. and diarrhea? Yes
c. he has an infection of unknown origin d. he does not have an infection
57 a. asthma exacerbation^ a pt is found to have eosinophilia. An expected finding is:
APEA 6440 Respiratory Q BANK with actual answers
. a. asthma exacerbation b. bronchitis c. hepatitis d. osteoporosis 58 c. pertussis^ a 24 y/o presents with fever, rhinorrhea, and paroxysmal, high-pitched . whooping cough. This is: a. bronchiolitis b. croup c. pertussis d. epiglottitis 59 a. cigarette smoking^ a 74 y/o pt has peripheral artery disease. Which item listed below is . the most important risk factor for PAD? a. cigarette smoking b. hyperlipidemia c. diabetes d. alcohol consumption 60 b. cough^ the most common sx associated with acute bronchitis is: .
61 b. levofloxacin - a respiratory
. quinolone
a. fever b. cough c. pharyngitis d. purulent sputum an 83 y/o healthy adult is dx with pneumonia. he is febrile but in no distress. Wha tis the preferred tx for him? a. supportive measures, it is probably viral b. levofloxacin c. azithromycin d. doxycycline 62 c. stop azithromycin and initiate a
. respiratory QUINOLONE this pt should have improved within 24-48 hrs
a 26 y/o being tx for CAP has been taking azithromycin in therapeutic doses for 72 hrs. His temperature has gone from 102F to 101F. What should be done? a. continue the same dose and monitor his status b. increase the dose to high dose azithromycin c. stop azithromycin and initiate a penicillin d. this is probably viral, stop the antibiotic 63 b. leukocytosis^ the major laboratory abnormality noted in pts with pneumonia is:
. a. eosinophila b. leukocytosis c. Gram stain positive d. leukopenia 64 c. azithromycin^ a 44 y/o nonsmoker is dx with pneumonia. He is otherwise healthy . and does not need hospitalization at this time. Which antibiotic can be used for empirical tx according to the 2007 Infectious Diseases Society of America/american Thoracic Society Guidelines? a. erythromycin b. levofloxacin
d. tachyarrhythmias
72 b. a TB skin test^ how should a 20 y/o college age student who presents with cough, night
. sweats, and weight loss be screened for TB? a. a chest x-ray b. a TB skin test c. a sputum specimen d. questionnaire about sxs
73 b. chest x-ray^ what laboratory test could help differentiate acute bronchitis from .
74 d. she does not need the
. immunization
pneumonia in a patient with a productive cough? a. CBC b. chest x-ray c. sputum specimen d. pulmonary function tests a 72 y/o pt presents an immunization record that reflects having received the PCV13 immunization when she was 65 y/o. She received the PPSV23 immunization one year later. Which statement below reflects the current standard of practice recommended by ACIP and CDC for this pt? a. she should be revaccinated today b. she should receive the immunization every 5 years c. she can elect to receive it today if she has COPD d. she does not need the immunization
75 a. he should be revaccinated
. today the recommendation are pneumococcal immunization once at age 65 years, regardless of other disease present. However, if the initial immunization was given prior to age 65 and 5 years has elapsed since the initial one, he should be revaccinated
a 67 y/o pt presents an immunization record that reflects having received the pneumococcal immunization when he was 60 y/o. Which statement below reflects the current standard of practice recommended by ACIP and CDC for this pt? a. he should be revaccinated today b. he should receive the immunization every 5 years c. he can elect to receive it today if she has COPD d. he does not need the immunization
76 b. all exhibit cough^ pts with cough variant asthma:
. a. all exhibit wheezing b. all exhibit cough c. may exhibit cough or wheeze d. have dyspnea