NR571/ NR 571 Midterm Exam (Latest 2024/ 2025
Update) Complex Diagnosis & Management in
Acute Care Review| Questions and Verified
Answers| 100% Correct |Grade A – Chamberlain
COPD is airflow limitation that is not fully reversible
t/f - ANSWER True
__________ is characterized by reversible airflow obstruction - ANSWER
Asthma
Destruction and permanent enlargement of airspaces distal to terminal bronchioles
characterized by destruction of alveoli without obvious fibrosis and hyperinflation/air trapping is
known as:
A. COPD
B. Asthma
C. Chronic Bronchitis
D. Emphysema - ANSWER D. Emphysema
,Sputum production daily for 3 or more months for 2 or more years is characteristic of
_________________ - ANSWER Chronic Bronchitis
Smoking> 30 years
Chronic coughing
excessive sputum production
4th and 5th decade of life
Genetic component
Are characteristics of what? - ANSWER Typical COPD patient
Stage 1: Mild
A. FEV1/FVC <70%, FEV1> 80%
B.FEV1/FVC <70%, FEV1 50-79%
C.FEV1/FVC <70%, FEV1 30-49% with or w/o sx
D.FEV1/FVC <70%, FEV1 <30% or <50% with resp failure - ANSWER A
Stage 2: moderate
A. FEV1/FVC <70%, FEV1> 80%
,B.FEV1/FVC <70%, FEV1 50-79%
C.FEV1/FVC <70%, FEV1 30-49% with or w/o sx
D.FEV1/FVC <70%, FEV1 <30% or <50% with resp failure - ANSWER B
Stage 3: severe
A. FEV1/FVC <70%, FEV1> 80%
B.FEV1/FVC <70%, FEV1 50-79%
C.FEV1/FVC <70%, FEV1 30-49% with or w/o sx
D.FEV1/FVC <70%, FEV1 <30% or <50% with resp failure - ANSWER C
Stage 4: very severe
A. FEV1/FVC <70%, FEV1> 80%
B.FEV1/FVC <70%, FEV1 50-79%
C.FEV1/FVC <70%, FEV1 30-49% with or w/o sx
D.FEV1/FVC <70%, FEV1 <30% or <50% with resp failure - ANSWER D
COPD trifecta - ANSWER Increase cough, dyspnea, sputum
production
, Oxygen SPO2 90-94% or PAO2 50-60 mm Hg
Ipratropium bromide
Beta 2 agonists
Systemic corticosteroids
Antibiotics
NIPPV/chest PT
Are treatments for what? - ANSWER COPD exacerbation
Which of the following is NOT a short acting bronchodilator?
A. Albuterol
B. Levalbuterol
C. Salmeterol
D. Metaproterenol
E. Terbutaline - ANSWER C. Salmeterol is a LABA
Albuterol is the drug of choice if the patient is tachycardic
t/f? - ANSWER False. Xoponex is preferred in tachy patients
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