NURS 552-1 PRIMARY HEALTH CARE NURSING ADULT EXAM |GUARANTEED ACCURATE ANSWERS
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Course
NURS 552-1 PRIMARY HEALTH CARE NURSING ADULT
Institution
NURS 552-1 PRIMARY HEALTH CARE NURSING ADULT
Which of the following best describes asthma?
A. Intermittent airway inflammation with occasional bronchospasm
B. A disease of bronchospasm that leads to airway inflammation
C. Chronic airway inflammation with superimposed bronchospasm
D. Relatively fixed airway constriction - ACCURATE ANSWER...
NURS 552-1 PRIMARY HEALTH
CARE NURSING ADULT EXAM
NURS 552-1 PRIMARY HEALTH CARE NURSING ADULT EXAM |GUARANTEED
ACCURATE ANSWERS
Which of the following best describes asthma?
A. Intermittent airway inflammation with occasional bronchospasm
B. A disease of bronchospasm that leads to airway inflammation
C. Chronic airway inflammation with superimposed bronchospasm
D. Relatively fixed airway constriction - ACCURATE ANSWERS✔✔
C. Chronic airway inflammation with superimposed bronchospasm
The patient you are evaluating is having an asthma flare. You have
assessed that his condition is appropriate for office treatment. You expect
to find the following on physical exam:
,A. Tripod posture
B. Inspiratory crackles
C. Increased vocal fremitus
D. Hyperresonance on thoracic percussion - ACCURATE
ANSWERS✔✔ D. Hyperresonance on thoracic percussion
A 44-year-old man has a long-standing history of moderate persistent
asthma that is normally well controlled by fluticasone with salmeterol
(Advair) via metered-dose inhaler, one puff twice a day, and the use of
albuterol one to two times a week as needed for wheezing. Three days
ago, he developed a sore throat, clear nasal discharge, body aches, and a
cough with a small amount of white sputum production. In the past 24
hours, he has had intermittent wheezing that necessitated the use of
albuterol, two puffs, every 3 hours, which produced partial relief. Your
next most appropriate action is to obtain a:
A. Chest radiograph
B. Measurement of oxygen saturation (SaO2)
C. Spirometry measurement
D. Sputum smear for WBCs - ACCURATE ANSWERS✔✔ C.
Spirometry measurement
You examine Jane, a 24-year-old woman who has an acute asthma flare
following a 3-day history of upper respiratory tract symptoms (clear
nasal drainage, dry cough, no fever). She has a history of moderate
persistent asthma that is in good control and an acceptable peak
,expiratory flow (PED). She is using budesonide (Pulmicort) and
albuterol as directed and continues to have difficulty with coughing and
wheezing. At home, her PEF is 55% of personal best. In the office, her
forced expiratory volume at 1 second (FEV1) is 65% of predicted. Her
medication regimen should be adjusted to include:
A. Oral theophylline
B. Inhale salmeterol (Serevent) via MDI
C. Oral prednisone
D. Oral montelukast (Singulair)
For Jane in the previous question, the NP also considers prescribing:
A. A 10-day course of oral amoxicillin
B. A 5-day course of oral azithromycin
C. A 14-day course of levofloxacin
D. No antimicrobial therapy - ACCURATE ANSWERS✔✔ C. Oral
prednisone
D. No antimicrobial therapy
Which of the following describes a PEF meter?
, A. Should only be used in the presence of a medical professional
B. Provides convenient method to check expiratory air flow at home
C. Is as accurate as spirometry
D. Should not be used more than once daily - ACCURATE
ANSWERS✔✔ B. Provides convenient method to check expiratory air
flow at home
Which of the following is most accurate regarding the use of a chest x-
ray during an acute asthma flare?
A. Chest radiograph should be performed with each asthma flare
B. Chest radiograph should be performed during and following
resolution of the flare
C. Chest radiograph should be avoided as it can further exacerbate a
flare
D. Chest radiograph should be limited to those with signs of respiratory
tract infection (i.e., fever, congested cough) - ACCURATE
ANSWERS✔✔ D. Chest radiograph should be limited to those with
signs of respiratory tract infection (i.e., fever, congested cough)
A 36-year-old man with asthma also needs antihypertensive therapy.
Which of the following products should you avoid prescribing?
A. Hydrochlorothiazide
B. Propranolol
C. Amlodipine
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