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NR 511 Final Exam Questions With Complete Solutions
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NR 511 Final Exam Questions With Complete Solutions
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NR 511 Final Exam Questions With Complete Solutions12. 645 A 67-year-old female patient complains of progressive
dyspnea, minimal cough, and a 10-lb weight loss over the past 3
months. The nurse practitioner notes decreased posterior breath
sounds, the use of accessory muscles to breathe, temperature of
98.8°F, and respirations of 24 breaths/minute. The nurse
practitioner suspects:
A. Emphysema
B. Chronic bronchitis
C. Respiratory infection
D. Pneumonia
Leik, Maria T. Codina, MSN, ARNP, FNP-C, AGPCNP-BC.
Family Nurse Practitioner Certification Intensive Review,
Fourth Edition (pp. 1300-1301). Springer Publishing Company.
Kindle Edition. Correct Answer A) Emphysema. Emphysema
presents with shortness of breath, minimal cough, and decreased
heart and lung sounds. Patients use pursed-lip breathing, and use
of accessory muscles is prominent. Chronic bronchitis is
characterized by a productive cough, wheezing, and coarse
crackles. A respiratory infection and/or pneumonia presents with
fever and new onset of symptoms.
Leik, Maria T. Codina, MSN, ARNP, FNP-C, AGPCNP-BC.
Family Nurse Practitioner Certification Intensive Review,
Fourth Edition (p. 1344). Springer Publishing Company. Kindle
Edition.
142. All of the following pharmacologic agents are used to treat
inflammation in the lungs of asthmatic patients, except: A.
Nedocromil sodium (Tilade) two sprays QID
B. Cromolyn sodium inhaler (Intal) two puffs QID
,C. Long-acting oral theophylline (Theo-Dur) 200 mg every 12
hours
D. Fluticasone inhaler (Flovent) two puffs BID Correct Answer
C) Long-acting oral theophylline (Theo-Dur) 200 mg every 12
hours. Theophylline is used to control inflammation of the
lungs. Nedocromil sodium (Tilade), cromolyn sodium (Intal),
and fluticasone inhaler (Flovent) help to treat inflammation.
Leik, Maria T. Codina, MSN, ARNP, FNP-C, AGPCNP-BC.
Family Nurse Practitioner Certification Intensive Review,
Fourth Edition (p. 1582). Springer Publishing Company. Kindle
Edition.
5. 600 A 67-year-old woman with a 30-pack-year history of
smoking presents for a routine annual physical examination. She
complains of being easily short of breath and is frequently
fatigued. Physical examination reveals diminished breath
sounds, hyperresonance, and hypertrophied respiratory
accessory muscles. Her complete blood count (CBC) results
reveal that her hematocrit level is elevated. Her pulmonary
function test (PFT) results show increased total lung capacity.
Which diagnosis is most likely?
A. Bronchogenic carcinoma
B. Chronic obstructive pulmonary disease (COPD)
C. Chronic bronchitis
D. Congestive heart failure
Leik, Maria T. Codina, MSN, ARNP, FNP-C, AGPCNP-BC.
Family Nurse Practitioner Certification Intensive Review,
Fourth Edition (p. 1210). Springer Publishing Company. Kindle
Edition. Correct Answer B) Chronic obstructive pulmonary
disease (COPD). COPD is a progressive lung disease that
includes emphysema and chronic bronchitis. The most common
, risk factor for COPD is long-term cigarette smoking (80%-
90%). Another cause is alpha-1 antitrypsin deficiency and
chronic fume exposure. The three cardinal symptoms of COPD
are dyspnea, chronic cough, and sputum production. The lungs
are hyperinflated, which changes the shape of the chest and
diaphragm, making the mechanics of breathing more difficult.
Excess mucus and obstructed airflow from progressive
thickening and stiffening of the airways diminish breath sounds.
COPD creates a high hematocrit percentage because of chronic
hypoxemia.
Leik, Maria T. Codina, MSN, ARNP, FNP-C, AGPCNP-BC.
Family Nurse Practitioner Certification Intensive Review,
Fourth Edition (pp. 1254-1255). Springer Publishing Company.
Kindle Edition.
A adult student is seen in the school health clinic with
complaints of a hacking nonproductive cough, rhinorrhea,
pharyngitis, and malaise for the past 2 weeks. He does not take
any medications, denies any allergies, and has no significant
medical history. Physical examination reveals a low-grade
temperature of 99.9°F, respirations of 16 breaths/min, pulse of
90 beats/min, and scattered rales and wheezing of the lungs. The
patient does not appear toxic. The total white blood cell count is
10,500/µL. Which diagnosis is most likely?
A. Bacterial pneumonia
B. Atypical pneumonia
C. Acute bronchitis
D. Pertussis
Leik, Maria T. Codina, MSN, ARNP, FNP-C, AGPCNP-BC.
Family Nurse Practitioner Certification Intensive Review,
Fourth Edition (p. 1431). Springer Publishing Company. Kindle
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