NRNP 6531 Exam 2023-2024 |NRNP
Latest Update Questions and Correct
Answers| Rated A+
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? - ANSWERS-
Moderate Persistent
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? -
ANSWERS-Add thiazide diuretic to Lisinopril 5mg daily
What condition is associated with mucus production greater than 3 months per year for
at least 2 consecutive years? - ANSWERS-Chronic Bronchitis
Risk factors for acute arterial insufficiency include which of the following? - ANSWERS-
Recent MI, Arterial Fibrillation, and Atherosclerosis
Other than smoking cessation, which of the following slows the progression of COPD in
smokers? - ANSWERS-Engaging in moderate to high levels of physical activity
Management of a patient with hypertension and an abdominal aortic aneurysm would
include: - ANSWERS-Referral to a cardiologist
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: - ANSWERS-Systolic heart
failure
A 20 year old is diagnosed with mild persistent asthma. What drug combination would
be most effective in keeping him symptom-free? - ANSWERS-A bronchodilator PRN
and an inhaled corticosteroid
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? - ANSWERS-Inferior wall
, Antibiotic administration has been demonstrated to be of little benefit to the treatment of
which of the following disease processes? - ANSWERS-Acute bronchitis
The most common correlate(s) with chronic bronchitis and emphysema is(are): -
ANSWERS-Cigarette smoke inhalation
Which of the following is not a goal of treatment for the patient with cystic fibrosis? -
ANSWERS-Replacement of water soluble vitamins
Which drug category contains the drugs that are the first line Gold standard therapy for
COPD? - ANSWERS-Inhaled beta-2 agonist bronchodilators
Which of the following patient characteristics are associated with chronic bronchitis? -
ANSWERS-Normal weight, cyanosis, and greatly increased RR
Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important
teaching point about this medication? - ANSWERS-It is not effective during an acute
asthma attack
Which of the following is not a risk factor for coronary arterial insufficiency? -
ANSWERS-Alcohol ingestion
Which type of lung cancer has the poorest prognosis? - ANSWERS-Small cell
carcinoma
A patient presents to the office with a blood pressure 142/80. This patient is classified
as having: - ANSWERS-Stage 1 hypertension
In order to decrease deaths from lung cancer: - ANSWERS-Patients should be
counseled to quit smoking
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? - ANSWERS-Antihistamines
Diagnostic confirmation of acute leukemia is based on: - ANSWERS-Bone marrow
aspiration & biopsy
Which of the following are classic features of ulcerative colitis? - ANSWERS-
Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence,
abdominal pain, and weight loss
Reed-Sternberg B lymphocytes are associated with which of the following disorders: -
ANSWERS-Hodgkin's lymphoma
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