NR 511-Exam Bank

Exam Bank For NR 511

Respiratory An adult has upper respiratory symptoms and cough for the past 14 days. What should be considered? Mycoplasma pneumoniae is Which medication below is contraindicated in an asthma patient because it may increase risk of sudden death if used alone A 75-year-old female with emphysema who has been treated with inhaled steroids for many years should: A patient received the pneumonia immunization at age 60 years. He is 65 years old and presents to your clinic today. What recommendation should be made about the pneumococcal immunization Which of the following medications should be used cautiously in a patient who has asthma The most common symptom associated with acute bronchitis is Mild persistent asthma is characterized by The chest circumference of a 12 month-old is A patient with cough and fever is found to have infiltrates on chest x-ray. What is his likely diagnosis? Patients who have cough-variant asthma: The most common cause of atypical pneumonia in adults is Which patient might be expected to have the worst FEV1 A patient who has asthma presents with chest tightness, wheezing, coughing, and fever. He has wheezing and diminished breath sounds in the upper right lobe. His cough is nonproductive, and he denies nasal symptoms. Which symptom is not likely related to his asthma? . Ipratropium is very widely used in the treatment of COPD. Which of the following statements about ipratropium is correct An 80-year-old has Stage 3 COPD. He is most likely to have concomitant A 6-year-old child who has moderate persistent asthma is diagnosed with pneumonia after chest X-ray and laboratory studies. He developed a sudden onset of fever with chills. He is in no distress. What is the preferred treatment for him What disease is usually managed with a short-acting or long-acting inhaled anticholinergic medication? A patient with pneumonia reports that he has rust-colored sputum. What pathogen should the nurse practitioner suspect A 44-year-old nonsmoker is diagnosed with pneumonia. He is otherwise healthy and does not need hospitalization at this time. Which antibiotic can be used for empirical treatment of pneumonia according to the most recent Infectious Diseases Society of America/American Thoracic Society guidelines? The gold standard for diagnosing pneumonia on chest X-ray is the presence of An 83-year-old healthy adult is diagnosed with pneumonia. He is febrile but in no distress. What is the preferred treatment for him . The pneumococcal immunization in infants has: A 78-year-old adult who has a 50 pack year smoking habit asks the nurse practitioner about the benefits of quitting “at my age.” What should the nurse practitioner reply M. pneumoniae and C. pneumoniae are respiratory pathogens that An 18-month-old child is diagnosed with bronchiolitis. His respiratory rate is 28 breaths per minute. Which choice below is most appropriate for patient management How should a 20-year-old college age student who presents with cough, night sweats, and weight loss be screened for TB An example of a short-acting beta agonist is A patient with asthma uses one puff twice daily of fluticasone 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 Patients with asthma: A 26-year-old being treated for community-acquired pneumonia (CAP) has been taking azithromycin (standard dose) in therapeutic doses for 72 hours. His temperature has gone from 102° F to 101° F. What should be done? A 60-year-old patient newly diagnosed with COPD presents to your office. He would like to get the influenza immunization. He has no evidence of having had the pneumococcal immunization. What statement is correct? Which of the following is NOT part of the differential for a patient who complains of cough A 65-year-old has been diagnosed with asthma. Older patients who have newly diagnosed asthma: A 67-year-old patient with COPD presents an immunization record that reflects having last received the pneumococcal immunization (PPSV23) when he was 60 years old. Which statement below reflects the current standard of practice recommended by CDC for this patient A 24-year-old college student who does not smoke is diagnosed with pneumonia. He is otherwise healthy and does not need hospitalization at this time. What antibiotic represents the best choice for treatment for him What does a peak flow meter measure The major laboratory abnormality noted in patients who have pneumococcal pneumonia is: Which drug class is never used to treat chronic obstructive pulmonary disease (COPD A patient who has asthma presents with chest tightness, wheezing, coughing, and fever. He has wheezing and diminished breath sounds in the upper right lobe. His cough is non-productive, and he denies nasal symptoms. Which symptom is most likely related to pneumonia A patient with COPD has been using albuterol with good relief for shortness of breath. He is using it 3-4 times daily over the past 4 weeks. How should the NP manage this Which of the following may be used to diagnose COPD A patient with acute bronchitis was diagnosed at an urgent care center 10 days ago. He reports that he received an antitussive for nighttime cough, a steroid injection and oral steroids, and an antibiotic. Which of these interventions was of greatest benefit in resolution of his symptoms A 65-year-old patient has COPD. She receives a prescription for an albuterol inhaler. What medication information should be provided to this patient A patient presents with symptoms of influenza during influenza season. He has not received the immunization against influenza. What should be used to help diagnose influenza in him?