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DRNP – 6531 – Week 5 Knowledge Check Quiz

DRNP – 6531 – Week 5 Knowledge Check Quiz

Module 2: Cardiovascular and Respiratory Conditions

In this exercise, you will complete a 10-question Knowledge Check to gauge your understanding of this module’s content. Please note that this is a formative practice to help you better prepare for your Midterm and Final Exam as well as your NP certification exam. The questions in this Knowledge Check are related to the topics from Weeks 4 and 5. Topics include:

  • acute bronchitis
  • asthma
  • chronic obstructive pulmonary disease (COPD)
  • other respiratory conditions
  • myocardial infarction (MI)
  • hypertension (HTN)
  • thrombotic events

It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

This attempt took 17 minutes.

Question 1

1 / 1 pts
Which of the following is not a goal of treatment for the patient with cystic fibrosis?

Prevent intestinal obstruction

Provide adequate nutrition

Promote clearance of secretions

  

Replace water-soluble vitamins

Question 2

1 / 1 pts
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:

Mitral regurgitation

Systolic heart failure

Cardiac myxoma

Diastolic heart failure

Question 3

1 / 1 pts
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?

Increase her Lisinopril to 20mg daily

Add a thiazide diuretic to the Lisinopril 5mg daily

Discontinue the Lisinopril and start a combination of ACE Inhibitor and calcium channel blocker

Discontinue the Lisinopril and start a diuretic

Question 4

1 / 1 pts
Risk factors for acute arterial insufficiency include which of the following?

Recent myocardial infarction

Atrial fibrillation

Atherosclerosis

All of the above

IncorrectQuestion 5

0 / 1 pts
A 55-year-old patient with a history of diabetes presents to the office with a blood pressure reading of 142/80. According to JNC 8 guidelines, how should this patient’s blood pressure be classified?

Normal blood pressure

Prehypertension

Stage 1 hypertension

Stage 2 hypertension

Question 6

1 / 1 pts
A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free?

A long-acting bronchodilator

An inhaled corticosteroid and cromolyn

Theophylline and a short acting bronchodilator

A bronchodilator PRN and an inhaled corticosteroid

Question 7

1 / 1 pts
Which of the following best describes hypertrophic cardiomyopathy?

A weakened and enlarged myocardium

Poor ventricular filling and weakened myocardium

Enlarged left ventricle and septum

None of the above

Question 8

1 / 1 pts
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?

Inferior wall

Anterior wall

Apical wall

Lateral wall

Question 9

1 / 1 pts
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?

Xanthines

Antihistimines

Steroids

Anticholinergics

Question 10

1 / 1 pts
Other than smoking cessation, which of the following slows the progression of COPD in smokers?

Making sure the environment is free of all pollutants

Eliminating all pets from the environment

Engaging in moderate to high levels of physical activity

Remaining indoors with air conditioning as much as possible

Question 11

1 / 1 pts
Which type of lung cancer has the poorest prognosis?

Adenocarcinoma

Epidermoid carcinoma

Small cell carcinoma

Large cell carcinoma

Question 12

1 / 1 pts
What condition is associated with mucus production greater than 3 months per year for at least 2 consecutive years?

Asthma

Emphysema

Chronic obstructive lung disease

Chronic bronchitis

Question 13

1 / 1 pts
Which of the following is not a risk factor for coronary arterial insufficiency?

Hyperhomocysteinemia

Smoking

Genetic factors

Alcohol ingestion

Question 14

1 / 1 pts
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?

Chronic sinusitis

Acute bronchitis

Bacterial pneumonia

Acute exacerbation of chronic bronchitis

Question 15

1 / 1 pts
In order to decrease deaths from lung cancer:

All smokers should be screened annually

All patients should be screened annually

Only high risk patients should be screened routinely

Patients should be counseled to quit smoking

Question 16

1 / 1 pts
Management of a patient with hypertension and an abdominal aortic aneurysm would include:

computed tomography scan without contrast

changing the patient’s BP medications

referral to a cardiologist

immediate cardiac catheterization

Question 17

1 / 1 pts
Which drug category contains the drugs that are the first line Gold standard therapy for COPD?

Corticosteroids

Inhaled beta-2 agonist bronchodilators

Inhaled anticholinergic bronchodilators

Xanthines

Question 18

1 / 1 pts
The most common correlate(s) with chronic bronchitis and emphysema is(are):

Familial and genetic factors

Cigarette smoking

Air pollution

Occupational environment

Question 19

1 / 1 pts
Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point about this medication?

It is not effective during an acute asthma attack.

It may take 2 to 3 days to begin working.

This drug works within 10 minutes.

This drug may be used by patients 6 years and older.

Question 20

1 / 1 pts
Which of the following patient characteristics are associated with chronic bronchitis?

Overweight, cyanosis, and normal or slightly increased respiratory rate

Underweight, pink skin, and increased respiratory rate

Overweight, pink skin, and normal or slightly increased respiratory rate

Normal weight, cyanosis, and greatly increased respiratory rate