NRNP-6531 KNOWLEDGE CHECK: MODULE 2: CARDIOVASCULAR AND RESPIRATORY CONDITIONS
KNOWLEDGE CHECK: 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.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
BY DAY 7
Complete and submit your Knowledge Check.
Question 1
1 / 1 pts
Which drug category contains the drugs that are the first line Gold standard therapy for COPD?
Corticosteroids
Correct!
Inhaled beta-2 agonist bronchodilators
Inhaled anticholinergic bronchodilators
Xanthines
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Question 2
0 / 1 pts
Which of the following is not a goal of treatment for the patient with cystic fibrosis?
You Answered
Prevent intestinal obstruction
Provide adequate nutrition
Promote clearance of secretions
Correct Answer
Replace water-soluble vitamins
Question 3
1 / 1 pts
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?
Mild intermittent
Mild persistent
Correct!
Moderate persistent
Question 4
1 / 1 pts
Which type of lung cancer has the poorest prognosis?
Adenocarcinoma
Epidermoid carcinoma
Correct!
Small cell carcinoma
Large cell carcinoma
Question 5
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
Correct!
referral to a cardiologist
immediate cardiac catheterization
Question 6
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?
Correct!
Inferior wall
Anterior wall
Apical wall
Lateral wall
Question 7
1 / 1 pts
Risk factors for acute arterial insufficiency include which of the following?
Recent myocardial infarction
Atrial fibrillation
Atherosclerosis
Correct!
All of the above
Question 8
1 / 1 pts
The most common correlate(s) with chronic bronchitis and emphysema is(are):
Familial and genetic factors
Correct!
Cigarette smoking
Air pollution
Occupational environment
Question 9
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
Correct!
Systolic heart failure
Cardiac myxoma
Diastolic heart failure
Question 10
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
Correct!
Chronic bronchitis
Question 11
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
Correct!
Antihistimines
Steroids
Anticholinergics
Question 12
1 / 1 pts
Which of the following is not a risk factor for coronary arterial insufficiency?
Hyperhomocysteinemia
Smoking
Genetic factors
Correct!
Alcohol ingestion
Question 13
1 / 1 pts
Which of the following patient characteristics are associated with chronic bronchitis?
Correct!
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
Question 14
1 / 1 pts
Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point about this medication?
Correct!
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 15
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
Correct!
Engaging in moderate to high levels of physical activity
Remaining indoors with air conditioning as much as possible
Question 16
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
Correct!
Acute bronchitis
Bacterial pneumonia
Acute exacerbation of chronic bronchitis
Question 17
0 / 1 pts
A patient presents to the office with a blood pressure 142/80. This patient is classified as having:
Normal blood pressure
You Answered
Prehypertension
Correct Answer
Stage 1 hypertension
Stage 2 hypertension
Question 18
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
Correct!
Patients should be counseled to quit smoking
Question 19
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
Correct!
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