NRNP-6531 KNOWLEDGE CHECK: MODULE 2: CARDIOVASCULAR AND RESPIRATORY CONDITIONS

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.

WEEKLY RESOURCES

 

BY DAY 7

Complete
 and 
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 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

 

Question 20

1 
/ 1
 pts

Which of the following best describes hypertrophic cardiomyopathy?

A weakened and enlarged myocardium

 

Poor ventricular filling and weakened myocardium

 

Correct!

Enlarged left ventricle and septum

 

None of the above

NRNP-6531 KNOWLEDGE CHECK: MODULE 2: CARDIOVASCULAR AND RESPIRATORY CONDITIONS