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Chapter 16: Asthma and Chronic Obstructive Pulmonary Disease Medications Test Bank

Chapter 16: Asthma and Chronic Obstructive Pulmonary Disease Medications Test Bank

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Chapter 16: Asthma and Chronic Obstructive Pulmonary Disease Medications
Test Bank
MULTIPLE CHOICE
1.   A primary care nurse practitioner (NP) is evaluating a patient with asthma who reports having wheezing and coughing 1 or 2 days each week and awakening from sleep three or four times each month with asthma symptoms. The patient’s forced expiratory volume in 1 second (FEV1) is 80% of the predicted value. The patient’s current medication regimen is an albuterol metered-dose inhaler, 2 puffs every 4 hours as needed. The NP should prescribe:
a.

montelukast (Singulair) po daily.

b.

ipratropium bromide bid with albuterol.

c.

a low-dose inhaled corticosteroid (ICS), 2 puffs bid.

d.

a long-acting â-adrenergic agonist (LABA), 1 puff bid.

2.   A primary care NP sees an adolescent patient for a hospitalization follow-up after an asthma exacerbation. The patient reports having daily symptoms with nighttime awakening 4 or 5 nights per week and misses school several days each month. The patient currently uses a salmeterol/fluticasone LABA twice daily and albuterol as needed. The patient requires a refill of the albuterol prescription once a month. The patient does not have any known allergies. The NP should:
a.

order a high-dose ICS plus a LABA twice daily.

b.

consider adding theophylline to this patient’s regimen.

c.

continue the current regimen and add omalizumab daily.

d.

order a combination product with ipratropium and albuterol.



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