The issues can be negotiated. In general, you can choose to address all of the major/critical items that involve safety and/or potential code violations. Minor/petty issues are that (think a broken light bulb). Fixing some or all of the issues boil down to a cost vs. time. Do you the time and funds to address the big issues or do you rather provide a seller credit and have the buyer take care of them after closing.
Assuming you haven’t agreed in advance to fix anything in your purchase contract, you don’t Have to fix anything. It’s up to you what you want to fix, or not, depending how bad you want sell.
Inspection reports are expected to note a bunch of irrelevant items, so the inspector looks like they are doing a thorough job to their client.