asthma NCLEX questions

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NCLEX Questions: Asthma & COPD

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rose A clinician is providing teaching for inhaled corticosteroid technique. Which information should be included in teaching?Press the canister down, breathe in slowly and deeply, hold your breath for a few seconds and then slowly exhale." A health care provider is providing staff education on the management of acute asthma exacerbations. Which information is most important for the staff to know?short-acting beta 2 agonists are often included in first line treatment A health care provider is evaluating the management of a child with a history of asthma. Which of the following statements from the child's mother would be most concerning to the health care provider?

• "My child uses her inhaler about once or twice a week."
• "When my child has an attack, she usually has to use

her rescue inhaler 4 times before her breathing improves."

• "My child's peak flow reading is usually about 90

percent of her personal best."

• "My child sometimes has to take breaks during gym

class to catch her breath." b A clinician is developing the plan of care for a patient with a history of asthma. Which of the following is the priority problem for this patient during an acute exacerbation?ineffective breathing pattern

Which of the following should be included in peak flow measurement teaching?Inhale deeply, put your mouth over mouthpiece, then exhale hard and fast." Which of the following statements from the patient indicates the patient understands the risks associated with albuterol sulfate/ipratropium bromide (DuoNeb) nebulizer treatments?

• " I am at increased risk of cataracts if I use this

medication"

• this medication interacts with some common blood

pressure medications"

• " I can take this medication every hour as needed for

shortness of breath"

• this medication is safe to use if I become pregnant"

b Which of the following statements from a patient with environmental allergies indicates the need for further education?

• " I should keep my home clean and tidy"
• " I should wash my bedding at least weekly"
• carpet helps reduce allergens"
• " I should monitor daily pollen counts"

c Which of the following would the patient most likely report as triggers for asthma attack? Select all that apply.

• exercise
• warm air
• cold air
• inhaled corticosteroids
• pollen

a, c, e The healthcare provider is performing an assessment on a patient who is taking propranolol (Inderal) for supraventricular tachycardia. Which assessment finding is an indication the patient is experiencing an adverse effect of this drug?bradycardia

Which of the following medications are most likely to be ordered for a patient with a history of moderate persistent asthma exacerbations? Select all that apply.

• Ipratropium bromide and albuterol sulfat ( DuoNeb)
• fluticasone (Flovent)
• Albuterol sulfate (Proventi )
• Montelukast ( singulair )
• Metoprolol ( oppressor)

a, b, c, d Which of the following should be included in patient education for a patient newly diagnosed with asthma?Select all that apply.

• pretreating with an inhaler before exercise can prevent

asthma symptoms

• check with your healthcare provider using an OTC

medications

• avoid smoke, pollen, and cold air
• a peak expiratory flow meter should not be used

during exacerbations

• a rescue inhaler should be with you at all all times

a, b, c, e Which of the following interventions should be implemented for a patient experiencing an acute asthma attack? Select all that apply.

• administer a short acting beta adrenergic agonist up to

there times at 20 mins intervals

• encourage the patient to take quick, deep breaths
• administer oxygen
• encourage the use of an incentive spirometer
• encourage pursed lip breathing
• assess lung sounds

a, c, e, f

A health care provider is educating a patient with a history of asthma on the ways to prevent upper respiratory infections. Which of these pieces of information are most important to include? Select all that apply.

• " you should wash your hands frequently"
• " make sure you get flu shot annually"
• " consider pretreating before activity"
• "avoid small children during flu season"
• " avoid sudden changes in temperature"

a, b, d When providing discharge teaching to a patient who is newly diagnosed with asthma, which of these points should the healthcare provider emphasize?eliminate or reduce exposure to known asthma triggers" A patient with severe, persistent asthma is admitted to the medical unit for observation. When planning care, the healthcare provider should plan interventions to control the negative effects of asthma on which phase respiratory function?ventilation The healthcare provider prepares to administer a corticosteroid to a patient with a diagnosis of asthma.What is the rationale for administering this drug to this patient?decrease airway swelling A patient who has been newly diagnosed with asthma is learning about self-management of the disease. Which statement made by the patient indicates the need for additional teaching by the healthcare provider?

• " after I use my corticosteroid inhaler I will make sure I

rinse my mouth out well"

• " I will avoid holding my breath after I have inhaled the

medication"

• I should wait about 1 to 2 mins between the first and

second puff of the medication"

• " I will make sure I shake the metered dose inhaler well

before I use it" b