Asthma NCLEX Questions

PHARMA

Asthma NCLEX Questions

• A patient with asthma is prescribed to take

inhaled Salmeterol and Fluticasone for long- term management of asthma. You observe the patient taking these medications. Which option below best describes the correct order in how to take these medications?

• The patient inhales the Salmeterol first and

then waits 5 minutes before inhaling the Fluticasone.

• The patient inhales the Fluticasone first and

then waits 5 minutes before inhaling the Salmeterol.

• The patient inhales the Salmeterol first and

then waits 1 minute before inhaling the Fluticasone.

• The patient inhales the Fluticasone and

immediately inhales the Salmeterol.

• You’re assisting your patient who has asthma

to bed. The patient is experiencing a frequent cough and chest tightness. You auscultate the patient’s lung fields and note expiratory wheezes. The patient’s peak flow rate is 78% less than their best peak flow reading. Which medication will provide the patient with the fastest relief from these signs and symptoms of an asthma attack?

• Theophylline
• Tiotropium
• Albuterol
• Cromolyn
• You assist your patient with using their

inhaler. The inhaler contains the medication Budesonide. Before administering the inhaler, you will want to connect what device to the inhaler to help decrease the patient from developing ________?

• Peak flow meter; pneumonia
• Incentive spirometer; thrush
• Spacer; thrush
• Peak flow meter; mouth sores
• A patient with asthma is receiving a

nebulizer of Cromolyn. The patient reports a burning sensation in the nose along with a horrible taste in their mouth. As the nurse you will?

• Immediately stop the nebulizer
• Re-adjust the nebulizer
• Call a rapid response because the patient is

having a potential anaphylactic reaction to the medication.

• Reassure the patient this is a temporary side

effect of this medication.

• Your patient’s asthma is poorly controlled.

The patient reports using their rescue inhaler 4 times a week. In addition, the patient’s asthma is not responding to other treatments. The physician orders the patient to take a medication that works by blocking the role of the immunoglobulin IgE. This describes which medication below?

• Montelukast
• Omalizumab
• Cromolyn
• Salmeterol
• You’re providing discharge teaching to a

patient who was admitted with asthma. You discussed the early warning signs of an asthma attack and ask the patient to list some of them.Select all the correct early warning signs

verbalized by the patient:

• Easily fatigued with physical activity
• Reduced peak flow meter reading
• Chest retractions
• Cyanosis
• Wheezing with activity This study source was downloaded by 100000869267694 from CourseHero.com on 08-02-2023 16:19:20 GMT -05:00

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• Nighttime coughing
• No relief with short-acting bronchodilator

inhaler

• Select all the correct options that represent

the pathophysiology of an asthma attack.

• The smooth muscle surrounding the alveoli

constricts, limiting oxygenation.

• The mucosa lining experiences severe

inflammation.

• The goblet cells within the mucosa lining

produce excessive amounts of mucous.

• Too much carbon dioxide is exhaled due to

hyperventilation and the patient experiences respiratory alkalosis.

• You’re educating a patient how to use a peak

flow meter to help monitor the status of their asthma. Which statement by the patient demonstrates they understand how to use the device?

• “This device will help keep my lungs strong

so I don’t have another asthma attack.”

• “I will inhale as hard as I can while using the

device.”

• “I will use this device at the same time,

either in the morning or before bedtime, and compare the readings with my personal best reading.”

• “I will notify the doctor if my peak flow

rating is 90% or more than my personal best peak flow.”

• Select all the following that can trigger an

asthma attack:

• Sulfites
• Smoke
• Caffeine

D. GERD

• Cold, windy weather
• Beta agonist
• Cockroaches
• A patient has exercise-induced asthma.

Which of the following actions can the patient perform to help prevent an attack during

exercise. Select all that apply:

• Avoid warming up before exercise.
• Administer a short-acting beta agonist

before exercise.

• Administer a short-acting beta agonist after

exercise.

• Avoid exercising when experiencing a

respiratory illness.

• Your patient with asthma is taking

Theophylline. Which product below should the patient avoid consuming?

• Caffeine
• Dairy
• Wheat
• Shellfish
• Which medication below blocks the function

of Leukotriene for the treatment of asthma?

• Salmeterol
• Theophylline
• Tiotropim
• Montelukast This study source was downloaded by 100000869267694 from CourseHero.com on 08-02-2023 16:19:20 GMT -05:00

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• The physician orders the patient to start

taking Omalizumab. How will you administer this medication as the nurse?

• Intravenous
• Intramuscular
• Orally
• Subcutaneously
• A patient received a nebulizer of Albuterol.

What is a side effect of this medication?

• Bradycardia
• Tachycardia
• Drowsiness
• Feeling cold

Anaphylactic Shock NCLEX Questions

• Your patient is having a sudden and severe

anaphylactic reaction to a medication. You immediately stop the medication and call a rapid response. The patient’s blood pressure is 80/52, heart rate 120, and oxygen saturation 87%. Audible wheezing is noted along with facial redness and swelling. As the nurse you know that the first initial treatment for this patient’s condition is?

• IV Diphenhydramine
• IV Normal Saline Bolus
• IM Epinephrine
• Nebulized Albuterol
• A 25-year-old female is admitted to the ER in

anaphylactic shock due to a bee sting.According to the patient’s mother, the patient is severely allergic to bees and was recently stung by one. This type of anaphylactic reaction is known as a?

• Type I Hypersensivity Reaction
• Type II Hypersensivity Reaction
• Type III Hypersensivity Reaction
• Type IV Hypersensivity Reaction
• Anaphylactic shock can occur due to either

an immunological or non-immunological cause.Select ALL the CORRECT statements about the differences between an immunological reaction (anaphylactic) and non-immunological reaction

(anaphylactoid):

• “In an immunological reaction (anaphylactic)

IgE antibodies are created and they attach to mast cells and basophils.”

• “An immunological reaction (anaphylactic)

requires a patient to be sensitized for anaphylactic shock to occur.”

• “A non-immunological reaction

(anaphylactoid) causes the same reaction as an anaphylactic reaction, but it’s not due to immunoglobulin IgE antibodies.”

• “Some common substances that cause a

non-immunological reaction (anaphylactoid) are IV contrast dyes and NSAIDS.”

• “A patient does not have to be sensitized for

a non-immunological reaction (anaphylactoid) to occur and it can happen with first time exposure.”

• During anaphylactic shock the mast cells

and basophils release large amounts of histamine. What effects does histamine have on the body during anaphylactic shock? Select

all that apply:

• Decreases capillary permeability
• Vasodilation of vessels
• Decreases heart rate
• Shifts intravascular fluid to interstitial space
• Constricts the airways This study source was downloaded by 100000869267694 from CourseHero.com on 08-02-2023 16:19:20 GMT -05:00

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• Stimulates contraction of GI smooth muscles
• Inhibits the production of gastric secretions
• Itching
• You’re providing education to a patient, who

has a severe peanut allergy, on how to recognize the signs and symptoms of anaphylactic shock. Select all the signs and

symptoms associated with anaphylactic shock:

• Hyperglycemia
• Difficulty speaking
• Feeling dizzy
• Hypertension
• Dyspnea
• Itchy
• Vomiting and Nausea
• Fever
• Slow heart rate
• Your patient is started on an IV antibiotic to

treat a severe infection. During infusion, the patient uses the call light to notify you that she feels a tight sensation in her throat and it’s making it hard to breathe. You immediately arrive to the room and assess the patient.While auscultating the lungs you note wheezing. You also notice that the patient is starting to scratch the face and arms, and on closer inspection of the face you note redness and swelling that extends down to the neck and torso. The patient’s vital signs are the

following: blood pressure 89/62, heart rate 118

bpm, and oxygen saturation 88% on room air.You suspect anaphylactic shock. Select all the

appropriate interventions for this patient:

• Slow down the antibiotic infusion
• Call a rapid response
• Place the patient on oxygen
• Prepare for the administration of

Epinephrine

• A patient is in anaphylactic shock. The

patient has a severe allergy to peanuts and mistakenly consumed an eggroll containing peanut ingredients during his lunch break. The patient is given Epinephrine intramuscularly. As the nurse, you know this medication will have what effect on the body?

• It will prevent a recurrent attack.
• It will cause vasoconstriction and decrease

the blood pressure.

• It will help dilate the airways.
• It will help block the effects of histamine in

the body.

• You’re providing care to a patient in

anaphylactic shock. What is NOT a typical medical treatment for this condition, and if ordered the nurse should ask for an order clarification?

• IV Diphenhydramine
• Epinephrine
• Corticosteroids
• Isotonic intravenous fluids
• IV Furosemide
• You’re assessing a patient’s knowledge on

how to use their EpiPen in case of an anaphylactic reaction. You’re using an EpiPen trainer device to teach the patient. What demonstrated by the patient shows the patient knows how to administer the medication?

Select all that apply:

• The patient injects the medication in the

subq tissue of the abdomen.

• The patient massages the site after

injection. This study source was downloaded by 100000869267694 from CourseHero.com on 08-02-2023 16:19:20 GMT -05:00

https://www.coursehero.com/file/166168104/NOTES-pharmadocx/