PN2 FINAL 117 EXAM REVIEW PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉ Status Asthmaticus. Answer: Severe asthma attack that does not
respond to standard treatment.
Medical emergency!!
◉ Asthma (Assessment). Answer: Wheezing
Cough
Dyspnea
Chest tightness
◉ A client with asthma has a sudden decrease in wheezes.... What
does this indicate?. Answer: Airways are closing and causing
diminished breath sounds.
Less ventilation is able to occur.
This is NOT good!
◉ Asthma ABGs. Answer: Patient experiencing inflammation in the
airways will retain CO2, putting them in respiratory acidosis.
Remember PCO2 levels are 35 - 45; theirs will be increased.
,◉ The nurse is teaching a client with chronic obstructive pulmonary
disease (COPD) how to administer multiple medications by
inhalation. Which statement by the client indicates an
understanding of the instruction? Select all that apply.
a. "If my symptoms get worse, I can double my dosage."
b. "I will wait at least 1 minute between use of my different inhalers."
c. "I should consult my prescriber before using over-the-counter
medications."
d. "I cannot rinse my inhaler equipment because it is not supposed
to get wet."
e. "I should store my inhaler in the refrigerator door between uses.".
Answer: Answer: B, C; The client should wait at least 1 minute
between inhalations. OTC products should not be added without
consulting the prescriber. Dosages should be taken exactly as
prescribed. Inhaler equipment should be cleaned with mild soap,
rinsed, and dried daily. The inhaler should be stored at room
temperature.
◉ A client reports nervousness and tremors after beginning drug
therapy with salmeterol. Which statement by the nurse is most
appropriate?
a. "The symptoms are common at first, but decrease over time."
b. "Stop taking the medicine because the symptoms will only get
worse."
, c. "Drinking coffee or tea will help decrease the symptoms."
d. "Those symptoms indicate a worsening of the disease process.".
Answer: Answer: A; Nervousness and tremors might be experienced
when salmeterol (a beta-agonist) is newly administered, but they
frequently decrease over time. Clients should not terminate
medication use without consulting the prescriber. Caffeine would
exacerbate the problem. The symptoms are likely related to the
medication, and not to the disease process.
◉ Asthma (Pharmacological Management). Answer: *
Bronchodilators (SABAs)
- Albuterol (ProAir)
- Levalbuterol (Xopenex)
*Bronchodilators (LABAs)
- Salmeterol (Serevent)
- Formoterol (Perforomist)
*Cholinergic Antagonist
- Ipratropium (Atrovent)
- Tiotropium (Spiriva)
*Corticosteroids
- Fluticasone (Ellipta)
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉ Status Asthmaticus. Answer: Severe asthma attack that does not
respond to standard treatment.
Medical emergency!!
◉ Asthma (Assessment). Answer: Wheezing
Cough
Dyspnea
Chest tightness
◉ A client with asthma has a sudden decrease in wheezes.... What
does this indicate?. Answer: Airways are closing and causing
diminished breath sounds.
Less ventilation is able to occur.
This is NOT good!
◉ Asthma ABGs. Answer: Patient experiencing inflammation in the
airways will retain CO2, putting them in respiratory acidosis.
Remember PCO2 levels are 35 - 45; theirs will be increased.
,◉ The nurse is teaching a client with chronic obstructive pulmonary
disease (COPD) how to administer multiple medications by
inhalation. Which statement by the client indicates an
understanding of the instruction? Select all that apply.
a. "If my symptoms get worse, I can double my dosage."
b. "I will wait at least 1 minute between use of my different inhalers."
c. "I should consult my prescriber before using over-the-counter
medications."
d. "I cannot rinse my inhaler equipment because it is not supposed
to get wet."
e. "I should store my inhaler in the refrigerator door between uses.".
Answer: Answer: B, C; The client should wait at least 1 minute
between inhalations. OTC products should not be added without
consulting the prescriber. Dosages should be taken exactly as
prescribed. Inhaler equipment should be cleaned with mild soap,
rinsed, and dried daily. The inhaler should be stored at room
temperature.
◉ A client reports nervousness and tremors after beginning drug
therapy with salmeterol. Which statement by the nurse is most
appropriate?
a. "The symptoms are common at first, but decrease over time."
b. "Stop taking the medicine because the symptoms will only get
worse."
, c. "Drinking coffee or tea will help decrease the symptoms."
d. "Those symptoms indicate a worsening of the disease process.".
Answer: Answer: A; Nervousness and tremors might be experienced
when salmeterol (a beta-agonist) is newly administered, but they
frequently decrease over time. Clients should not terminate
medication use without consulting the prescriber. Caffeine would
exacerbate the problem. The symptoms are likely related to the
medication, and not to the disease process.
◉ Asthma (Pharmacological Management). Answer: *
Bronchodilators (SABAs)
- Albuterol (ProAir)
- Levalbuterol (Xopenex)
*Bronchodilators (LABAs)
- Salmeterol (Serevent)
- Formoterol (Perforomist)
*Cholinergic Antagonist
- Ipratropium (Atrovent)
- Tiotropium (Spiriva)
*Corticosteroids
- Fluticasone (Ellipta)
