NR 545 Exam 1 upper respiratory
UPDATED Exam Questions and
CORRECT Answers
What is asthma and what are some of the symptoms associated with it? - CORRECT
ANSWER - airways in the lungs that are inflamed resulting in tightening and constricting
-coughing
-SOB
-chest tightness
-wheezing
What is the most common type of asthma? - CORRECT ANSWER - exercise induced
(EIA)
What is the main patho event involved with Asthma and what happens with it? - CORRECT
ANSWER - bronchoconstriction
-narrowing of the airway which results in airflow interference
What is the patho of an Acute Asthma exacerbation? - CORRECT ANSWER - bronchial
smooth muscle rapidly contracts in response to a trigger or irritant
What other factors limit airflow in Acute Asthma as the disease becomes more persistent and
inflammation more progressive? - CORRECT ANSWER - -edema
-inflammation
-mucus hypersecretion and the formation of mucus plugs
-structural changes to the smooth muscle including hypertrophy and hyperplasia
What is airway remodeling in regards to Asthma? - CORRECT ANSWER - permanent
changes to the respiratory system which increases airflow obstruction and airway responsiveness
and reduces the patient's responsiveness to therapy
, What are the changes involved in airway remodeling in regards to Asthma? - CORRECT
ANSWER - -airway smooth muscle hypertrophy and hyperplasia
-blood vessel proliferation and dilation
-mucous gland hyperplasia and hypersecretion
What assessments are included in a physical exam for astham? - CORRECT ANSWER --
ears
-nose (swelling/drainage)
-throat (swelling/drainage)
-eyes
-skin
-chest
-lungs (for wheezing)
What are additional physical assessment findings that increase the probability of an Asthma
diagnosis? - CORRECT ANSWER - -nasal mucosal swelling
-increased secretions
-eczema
-dermatitis or other allergic skin disorders
What diagnostic tests help to determine an Asthma diagnosis? - CORRECT ANSWER -
PFTs:
-spirometry: measures forced vital capacity before and after the administration of a short-acting
bronchodilator to determine airflow obstruction and reversibility
What test helps to quantify Asthma severity and helps further base treatment decisions for the
provider? - CORRECT ANSWER - peak flow expiratory flow monitoring
UPDATED Exam Questions and
CORRECT Answers
What is asthma and what are some of the symptoms associated with it? - CORRECT
ANSWER - airways in the lungs that are inflamed resulting in tightening and constricting
-coughing
-SOB
-chest tightness
-wheezing
What is the most common type of asthma? - CORRECT ANSWER - exercise induced
(EIA)
What is the main patho event involved with Asthma and what happens with it? - CORRECT
ANSWER - bronchoconstriction
-narrowing of the airway which results in airflow interference
What is the patho of an Acute Asthma exacerbation? - CORRECT ANSWER - bronchial
smooth muscle rapidly contracts in response to a trigger or irritant
What other factors limit airflow in Acute Asthma as the disease becomes more persistent and
inflammation more progressive? - CORRECT ANSWER - -edema
-inflammation
-mucus hypersecretion and the formation of mucus plugs
-structural changes to the smooth muscle including hypertrophy and hyperplasia
What is airway remodeling in regards to Asthma? - CORRECT ANSWER - permanent
changes to the respiratory system which increases airflow obstruction and airway responsiveness
and reduces the patient's responsiveness to therapy
, What are the changes involved in airway remodeling in regards to Asthma? - CORRECT
ANSWER - -airway smooth muscle hypertrophy and hyperplasia
-blood vessel proliferation and dilation
-mucous gland hyperplasia and hypersecretion
What assessments are included in a physical exam for astham? - CORRECT ANSWER --
ears
-nose (swelling/drainage)
-throat (swelling/drainage)
-eyes
-skin
-chest
-lungs (for wheezing)
What are additional physical assessment findings that increase the probability of an Asthma
diagnosis? - CORRECT ANSWER - -nasal mucosal swelling
-increased secretions
-eczema
-dermatitis or other allergic skin disorders
What diagnostic tests help to determine an Asthma diagnosis? - CORRECT ANSWER -
PFTs:
-spirometry: measures forced vital capacity before and after the administration of a short-acting
bronchodilator to determine airflow obstruction and reversibility
What test helps to quantify Asthma severity and helps further base treatment decisions for the
provider? - CORRECT ANSWER - peak flow expiratory flow monitoring
