ATI Pharmacology Made Easy 5.0 ~ The
Respiratory System Test Exam Questions
With 100% Verified Answers
For which of the following reasons should a client attach a spacer to
a metered dose inhaler?
A. To increase the amount of drug delivered to the lungs
B. To increase the amount of drug delivered to the oropharynx
C. To increase the amount of drug delivered on exhalation
D. To increase the speed of drug delivery into the mouth -
correct answer ✅A. To increase the amount of drug delivered to
the lungs
Rationale:
A. A spacer increases the amount of drug that reaches the lungs.
B. A spacer reduces the amount of drug that reaches the mouth
and oropharynx.
C. A spacer ensures that the drug enters the oropharynx at the
beginning of inhalation.
D. A spacer slows the delivery of the drug into the mouth.
A nurse is caring for client who presents to the clinic with reports of
runny nose, sneezing, itchy eyes, congestion, and sinus pressure.
,ATI Pharmacology Made Easy 5.0 ~ The
Respiratory System Test Exam Questions
With 100% Verified Answers
Reports having difficulty breathing through nose, coughing while
lying down, and fatigue. Manifestations started during the spring
while outside gardening. Denies fever and chills. Bilateral swelling
and erythema of the nasal turbinates. Clear drainage post
oropharynx. Retracted tympanic membranes bilaterally. Lungs clear
to auscultation bilaterally. Prescritpion: Budesonide nasal spray 1
spray once a day Cetirizine 10 mg by mouth once a day. For each
body system below, click to specify the adverse effect that the
nurse should include in client instructions about the newly
prescribed medication. Each body system may support more than 1
potential adverse effect. -
correct answer ✅headaches, nosebleeds, dry mouth, sour throat,
drowsiness
The nurse should educate the client about the potential adverse
effects of budesonide nasal spray and cetirizine. Budesonide is a
nasal corticosteroid with adverse effects of headaches, epistaxis
(nose bleeds), dry mouth, and sore throat. Cetirizine is a 2nd
generation antihistamine with adverse effects of drowsiness and
dry mouth. Methylamines, such as theophylline, can cause seizures.
Sympathomimetics, such as phenylephrine, can cause rebound
congestion. Opioid antitussives, such as codeine, can cause
respiratory depression. Mucolytics, such as acetylcysteine, can
cause bronchospasm. Oral corticosteroids, such as prednisone, can
,ATI Pharmacology Made Easy 5.0 ~ The
Respiratory System Test Exam Questions
With 100% Verified Answers
cause peptic ulcer disease. Leukotriene inhibitors, such as zileuton,
can cause liver damage and suicidal thinking.
A client presents to the clinic today with reports of SOB while
walking and a cough for the past 3 months. Current smoker, 1 pack
per day for the past 55 years. History of hypertension,
hyperlipidemia, and depression. Dyspneic while walking in clinic.
Shallow, rapid breaths. Bilateral expiratory wheezing.
Nonproductive, dry cough. Sinus tachycardia rhythm, S1 S2, no
murmurs or extra heart sounds. Radial and pedal pulses +1
bilaterally. Pedal edema of lower extremities +1. RR 30, BP 144/88,
94% O2
Prednisone 60 mg once a day by mouth for 14 days
Fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice a day
Albuterol MDI 2 inhalation every 4 to 6 hr as needed for shortness
of breath
Chest x-ray: Hyperinflation of bilateral lungs and flattened
diaphragm present.
Pulmonary Function Test: 49% FVC1 (Forced Expiratory Volume in 1
second)
, ATI Pharmacology Made Easy 5.0 ~ The
Respiratory System Test Exam Questions
With 100% Verified Answers
The client is at risk for developing ________ , _________ , and
_________. -
correct answer ✅oral candidiasis, hyperglycemia, and bone loss
The nurse should identify that the client is at risk for developing
bone loss, oral candidiasis, and hyperglycemia due to use of
glucocorticoids. The nurse's findings indicate that the client has
chronic obstructive pulmonary disease and should be prescribed
glucocorticoids to decrease the inflammation and bronchial
hyperactivity. Oral glucocorticoids are prescribed for short-term use
to relieve dyspnea. Inhaled glucocorticoids, such as fluticasone, are
prescribed for long-term management to prevent exacerbations of
dyspnea. With long-term use of oral or inhaled glucocorticoids
greater than 10 days, a client is at risk for developing oral
candidiasis, bone loss, and hyperglycemia. To prevent oral
candidiasis, the client should rinse their mouth with water and
gargle after each inhalation of the glucocorticoid. The client should
take supplemental calcium and vitamin D, as well as perform weight
bearing exercises to prevent bone loss. The nurse should also
instruct the client to monitor their blood glucose.
Respiratory System Test Exam Questions
With 100% Verified Answers
For which of the following reasons should a client attach a spacer to
a metered dose inhaler?
A. To increase the amount of drug delivered to the lungs
B. To increase the amount of drug delivered to the oropharynx
C. To increase the amount of drug delivered on exhalation
D. To increase the speed of drug delivery into the mouth -
correct answer ✅A. To increase the amount of drug delivered to
the lungs
Rationale:
A. A spacer increases the amount of drug that reaches the lungs.
B. A spacer reduces the amount of drug that reaches the mouth
and oropharynx.
C. A spacer ensures that the drug enters the oropharynx at the
beginning of inhalation.
D. A spacer slows the delivery of the drug into the mouth.
A nurse is caring for client who presents to the clinic with reports of
runny nose, sneezing, itchy eyes, congestion, and sinus pressure.
,ATI Pharmacology Made Easy 5.0 ~ The
Respiratory System Test Exam Questions
With 100% Verified Answers
Reports having difficulty breathing through nose, coughing while
lying down, and fatigue. Manifestations started during the spring
while outside gardening. Denies fever and chills. Bilateral swelling
and erythema of the nasal turbinates. Clear drainage post
oropharynx. Retracted tympanic membranes bilaterally. Lungs clear
to auscultation bilaterally. Prescritpion: Budesonide nasal spray 1
spray once a day Cetirizine 10 mg by mouth once a day. For each
body system below, click to specify the adverse effect that the
nurse should include in client instructions about the newly
prescribed medication. Each body system may support more than 1
potential adverse effect. -
correct answer ✅headaches, nosebleeds, dry mouth, sour throat,
drowsiness
The nurse should educate the client about the potential adverse
effects of budesonide nasal spray and cetirizine. Budesonide is a
nasal corticosteroid with adverse effects of headaches, epistaxis
(nose bleeds), dry mouth, and sore throat. Cetirizine is a 2nd
generation antihistamine with adverse effects of drowsiness and
dry mouth. Methylamines, such as theophylline, can cause seizures.
Sympathomimetics, such as phenylephrine, can cause rebound
congestion. Opioid antitussives, such as codeine, can cause
respiratory depression. Mucolytics, such as acetylcysteine, can
cause bronchospasm. Oral corticosteroids, such as prednisone, can
,ATI Pharmacology Made Easy 5.0 ~ The
Respiratory System Test Exam Questions
With 100% Verified Answers
cause peptic ulcer disease. Leukotriene inhibitors, such as zileuton,
can cause liver damage and suicidal thinking.
A client presents to the clinic today with reports of SOB while
walking and a cough for the past 3 months. Current smoker, 1 pack
per day for the past 55 years. History of hypertension,
hyperlipidemia, and depression. Dyspneic while walking in clinic.
Shallow, rapid breaths. Bilateral expiratory wheezing.
Nonproductive, dry cough. Sinus tachycardia rhythm, S1 S2, no
murmurs or extra heart sounds. Radial and pedal pulses +1
bilaterally. Pedal edema of lower extremities +1. RR 30, BP 144/88,
94% O2
Prednisone 60 mg once a day by mouth for 14 days
Fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice a day
Albuterol MDI 2 inhalation every 4 to 6 hr as needed for shortness
of breath
Chest x-ray: Hyperinflation of bilateral lungs and flattened
diaphragm present.
Pulmonary Function Test: 49% FVC1 (Forced Expiratory Volume in 1
second)
, ATI Pharmacology Made Easy 5.0 ~ The
Respiratory System Test Exam Questions
With 100% Verified Answers
The client is at risk for developing ________ , _________ , and
_________. -
correct answer ✅oral candidiasis, hyperglycemia, and bone loss
The nurse should identify that the client is at risk for developing
bone loss, oral candidiasis, and hyperglycemia due to use of
glucocorticoids. The nurse's findings indicate that the client has
chronic obstructive pulmonary disease and should be prescribed
glucocorticoids to decrease the inflammation and bronchial
hyperactivity. Oral glucocorticoids are prescribed for short-term use
to relieve dyspnea. Inhaled glucocorticoids, such as fluticasone, are
prescribed for long-term management to prevent exacerbations of
dyspnea. With long-term use of oral or inhaled glucocorticoids
greater than 10 days, a client is at risk for developing oral
candidiasis, bone loss, and hyperglycemia. To prevent oral
candidiasis, the client should rinse their mouth with water and
gargle after each inhalation of the glucocorticoid. The client should
take supplemental calcium and vitamin D, as well as perform weight
bearing exercises to prevent bone loss. The nurse should also
instruct the client to monitor their blood glucose.
