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NSG 511 Exam 2 (2026) – 400+ Q&A | Asthma, COPD, Pharmacology & Pain Management

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This document provides a comprehensive and in-depth collection of over 400 exam-style questions with verified answers for NSG 511 Exam 2, focusing on respiratory disorders and pharmacology. It covers major topics such as asthma pathophysiology and management, COPD (chronic bronchitis and emphysema), inhalation devices (MDIs, DPIs, nebulizers), and respiratory medications including glucocorticoids, beta-agonists, muscarinic antagonists, and leukotriene modifiers. As demonstrated across pages 1–10 of , the content integrates disease mechanisms (e.g., bronchospasm, inflammation) with drug actions and clinical application. The material is aligned with core nursing and pharmacology textbooks such as Pharmacology for Nursing Care (Lehne) and Medical-Surgical Nursing (Lewis). It further expands into neurological and pain management topics, including Alzheimer’s disease (donepezil, acetylcholine), Parkinson’s disease (levodopa/carbidopa), and comprehensive pain control strategies (opioids, NSAIDs, acetaminophen, adjuvant therapies). High-yield pharmacological concepts include drug mechanisms, side effects, contraindications, and nursing considerations—such as opioid safety, respiratory depression management (naloxone use), and NSAID-related GI risks. The document also includes clinical decision-making questions and case-based scenarios that mirror real exam formats. This document is ideal for: Nursing students enrolled in NSG 511 or pharmacology courses BSN and ADN students studying medical-surgical nursing NCLEX-RN and HESI exam candidates Students preparing for advanced pharmacology or respiratory exams Healthcare students strengthening medication safety and clinical reasoning It can be used as a complete study guide, intensive revision resource, or practice exam bank to master complex pharmacology and respiratory concepts. The structured Q&A format enhances understanding, reinforces high-yield exam material, and supports confident clinical application in both academic and real-world settings. Keywords: asthma management, COPD nursing, bronchospasm, inhalers MDI DPI nebulizer, glucocorticoids, beta agonists, muscarinic antagonists, leukotriene modifiers, respiratory pharmacology, Alzheimer disease nursing, Parkinson disease treatment, levodopa carbidopa, donepezil, pain management nursing, opioid analgesics, naloxone, NSAIDs, acetaminophen, pharmacology exam questions

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NSG 511 Exam 2 2026 Exam
Questions and Verified Answers
| Already Graded A+



pathways to airflow limitation in asthma - 🧠 ANSWER ✔✔*airflow limitation

in asthma is caused by bronchospasm and/or inflammation*




- allergen > mast cell reaction > inflammatory mediators > bronchospasm

- allergen > mast cell reaction> infiltration of inflammatory mediators and

inflammatory cells > inflammation

,- bronchial hyperreactivity > triggers > bronchospasm


bronchitis (COPD) pathway to airflow limitation - 🧠 ANSWER ✔✔-

continuous irritation from smoke/pollution > inflammation > bronchial

edema/hyper secretion of mucus > airway obstruction


emphysema (COPD) pathway to airflow limitation - 🧠 ANSWER ✔✔-

continuous irritation from smoke/pollution > inflammation > increased

protease activity > destruction of alveolar walls > airway obstruction


considerations for metered dose inhalers (MDIs) - 🧠 ANSWER ✔✔- most

commonly prescribed

- must coordinate between activation and inhalation

- notorious for incorrect use: patient education necessary

- more drug reaches lungs with use of spacer (21% vs 9%)


considerations for dry powder inhaler (DPIs) - 🧠 ANSWER ✔✔- activated by

inhalation (no coordination/spacer necessary)

- improved medication delivery to lungs


considerations for nebulizers - 🧠 ANSWER ✔✔- fine mist droplets


- no coordination necessary

,- powered equipment (not portable, needs battery or plug)


considerations for respimats - 🧠 ANSWER ✔✔- better than other drug

inhalation delivery devices

- activated by inhalation (no coordination)

- fine mist droplets (better delivery to lower respiratory tract)

- portable


Uses for pulmonary glucocorticoids - 🧠 ANSWER ✔✔asthma and COPD


routes for pulmonary glucocorticoids - 🧠 ANSWER ✔✔- oral


- parenteral

- inhalation


mechanism of pulmonary glucocorticoids - 🧠 ANSWER ✔✔- anti-

inflammatory

- immunosuppressant


pulmonary glucocorticoid prototypes (and their routes) - 🧠 ANSWER ✔✔-

fluticasone/budesonide (inhalation)

- prednisone/prednisolone (oral)


COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3

, - methylprednisolone (IV)


indications for pulmonary glucocorticoids - 🧠 ANSWER ✔✔*prophylaxis for

obstructive airway diseases*

- inhaled

- on a fixed schedule

- controller medication




*temporary use for severe obstructive disease when unable to deliver drug

via inhalation*

- oral or parenteral

- ex: no airway movement during status asthmaticus finch


side effects for pulmonary glucocorticoids - 🧠 ANSWER ✔✔- thrush (oral

candidiasis): rinse mouth after usage of inhaled agents to prevent this

- hyperglycemia

- peptic ulcer disease




theoretical side effects

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