Exam Questions with Latest Update
A 15 year old female presents in the ED with shortness of breath and wheezing. What
other clinical manifestation is a classic sign of an acute asthma attack?
A. Increased HR
B. Decreased sputum
C. Inability to speak in full sentences
D. Diplopia - ANSWER-C. Inability to speak in full sentences
In a patient diagnosed with asthma, which of the following medications would a nurse
expect to administer? Select all that apply.
A) Beta1 adrenergic agonist
B) Bronchodilator
C) Anti inflammatory agent
D) Anticholinergic agent
E) Beta blocker - ANSWER-B) Bronchodilator
C) Anti inflammatory agent
D) Anticholinergic agent
A patient presents to the emergency department with status asthmaticus. What is the
nurse's priority action at this point?
A. Administer oxygen
B. Start IV fluids
C. Administer systemic corticosteroids
D. Start endotracheal intubation - ANSWER-A. Administer oxygen
Following patient education on pursed lip breathing, which statement by the asthma
patient indicates that learning has occurred?
A. A breathing technique to breath faster, I should use this when I am having an asthma
attack.
B. A breathing technique that increases CO2, I should not do it.
C. A breathing technique that constricts the airway, shortening exhalation.
D. A breathing technique that keeps the airway open longer and prolongs exhalation,
increasing time for gas exchange. - ANSWER-D. A breathing technique that keeps the
airway open longer and prolongs exhalation, increasing time for gas exchange.
A patient has been diagnosed with chronic obstructive pulmonary disease (COPD).
Which of the following are appropriate treatments? Select all that apply.
a) administer bronchodilators
b) provide O2
c) provide small, frequent meals with dietary supplements
d) Insert a Foley catheter
e) Position the patient in semi-Fowler's - ANSWER-a) administer bronchodilators
, b) provide O2
c) provide small, frequent meals with dietary supplements
e) Position the patient in semi-Fowler's
You are providing teaching to a patient with chronic COPD on how to perform pursed lip
breathing. This technique helps do the following:*
A. Increase the breathing rate to prevent hypoxemia
B. Decrease the use of the abdominal muscles
C. Encourages CO2 elimination.
D. Strengthen the diaphragm - ANSWER-C. Encourages CO2 elimination.
A 52 year old patient presents to the ED with symptoms related to COPD. These
symptoms include (Select all that apply):
A. Sputum production
B. Use of accessory muscles
C. Pursed-lip breathing
D. Tachypnea
E. Hyperventilation - ANSWER-A. Sputum production
B. Use of accessory muscles
C. Pursed-lip breathing
A nurse is caring for a post-op leg fracture patient and is suspicious that a PE has
occurred. What lab results should the nurse monitor for further confirmation? Select all
that apply.
A. Positive Plasma D-dimer
B. Hemoglobin 14 g/dL
C. PaO2 less than 80 mm Hg
D. PaCO2 less than 35 - ANSWER-A. Positive Plasma D-dimer
C. PaO2 less than 80 mm Hg
D. PaCO2 less than 35
You are caring for a 45-year old American Indian man with a Pulmonary Embolism.
Which medications could he receive as a part of his treatment? SELECT ALL THAT
APPLY:
A. Heparin
B. Altepase
C. Diazapam
D. Chloroquine
E. Isotonic Fluid - ANSWER-A. Heparin
B. Altepase
E. Isotonic Fluid
Which statement by the patient indicates further teaching is necessary for anticoagulant
therapy for a PE?
A. "I will limit my intake of garlic (vitamin K) and leafy greens."
B. "I will avoid vigorous flossing."