HCAL 2 Exam 2
a nurse in the emergency department is caring for a patient who is experiencing an acute asthma attack.
which of the following assessments indicates that the respiratory status is declining? SATA
a) SaO2 95%
b) wheezing
c) retraction of sternal muscles
d) pink mucous membranes
e) tachycardia - Answer-b) wheezing
c) retraction of sternal muscles
e) tachycardia
a nurse is caring for a patient 2 hrs after admission. the patient has an SaO2 of 91%, audible wheezes, &
is using accessory muscles when breathing. which of the following classes should the nurse expect to
administer?
a) antibiotic
b) beta-blocker
c) antiviral
d) beta2-agonist - Answer-d) beta2 agonist
,a nurse is providing discharge teaching for a patient who has a new prescription for prednisone for
asthma. which of the following patient statements indicates understanding?
a) i will decrease my fluid intake while taking this medication
b) i will expect to have black tarry stools
c) i will take my medication with meals
d) i will monitor for weight loss while on this medication - Answer-c) i will take my medication with
meals
a nurse is assessing a patient who has a history of asthma. which of the following factors should the
nurse identify as a risk for asthma?
a) sex
b) environmental allergies
c) alcohol use
d) history of diabetes - Answer-b) environmental allergies
a nurse is reinforcing teaching with a patient on the purpose of taking a bronchodilator. which of the
following patient statements indicates understanding?
a) this medication can decrease my immune response
b) i take this medication to prevent asthma attacks
c) i need to take this medication with food
d) this medication has a slow onset to treat my symptoms - Answer-b) i take this medication to prevent
asthma attacks
,a nurse is providing discharge teaching to a client who has COPD and a new prescription for albuterol.
which of the following statements by the client indicates an understanding of the teaching?
a) this medication can increase my blood sugar levels
b) this medication can decrease my immune response
c) i can have an increase in my heart rate while taking this medication
d) i can have mouth sores while taking this medication - Answer-c) i can have an increase in my heart
rate while taking this medication
a nurse is preparing to administer an initial doze of prednisone to a client who has COPD. the nurse
should monitor for which of the following adverse effects of this medication? SATA
a) hypokalemia
b) tachycardia
c) fluid retention
d) nausea
e) black, tarry stools - Answer-a) hypokalemia
c) tachycardia
e) black, tarry stools
a nurse is discharging a patient who has COPD. the patient is concerned about not being able to leave
the house d/t the need for staying on continuous oxygen. which of the following responses should the
nurse make?
a) there are portable oxygen delivery systems that you can take with you
b) when you go out, you can remove the oxygen and then reapply it when you get home
c) you probably will not be able to go out as much as you used to
, d) home health services will come to you so you will not need to go out - Answer-a) there are portable
oxygen delivery systems that you can take with you
a nurse is instructing a patient on the use of an incentive spirometer. which of the following statements
by the patient indicates an understanding of the teaching?
a) i will place the adapter on my finger to read my blood oxygen saturation level
b) i will lie on my back with my knees bent
c) i will rest my hand over my abdomen to create resistance
d) i will take a deep breath and hold it before exhaling - Answer-d) i will take a deep breath and hold it
before exhaling
a nurse is planning to instruct on how to perform pursed-lip breathing. which of the following
statements should the nurse include?
a) take quick breaths upon inhalation
b) place your hand over your stomach
c) take a deep breath in through your nose
d) puff up your cheeks upon exhalation - Answer-c) take a deep breath in through your nose
Which information will the nurse include in the asthma teaching plan for a patient being discharged?
a) tremors are an expected side effect of rapidly acting bronchodilators
b) hold your breath for 25 seconds after using the bronchodilators
c) use the inhaled corticosteroid when shortness of breath occurs
d) inhale slowly and deeply when using the dry powder inhaler (DPI) - Answer-a) tremors are an
expected side effect of rapidly acting bronchodilators
a nurse in the emergency department is caring for a patient who is experiencing an acute asthma attack.
which of the following assessments indicates that the respiratory status is declining? SATA
a) SaO2 95%
b) wheezing
c) retraction of sternal muscles
d) pink mucous membranes
e) tachycardia - Answer-b) wheezing
c) retraction of sternal muscles
e) tachycardia
a nurse is caring for a patient 2 hrs after admission. the patient has an SaO2 of 91%, audible wheezes, &
is using accessory muscles when breathing. which of the following classes should the nurse expect to
administer?
a) antibiotic
b) beta-blocker
c) antiviral
d) beta2-agonist - Answer-d) beta2 agonist
,a nurse is providing discharge teaching for a patient who has a new prescription for prednisone for
asthma. which of the following patient statements indicates understanding?
a) i will decrease my fluid intake while taking this medication
b) i will expect to have black tarry stools
c) i will take my medication with meals
d) i will monitor for weight loss while on this medication - Answer-c) i will take my medication with
meals
a nurse is assessing a patient who has a history of asthma. which of the following factors should the
nurse identify as a risk for asthma?
a) sex
b) environmental allergies
c) alcohol use
d) history of diabetes - Answer-b) environmental allergies
a nurse is reinforcing teaching with a patient on the purpose of taking a bronchodilator. which of the
following patient statements indicates understanding?
a) this medication can decrease my immune response
b) i take this medication to prevent asthma attacks
c) i need to take this medication with food
d) this medication has a slow onset to treat my symptoms - Answer-b) i take this medication to prevent
asthma attacks
,a nurse is providing discharge teaching to a client who has COPD and a new prescription for albuterol.
which of the following statements by the client indicates an understanding of the teaching?
a) this medication can increase my blood sugar levels
b) this medication can decrease my immune response
c) i can have an increase in my heart rate while taking this medication
d) i can have mouth sores while taking this medication - Answer-c) i can have an increase in my heart
rate while taking this medication
a nurse is preparing to administer an initial doze of prednisone to a client who has COPD. the nurse
should monitor for which of the following adverse effects of this medication? SATA
a) hypokalemia
b) tachycardia
c) fluid retention
d) nausea
e) black, tarry stools - Answer-a) hypokalemia
c) tachycardia
e) black, tarry stools
a nurse is discharging a patient who has COPD. the patient is concerned about not being able to leave
the house d/t the need for staying on continuous oxygen. which of the following responses should the
nurse make?
a) there are portable oxygen delivery systems that you can take with you
b) when you go out, you can remove the oxygen and then reapply it when you get home
c) you probably will not be able to go out as much as you used to
, d) home health services will come to you so you will not need to go out - Answer-a) there are portable
oxygen delivery systems that you can take with you
a nurse is instructing a patient on the use of an incentive spirometer. which of the following statements
by the patient indicates an understanding of the teaching?
a) i will place the adapter on my finger to read my blood oxygen saturation level
b) i will lie on my back with my knees bent
c) i will rest my hand over my abdomen to create resistance
d) i will take a deep breath and hold it before exhaling - Answer-d) i will take a deep breath and hold it
before exhaling
a nurse is planning to instruct on how to perform pursed-lip breathing. which of the following
statements should the nurse include?
a) take quick breaths upon inhalation
b) place your hand over your stomach
c) take a deep breath in through your nose
d) puff up your cheeks upon exhalation - Answer-c) take a deep breath in through your nose
Which information will the nurse include in the asthma teaching plan for a patient being discharged?
a) tremors are an expected side effect of rapidly acting bronchodilators
b) hold your breath for 25 seconds after using the bronchodilators
c) use the inhaled corticosteroid when shortness of breath occurs
d) inhale slowly and deeply when using the dry powder inhaler (DPI) - Answer-a) tremors are an
expected side effect of rapidly acting bronchodilators
