NURSING II / PN2 EXAM 1 LATEST
ACTUAL EXAM 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
Asthma - ✔✔Chronic inflammatory disorder characterized by episodes of airway
inflammation.
Status Asthmaticus - ✔✔Severe asthma attack that does not respond to
standard treatment.
Medical emergency!!
Asthma (Assessment) - ✔✔Wheezing
Cough
Dyspnea
Chest tightness
A client with asthma has a sudden decrease in wheezes.... What does this
indicate? - ✔✔Airways are closing and causing diminished breath sounds.
Less ventilation is able to occur.
This is NOT good!
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,Asthma ABGs - ✔✔Patient experiencing inflammation in the airways will retain
CO2, putting them in respiratory acidosis.
Remember PCO2 levels are 35 - 45; theirs will be increased.
The nurse is teaching a client with chronic obstructive pulmonary disease
(COPD) how to administer multiple medications by inhalation. Which statement
by the client indicates an understanding of the instruction? Select all that apply.
a. "If my symptoms get worse, I can double my dosage."
b. "I will wait at least 1 minute between use of my different inhalers."
c. "I should consult my prescriber before using over-the-counter medications."
d. "I cannot rinse my inhaler equipment because it is not supposed to get wet."
e. "I should store my inhaler in the refrigerator door between uses." -
✔✔Answer: B, C; The client should wait at least 1 minute between inhalations.
OTC products should not be added without consulting the prescriber. Dosages
should be taken exactly as prescribed. Inhaler equipment should be cleaned
with mild soap, rinsed, and dried daily. The inhaler should be stored at room
temperature.
A client reports nervousness and tremors after beginning drug therapy with
salmeterol. Which statement by the nurse is most appropriate?
a. "The symptoms are common at first, but decrease over time."
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, b. "Stop taking the medicine because the symptoms will only get worse."
c. "Drinking coffee or tea will help decrease the symptoms."
d. "Those symptoms indicate a worsening of the disease process." - ✔✔Answer:
A; Nervousness and tremors might be experienced when salmeterol (a beta-
agonist) is newly administered, but they frequently decrease over time. Clients
should not terminate medication use without consulting the prescriber. Caffeine
would exacerbate the problem. The symptoms are likely related to the
medication, and not to the disease process.
Asthma (Pharmacological Management) - ✔✔* Bronchodilators (SABAs)
- Albuterol (ProAir)
- Levalbuterol (Xopenex)
*Bronchodilators (LABAs)
- Salmeterol (Serevent)
- Formoterol (Perforomist)
*Cholinergic Antagonist
- Ipratropium (Atrovent)
- Tiotropium (Spiriva)
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