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Exam (elaborations)

OXYGENATION TEST KEY ASTHMA/ COPD (Fall 2025)

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Uploaded on
October 16, 2025
Number of pages
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Written in
2025/2026
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OXYGENATION TEST KEY ASTHMA/ COPD

1.) A patient has exercise-induced asthma. Which of the following actions can the patient perform to
help prevent an attack during exercise.

Administer a short-acting beta agonist before exercise.

Avoid exercising when experiencing a respiratory illness.

2.)A patient received a nebulizer of Albuterol. What is a side effect of this medication?

Tachycardia

3.)A patient with asthma is prescribed to take inhaled Salmeterol and Fluticasone for long-term
management of asthma. You observe the patient taking these medications. Which option below best
describes the correct order in how to take these medications?

The patient inhales the Salmeterol first and then waits 5 minutes before inhaling the Fluticasone. The
bronchodilator inhaler (Salmeterol) is administered first to open up the airways. Then the patient is to
wait five minutes and then administer the corticosteroid (Fluticasone). The bronchodilator will open
the airways so the corticosteroid can easily enter the airways to decrease inflammation.

4.)A patient with asthma is receiving a nebulizer of Cromolyn. The patient reports a burning sensation in
the nose along with a horrible taste in their mouth. As the nurse you will?

Reassure the patient this is a temporary side effect of this medication. Cromolyn can temporarily cause
the following side effects during administration: sneezing, burning in nose, itchy/watery eyes, bad
taste in mouth. Reassure the patient that these are temporary side effects of this medication.

5.)The physician orders the patient to start taking Omalizumab. How will you administer this medication
as the nurse?

Subcutaneously

6.)Select all the correct options that represent the pathophysiology of an asthma attack.

The mucosa lining experiences severe inflammation.

The goblet cells within the mucosa lining produce excessive amounts of mucous.

7.)Select all the following that can trigger an asthma attack:

Sulfites, Smoke, GERD, Cold, windy weather, and Cockroaches Caffeine has the same properties as
theophylline, which is a bronchodilator and is not known to cause asthma. In addition, beta adrenergic
blockers that are nonselective (NOT beta agonist...which are used to treat asthma) can cause an
asthma attack.

8.)Which medication below blocks the function of Leukotriene for the treatment of asthma?


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, Montelukast

9.)You assist your patient with using their inhaler. The inhaler contains the medication Budesonide.
Before administering the inhaler, you will want to connect what device to the inhaler to help decrease
the patient from developing ________?

Spacer; thrush Budesonide is a corticosteroid. Inhaled corticosteroids can cause thrush. Therefore, it is
important to connect a spacer to the inhaler before usage to help prevent the patient from developing
thrush and for the patient to gargle and rinse the mouth with water.

10.)Your assisting your patient who has asthma to bed. The patient is experiencing a frequent cough and
chest tightness. You auscultate the patient's lung fields and note expiratory wheezes. The patient's peak
flow rate is 78% less than their best peak flow reading. Which medication will provide the patient with
the fastest relief from these signs and symptoms of an asthma attack?

Albuterol During an asthma attack, the patient needs a medication that will quickly open the airways.
Medications that are best for this include short-acting bronchodilators, such as Albuterol, short-acting
beta agonists. Another type of short-acting bronchodilator is an anticholinergic bronchodilator called
Ipratropium (this is given if a patient can't tolerated short-acting beta agonists like Albuterol).
Theophylline is a bronchodilator but given orally and is NOT for quick relief. Tiotropium is a
bronchodilator, as well, but is a LONG-ACTING anticholinergic bronchodilator. Cromolyn is an inhaled
nonsteroidal anti-allergy medication that doesn't provide quick relief.

11.) Your educating a patient how to use a peak flow meter to help monitor the status of their asthma.
Which statement by the patient demonstrates they understand how to use the device?

"I will use this device at the same time, either in the morning or before bedtime, and compare the
readings with my personal best reading."

12.) You're providing discharge teaching to a patient who was admitted with asthma. You discussed the
early warning signs of an asthma attack and ask the patient to list some of them. Select all the correct
early warning signs verbalized by the patient:

Easily fatigued with physical activity,

Reduced peak flow meter reading,

Wheezing with activity

Nighttime coughing
These are all early warning signs an asthma attack is imminent.

13.)Your patient's asthma is poorly controlled. The patient reports using their rescue inhaler 4 times a
week. In addition, the patient's asthma is not responding to other treatments. The physician orders the
patient to take a medication that works by blocking the role of the immunoglobulin IgE. This describes
which medication below?



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