ATI MED SURG PROCTORED 201
CERTIFICATION EVALUATION EXAMS 2026
SOLVED QUESTIONS
◉ Manifestations of asthma. Answer: -Sudden, severe dyspnea with
use of accessory muscles
-sitting up, leaning forward
-diaphoresis and anxiety
-wheezing, gasping
-coughing
-cyanosis (late sign)
-barrel chest
◉ Diagnostic procedures for asthma. Answer: -ABGs
-sputum cultures
-pulmonary function tests
◉ Nursing interventions for asthma. Answer: -remain with the client
during the attack
-position in high-fowler's
-assess lung sounds and pulse oximetry
-administer oxygen therapy
,-maintain oxygen access
◉ Medications for athma. Answer: Administer bronchodilators
before anti-inflammatory
1. Bronchodilators
-short-acting inhaled: albuterol; for rapid relief
-Methylxanthines: theophylline; monitor therapeutic range for
toxicity.
2. Anti-inflammatory
-corticosteriods: fluticasone and prednisone
-Leukotriene antagonist: montelukast
3. Combination agents
-Ipratropium and albuterol (Combivent)
-Fluticasone and salmeterol (Advair)
◉ Therapeutic measures for asthma. Answer: -respiratory
treatments
-oxygen administration
◉ Client Education for asthma. Answer: -avoidance of allergens and
triggers
-proper use of inhaler and peak flow monitoring
,◉ Status asthmaticus. Answer: life-threatening episode of airway
obstruction this is often unresponsive to treatment
◉ Manifestations of status asthmaticus. Answer: -extreme wheezing
-labored breathing
-use of accessory muscles
-distended neck veins
-high risk for cardiac and/or respiratory arrest
◉ Nursing interventions for status asthmaticus. Answer: -place in
high-fowler's
-prepare for emergency intubation
-administer oxygen, epinephrine, and systemic steroid as prescribed
-provide emotional support
◉ Chronic Obstructive Pulmonary Disease. Answer: encompasses
pulmonary emphysema and chronic bronchitis. COPD is not
reversible.
◉ Pulmonary emphysema. Answer: -destruction of alveoli,
narrowing of bronchioles, and trapping of air resulting in loss of
lung elasticity
, ◉ Contributing factors of pulmonary emphysema. Answer: -cigarette
smoking (main causative factor); passive smoke inhalation
-advanced age
-exposure to air pollution
-Alpha-antitrypsin deficiency (inability to break down pollutants)
-Occupational dust and chemical exposure
◉ Manifestations of emphysema. Answer: -dyspnea with productive
cough
-difficult exhalation, use of pursed-lip breathing
-wheezing, crackles
-barrel chest
-shallow, rapid respirations
-respiratory acidosis with hypoxia
-weight loss
-clubbed fingernails
-fatigue
◉ Chronic bronchitis. Answer: inflammation and hypersecretion of
mucus in the bronchi and bronchioles caused by chronic exposure to
irritants
CERTIFICATION EVALUATION EXAMS 2026
SOLVED QUESTIONS
◉ Manifestations of asthma. Answer: -Sudden, severe dyspnea with
use of accessory muscles
-sitting up, leaning forward
-diaphoresis and anxiety
-wheezing, gasping
-coughing
-cyanosis (late sign)
-barrel chest
◉ Diagnostic procedures for asthma. Answer: -ABGs
-sputum cultures
-pulmonary function tests
◉ Nursing interventions for asthma. Answer: -remain with the client
during the attack
-position in high-fowler's
-assess lung sounds and pulse oximetry
-administer oxygen therapy
,-maintain oxygen access
◉ Medications for athma. Answer: Administer bronchodilators
before anti-inflammatory
1. Bronchodilators
-short-acting inhaled: albuterol; for rapid relief
-Methylxanthines: theophylline; monitor therapeutic range for
toxicity.
2. Anti-inflammatory
-corticosteriods: fluticasone and prednisone
-Leukotriene antagonist: montelukast
3. Combination agents
-Ipratropium and albuterol (Combivent)
-Fluticasone and salmeterol (Advair)
◉ Therapeutic measures for asthma. Answer: -respiratory
treatments
-oxygen administration
◉ Client Education for asthma. Answer: -avoidance of allergens and
triggers
-proper use of inhaler and peak flow monitoring
,◉ Status asthmaticus. Answer: life-threatening episode of airway
obstruction this is often unresponsive to treatment
◉ Manifestations of status asthmaticus. Answer: -extreme wheezing
-labored breathing
-use of accessory muscles
-distended neck veins
-high risk for cardiac and/or respiratory arrest
◉ Nursing interventions for status asthmaticus. Answer: -place in
high-fowler's
-prepare for emergency intubation
-administer oxygen, epinephrine, and systemic steroid as prescribed
-provide emotional support
◉ Chronic Obstructive Pulmonary Disease. Answer: encompasses
pulmonary emphysema and chronic bronchitis. COPD is not
reversible.
◉ Pulmonary emphysema. Answer: -destruction of alveoli,
narrowing of bronchioles, and trapping of air resulting in loss of
lung elasticity
, ◉ Contributing factors of pulmonary emphysema. Answer: -cigarette
smoking (main causative factor); passive smoke inhalation
-advanced age
-exposure to air pollution
-Alpha-antitrypsin deficiency (inability to break down pollutants)
-Occupational dust and chemical exposure
◉ Manifestations of emphysema. Answer: -dyspnea with productive
cough
-difficult exhalation, use of pursed-lip breathing
-wheezing, crackles
-barrel chest
-shallow, rapid respirations
-respiratory acidosis with hypoxia
-weight loss
-clubbed fingernails
-fatigue
◉ Chronic bronchitis. Answer: inflammation and hypersecretion of
mucus in the bronchi and bronchioles caused by chronic exposure to
irritants
