NURS 504 EXAM 3 QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026/2027
Take the corticosteroid several minutes after the bronchodilator dose. - Answers A patient is prescribed
an inhalational corticosteroid therapy along with bronchodilator therapy. Which of the following points
should the nurse include in the patient teaching plan?
Stop corticosteroid therapy immediately if you notice any adverse effects. Before each dose of
corticosteroid, rinse the mouth thoroughly with water. The corticosteroid drug provides rapid relief
during an asthma attack. Take the corticosteroid several minutes after the bronchodilator dose.
beta2-adrenergic agonist - Answers What is the most common first-line therapy for relief of an acute
asthma attack?
inhaled steroid leukotriene modifier beta2-adrenergic agonist xanthine
Use strict oral hygiene.
Cleanse inhaler per package instructions.
Use proper technique when administering dose. - Answers Which of the following should a patient be
advised to do to lessen the likelihood of developing oral thrush with the use of an inhaled corticosteroid
or mast cell aerosol? Select all that apply:
Avoid eating after administration. Use strict oral hygiene. Cleanse inhaler per package instructions. Use
proper technique when administering dose. Only administer a dose every other day.
They act locally to decrease release of inflammatory mediators - Answers Why are inhaled steroids used
to treat asthma and COPD?
They act locally to decrease release of inflammatory mediators They act locally to improve mobilization
of edema They act locally to increase histamine release They act locally to decrease histamine release
Oropharyngeal Candida albicans infection - Answers A 36-year-old client is prescribed inhaled
corticosteroid (ICS) for daily use. Which adverse effects should the nurse closely monitor for in this
client?
Delayed growth Suppression of the hypothalamic-pituitary-adrenal axis Hypotension Oropharyngeal
Candida albicans infection
True - Answers Leukotriene receptor antagonists are administered orally.
, True False
Albuterol first, wait five minutes and then follow with flunisolide - Answers The client has been
diagnosed with asthma and is being treated with two inhalers, albuterol and flunisolide. The nurse
teaches the client that the two medications should be administered in what order?
Flunisolide first, wait five minutes and then follow with albuterol Albuterol first, wait five minutes and
then follow with flunisolide Flunisolide followed immediately by albuterol Albuterol followed
immediately by flunisolide
True - Answers Cromolyn should not be used during an acute asthmatic attack.
True False
Fluticasone - Answers After teaching a group of students about leukotriene receptor antagonists, the
instructor determines a need for additional teaching when the students identify which agent as an
example?
Fluticasone Montelukast Zileuton Zafirkulast
Cromolyn - Answers A client who has chronic bronchial asthma has had a mast cell stabilizer prescribed.
What drug would the health care provider prescribe?
Ipratropium or budesonide Isoetharine or montelukast Cromolyn Aminophylline or caffeine
Ipratropium (Atrovent)
Tiotropium (Spiriva) - Answers Which cholinergic-blocking drugs are used in the treatment of chronic
obstructive pulmonary disease (COPD)? (Select all that apply.)
Darifenacin (Enablex) Ipratropium (Atrovent) Benztropine (Cogentin) Biperiden (Akineton) Tiotropium
(Spiriva)
Ineffective airway clearance related to drug effect or bronchospasm - Answers The nurse caring for a
client taking acetylcysteine is charged with the development of a nursing plan of care. What would be
the most appropriate diagnosis for the client with regards to potential side effects of the medication?
Alteration in sensation related to the drug effect of neuropathy Alteration in cardiac output related to
drug effect or hypotension Ineffective airway clearance related to drug effect or bronchospasm
Alteration in urinary elimination related to drug effect or urinary retention
Take the corticosteroid several minutes after the bronchodilator dose. - Answers A patient is prescribed
an inhalational corticosteroid therapy along with bronchodilator therapy. Which of the following points
should the nurse include in the patient teaching plan?
Stop corticosteroid therapy immediately if you notice any adverse effects. Before each dose of
corticosteroid, rinse the mouth thoroughly with water. The corticosteroid drug provides rapid relief
during an asthma attack. Take the corticosteroid several minutes after the bronchodilator dose.
beta2-adrenergic agonist - Answers What is the most common first-line therapy for relief of an acute
asthma attack?
inhaled steroid leukotriene modifier beta2-adrenergic agonist xanthine
Use strict oral hygiene.
Cleanse inhaler per package instructions.
Use proper technique when administering dose. - Answers Which of the following should a patient be
advised to do to lessen the likelihood of developing oral thrush with the use of an inhaled corticosteroid
or mast cell aerosol? Select all that apply:
Avoid eating after administration. Use strict oral hygiene. Cleanse inhaler per package instructions. Use
proper technique when administering dose. Only administer a dose every other day.
They act locally to decrease release of inflammatory mediators - Answers Why are inhaled steroids used
to treat asthma and COPD?
They act locally to decrease release of inflammatory mediators They act locally to improve mobilization
of edema They act locally to increase histamine release They act locally to decrease histamine release
Oropharyngeal Candida albicans infection - Answers A 36-year-old client is prescribed inhaled
corticosteroid (ICS) for daily use. Which adverse effects should the nurse closely monitor for in this
client?
Delayed growth Suppression of the hypothalamic-pituitary-adrenal axis Hypotension Oropharyngeal
Candida albicans infection
True - Answers Leukotriene receptor antagonists are administered orally.
, True False
Albuterol first, wait five minutes and then follow with flunisolide - Answers The client has been
diagnosed with asthma and is being treated with two inhalers, albuterol and flunisolide. The nurse
teaches the client that the two medications should be administered in what order?
Flunisolide first, wait five minutes and then follow with albuterol Albuterol first, wait five minutes and
then follow with flunisolide Flunisolide followed immediately by albuterol Albuterol followed
immediately by flunisolide
True - Answers Cromolyn should not be used during an acute asthmatic attack.
True False
Fluticasone - Answers After teaching a group of students about leukotriene receptor antagonists, the
instructor determines a need for additional teaching when the students identify which agent as an
example?
Fluticasone Montelukast Zileuton Zafirkulast
Cromolyn - Answers A client who has chronic bronchial asthma has had a mast cell stabilizer prescribed.
What drug would the health care provider prescribe?
Ipratropium or budesonide Isoetharine or montelukast Cromolyn Aminophylline or caffeine
Ipratropium (Atrovent)
Tiotropium (Spiriva) - Answers Which cholinergic-blocking drugs are used in the treatment of chronic
obstructive pulmonary disease (COPD)? (Select all that apply.)
Darifenacin (Enablex) Ipratropium (Atrovent) Benztropine (Cogentin) Biperiden (Akineton) Tiotropium
(Spiriva)
Ineffective airway clearance related to drug effect or bronchospasm - Answers The nurse caring for a
client taking acetylcysteine is charged with the development of a nursing plan of care. What would be
the most appropriate diagnosis for the client with regards to potential side effects of the medication?
Alteration in sensation related to the drug effect of neuropathy Alteration in cardiac output related to
drug effect or hypotension Ineffective airway clearance related to drug effect or bronchospasm
Alteration in urinary elimination related to drug effect or urinary retention
