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Master the i-Human Lucas Bennett Pediatric Asthma
Case Study | 2025/2026 Verified Answers to Pass First
Try.
Meet the Client:
Joshua MartinJoshua Martin is a 5-year-old boy who started
kindergarten this year. The school nurse notices that Joshua has a
persistent dry cough, wheezing, and difficulty keeping up with the other
children on the playground. Joshua's wheezing intensifies after he lies on
the floor mats in his classroom for a nap. The nurse checks his school
health history. Joshua's mother listed bronchitis as a current problem.
Joshua receives albuterol (a β2-agonist) treatments four to five times a
year in the emergency department for this condition and experiences
temporary relief of symptoms. His mother limits him from running as a
prevention strategy. - ANSWER-
The school nurse's observations of Joshua include the following:
absence of fever or sore throat, persistent dry cough, wheezing, exercise
intolerance, and a history of resolution of symptoms after β2-agonists
treatments in the emergency department (ED).
Which of the school nurse's observations are consistent with the
diagnosis of bronchitis?
Which of the school nurse's observations are consistent with the
diagnosis of bronchitis?
A dry cough that becomes productive.
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The absence of fever or sore throat.
Exercise intolerance.
Response to β2-agonists. - ANSWER-A dry cough that becomes
productive
A dry, hacking cough that becomes productive in 2 to 3 days is a
characteristic of bronchitis. The cough that is associated with Asthma is
nonproductive
The school nurse asks Joshua's parents to take him to a healthcare
provider (HCP) to evaluate his respiratory problem. After pulmonary
function testing is performed, it is determined that Joshua has moderate
persistent asthma and allergic rhinitis. Joshua returns to school with a
note from his mother stating that he may not participate in recess on the
playground.
Joshua's mother asks the school nurse to explain the pulmonary function
test. Which of the following is the best response?
"Pulmonary function tests are only accurate in children ages 8 and older
who can blow a big breath out."
"While helpful, pulmonary functions tests are an expensive alternative to
careful history and physical assessment."
"Pulmonary function tests are used to detect airflow limitation even
when no symptoms are clinically evident."
"Pulmonary function tests are of use at the time of diagnosis. Joshua will
need no further testin - ANSWER-Pulmonary function tests are used to
detect airflow limitation even when no symptoms are clinically evident
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Symptoms in children with Asthma are typically seasonal or noctural
and are often not evident on physical examination. Pulmonary function
tests are able used to detect effect of airway inflammation that may be
other wise undetectable
If Joshua fails to adhere to the proper administration of his asthma
medications, what symptoms would be expected to occur?
Continual symptoms throughout the day.
Nighttime cough more than once a week but not nightly.
Control of symptoms by single drug therapy with a β2-agonist such as
albuterol.
Symptoms two times a week, but less than one time a day. - ANSWER-
Nighttime cough more than once a week, but not nightly
Nocturnal cough more than once a week is a feature of moderate
persistent asthma as are daily symptoms and interference with physical
activity
In developing plan of care goals, the school nurse recognizes what level
of activity is appropriate for children with asthma?
Running that exacerbates airway constriction and is contraindicated.
Children with asthma who have a history of emergency department
visits should limit physical activity.
Children with asthma should participate fully in all activities, including
sports.
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Children should participate in recess but cannot participate in organized
sports. - ANSWER-Children with asthma should participate fully in all
activities, including sports.
The National Asthma Education and Prevention Program, which sets
standards for the management of asthma, states that this as a primary
goal of care.
The school nurse recognizes that Joshua's symptoms worsen in the
classroom after he naps on the floor mats.
What measures can the school nurse take to ensure a trigger-free
classroom environment?
Instruct the teacher to keep windows open during nap time.
Instruct the teacher to avoid use of odorless magic markers and use
chalk instead.
Advise the teacher to tell children with colds to stay at home.
Initiate measures to eliminate all sources of dust in the classroom. -
ANSWER-Initiate measures to eliminate all sources of dust in the
classroom.
Approximately 90% of children with asthma are allergic to dust. Rooms
should be damp mopped when the children are not present.
The school nurse recognizes that goals for symptom control may not be
achieved unless proper inhaler technique is used. She observes Joshua
using his metered dose inhaler (MDI) prior to recess.
The school nurse recognizes that Joshua is using correct inhaler
technique by observing which demonstrations?
Master the i-Human Lucas Bennett Pediatric Asthma
Case Study | 2025/2026 Verified Answers to Pass First
Try.
Meet the Client:
Joshua MartinJoshua Martin is a 5-year-old boy who started
kindergarten this year. The school nurse notices that Joshua has a
persistent dry cough, wheezing, and difficulty keeping up with the other
children on the playground. Joshua's wheezing intensifies after he lies on
the floor mats in his classroom for a nap. The nurse checks his school
health history. Joshua's mother listed bronchitis as a current problem.
Joshua receives albuterol (a β2-agonist) treatments four to five times a
year in the emergency department for this condition and experiences
temporary relief of symptoms. His mother limits him from running as a
prevention strategy. - ANSWER-
The school nurse's observations of Joshua include the following:
absence of fever or sore throat, persistent dry cough, wheezing, exercise
intolerance, and a history of resolution of symptoms after β2-agonists
treatments in the emergency department (ED).
Which of the school nurse's observations are consistent with the
diagnosis of bronchitis?
Which of the school nurse's observations are consistent with the
diagnosis of bronchitis?
A dry cough that becomes productive.
,2|Page
The absence of fever or sore throat.
Exercise intolerance.
Response to β2-agonists. - ANSWER-A dry cough that becomes
productive
A dry, hacking cough that becomes productive in 2 to 3 days is a
characteristic of bronchitis. The cough that is associated with Asthma is
nonproductive
The school nurse asks Joshua's parents to take him to a healthcare
provider (HCP) to evaluate his respiratory problem. After pulmonary
function testing is performed, it is determined that Joshua has moderate
persistent asthma and allergic rhinitis. Joshua returns to school with a
note from his mother stating that he may not participate in recess on the
playground.
Joshua's mother asks the school nurse to explain the pulmonary function
test. Which of the following is the best response?
"Pulmonary function tests are only accurate in children ages 8 and older
who can blow a big breath out."
"While helpful, pulmonary functions tests are an expensive alternative to
careful history and physical assessment."
"Pulmonary function tests are used to detect airflow limitation even
when no symptoms are clinically evident."
"Pulmonary function tests are of use at the time of diagnosis. Joshua will
need no further testin - ANSWER-Pulmonary function tests are used to
detect airflow limitation even when no symptoms are clinically evident
,3|Page
Symptoms in children with Asthma are typically seasonal or noctural
and are often not evident on physical examination. Pulmonary function
tests are able used to detect effect of airway inflammation that may be
other wise undetectable
If Joshua fails to adhere to the proper administration of his asthma
medications, what symptoms would be expected to occur?
Continual symptoms throughout the day.
Nighttime cough more than once a week but not nightly.
Control of symptoms by single drug therapy with a β2-agonist such as
albuterol.
Symptoms two times a week, but less than one time a day. - ANSWER-
Nighttime cough more than once a week, but not nightly
Nocturnal cough more than once a week is a feature of moderate
persistent asthma as are daily symptoms and interference with physical
activity
In developing plan of care goals, the school nurse recognizes what level
of activity is appropriate for children with asthma?
Running that exacerbates airway constriction and is contraindicated.
Children with asthma who have a history of emergency department
visits should limit physical activity.
Children with asthma should participate fully in all activities, including
sports.
, 4|Page
Children should participate in recess but cannot participate in organized
sports. - ANSWER-Children with asthma should participate fully in all
activities, including sports.
The National Asthma Education and Prevention Program, which sets
standards for the management of asthma, states that this as a primary
goal of care.
The school nurse recognizes that Joshua's symptoms worsen in the
classroom after he naps on the floor mats.
What measures can the school nurse take to ensure a trigger-free
classroom environment?
Instruct the teacher to keep windows open during nap time.
Instruct the teacher to avoid use of odorless magic markers and use
chalk instead.
Advise the teacher to tell children with colds to stay at home.
Initiate measures to eliminate all sources of dust in the classroom. -
ANSWER-Initiate measures to eliminate all sources of dust in the
classroom.
Approximately 90% of children with asthma are allergic to dust. Rooms
should be damp mopped when the children are not present.
The school nurse recognizes that goals for symptom control may not be
achieved unless proper inhaler technique is used. She observes Joshua
using his metered dose inhaler (MDI) prior to recess.
The school nurse recognizes that Joshua is using correct inhaler
technique by observing which demonstrations?
