NUR 2571 PROFESSIONAL NURSING II EXAM 2
2026 FINAL REVIEW BUNDLED SOLUTION
PACKAGE
◉ Status Asthmaticus. Answer: Severe asthma attack that does not
respond to standard treatment.
Medical emergency!!
◉ Asthma (Assessment). Answer: Wheezing
Cough
Dyspnea
Chest tightness
◉ A client with asthma has a sudden decrease in wheezes.... What does
this indicate?. Answer: Airways are closing and causing diminished
breath sounds.
Less ventilation is able to occur.
This is NOT good!
◉ Asthma ABGs. Answer: 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: 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."
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: 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). Answer: * Bronchodilators
(SABAs)
- Albuterol (ProAir)
- Levalbuterol (Xopenex)
*Bronchodilators (LABAs)
- Salmeterol (Serevent)
- Formoterol (Perforomist)
*Cholinergic Antagonist
- Ipratropium (Atrovent)
- Tiotropium (Spiriva)
*Corticosteroids
- Fluticasone (Ellipta)
- Beclomethasone (Qvar)
- Prednisone PO
◉ True/False
2026 FINAL REVIEW BUNDLED SOLUTION
PACKAGE
◉ Status Asthmaticus. Answer: Severe asthma attack that does not
respond to standard treatment.
Medical emergency!!
◉ Asthma (Assessment). Answer: Wheezing
Cough
Dyspnea
Chest tightness
◉ A client with asthma has a sudden decrease in wheezes.... What does
this indicate?. Answer: Airways are closing and causing diminished
breath sounds.
Less ventilation is able to occur.
This is NOT good!
◉ Asthma ABGs. Answer: 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: 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."
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: 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). Answer: * Bronchodilators
(SABAs)
- Albuterol (ProAir)
- Levalbuterol (Xopenex)
*Bronchodilators (LABAs)
- Salmeterol (Serevent)
- Formoterol (Perforomist)
*Cholinergic Antagonist
- Ipratropium (Atrovent)
- Tiotropium (Spiriva)
*Corticosteroids
- Fluticasone (Ellipta)
- Beclomethasone (Qvar)
- Prednisone PO
◉ True/False
