HESI RN COMPREHENSIVE EXIT
EXAM Q & A
1. The nurse completes an admission assessment on a patient with
asthma. Which information given by patient is indicates a need for a
change in therapy?
a. The patient uses albuterol (Ventolin HFA) before aerobic exercise.
b. The patient says that the asthma symptoms are worse every spring.
c. The patient’s heart rate increases after using the albuterol (Ventolin HFA) inhaler.
d. The patient’s only medications are albuterol (Ventolin
HFAl) and salmeterol (Serevent).
ANS: D
Long-acting b2-agonists should be used only in patients who also are using an inhaled
corticosteroid for long- term control. Salmeterol should not be used as the first-line
therapy for long-term control. Using a bronchodilator before exercise is appropriate. The
other information given by the patient requires further assessment by the nurse but is not
unusual for a patient with asthma.
2. The nurse takes an admission history on a patient with possible
asthma who has new-onset wheezing and shortness of breath. Which
information may indicate a need for a change in therapy?
a. The patient has chronic inflammatory bowel disease.
b. The patient has a history of pneumonia 6 months ago.
c. The patient takes propranolol (Inderal) for hypertension.
d. The patient uses acetaminophen
(Tylenol) for headaches. ANS: C
b-Blockers such as propranolol can cause bronchospasm in some patients with asthma. The
other information will be documented in the health history but does not indicate a need for a
change in therapy.
3. A patient newly diagnosed with asthma is being discharged. The nurse
EXAM Q & A
1. The nurse completes an admission assessment on a patient with
asthma. Which information given by patient is indicates a need for a
change in therapy?
a. The patient uses albuterol (Ventolin HFA) before aerobic exercise.
b. The patient says that the asthma symptoms are worse every spring.
c. The patient’s heart rate increases after using the albuterol (Ventolin HFA) inhaler.
d. The patient’s only medications are albuterol (Ventolin
HFAl) and salmeterol (Serevent).
ANS: D
Long-acting b2-agonists should be used only in patients who also are using an inhaled
corticosteroid for long- term control. Salmeterol should not be used as the first-line
therapy for long-term control. Using a bronchodilator before exercise is appropriate. The
other information given by the patient requires further assessment by the nurse but is not
unusual for a patient with asthma.
2. The nurse takes an admission history on a patient with possible
asthma who has new-onset wheezing and shortness of breath. Which
information may indicate a need for a change in therapy?
a. The patient has chronic inflammatory bowel disease.
b. The patient has a history of pneumonia 6 months ago.
c. The patient takes propranolol (Inderal) for hypertension.
d. The patient uses acetaminophen
(Tylenol) for headaches. ANS: C
b-Blockers such as propranolol can cause bronchospasm in some patients with asthma. The
other information will be documented in the health history but does not indicate a need for a
change in therapy.
3. A patient newly diagnosed with asthma is being discharged. The nurse
