NUR 317 NCLEX questions for ASTHMA
and COPD med surg I with Answers
Latest 2022/2023
Which of the following are characteristics of pulmonary emphysema?
Select All That Apply
A. decreased surface area of alveoli
B. chronic thickening of bronchial walls
C. decreased respiratory rate
D. hypercapnia
E. arterial blood gases (ABGs) show chronic respiratory acidosis
F. increased eosinophils - ✔A, D, E
chronic thickening of bronchial walls is chronic bronchitis
There will be INCREASED RR
increased eosinophils is seen in asthma not emphysema
Which are characteristics of asthma?
Select All That Apply
A. narrowed airway lumen due to inflammation
B. increased eosinophils
C. decreased breathing cycle
D. intermittent bronchospasm
E. loss of elastic recoil
F. stimulation of disease process by allergies - ✔A, B, D, F
Will have INCREASED breathing sytle
loss of elastic recoil is emphysema not asthma
The nurse is caring for an older adult patient with a chronic respiratory disorder. Which
interventions are best to use in caring for this patient?
Select All That Apply
A. provide rest periods between activities such as ambulation, meals, bathing
B. place the patient in a supine position after meals to allow for rest
C. schedule drug administration around routine activities to increase adherence to drug
therapy
D. arrange chairs in strategic locations to allow the patient to walk and rest
E. teach the patient to avoid getting the pneumococcal vaccine
F. encourage the patient to have an annual flu vaccination - ✔A, C, D, F
High fowlers is the best position for respiratory issues
They DO need the pneumococcal vacccine
,The nurse is caring for an older adult pt with a hx of chronic asthma. which problem
related to aging can influence the care and treatment of this patient?
A. asthma usually resolves with age, so the condition is less severe in oder adult
patients
B. it is more difficult to teach older adult patients about asthma than to teach younger
patients
C. with aging, the beta-adrenergic drugs do not work as quickly or strongly
D. older adult patients have difficulty manipulating handheld inhalers - ✔C
Asthma is a chronic condition
A pt with COPD is likely to have which findings on assessment?
Select All That Apply
A. increased AP diameter of chest
B. sitting in a chair leaning forward with elbows on knees
C. unintentional weight gain
D. decreased appetite
E. unexplained weight loss - ✔A, B, D, E
Will have weight LOSS not gain
The nurse teaches a pt with asthma to monitor for which problem while exercising?
A. increased peak expiratory flow rates
B. wheezing from bronchospasm
C. swelling in the feet and ankles
D. respiratory muscle fatigue - ✔B
An older adult patient experiences an asthma attack that is severe enough to warrant
the use of a rescue drug. Which medication is best to use for the acute symptoms?
A. Omalizumab (Xolair)
B. Fluticasone (Flovent)
C. Salmeterol (Serevent)
D. Albuterol (Proventil) - ✔D
Albuterol (Proventil)
The other three meds are for asthma prevention not an acute attack
Which are the main purposes of asthma treatment?
Select All That Apply
A. avoid secondhand smoke
B. improve airflow
C. relieve symptoms
D. improve exercise tolerance
E. prevent asthma episodes - ✔B, C, E
, For a pt who is a nonsmoker, which classic assessment finding of chronic airflow
limitation is particularly important in diagnosing asthma?
A. cyanosis
B. dyspnea
C. audible wheezing
D. tachypnea - ✔C
A patient who is allergic to dogs experiences a sudden asthma attack. Which
assessment findings does the nurse expect for this pt?
A. slow, deep, pursed-lip breathing
B. breathlessness and difficulty completing sentences
C. clubbing of the fingers and cyanosis of the nailbeds
D. bradycardia and irregular pulse - ✔B
slow, deep, pursed-lip breathing is the method that the nurse should teach the pt to use
to help improve the issue
Clubbing is more COPD
Will have TACHYcardia not bradycardia
A patient is experiencing an asthma attack and shows an increased respiratory effort.
Which ABG value is more associated with the early phase of the attack?
A. PaCO2 of 60 mm Hg
B. PaCO2 of 30 mm Hg
C. pH of 7.40
D. PaCO2 of 98 mm Hg - ✔B
Normal PaCO2 is 35-45 mm Hg
Early in the attack, arterial CO2 level (PaCO2) is decreased as the pt increases the
breathing rate and depth
so PaCO2 is low, the correct answer
A patient who has well controlled asthma has what kind of airway changes?
A. chronic, leading to hyperplasia
B. temporary and reversible
C. open alveoli
D. permanent and irreversible - ✔B
What are the goals of drug therapy in the treatment of asthma?
Select All That Apply
A. drugs are used to stop an attack once it has started
B. weekly drugs are used to reduce the asthma response
C. combination drugs are avoided in asthma treatment
D. some pts only require drug therapy during an asthma episode
and COPD med surg I with Answers
Latest 2022/2023
Which of the following are characteristics of pulmonary emphysema?
Select All That Apply
A. decreased surface area of alveoli
B. chronic thickening of bronchial walls
C. decreased respiratory rate
D. hypercapnia
E. arterial blood gases (ABGs) show chronic respiratory acidosis
F. increased eosinophils - ✔A, D, E
chronic thickening of bronchial walls is chronic bronchitis
There will be INCREASED RR
increased eosinophils is seen in asthma not emphysema
Which are characteristics of asthma?
Select All That Apply
A. narrowed airway lumen due to inflammation
B. increased eosinophils
C. decreased breathing cycle
D. intermittent bronchospasm
E. loss of elastic recoil
F. stimulation of disease process by allergies - ✔A, B, D, F
Will have INCREASED breathing sytle
loss of elastic recoil is emphysema not asthma
The nurse is caring for an older adult patient with a chronic respiratory disorder. Which
interventions are best to use in caring for this patient?
Select All That Apply
A. provide rest periods between activities such as ambulation, meals, bathing
B. place the patient in a supine position after meals to allow for rest
C. schedule drug administration around routine activities to increase adherence to drug
therapy
D. arrange chairs in strategic locations to allow the patient to walk and rest
E. teach the patient to avoid getting the pneumococcal vaccine
F. encourage the patient to have an annual flu vaccination - ✔A, C, D, F
High fowlers is the best position for respiratory issues
They DO need the pneumococcal vacccine
,The nurse is caring for an older adult pt with a hx of chronic asthma. which problem
related to aging can influence the care and treatment of this patient?
A. asthma usually resolves with age, so the condition is less severe in oder adult
patients
B. it is more difficult to teach older adult patients about asthma than to teach younger
patients
C. with aging, the beta-adrenergic drugs do not work as quickly or strongly
D. older adult patients have difficulty manipulating handheld inhalers - ✔C
Asthma is a chronic condition
A pt with COPD is likely to have which findings on assessment?
Select All That Apply
A. increased AP diameter of chest
B. sitting in a chair leaning forward with elbows on knees
C. unintentional weight gain
D. decreased appetite
E. unexplained weight loss - ✔A, B, D, E
Will have weight LOSS not gain
The nurse teaches a pt with asthma to monitor for which problem while exercising?
A. increased peak expiratory flow rates
B. wheezing from bronchospasm
C. swelling in the feet and ankles
D. respiratory muscle fatigue - ✔B
An older adult patient experiences an asthma attack that is severe enough to warrant
the use of a rescue drug. Which medication is best to use for the acute symptoms?
A. Omalizumab (Xolair)
B. Fluticasone (Flovent)
C. Salmeterol (Serevent)
D. Albuterol (Proventil) - ✔D
Albuterol (Proventil)
The other three meds are for asthma prevention not an acute attack
Which are the main purposes of asthma treatment?
Select All That Apply
A. avoid secondhand smoke
B. improve airflow
C. relieve symptoms
D. improve exercise tolerance
E. prevent asthma episodes - ✔B, C, E
, For a pt who is a nonsmoker, which classic assessment finding of chronic airflow
limitation is particularly important in diagnosing asthma?
A. cyanosis
B. dyspnea
C. audible wheezing
D. tachypnea - ✔C
A patient who is allergic to dogs experiences a sudden asthma attack. Which
assessment findings does the nurse expect for this pt?
A. slow, deep, pursed-lip breathing
B. breathlessness and difficulty completing sentences
C. clubbing of the fingers and cyanosis of the nailbeds
D. bradycardia and irregular pulse - ✔B
slow, deep, pursed-lip breathing is the method that the nurse should teach the pt to use
to help improve the issue
Clubbing is more COPD
Will have TACHYcardia not bradycardia
A patient is experiencing an asthma attack and shows an increased respiratory effort.
Which ABG value is more associated with the early phase of the attack?
A. PaCO2 of 60 mm Hg
B. PaCO2 of 30 mm Hg
C. pH of 7.40
D. PaCO2 of 98 mm Hg - ✔B
Normal PaCO2 is 35-45 mm Hg
Early in the attack, arterial CO2 level (PaCO2) is decreased as the pt increases the
breathing rate and depth
so PaCO2 is low, the correct answer
A patient who has well controlled asthma has what kind of airway changes?
A. chronic, leading to hyperplasia
B. temporary and reversible
C. open alveoli
D. permanent and irreversible - ✔B
What are the goals of drug therapy in the treatment of asthma?
Select All That Apply
A. drugs are used to stop an attack once it has started
B. weekly drugs are used to reduce the asthma response
C. combination drugs are avoided in asthma treatment
D. some pts only require drug therapy during an asthma episode
