Nursing Exam 3: Asthma, COPD with
Answers
A client is newly diagnosed with asthma and needs information regarding possible
asthma triggers. The nurse is preparing to teach the client to prevent asthma triggers.
What information is appropriate for the nurse to educate the client to avoid?
(Select all that apply.)
Cigarette smoke
Tile floors in the house
Indoor pets
Stuffed animals
Mattress covers - ✔ Indoor pets
Stuffed animals
Cig smoke
A client with asthma is taking an inhaler that blocks parasympathetic input to bronchial
smooth muscles. Which class of medication is this client taking for asthma control?
Methylxanthine
Adrenergic stimulant
Leukotriene modifier
Anticholinergic agent - ✔ Anticholinergic agent
The intensive care nurse is caring for a client diagnosed with status asthmaticus who is
currently not receiving medical treatment. What is this client at risk for developing?
(Select all that apply.)
Hypercapnia
Hyperresonance
Alkalosis
Anxiety
Hyporeflexia - ✔ Hypercapnia
Hyperresonance
Anxiety
When planning care for a client experiencing an asthma attack, the nurse needs to
address the client's shortness of breath. Which nursing intervention is most appropriate
for this client?
Reduce external stimuli
Use relaxation techniques
Assess level of anxiety
Place head of bed in a Fowler position - ✔ Place head of bed in a Fowler position
, A client with asthma reports, open double quoteI cannot catch my breath with the most
simple of tasks, and I find the only thing I can do is sit in a chair most days.close double
quote Based on these symptoms, what classification of asthma is this client
experiencing?
Severe persistent
Mild persistent
Moderate persistent
Mild intermittent - ✔ Severe persistent
The nurse is caring for a client with asthma who is having difficulty breathing while lying
supine, can only talk in phrases without experiencing shortness of breath, and has a
moderately elevated respiratory rate. Based on these assessment findings, what is the
severity of this client's asthma attack?
Minimal
Mild
Moderate
Severe - ✔ Mild
Which clinical manifestations occur with asthma?
(Select all that apply.)
Dyspnea
Retractions
Anxiety
Wheezing
Bradycardia - ✔ Dyspnea
Retractions
Anxiety
Wheezing
Which symptom is associated with the classification of moderate persistent asthma?
Client has limited physical activity.
Attacks occur more than twice a week but less than daily.
Client is asymptomatic between attacks.
Exacerbations occur more than twice a week and can last for days. - ✔ Exacerbations
occur more than twice a week and can last for days.
A nurse is planning a seminar about chronic obstructive pulmonary disease (COPD).
Which descriptions of the disease would the nurse include in the presentation?
(Select all that apply.)
COPD is a respiratory disorder that has components of chronic bronchitis and
emphysema.
COPD is characterized by periodic exacerbations.
After exacerbations, the lung tissue returns to normal.
Answers
A client is newly diagnosed with asthma and needs information regarding possible
asthma triggers. The nurse is preparing to teach the client to prevent asthma triggers.
What information is appropriate for the nurse to educate the client to avoid?
(Select all that apply.)
Cigarette smoke
Tile floors in the house
Indoor pets
Stuffed animals
Mattress covers - ✔ Indoor pets
Stuffed animals
Cig smoke
A client with asthma is taking an inhaler that blocks parasympathetic input to bronchial
smooth muscles. Which class of medication is this client taking for asthma control?
Methylxanthine
Adrenergic stimulant
Leukotriene modifier
Anticholinergic agent - ✔ Anticholinergic agent
The intensive care nurse is caring for a client diagnosed with status asthmaticus who is
currently not receiving medical treatment. What is this client at risk for developing?
(Select all that apply.)
Hypercapnia
Hyperresonance
Alkalosis
Anxiety
Hyporeflexia - ✔ Hypercapnia
Hyperresonance
Anxiety
When planning care for a client experiencing an asthma attack, the nurse needs to
address the client's shortness of breath. Which nursing intervention is most appropriate
for this client?
Reduce external stimuli
Use relaxation techniques
Assess level of anxiety
Place head of bed in a Fowler position - ✔ Place head of bed in a Fowler position
, A client with asthma reports, open double quoteI cannot catch my breath with the most
simple of tasks, and I find the only thing I can do is sit in a chair most days.close double
quote Based on these symptoms, what classification of asthma is this client
experiencing?
Severe persistent
Mild persistent
Moderate persistent
Mild intermittent - ✔ Severe persistent
The nurse is caring for a client with asthma who is having difficulty breathing while lying
supine, can only talk in phrases without experiencing shortness of breath, and has a
moderately elevated respiratory rate. Based on these assessment findings, what is the
severity of this client's asthma attack?
Minimal
Mild
Moderate
Severe - ✔ Mild
Which clinical manifestations occur with asthma?
(Select all that apply.)
Dyspnea
Retractions
Anxiety
Wheezing
Bradycardia - ✔ Dyspnea
Retractions
Anxiety
Wheezing
Which symptom is associated with the classification of moderate persistent asthma?
Client has limited physical activity.
Attacks occur more than twice a week but less than daily.
Client is asymptomatic between attacks.
Exacerbations occur more than twice a week and can last for days. - ✔ Exacerbations
occur more than twice a week and can last for days.
A nurse is planning a seminar about chronic obstructive pulmonary disease (COPD).
Which descriptions of the disease would the nurse include in the presentation?
(Select all that apply.)
COPD is a respiratory disorder that has components of chronic bronchitis and
emphysema.
COPD is characterized by periodic exacerbations.
After exacerbations, the lung tissue returns to normal.
