ASTHMA AND COPD (HESI) EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS LATEST UPDATE
The nurse is caring for a patient who has chronic obstructive pulmonary disease
(COPD). Which intervention to facilitate adequate caloric intake for this patient is
included in the plan of care?
Encourage frequent rest periods, especially before meals
The nurse is assisting a patient who has severe emphysema with meal and snack
choices for the next day. Which selection is appropriate for this patient?
Ice cream with fudge topping
The patient says, "I hate this stupid COPD." What is the best response by the
nurse?
"What is bothering you?"
A patient who has a history of asthma is prescribed a medicine to prevent further
asthma attacks. Which statement made by the patient indicates ineffective
learning about how to use the medication?
"I should use the inhaler only when I have an asthma attack."
What best describes the pathophysiology involved in a patient who has asthma
as a lower respiratory disease?
Airway obstruction secondary to inflammation and/or bronchoconstriction secondary to
airway hyperresponsiveness
, Pulmonary function tests for a patient with chronic respiratory symptoms reveal
an initial decrease in FEV1, but an increase in FEV1 of 5% after treatment with a
bronchodilator medication. Which diagnosis does the nurse anticipate for this
patient?
Chronic obstructive pulmonary disease (COPD)
A patient with asthma asks the nurse about engaging in exercise. What does the
nurse tell this patient?
"Adjust your exercise routine as needed to avoid asthma triggers."
Which signs/symptoms are indicators of an asthma attack? Select all that apply
Audible wheeze, especially on exhalation
Muscle retraction between the ribs
Decreased forced expiratory volume in the first second (FEV1) on flowmeter
Eosinophils in the sputum
Inhaled corticosteroids are typically used to treat which symptom of asthma?
Airway inflammation
A patient who is admitted for treatment of an acute asthma exacerbation has a
low Pao2 and an elevated Paco2. These lab values indicate which phase or type
of asthma attack?
Late phase
Which statements about chronic obstructive pulmonary disease (COPD) are
correct? Select all that apply
Emphysematous lungs contain an increased number of proteases that destroy the
normal lung tissue
ANSWERS WITH COMPLETE SOLUTIONS LATEST UPDATE
The nurse is caring for a patient who has chronic obstructive pulmonary disease
(COPD). Which intervention to facilitate adequate caloric intake for this patient is
included in the plan of care?
Encourage frequent rest periods, especially before meals
The nurse is assisting a patient who has severe emphysema with meal and snack
choices for the next day. Which selection is appropriate for this patient?
Ice cream with fudge topping
The patient says, "I hate this stupid COPD." What is the best response by the
nurse?
"What is bothering you?"
A patient who has a history of asthma is prescribed a medicine to prevent further
asthma attacks. Which statement made by the patient indicates ineffective
learning about how to use the medication?
"I should use the inhaler only when I have an asthma attack."
What best describes the pathophysiology involved in a patient who has asthma
as a lower respiratory disease?
Airway obstruction secondary to inflammation and/or bronchoconstriction secondary to
airway hyperresponsiveness
, Pulmonary function tests for a patient with chronic respiratory symptoms reveal
an initial decrease in FEV1, but an increase in FEV1 of 5% after treatment with a
bronchodilator medication. Which diagnosis does the nurse anticipate for this
patient?
Chronic obstructive pulmonary disease (COPD)
A patient with asthma asks the nurse about engaging in exercise. What does the
nurse tell this patient?
"Adjust your exercise routine as needed to avoid asthma triggers."
Which signs/symptoms are indicators of an asthma attack? Select all that apply
Audible wheeze, especially on exhalation
Muscle retraction between the ribs
Decreased forced expiratory volume in the first second (FEV1) on flowmeter
Eosinophils in the sputum
Inhaled corticosteroids are typically used to treat which symptom of asthma?
Airway inflammation
A patient who is admitted for treatment of an acute asthma exacerbation has a
low Pao2 and an elevated Paco2. These lab values indicate which phase or type
of asthma attack?
Late phase
Which statements about chronic obstructive pulmonary disease (COPD) are
correct? Select all that apply
Emphysematous lungs contain an increased number of proteases that destroy the
normal lung tissue
