CHAPTER 30: ASTHMA AND COPD EXAM QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
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
Which sign/symptom is significant in diagnosing asthma in a nonsmoker?
Wheezing
What are the two major categories of asthma medications?
Control and reliever
The patient is a marathon runner who has asthma. Which category of medication
is used as a rescue inhaler?
Short-acting beta agonists
Which signs/symptoms are indicators of an asthma attack? Select all that apply.
Eosinophils in the sputum
Muscle retraction between the ribs
Audible wheeze, especially on exhalation
Decreased forced expiratory volume in the first second (FEV 1) on flowmeter
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
, Which statements are correct regarding the drug management of asthma? Select
all that apply.
- Reliever medications are used to stop an asthma attack once it has started.
- Control therapy medications are used to prevent asthma attacks from occurring.
- Control therapy medications are used to reduce airway responsiveness.
Which chemical is responsible for a prolonged inflammatory response, leading to
airway obstruction?
Leukotriene
A patient with chronic obstructive pulmonary disease (COPD) reports having off-
and-on symptoms of dyspnea, coughing, and sputum production. The patient's
FEV 1/FVC is 65% of predicted value and the FEV 1 is 55% of predicted value.
Which level of COPD severity does this patient have?
II - moderate
What is the most important reason for ordering inhaled, rather than oral,
corticosteroids for patients with asthma?
Oral corticosteroids have more adverse effects.
To some degree, most patients with chronic obstructive pulmonary disease
(COPD) have which pathologic processes present? Select all that apply.
Bronchitis
Emphysema
A patient is admitted with asthma. How is this disease differentiated from other
chronic lung disorders?
The patient is symptom-free between exacerbations.
AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
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
Which sign/symptom is significant in diagnosing asthma in a nonsmoker?
Wheezing
What are the two major categories of asthma medications?
Control and reliever
The patient is a marathon runner who has asthma. Which category of medication
is used as a rescue inhaler?
Short-acting beta agonists
Which signs/symptoms are indicators of an asthma attack? Select all that apply.
Eosinophils in the sputum
Muscle retraction between the ribs
Audible wheeze, especially on exhalation
Decreased forced expiratory volume in the first second (FEV 1) on flowmeter
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
, Which statements are correct regarding the drug management of asthma? Select
all that apply.
- Reliever medications are used to stop an asthma attack once it has started.
- Control therapy medications are used to prevent asthma attacks from occurring.
- Control therapy medications are used to reduce airway responsiveness.
Which chemical is responsible for a prolonged inflammatory response, leading to
airway obstruction?
Leukotriene
A patient with chronic obstructive pulmonary disease (COPD) reports having off-
and-on symptoms of dyspnea, coughing, and sputum production. The patient's
FEV 1/FVC is 65% of predicted value and the FEV 1 is 55% of predicted value.
Which level of COPD severity does this patient have?
II - moderate
What is the most important reason for ordering inhaled, rather than oral,
corticosteroids for patients with asthma?
Oral corticosteroids have more adverse effects.
To some degree, most patients with chronic obstructive pulmonary disease
(COPD) have which pathologic processes present? Select all that apply.
Bronchitis
Emphysema
A patient is admitted with asthma. How is this disease differentiated from other
chronic lung disorders?
The patient is symptom-free between exacerbations.
