NUR 140 EXAM 2 PRACTICE EXAM QUESTIONS AND ANSWERS
PREMATURE INFANT DX WITH RESPIRATORY DISTRESS RECEIVED SURFACTANT THERAPY. WHAT WOULD
THE NURSE ASSESS FOR? (SELECT ALL THAT APPLY)
A. RESPIRATIONS
B. ADVENTITIOUS BREATH SOUNDS
C. ENDOTRACHEAL TUBE PLACEMENT
D. CHEST MOVEMENT
E. HEART RATE - CORRECT ANSWERS✅✅A, B, C, D
WHAT WOULD THE NURSE TEACH A PATIENT GOING HOME WITH A HAND-HELD INHALER? - CORRECT
ANSWERS✅✅IF INHALER HAS NO COUNTER THEN NEED TO KEEP A RECORD
PRIME NEW INHALER WITH TWO PUFFS
APTER TWO WEEKS NOT USED- PRIME INHALER AGAIN
REMOVE CANISTER AND WASH HOLDER
INHALATION TECHNIQUE
SHOULD NOT HAVE LIQUID IN MOUTH AFTER INHALATION
TIME BETWEEN DOSES (ONE MINUTE)
DOSS/TIME
SIS TO REPORT
,STORE IN SAFE OUT OF REACH
PLACE, NOT NEAR OPEN FLAMES
WHAT TIME BETWEEN VENTOLIN (ALBUTEROL) PUFFS?
A. 1 MINUTES
B. 3-5 MINUTES
C. 10-30 SECONDS
D. 5 MINUTES - CORRECT ANSWERS✅✅A
WHICH PATIENT WOULD THE NURSE MONITOR FOR RESPIRATORY DISTRESS ISSUES WHO HAS ASTHMA?
A. CLIENT WITH HISTORY OF SMOKING
B. 17-YEAR-OLD CUENT WITH EXERCISE INDUCED ASTHMA
C. 76-YEAR-OLD CLENT WHO TAKES THEOPHYLLINE
D. 90-YEAR-OLD CLIENT ON HIGH SALT DIET - CORRECT ANSWERS✅✅C
WHICH MEDICATION WOULD BE A PATIENTS RESCUE INHALER?
A. SALMETEROL (SEREVENT)
B. TIOTROPIUM (SPIRIVA)
C. ALBUTEROL (VENTOLIN)
D. FORMOTEROL (FORADI) - CORRECT ANSWERS✅✅C
BETA2-ADRENERGIC AGONISTS ACT BY SELECTIVELY ACTIVATING THE BETA2-RECEPTORS IN THE
BRONCHIAL SMOOTH MUSCLE, RESULTING IN BRONCHODILATION. THEY ALSO SUPPRESS HISTAMINE
RELEASE AND PROMOTE CILIARY MOTILITY - CORRECT ANSWERS✅✅COMPLICATIONS?
ORAL AGENTS CAN CAUSE TACHYCARDIA AND ANGINA DUE TO ACTIVATION OF ALPHA 1 - RECEPTORS IN
THE EHAT
, ACTIVATION OF BETA2-RECEPTORS IN SKELETAL MUSCLE CAUSES TREMORS
• MEDICATIONS?
ALBUTEROL
LEVALBUTEROL
SALMETEROL
OA NURSE IS TEACHING A PATIENT WHO HAS A PRESCRIPTION FOR LONG-TERM O USE OF ORAL
PREDNISONE FOR TREATMENT OF CHRONIC ASTHMA. WHICH OF THE FOLLOWING MANIFESTATIONS AS
AN ADVERSE EFFECT OF THIS MEDICATION?
A. WEIGHT GAIN (FLUID RETENTION)
B. NERVOUSNESS
C. BRADYCARDIA
D. CONSTIPATION - CORRECT ANSWERS✅✅A
WHAT WOULD BE AN INDICATION A PATIENT WITH EXACERBATION OF COPD/BRONCHITIS/PNEUMONIA
BE ON PREDNISONE?
A. IRREGULAR HEART RATE
B. CONSTIPATION
C. INFLAMMATION
D. DYSTONIA - CORRECT ANSWERS✅✅C
INFUSE 500 ML D5W WITH 800 MG THEOPHYLLINE AT 0.7 MG/KG/HR. PATIENT WEIGHS 73.5 KG
HOW MANY MILLIGRAMS SHOULD THE PATIENT RECEIVE PER HOUR? - CORRECT ANSWERS✅✅73.5 KG
X 0.7 /KG/HR=51.45 (51.5 MG/HR)
PREMATURE INFANT DX WITH RESPIRATORY DISTRESS RECEIVED SURFACTANT THERAPY. WHAT WOULD
THE NURSE ASSESS FOR? (SELECT ALL THAT APPLY)
A. RESPIRATIONS
B. ADVENTITIOUS BREATH SOUNDS
C. ENDOTRACHEAL TUBE PLACEMENT
D. CHEST MOVEMENT
E. HEART RATE - CORRECT ANSWERS✅✅A, B, C, D
WHAT WOULD THE NURSE TEACH A PATIENT GOING HOME WITH A HAND-HELD INHALER? - CORRECT
ANSWERS✅✅IF INHALER HAS NO COUNTER THEN NEED TO KEEP A RECORD
PRIME NEW INHALER WITH TWO PUFFS
APTER TWO WEEKS NOT USED- PRIME INHALER AGAIN
REMOVE CANISTER AND WASH HOLDER
INHALATION TECHNIQUE
SHOULD NOT HAVE LIQUID IN MOUTH AFTER INHALATION
TIME BETWEEN DOSES (ONE MINUTE)
DOSS/TIME
SIS TO REPORT
,STORE IN SAFE OUT OF REACH
PLACE, NOT NEAR OPEN FLAMES
WHAT TIME BETWEEN VENTOLIN (ALBUTEROL) PUFFS?
A. 1 MINUTES
B. 3-5 MINUTES
C. 10-30 SECONDS
D. 5 MINUTES - CORRECT ANSWERS✅✅A
WHICH PATIENT WOULD THE NURSE MONITOR FOR RESPIRATORY DISTRESS ISSUES WHO HAS ASTHMA?
A. CLIENT WITH HISTORY OF SMOKING
B. 17-YEAR-OLD CUENT WITH EXERCISE INDUCED ASTHMA
C. 76-YEAR-OLD CLENT WHO TAKES THEOPHYLLINE
D. 90-YEAR-OLD CLIENT ON HIGH SALT DIET - CORRECT ANSWERS✅✅C
WHICH MEDICATION WOULD BE A PATIENTS RESCUE INHALER?
A. SALMETEROL (SEREVENT)
B. TIOTROPIUM (SPIRIVA)
C. ALBUTEROL (VENTOLIN)
D. FORMOTEROL (FORADI) - CORRECT ANSWERS✅✅C
BETA2-ADRENERGIC AGONISTS ACT BY SELECTIVELY ACTIVATING THE BETA2-RECEPTORS IN THE
BRONCHIAL SMOOTH MUSCLE, RESULTING IN BRONCHODILATION. THEY ALSO SUPPRESS HISTAMINE
RELEASE AND PROMOTE CILIARY MOTILITY - CORRECT ANSWERS✅✅COMPLICATIONS?
ORAL AGENTS CAN CAUSE TACHYCARDIA AND ANGINA DUE TO ACTIVATION OF ALPHA 1 - RECEPTORS IN
THE EHAT
, ACTIVATION OF BETA2-RECEPTORS IN SKELETAL MUSCLE CAUSES TREMORS
• MEDICATIONS?
ALBUTEROL
LEVALBUTEROL
SALMETEROL
OA NURSE IS TEACHING A PATIENT WHO HAS A PRESCRIPTION FOR LONG-TERM O USE OF ORAL
PREDNISONE FOR TREATMENT OF CHRONIC ASTHMA. WHICH OF THE FOLLOWING MANIFESTATIONS AS
AN ADVERSE EFFECT OF THIS MEDICATION?
A. WEIGHT GAIN (FLUID RETENTION)
B. NERVOUSNESS
C. BRADYCARDIA
D. CONSTIPATION - CORRECT ANSWERS✅✅A
WHAT WOULD BE AN INDICATION A PATIENT WITH EXACERBATION OF COPD/BRONCHITIS/PNEUMONIA
BE ON PREDNISONE?
A. IRREGULAR HEART RATE
B. CONSTIPATION
C. INFLAMMATION
D. DYSTONIA - CORRECT ANSWERS✅✅C
INFUSE 500 ML D5W WITH 800 MG THEOPHYLLINE AT 0.7 MG/KG/HR. PATIENT WEIGHS 73.5 KG
HOW MANY MILLIGRAMS SHOULD THE PATIENT RECEIVE PER HOUR? - CORRECT ANSWERS✅✅73.5 KG
X 0.7 /KG/HR=51.45 (51.5 MG/HR)
