NR 242 GALEN COLLEGE OF NURSING MED SURG EXAM 3 FINAL 200 QUESTIONS AND ANSWERS ACTUAL TESTED EXAM QUESTIONS AND ANSWERS | ACCURATE AND VERIIED | GUARANTEED PASS | GRADED A+ | LATEST UPDATE 2025/2026

Is asthma reversible? Yes, if caught early enough but too much time causes scaring and then it cannot be reversed What assessment findings would you expect to see in a patient with asthma? Chest tightness, dyspnea, wheezing, cough, accessory muscle use, tachypnea What are the triggers of asthma? Idiopathic, exercise, infection, gerd, air pollution, allergens, medications What are the normal symptoms of asthma? Short of breath, increased respiratory rate, coughing, chest tightness, dyspnea, wheezing (esp on exhalation) What are the alarm symptoms of asthma? Use of accessory muscles, decreased breath sounds, diaphoresis, cough that will not stop, silent chest What is aerd? Aspirin exacerbated respiratory disease What are the clinical features of aerd? Asthma, sinus disease, sensitivity to aspirin and other nsaids What are the symptoms of aerd? Nasal congestion, rhinorrhea, sneezing, laryngospasm, cough, wheeze, loss of sense of smell, chest tightness What treatment is used for aerd? Avoid all nsaids and alcohol; some may also need daily inhaled corticosteroids What are the treatment options for asthma? Short acting beta agonist (saba), long acting beta agonist (laba), inhaled corticosteroids, cromolyn, leukotriene receptor agonist (lra) What is the only medication to be used in an acute attack or emergent asthma episode? Albuterol What is the goal of a spacer? Make more medication reach the lungs Which zone on an peak flow meter indicates a need for emergency care? Red What is the nursing care for an acute asthma attack? Airway, high fowler's position, oxygen, saba, steroids, iv magnesium, continued breath sound assessments What are the nursing interactions for a health promotion and maintenance for asthma? Education on how to use inhaler, education on triggers, prevention efforts, influenza and pneumonia vaccines, smoking cessation, activity What is copd? Chronic obstructive pulmonary disease What is sleep apnea? Person stops breathing for at least 10 seconds repeatedly during sleep What is the most common cause of sleep apnea? Obstructive sleep apnea What is the pathophysiology of obstructive sleep apnea? Airway is restricted as a result of tissue collapse in the airway How is pharyngeal space decreased during sleep? Muscle in airway relax causing tongue and soft palate to be come displaced What are the risk factors for obstructive sleep apnea Obesity, large neck circumference, narrowed airway, chronic nasal congestion, allergic rhinitis, smoking, diabetes, family history, asthma, non-white, age 50-59, male, recessed lower jaw What defines large neck circumference? Men neck 17in; women neck 16 inches What is the stereotype for obstructive sleep apnea? Obese, middle aged male Obstructive sleep apnea symptoms at night Snoring, restlessness, nocturia, gasping for air, choking, apneic events(minimum of 10sec), sweating Obstructive sleep apnea daytime symptoms Exhaustion, irritability, morning headaches, memory loss, dry mouth Consequences of obstructive sleep apnea Relationship tensions, hypertension, right sided heart failure, pulmonary hypertension, arrhythmias, myocardial infarction, angina, hypoxia, polycythemia vera How does obstructive sleep apnea get diagnosed? Formal sleep study What is the non-surgical treatment of obstructive sleep apnea? Weight loss, avoid alcohol, avoid sedatives, avoid smoking, sleep on side, elevate head of the bed, intra-oral devices, cpap What does a cpap do? Prevents airway collapse by using the continuous pressure