Asthma By Rnpedia.Com

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1/70 Questions

Asthma is basically:
- An infectious disease
- An autoimmune disease
- An atopic disease
- A malignant disease

About This Quiz

Asthma is a chronic disease that causes a patient to have difficulties in breathing as it narrows the airways in the lung. It is important to ensure you prescribe accurate medication to a patient that coincides with their diagnosis. Take the quiz below to test out what you know about asthma.

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2.

The characteristic feature of persistent asthma is:
- Family history of disease
- Airway inflammation
- Need for oral steroids
- Nocturnal wheezing
Correct Answer

A. Airway inflammation

Explanation

Persistent asthma is characterized by ongoing airway inflammation. This means that the airways in the lungs are constantly inflamed and irritated, leading to symptoms such as coughing, wheezing, and shortness of breath. This inflammation can be triggered by various factors, such as allergens, irritants, or respiratory infections. It is important to manage and treat this inflammation to control asthma symptoms and prevent flare-ups. Family history, need for oral steroids, and nocturnal wheezing can also be associated with asthma, but the characteristic feature is the presence of airway inflammation.

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3.

Simple instrument to roughly determine lung function is a:
- Barometer
- Manometer
- Peak flow meter
- Sphygmomanometer
Correct Answer

A. Peak flow meter

Explanation

A peak flow meter is a simple instrument used to measure lung function. It is a handheld device that measures how fast air can be blown out of the lungs. By monitoring peak flow readings over time, individuals with conditions such as asthma can track changes in their lung function and adjust their treatment accordingly. Unlike a barometer, manometer, or sphygmomanometer, which are used to measure pressure, a peak flow meter specifically measures lung function.

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4.

The following drug cannot cause asthma:
- Beta-blocker
- Histamine
- Ibuprofen
- Atropine
Correct Answer

A. Atropine

Explanation

Atropine is the correct answer because it is an anticholinergic drug that works by blocking the action of acetylcholine in the body. It is commonly used to treat certain heart conditions, dilate the pupils, and reduce saliva production. Unlike beta-blockers, histamine, and ibuprofen, atropine does not have any known association with causing or exacerbating asthma symptoms.

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5.

Which of the following tests cannot detect airway inflammation?
- Bronchial mucosal biopsy
- Sputum eosinophil counts
- Bronchoalveolar lavage
- Spirometry
Correct Answer

A. Spirometry

Explanation

Spirometry is a test that measures lung function by assessing the amount of air a person can inhale and exhale and the speed at which they can do so. While spirometry can detect abnormalities in lung function, it cannot directly detect airway inflammation. Bronchial mucosal biopsy, sputum eosinophil counts, and bronchoalveolar lavage are tests that can directly detect airway inflammation by examining the cells and fluid in the airways.

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6.

The parameter to detect reversibility in airflow obstruction on a spirometry test is:
- FEV1
- FVC
- MVV
- RV
Correct Answer

A. FEV1

Explanation

FEV1 stands for Forced Expiratory Volume in 1 second. It is a parameter used to detect reversibility in airflow obstruction on a spirometry test. This parameter measures the maximum amount of air a person can forcefully exhale in one second. In cases of airflow obstruction, the FEV1 value is reduced. If the FEV1 value significantly improves after the administration of a bronchodilator, it indicates reversibility in the airflow obstruction. Therefore, FEV1 is the correct parameter to detect reversibility in airflow obstruction on a spirometry test.

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7.

The following bronchodilator is most commonly used when doing a reversibility test:
- Salbutamol
- Adrenaline
- Theophylline anhydrous
- Atropine
Correct Answer

A. Salbutamol

Explanation

Salbutamol is the most commonly used bronchodilator for performing a reversibility test. This test is conducted to assess the response of the airways to a bronchodilator medication. Salbutamol is a short-acting beta-agonist that works by relaxing the smooth muscles in the airways, thus opening up the air passages and improving airflow. It is commonly used in conditions such as asthma and chronic obstructive pulmonary disease (COPD). By administering Salbutamol during a reversibility test, healthcare professionals can evaluate the degree of reversibility of airflow obstruction and determine the effectiveness of the medication in improving lung function.

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8.

Bronchoprovocation tests usually use histamine to challenge the airways. Besides histamine, ____________ can also be used:
- Ipratropium bromide
- Adrenocorticotrophic hormone
- Prednisolone
- Metracholine
Correct Answer

A. Metracholine

Explanation

Metracholine can also be used in bronchoprovocation tests to challenge the airways, in addition to histamine.

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9.

In an acute severe attack of asthma, it is important to get a chest x-ray done to rule out:
- A pleural effusion
- A pneunothorax
- Lung malignancy
- COPD
Correct Answer

A. A pneunothorax

Explanation

In an acute severe attack of asthma, it is important to get a chest x-ray done to rule out a pneumothorax. A pneumothorax occurs when air leaks into the space between the lung and the chest wall, causing the lung to collapse partially or completely. This can be a life-threatening condition and may require immediate medical intervention. By getting a chest x-ray, healthcare professionals can assess the condition of the lungs and determine if a pneumothorax is present, allowing them to provide appropriate treatment.

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10.

The following are helpful in determining the severity of an acute attack except:
- Use of accersoy muscles of respiration
- Ability to complete sentences
- Peak expiratory flow rate
- Pedal edema
Correct Answer

A. Pedal edema

Explanation

Pedal edema is not helpful in determining the severity of an acute attack. Pedal edema refers to swelling in the feet and ankles, which is typically caused by fluid retention. While it can be a symptom of certain medical conditions, it is not directly related to the severity of an acute attack. The other options, such as the use of accessory muscles of respiration, ability to complete sentences, and peak expiratory flow rate, are all indicators that can help determine the severity of an acute attack.

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11.

A slightly obese female client with a history of allergy-induced asthma, hypertension, and mitral valve prolapse is admitted to an acute care facility for elective surgery. The nurse obtains a complete history and performs a thorough physical examination, paying special attention to the cardiovascular and respiratory systems. When percussing the client’s chest wall, the nurse expects to elicit:
- Resonant sounds.
- Hyperresonant sounds.
- Dull sounds.
- Flat sounds.
Correct Answer

A. Resonant sounds.

Explanation

When percussing the chest wall, the nurse expects to elicit resonant sounds — low-pitched, hollow sounds heard over normal lung tissue. Hyperresonant sounds indicate increased air in the lungs or pleural space; they’re louder and lower pitched than resonant sounds. Although hyperresonant sounds occur in such disorders as emphysema and pneumothorax, they may be normal in children and very thin adults. Dull sounds, normally heard only over the liver and heart, may occur over dense lung tissue, such as from consolidation or a tumor. Dull sounds are thudlike and of medium pitch. Flat sounds, soft and high-pitched, are heard over airless tissue and can be replicated by percussing the thigh or a bony structure.

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12.

A white female client is admitted to an acute care facility with a diagnosis of cerebrovascular accident (CVA). Her history reveals bronchial asthma, exogenous obesity, and iron deficiency anemia. Which history finding is a risk factor for CVA?
- Caucasian race
- Female sex
- Obesity
- Bronchial asthma
Correct Answer

A. Obesity

Explanation

Obesity is a risk factor for CVA. Other risk factors include a history of ischemic episodes, cardiovascular disease, diabetes mellitus, atherosclerosis of the cranial vessels, hypertension, polycythemia, smoking, hypercholesterolemia, oral contraceptive use, emotional stress, family history of CVA, and advancing age. The client’s race, sex, and bronchial asthma aren’t risk factors for CVA.

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13.

The primary physiological alteration in the development of asthma is:
- Bronchiolar inflammation and dyspnea
- Hypersecretion of abnormally viscous mucus
- Infectious processes causing mucosal edema
- Spasm of bronchiolar smooth muscle
Correct Answer

A. Spasm of bronchiolar smooth muscle

Explanation

Asthma is the presence of bronchiolar spasms. This spasm can be brought on by allergies or anxiety. Answer A is incorrect because the primary physiological alteration is not inflammation. Answer B is incorrect because there is the production of abnormally viscous mucus, not a primary alteration. Answer C is incorrect because infection is not primary to asthma.

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14.

Which finding would alert a nurse that a hospitalized 6-year-old child is at risk for a severe asthma exacerbation?
- Oxygen saturation of 95%
- Mild work of breathing
- Absence of intercostals or substernal retractions
- History of steroid-dependent asthma
Correct Answer

A. History of steroid-dependent asthma

Explanation

A history of steroid-dependent asthma, a contributing factor to this client’s high-risk status, requires the nurse to treat the situation as a severe exacerbation regardless of the severity of the current episode. An oxygen saturation of 95%, mild work of breathing, and absence of intercostals or substernal retractions are all normal findings.

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15.

Which of the following respiratory condition is always considered a medical emergency?
- Laryngeotracheobronchitis (LTB)
- Epiglottitis
- Asthma
- Cystic Fibrosis
Correct Answer

A. Epiglottitis

Explanation

acute and sever inflammation of the epiglottis can cause life threatening airway obstruction, that is why its always treated as a medical emergency. NSG intervention : Prepare tracheostomy set at bed side.
LTB, can also cause airway obstruction but its not an emergency. Asthma is also not an emergency (ung status asthmaticus ang kaylangan ng prompt treatment). CF is a chronic disease, so its not a medical emergency.

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16.

Which of the following statements by the family of a child with asthma indicates a need for additional teaching?
- “We need to identify what things triggers his attacks”
- “He is to use bronchodilator inhaler before steroid inhaler”
- “We’ll make sure he avoids exercise to prevent asthma attacks”
- “he should increase his fluid intake regularly to thin secretions”
Correct Answer

A. “We’ll make sure he avoids exercise to prevent asthma attacks”

Explanation

Asthmatic children don’t have to avoid exercise. They can participate on physical activities as tolerated. Using a bronchodilator before administering steroids is correct because steroids are just anti-inflammatory and they don’t have effects on the dilation of the bronchioles. OF course letters A and B are obviously correct.

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17.

A black male client with asthma seeks emergency care for acute respiratory distress. Because of this client’s dark skin, the nurse should assess for cyanosis by inspecting the:
- Lips.
- Mucous membranes.
- Nail beds.
- Earlobes.
Correct Answer

A. Mucous membranes.

Explanation

Skin color doesn’t affect the mucous membranes. The lips, nail beds, and earlobes are less reliable indicators of cyanosis because they’re affected by skin color.

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18.

Mark, a 7-year-old client is brought to the emergency department. He’s tachypneic and afebrile and has a respiratory rate of 36 breaths/minute and has a nonproductive cough. He recently had a cold. Form this history; the client may have which of the following conditions?
- Acute asthma
- Bronchial pneumonia
- Chronic obstructive pulmonary disease (COPD)
- Emphysema
Correct Answer

A. Acute asthma

Explanation

Based on the client’s history and symptoms, acute asthma is the most likely diagnosis. He’s unlikely to have bronchial pneumonia without a productive cough and fever and he’s too young to have developed (COPD) and emphysema.

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19.

The nurse is caring for Kenneth experiencing an acute asthma attack. The client stops wheezing and breath sounds aren’t audible. The reason for this change is that:
- The attack is over.
- The airways are so swollen that no air cannot get through.
- The swelling has decreased.
- Crackles have replaced wheezes.
Correct Answer

A. The airways are so swollen that no air cannot get through.

Explanation

During an acute attack, wheezing may stop and breath sounds become inaudible because the airways are so swollen that air can’t get through. If the attack is over and swelling has decreased, there would be no more wheezing and less emergent concern. Crackles do not replace wheezes during an acute asthma attack.

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20.

Kennedy with acute asthma showing inspiratory and expiratory wheezes and a decreased forced expiratory volume should be treated with which of the following classes of medication right away?
- Beta-adrenergic blockers
- Bronchodilators
- Inhaled steroids
- Oral steroids
Correct Answer

A. Bronchodilators

Explanation

Bronchodilators are the first line of treatment for asthma because broncho-constriction is the cause of reduced airflow. Beta adrenergic blockers aren’t used to treat asthma and can cause bronchoconstriction. Inhaled oral steroids may be given to reduce the inflammation but aren’t used for emergency relief.

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21.

Carol Smith is using bronchodilators for asthma. The side effects of these drugs that you need to monitor this patient for include:
- Tachycardia, nausea, vomiting, heart palpitations, inability to sleep, restlessness, and seizures.
- Tachycardia, headache, dyspnea, temp . 101 F, and wheezing.
- Blurred vision, tachycardia, hypertension, headache, insomnia, and oliguria.
- Restlessness, insomnia, blurred vision, hypertension, chest pain, and muscle weakness.
Correct Answer

A. Tachycardia, nausea, vomiting, heart palpitations, inability to sleep, restlessness, and seizures.

Explanation

Bronchodilators can produce the side effects listed in answer choice for a short time after the patient begins using them.

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22.

A 19-year-old patient comes to the ED with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should you take first?
- Take a full medical history.
- Give a bronchodilator by nebulizer.
- Apply a cardiac monitor to the patient.
- Provide emotional support for the patient
Correct Answer

A. Give a bronchodilator by nebulizer.

Explanation

The patient having an acute asthma attack needs more oxygen delivered to his lungs and body. Nebulized bronchodilators open airways and increase the amount of oxygen delivered. The patient may not need cardiac monitoring because he’s only 19 years old, unless he has a medical history of cardiac problems.

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23.

Lisa is newly diagnosed with asthma and is being discharged from the hospital after an episode of status asthmaticus. Discharge teaching should include which of the following:
- Limitations in sports that will be imposed by the illness
- Specific instructions on staying cal during an attack
- The relationship of symptoms and a specific trigger such as physical exercise
- Incidence of status asthmaticus in children and teens
Correct Answer

A. The relationship of symptoms and a specific trigger such as physical exercise

Explanation

COPD clients have low oxygen and high carbon dioxide levels. Therefore, hypoxia is the main stimulus for ventilation is persons with chronic hypercapnea. Increasing the level of oxygen would decrease the stimulus to breathe.

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24.

Which contraindication should the nurse assess for prior to giving a child immunization?
- Mild cold symptoms
- Chronic asthma
- Depressed immune system
- Allergy to eggs
Correct Answer

A. Depressed immune system

Explanation

Children who have a depressed immune system related to HIV or chemotherapy should not be given routine immunizations.

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25.

A client with asthma has low pitched wheezes present on the final half of exhalation. One hour later the client has high pitched wheezes extending throughout exhalation. This change in assessment indicates to the nurse that the client
- Has increased airway obstruction
- Has improved airway obstruction
- Needs to be suctioned
- Exhibits hyperventilation
Correct Answer

A. Has increased airway obstruction

Explanation

The higher pitched a sound is, the more narrow the airway. Therefore, the obstruction has increased or worsened. With no evidence of secretions no support exists to indicate the need for suctioning.

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26.

The nurse understands that a good snack for a 2 year old with a diagnosis of acute asthma would be:
- Grapes
- Apple slices
- A glass of milk
- A glass of cola
Correct Answer

A. Apple slices

Explanation

Grapes is inappropriate because of its “skin” that can cause choking. A glass of milk is not a good snack because it’s the most common cause of Iron-deficiency anemia in children (milk contains few iron), A glass of cola is also not appropriate cause it contains complex sugar.

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27.

An 8-year-old boy with asthma is brought to the clinic for check up. The mother asks the nurse if the treatment given to her son is effective. What would be the appropriate response of the nurse?
- I will review first the child’s height on a growth chart to know if the treatment is working
- I will review first the child’s weight on a growth chart to know if the treatment is working
- I will review first the number of prescriptions refills the child has required over the last 6 months to give you an accurate answer
- I will review first the number of times the child has seen the pediatrician during the last 6 months to give you an accurate answer
Correct Answer

A. I will review first the number of prescriptions refills the child has required over the last 6 months to give you an accurate answer

Explanation

Reviewing the number of prescription refills the child has required over the last 6 months would be the best indicator of how well controlled and thus how effective the child’s asthma treatment is. Breakthrough wheezing, shortness of breath, and upper respiratory infections would require that the child take additional medication. This would be reflected in the number of prescription refills.

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28.

A child has been brought to the emergency room with an asthma attack. What signs and symptoms would the nurse expect to see?
- A prolonged inspiratory time and a short expiratory time.
- Frequent productive coughing of clear, frothy, thin mucus progressing to thick, tenacious mucus heard only on auscultation.
- Hypoinflation of the alveoli with resulting poor gas exchange from increasingly shallow inspirations.
- Swelling of the bronchial mucosa, with wheezes starting on expiration and spreading to continuous.
Correct Answer

A. Swelling of the bronchial mucosa, with wheezes starting on expiration and spreading to continuous.

Explanation

Bronchi normally expand and lengthen during inspiration and shorten during expiration. Asthma causes spasm of the smooth muscles in the bronchi and bronchioles, resulting in an even tighter airway on exhalation and prolonged exhalation. Inspirations increase in rate in an effort to relieve hypoxia. At the beginning of the attack, the cough is nonproductive and results from bronchial edema. Then the mucus becomes profuse and rattly, with a cough producing frothy, clear sputum. Gas trapping is the central feature of asthma. It is caused by allowing more air to enter alveoli than can escape from them through the narrowed airways. Gas trapping also causes an increased depth and rate of respirations. The wheeze starts during the expiratory phase because of the extreme narrowing of the bronchus on exhalation. As obstruction increases, wheezes become more high pitched and continuous.

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29.

Which of the following is not considered a COPD related disease?
- Bronchiectasis
- Bronchial asthma
- Bronchitis
- Bronchial hypotension
Correct Answer

A. Bronchial hypotension

Explanation

Bronchial hypotension is not considered a COPD related disease. COPD stands for chronic obstructive pulmonary disease, which is a group of lung diseases that cause airflow obstruction and breathing difficulties. Bronchiectasis, bronchial asthma, and bronchitis are all considered COPD related diseases because they involve inflammation and damage to the airways, leading to breathing problems. However, bronchial hypotension refers to low blood pressure in the bronchial arteries, which is not directly related to COPD.

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30.

In those with asthma, which of the following does not contribute to inspiratory muscle weakness ?
- Increased use of steroid based medication
- Dyspnoea
- Reduced exercise tolerance
- Inflammatory processes
Correct Answer

A. Dyspnoea

Explanation

Dyspnoea, or shortness of breath, is a symptom of asthma rather than a contributor to inspiratory muscle weakness. Increased use of steroid-based medication, reduced exercise tolerance, and inflammatory processes can all contribute to inspiratory muscle weakness in individuals with asthma.

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1
31.

Which is not a potential side effect of bronchodilator drugs ?
- Tremor
- Oral thrush
- Tachycardia
- Anxiety
- Headache
Correct Answer

A. Oral thrush

Explanation

Oral thrush is not a potential side effect of bronchodilator drugs. Bronchodilator drugs are commonly used to treat conditions like asthma and chronic obstructive pulmonary disease (COPD). They work by relaxing the muscles in the airways, allowing easier breathing. Common side effects of bronchodilator drugs include tremor, tachycardia (rapid heart rate), anxiety, and headache. However, oral thrush, which is a fungal infection in the mouth, is not typically associated with the use of bronchodilator drugs.

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1
32.

Asthma is....
- Localized, irreversible dilation of part of the bronchial tree due to destruction of the muscle and elastic tissue
- A persistent cough that produces sputum and mucus for at least 3 months of the year, two years in succession
- A chronic inflammatory disorder of the airways associated with episodes of wheezing, breathlessness, chest tightness and coughing
- Collapse and closure of alveoli resulting in reduced or absent gas exchange affecting all of part of the lung
Correct Answer

A. A chronic inflammatory disorder of the airways associated with episodes of wheezing, breathlessness, chest tightness and coughing

Explanation

The correct answer is a chronic inflammatory disorder of the airways associated with episodes of wheezing, breathlessness, chest tightness, and coughing. This explanation accurately describes asthma, which is characterized by inflammation and narrowing of the airways, leading to symptoms such as wheezing, shortness of breath, chest tightness, and coughing. Asthma is a chronic condition that can be managed with appropriate treatment and lifestyle modifications.

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33.

What of these is not a characteristic of Allergic asthma?
- Starts in childhood or adolescence
- Triggered by specific allergens (ie: dust mites and pollen)
- Presents with bronchoconstriction and inflammation of the airways
- Is a consequence of viral infection
Correct Answer

A. Is a consequence of viral infection

Explanation

Allergic asthma is characterized by its onset in childhood or adolescence, being triggered by specific allergens such as dust mites and pollen, and presenting with bronchoconstriction and inflammation of the airways. However, it is not a consequence of viral infection. Viral infections can exacerbate asthma symptoms, but they are not the underlying cause of allergic asthma.

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34.

Which is not a hallmark feature of asthma?
- Oedema
- Dynamic airway collapse
- Bronchospasm
- Epithelial Damage
Correct Answer

A. Dynamic airway collapse

Explanation

Dynamic airway collapse is not a hallmark feature of asthma. Asthma is characterized by bronchospasm, which is the sudden constriction of the muscles surrounding the airways, leading to difficulty in breathing. It is also associated with epithelial damage, which refers to the inflammation and damage to the lining of the airways. Oedema, which is the swelling of the airway walls, can also occur in asthma. However, dynamic airway collapse, which is the narrowing or collapse of the airways during expiration, is not typically seen in asthma.

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35.

What are the two categories of pharmalogical agents used in the treatment of asthma
- B2 adrenoreceptor antagonists and bronchodilators
- Anti-inflammatory and glucocorticoids
- Inhaled medications and oral medications
- Bronchodilators and anti-inflammatory
Correct Answer

A. Bronchodilators and anti-inflammatory

Explanation

Bronchodilators and anti-inflammatory agents are the two categories of pharmacological agents used in the treatment of asthma. Bronchodilators help to relax and widen the airways, making it easier for the person to breathe. They work by relaxing the muscles around the airways and can be inhaled or taken orally. On the other hand, anti-inflammatory agents help to reduce inflammation and swelling in the airways, which is a common characteristic of asthma. They work by suppressing the immune response and reducing the production of inflammatory substances. Both categories of medications are essential in managing and controlling asthma symptoms.

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36.

Evidence suggests there are 3 crucial factors in the primary prevention of asthma. These include ..
- Avoidance of household pets, obesity and allergen avoidance
- Exposure to environmental tobacco smoke, breast feeding during infancy and allergen avoidance
- Drug therapy with associated disease, avoidance of sedentary behaviour and exposure to environmental tobacco smoke
- Breastfeeding during infancy, residing at least 20 km outside a major city and gaining at least 3 hours of oxygen from outdoors per day
Correct Answer

A. Exposure to environmental tobacco smoke, breast feeding during infancy and allergen avoidance

Explanation

Exposure to environmental tobacco smoke, breast feeding during infancy, and allergen avoidance are identified as crucial factors in the primary prevention of asthma. Environmental tobacco smoke can trigger asthma symptoms and increase the risk of developing asthma. Breastfeeding during infancy has been shown to have a protective effect against asthma development. Allergen avoidance is important as exposure to allergens can trigger asthma attacks in individuals who are already sensitized. By avoiding these three factors, the risk of developing asthma can be reduced.

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37.

The key role of a physiotherapist in treatment of asthma is to ...
- Provide education to the patient about the disease and treatment options
- Administering and educating the patient about airway clearance techniques
- Provide education about exercise and the option of pulmonary rehabilitation classes
- All of the above
- None of the above
Correct Answer

A. All of the above

Explanation

A physiotherapist plays a key role in the treatment of asthma by providing education to the patient about the disease and treatment options. This helps the patient understand their condition better and make informed decisions about their treatment. They also administer and educate the patient about airway clearance techniques, which can help improve breathing and reduce symptoms. Additionally, they provide education about exercise and the option of pulmonary rehabilitation classes, which can improve lung function and overall respiratory health. Therefore, the correct answer is "All of the above."

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1
38.

Asthma has the greatest prevalence in which two populations:
- Males aged 25-44 years & females 10-14 years
- Males aged 15-19 years & females aged 10-14 years
- Males aged 10-14 years & females aged 20-24 years
- Males aged 20-24 years & females aged 25-44 years
Correct Answer

A. Males aged 10-14 years & females aged 20-24 years
39.

A 5 year old AA male comes in with a history of asthma, but currently is not on any medication. In the history, you find out he uses his Albuterol MDI with spacer once every two weeks during the day. He does wake up 2-3 times per week coughing at night. How would you classify his asthma?
- Intermittent
- Mild Persistent
- Moderate Persistent
- Severe Persistent
Correct Answer

A. Moderate Persistent

Explanation

moderate persistent, great than one night per week of symptoms bumps him to Moderate persistent

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40.

Which of the following is NOT a risk factor for the development of asthma?
- Parental history of asthma
- Physician diagnosed atopic dermatitis
- Peripheral eosinophilia and allergic rhinitis
- Wheezing apart from colds and allergic rhinitis
- Recurrent otitis media
Correct Answer

A. Recurrent otitis media

Explanation

Recurrent otitis media is not a risk factor for the development of asthma. Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways. The other options listed, such as parental history of asthma, physician diagnosed atopic dermatitis, peripheral eosinophilia and allergic rhinitis, and wheezing apart from colds and allergic rhinitis, are all known risk factors for the development of asthma. Recurrent otitis media, which refers to frequent ear infections, is not directly associated with the development of asthma.

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41.

True/False: Gastroesophageal reflux should be considered in a patient who has poorly controlled asthma, with a significant nocturnal component.
- True
- False
Correct Answer

A. True

Explanation

A significant correlation between nocturnal asthma and gastroesophageal reflux has been observed. The patient may not complain of epigastric burning or have reflux symptoms. Cough may be the only symptom.

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42.

True/False: If a patient has had coughing or wheezing for over one year, the possiblity of a foreign body is essentially ruled out.
- True
- False
Correct Answer

A. False

Explanation

The acute cough and/or wheeze caused by a foreign body in the lower respiratory tract may diminish over time only to recur later and present as chronic cough and/or persistent wheezing.

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43.

What is asthma?
- Heart failure
- A mild ailment
- An intestinal illness
- A chronic respiratory disease
Correct Answer

A. A chronic respiratory disease

Explanation

Asthma is a chronic respiratory disease characterized by inflammation and narrowing of the airways, leading to symptoms such as wheezing, coughing, and shortness of breath. It is not related to heart failure, intestinal illness, or being a mild ailment.

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44.

If a person suffers from asthma, what are the likely symptoms he/she may have?
- Sore, swollen and sensitive airway linings.
- Weak breathing
- Fast and unsteady pulse
- Cancer in the airway
Correct Answer

A. Sore, swollen and sensitive airway linings.

Explanation

A person suffering from asthma is likely to experience symptoms such as sore, swollen, and sensitive airway linings. This is because asthma is a chronic respiratory condition that causes inflammation and narrowing of the airways, making it difficult to breathe. These symptoms can lead to wheezing, coughing, shortness of breath, and chest tightness. Weak breathing, fast and unsteady pulse, and cancer in the airway are not typical symptoms of asthma.

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45.

Asthma causes the airways to:
- Constrict
- Become imflammed
- Become lined with a large amount of mucus
- All of the above
Correct Answer

A. All of the above

Explanation

Asthma is a respiratory condition that causes the airways to constrict, become inflamed, and produce excessive mucus. Constriction of the airways makes it difficult for air to pass through, leading to symptoms such as wheezing and shortness of breath. Inflammation further narrows the airways and causes swelling, making breathing even more difficult. Excessive production of mucus adds to the obstruction, clogging the airways and making it harder for air to flow. Therefore, all of the given options are correct and contribute to the symptoms experienced by individuals with asthma.

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46.

How can seasonal asthma come about?
- Inhlation or exposure to trees, grasses or flowers releasing pollen into the air.
- Inhalation of tobacco smoke
- Exposure to paint thinners or dust
Correct Answer

A. Inhlation or exposure to trees, grasses or flowers releasing pollen into the air.

Explanation

Seasonal asthma can occur when individuals inhale or are exposed to pollen released by trees, grasses, or flowers in the air. This exposure can trigger an allergic reaction in the respiratory system, leading to symptoms such as coughing, wheezing, and difficulty breathing. Pollen is a common allergen, and during certain times of the year when plants are in bloom, the concentration of pollen in the air increases, causing seasonal asthma symptoms in susceptible individuals.

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47.

What can lead to an asthma attack?
- Airway Obstruction
- Airway Irritability
- Inflammation
- All of the above
Correct Answer

A. All of the above

Explanation

All of the above can lead to an asthma attack. Airway obstruction occurs when the airways become narrowed or blocked, making it difficult for air to flow in and out of the lungs. Airway irritability refers to the sensitivity of the airways to certain triggers, such as allergens or irritants, which can cause them to become inflamed and constricted. Inflammation is a key component of asthma, as it causes the airways to swell and produce excess mucus, further obstructing airflow. Therefore, all these factors can contribute to the development of an asthma attack.

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48.

What should you do when you have an asthma?
- Overuse asthma medication
- Smoke
- To use the medicines as prescribed
- Not control diet
Correct Answer

A. To use the medicines as prescribed

Explanation

When you have asthma, it is important to use the medicines as prescribed. Asthma medications help to control and manage the symptoms of asthma, such as wheezing, coughing, and shortness of breath. By following the prescribed medication regimen, you can effectively prevent and reduce asthma attacks. It is crucial to adhere to the prescribed dosage and frequency to maintain proper control over your asthma and minimize the risk of exacerbations.

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49.

When does nocturnal asthma usually occur?
- Early night
- Near Dawn
- 2am-4am in the middle of the night
- It does not exist
Correct Answer

A. 2am-4am in the middle of the night

Explanation

Nocturnal asthma usually occurs between 2am-4am in the middle of the night. This is because during this time, the body's natural circadian rhythm causes a decrease in lung function and an increase in airway inflammation, leading to asthma symptoms. Additionally, during sleep, the body is in a more relaxed state, making it easier for the airways to become constricted and trigger an asthma attack. Therefore, individuals with asthma are more likely to experience symptoms during this time period.

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Quiz Edited by
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Asthma By Rnpedia.Com

Asthma is basically:

Quiz Preview

The characteristic feature of persistent asthma is:

Simple instrument to roughly determine lung function is a:

The following drug cannot cause asthma:

Which of the following tests cannot detect airway inflammation?

The parameter to detect reversibility in airflow obstruction on a spirometry test is:

The following bronchodilator is most commonly used when doing a reversibility test:

Bronchoprovocation tests usually use histamine to challenge the airways. Besides histamine, ____________ can also be used:

In an acute severe attack of asthma, it is important to get a chest x-ray done to rule out:

The following are helpful in determining the severity of an acute attack except:

A white female client is admitted to an acute care facility with a diagnosis of cerebrovascular accident (CVA). Her history reveals bronchial asthma, exogenous obesity, and iron deficiency anemia. Which history finding is a risk factor for CVA?

The primary physiological alteration in the development of asthma is:

Which finding would alert a nurse that a hospitalized 6-year-old child is at risk for a severe asthma exacerbation?

Which of the following respiratory condition is always considered a medical emergency?

Which of the following statements by the family of a child with asthma indicates a need for additional teaching?

A black male client with asthma seeks emergency care for acute respiratory distress. Because of this client’s dark skin, the nurse should assess for cyanosis by inspecting the:

Mark, a 7-year-old client is brought to the emergency department. He’s tachypneic and afebrile and has a respiratory rate of 36 breaths/minute and has a nonproductive cough. He recently had a cold. Form this history; the client may have which of the following conditions?

The nurse is caring for Kenneth experiencing an acute asthma attack. The client stops wheezing and breath sounds aren’t audible. The reason for this change is that:

Kennedy with acute asthma showing inspiratory and expiratory wheezes and a decreased forced expiratory volume should be treated with which of the following classes of medication right away?

Carol Smith is using bronchodilators for asthma. The side effects of these drugs that you need to monitor this patient for include:

A 19-year-old patient comes to the ED with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should you take first?

Lisa is newly diagnosed with asthma and is being discharged from the hospital after an episode of status asthmaticus. Discharge teaching should include which of the following:

Which contraindication should the nurse assess for prior to giving a child immunization?

A client with asthma has low pitched wheezes present on the final half of exhalation. One hour later the client has high pitched wheezes extending throughout exhalation. This change in assessment indicates to the nurse that the client

The nurse understands that a good snack for a 2 year old with a diagnosis of acute asthma would be:

An 8-year-old boy with asthma is brought to the clinic for check up. The mother asks the nurse if the treatment given to her son is effective. What would be the appropriate response of the nurse?

A child has been brought to the emergency room with an asthma attack. What signs and symptoms would the nurse expect to see?

Which of the following is not considered a COPD related disease?

In those with asthma, which of the following does not contribute to inspiratory muscle weakness ?

Which is not a potential side effect of bronchodilator drugs ?

Asthma is....

What of these is not a characteristic of Allergic asthma?

Which is not a hallmark feature of asthma?

What are the two categories of pharmalogical agents used in the treatment of asthma

Evidence suggests there are 3 crucial factors in the primary prevention of asthma. These include ..

The key role of a physiotherapist in treatment of asthma is to ...

Asthma has the greatest prevalence in which two populations:

A 5 year old AA male comes in with a history of asthma, but currently is not on any medication. In the history, you find out he uses his Albuterol MDI with spacer once every two weeks during the day. He does wake up 2-3 times per week coughing at night. How would you classify his asthma?

Which of the following is NOT a risk factor for the development of asthma?

True/False: Gastroesophageal reflux should be considered in a patient who has poorly controlled asthma, with a significant nocturnal component.

True/False: If a patient has had coughing or wheezing for over one year, the possiblity of a foreign body is essentially ruled out.

What is asthma?

If a person suffers from asthma, what are the likely symptoms he/she may have?

Asthma causes the airways to:

How can seasonal asthma come about?

What can lead to an asthma attack?

What should you do when you have an asthma?

When does nocturnal asthma usually occur?