Asthma By Rnpedia.Com

70 Questions | Total Attempts: 513

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Asthma By Rnpedia.Com

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.


Questions and Answers
  • 1. 
     Asthma is basically:  
    • A. 

      An infectious disease

    • B. 

      An autoimmune disease

    • C. 

      An atopic disease

    • D. 

      A malignant disease

  • 2. 
    The characteristic feature of persistent asthma is:  
    • A. 

      Family history of disease

    • B. 

      Airway inflammation

    • C. 

      Need for oral steroids

    • D. 

      Nocturnal wheezing

  • 3. 
    Simple instrument to roughly determine lung function is a:  
    • A. 

      Barometer

    • B. 

      Manometer

    • C. 

      Peak flow meter

    • D. 

      Sphygmomanometer

  • 4. 
     The following drug cannot cause asthma:  
    • A. 

      Beta-blocker

    • B. 

      Histamine

    • C. 

      Ibuprofen

    • D. 

      Atropine

  • 5. 
    Which of the following tests cannot detect airway inflammation?   
    • A. 

      Bronchial mucosal biopsy

    • B. 

      Sputum eosinophil counts

    • C. 

      Bronchoalveolar lavage

    • D. 

      Spirometry

  • 6. 
    The parameter to detect reversibility in airflow obstruction on a spirometry test is:  
    • A. 

      FEV1

    • B. 

      FVC

    • C. 

      MVV

    • D. 

      RV

  • 7. 
    The following bronchodilator is most commonly used when doing a reversibility test:  
    • A. 

      Salbutamol

    • B. 

      Adrenaline

    • C. 

      Theophylline anhydrous

    • D. 

      Atropine

  • 8. 
     Bronchoprovocation tests usually use histamine to challenge the airways. Besides histamine, ____________ can also be used:   
    • A. 

      Ipratropium bromide

    • B. 

      Adrenocorticotrophic hormone

    • C. 

      Prednisolone

    • D. 

      Metracholine

  • 9. 
    In an acute severe attack of asthma, it is important to get a chest x-ray done to rule out: 
    • A. 

      A pleural effusion

    • B. 

      A pneunothorax

    • C. 

      Lung malignancy

    • D. 

      COPD

  • 10. 
    The following are helpful in determining the severity of an acute attack except:  
    • A. 

      Use of accersoy muscles of respiration

    • B. 

      Ability to complete sentences

    • C. 

      Peak expiratory flow rate

    • D. 

      Pedal edema

  • 11. 
    • A. 

      Resonant sounds.

    • B. 

      Hyperresonant sounds.

    • C. 

      Dull sounds.

    • D. 

      Flat sounds.

  • 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?  
    • A. 

      Caucasian race

    • B. 

      Female sex

    • C. 

      Obesity

    • D. 

      Bronchial asthma

  • 13. 
    The primary physiological alteration in the development of asthma is:   
    • A. 

      Bronchiolar inflammation and dyspnea

    • B. 

      Hypersecretion of abnormally viscous mucus

    • C. 

      Infectious processes causing mucosal edema

    • D. 

      Spasm of bronchiolar smooth muscle

  • 14. 
    Which finding would alert a nurse that a hospitalized 6-year-old child is at risk for a severe asthma exacerbation?  
    • A. 

      Oxygen saturation of 95%

    • B. 

      Mild work of breathing

    • C. 

      Absence of intercostals or substernal retractions

    • D. 

      History of steroid-dependent asthma

  • 15. 
    Which of the following respiratory condition is always considered a medical emergency?
    • A. 

      Laryngeotracheobronchitis (LTB)

    • B. 

      Epiglottitis

    • C. 

      Asthma

    • D. 

      Cystic Fibrosis

  • 16. 
    Which of the following statements by the family of a child with asthma indicates a need for additional teaching?  
    • A. 

      “We need to identify what things triggers his attacks”

    • B. 

      “He is to use bronchodilator inhaler before steroid inhaler”

    • C. 

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

    • D. 

      “he should increase his fluid intake regularly to thin secretions”

  • 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:  
    • A. 

      Lips.

    • B. 

      Mucous membranes.

    • C. 

      Nail beds.

    • D. 

      Earlobes.

  • 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?    
    • A. 

      Acute asthma

    • B. 

      Bronchial pneumonia

    • C. 

      Chronic obstructive pulmonary disease (COPD)

    • D. 

      Emphysema

  • 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:  
    • A. 

      The attack is over.

    • B. 

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

    • C. 

      The swelling has decreased.

    • D. 

      Crackles have replaced wheezes.

  • 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?    
    • A. 

      Beta-adrenergic blockers

    • B. 

      Bronchodilators

    • C. 

      Inhaled steroids

    • D. 

      Oral steroids

  • 21. 
    Carol Smith is using bronchodilators for asthma. The side effects of these drugs that you need to monitor this patient for include:     
    • A. 

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

    • B. 

      Tachycardia, headache, dyspnea, temp . 101 F, and wheezing.

    • C. 

      Blurred vision, tachycardia, hypertension, headache, insomnia, and oliguria.

    • D. 

      Restlessness, insomnia, blurred vision, hypertension, chest pain, and muscle weakness.

  • 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? 
    • A. 

      Take a full medical history.

    • B. 

      Give a bronchodilator by nebulizer.

    • C. 

      Apply a cardiac monitor to the patient.

    • D. 

      Provide emotional support for the patient

  • 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:   
    • A. 

      Limitations in sports that will be imposed by the illness

    • B. 

      Specific instructions on staying cal during an attack

    • C. 

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

    • D. 

      Incidence of status asthmaticus in children and teens

  • 24. 
    Which contraindication should the nurse assess for prior to giving a child immunization?     
    • A. 

      Mild cold symptoms

    • B. 

      Chronic asthma

    • C. 

      Depressed immune system

    • D. 

      Allergy to eggs

  • 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   
    • A. 

      Has increased airway obstruction

    • B. 

      Has improved airway obstruction

    • C. 

      Needs to be suctioned

    • D. 

      Exhibits hyperventilation