1. A client is hospitalized with a

1. A client is hospitalized with a severe exacerbation of asthma. The nurse enters the client’s room and observes the client coughing. The nurse positions the client into High-Fowlers. What is the nurse’s next action? A. Auscultate the client’s lungs B. Position the client into Trendelenburg C. Administer oxygen therapy D. Administer a bronchodilator 2. The nurse is preparing to teach a client with asthma about the disease and the use of their steroid medication. Which statement by the client indicates understanding? A. “I will take my steroid before I exercise.” B. “I will take my steroid when I feel bad.” C. “I will take my steroid with breakfast.” D. “I will stop my steroid when the wheezing improves.” 3. The nurse is caring for a client admitted with asthma exacerbation. Which assessment finding is most concerning and the nurse will report to the provider? A. Mucus production and prolonged exhalation B. Bilateral wheezing and cough C. Tachycardia and tachypnea D. Accessory muscle use 4. A nurse is assessing clients at a community health fair. Which of the following factors should the nurse include in the teaching information about risk factors for asthma? A. Family history of asthma B. Regular consumption of sardines C. Office work D. Age less than eighteen 5. A nurse is assessing several patients who have a history of asthma. Which patient is the priority at this time? A. A client who is prescribed a bronchodilator and steroid B. A client who has persistent wheezing after the breathing treatment C. A client who has bilateral wheezing D. A client who has a heart rate of 94 beats per minute 6. The nurse reviews the medication administration record (MAR) for a patient having an acute asthma attack. Which medication should the nurse administer first? A. A bronchodilator B. An intravenous (IV) steroid C. An NSAID D. An antibiotic 8. A nurse is teaching a client diagnosed with chronic obstructive pulmonary disease about how to properly use a metered dose inhaler. Which statement made by the client indicates understanding? A. “I will hold my breath for 10 seconds after inhaling the medication.” B. “I will wait five minutes between the two prescribed puffs.” C. “I will rinse my mouth with mouthwash in between the puffs.” D. “I will exhale after I release the medicine from the inhaler.” 9. A nurse is performing a physical assessment on client who is diagnosed with chronic emphysema. Which assessment findings will the nurse not expect to find? A. An enlarged anteroposterior diameter B. Increased body mass index C. Decreased body mass index D. Shallow respirations 10. A nurse teaches a client how to pursed lip breathe. Which action made by the client is correct? A. Puffing out cheeks when exhaling B. Inhale through the nose and exhale through the mouth as if blowing through a straw. C. Breathes out in short and rhythmic pulses D. Places hands across upper abdomen 11. A nurse is caring for a client who is being discharged from the hospital with home oxygen therapy. Which teaching items will the nurse discuss with the client prior to discharge? A. Apply vaseline to prevent nasal drying B. Remove the oxygen whenever you are in the bathroom C. Avoid all open flames D. Restrict visitors to one hour visits SCIENCE HEALTH SCIENCE NURSING

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