NCLEX CRUSADE ACADEMY TEST - 5 ASTHMA DISEASE

1. Which three pathophysiologic processes make up the asthma attack triad?. Bronchodilation, decreased mucus, decreased inflammation. Bronchoconstriction, airway inflammation, mucus plugging. Pulmonary fibrosis, infection, hemorrhage. Decreased oxygenation, hypertension, tachycardia.

2. Which assessment finding is considered a red flag indicating life threatening asthma?. Mild wheezing. Dry cough. Silent chest with severe distress. Sneezing.

3. Which environmental factor is a common asthma trigger?. High calcium intake. Pollen exposure. Iron supplements. Vitamin C intake.

4. Which medication class is considered first line for acute asthma attacks?. Long acting beta agonists. Leukotriene modifiers. Short acting beta agonists. Theophylline.

5. What is the primary action of albuterol?. Reduce mucus production. Bronchodilation. Reduce inflammation. Decrease respiratory rate.

6. Which medication is commonly used as an inhaled corticosteroid for chronic asthma control?. Fluticasone. Ibuprofen. Aspirin. Amoxicillin.

7. Which instruction should be given after using inhaled corticosteroids?. Drink coffee. Rinse mouth. Lie down. Avoid water.

8. Which medication class should NEVER be used alone for acute asthma attacks?. LABA. SABA. Anticholinergics. Corticosteroids.

9. Leukotriene modifiers such as montelukast primarily affect which organ during toxicity monitoring?. Kidney. Liver. Heart. Pancreas.

10. Which medication has a therapeutic blood level range and toxicity risk in asthma treatment?. Albuterol. Ipratropium. Theophylline. Fluticasone.

11. Which symptom commonly indicates severe asthma exacerbation?. Bradycardia. Accessory muscle use. Slow breathing. Absence of wheezing with normal breathing.

12. In asthma ABG progression, early hyperventilation results in: Respiratory acidosis. Metabolic alkalosis. Respiratory alkalosis. Metabolic acidosis.

13. Later stages of severe asthma may lead to: Low CO2. Respiratory acidosis. Alkalosis. Normal blood gases.

14. What peak flow range indicates stable asthma control?. 80100%. 5080%. 3040%. Below 50%.

15. A peak flow of less than 50% indicates: Stability. Emergency requiring immediate treatment. Maintenance phase. No treatment needed.

16. Status asthmaticus refers to: Mild asthma attack. Asthma unresponsive to standard treatment. Controlled asthma. Seasonal asthma.

17. Which emergency medication may be given IV in severe asthma attacks?. Magnesium sulfate. Calcium chloride. Insulin. Digoxin.

18. Which nursing priority is most important during an acute asthma attack?. Encourage exercise. Administer oxygen. Restrict fluids. Provide sedatives.

19. Which medication class should NOT be given to patients with asthma?. Beta blockers. Antihistamines. Corticosteroids. Bronchodilators.

20. Which patient should the nurse assess FIRST according to NCLEX prioritization?. Stable COPD patient with oxygen saturation 91%. Pneumonia patient waiting for antibiotics. Asthmatic patient reporting shortness of breath after bronchodilator. ICU ventilated patient stable.

21. According to NCLEX prioritization strategy, which finding requires immediate attention?. Chronic symptoms. Stable baseline findings. Unexpected acute symptoms. Scheduled medication administration.

22. When information comes from a nursing assistant regarding patient symptoms, the RN should: Ignore the report. Immediately give medication. Validate and assess first. Call the physician immediately.

23. Which patient should be assigned to a new nurse according to delegation principles?. Ventilated patient. Patient with TB. Patient requiring discharge teaching on incentive spirometer. Post bronchoscopy patient.

24. According to Maslows hierarchy, which patient problem takes priority?. Anxiety. Family concerns. Airway obstruction. Social stress.

25. Which teaching point is essential for asthma prevention?. Avoid allergens and smoke. Increase sodium intake. Avoid exercise completely. Drink caffeinated beverages.