1
Which medication provides rapid bronchodilation?
A. Budesonide
B. Montelukast
C. Albuterol
D. Prednisone
Answer: C
Rationale: SABAs provide immediate bronchodilation.
Leukotriene receptor antagonists are used for:
A. Acute asthma attack
B. Long-term control
C. Immediate bronchodilation
D. Mucus breakdown
Answer: B
Rationale: They prevent inflammation but act slowly.
Which is priority in acute asthma exacerbation?
A. Antibiotics
B. Corticosteroids first
C. Bronchodilator and oxygen
D. Antihistamines
Answer: C
Rationale: Airway and oxygenation come first.
Inhaled corticosteroid (ICS) medications are used to:
A. Stop acute attacks
B. Reduce inflammation long term
C. Treat infection
D. Improve mucus clearance
Answer: B
Rationale: ICS are controller medications.
Which finding indicates ICS effectiveness?
A. Immediate relief
B. Reduced exacerbations over time
C. Decreased HR
D. Increased mucus
Answer: B
Rationale: ICS prevent inflammation and flare-ups.
A spacer device improves inhaler therapy by:
A. Increasing dose
B. Improving medication delivery
C. Preventing tachycardia
D. Reducing inflammation
Answer: B
Rationale: Spacers enhance full recieval of medication, less is lost/wasted.
A nurse should instruct a patient using an ICS to:
A. Drink milk after use
B. Rinse mouth after inhalation
C. Take with food
D. Lie down afterward
Answer: B
Rationale: Prevent oral candidiasis.
A patient reports oral white patches while using inhaled steroids. The nurse suspects:
A. Pneumonia
B. Thrush
C. Leukoplakia
D. Stomatitis
Answer: B
Rationale: ICS increase risk of candidiasis. They suppress local immune system response,increasing susceptability to infection.
Which is a common side effect of beta-2 agonists?
A. Bradycardia
B. Tachycardia
C. Constipation
D. Sedation
Answer: B
Rationale: Beta stimulation can cause tachycardia
Which symptom suggests asthma is poorly controlled?
A. Rescue inhaler once weekly
B. Daily rescue inhaler use
C. Occasional wheezing
D. Night cough once monthly
Answer: B
Rationale: Frequent SABA use indicates poor control. Ideally you don't want to be "rescued" everyday.
Priority assessment after giving albuterol:
A. Urine output
B. Heart rate
C. Temperature
D. Pain score
Answer: B
Rationale: Tachycardia is a known side effect.
Bronchodilators primarily affect:
A. Mucus viscosity
B. Smooth muscle relaxation
C. Histamine release
D. Capillary permeability
Answer: B
Rationale: They relax bronchial smooth muscle.