EAQ Exam 3 UPDATED Actual Exam Questions and CORRECT Answers
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EAQ Exam 3 UPDATED Actual Exam
Questions and CORRECT Answers
Which time is best to obtain peak flow readings?
Five minutes after meals
Between noon and 2:00 p.m.
Early in the morning on an empty stomach
Two hours after inhaling a short-acting β 2 agonist - CORRECT ANSWER - Between
noon an...
EAQ Exam 3 UPDATED Actual Exam
Questions and CORRECT Answers
Which time is best to obtain peak flow readings?
Five minutes after meals
Between noon and 2:00 p.m.
Early in the morning on an empty stomach
Two hours after inhaling a short-acting β 2 agonist - CORRECT ANSWER✔✔ - Between
noon and 2:00 p.m.
The peak flow readings should be taken between noon and 2:00 p.m. because the peak flow is
highest during this period. The patient may feel nauseous if the peak flow readings are taken
five minutes after meals. The peak flow readings are not at a high level early in the morning.
Since the peak effect of the short-acting β 2agonists occurs in about 20 minutes, peak flows
would be measured about 20 minutes after administration of the medication.
To prevent respiratory complications of chronic obstructive pulmonary disease, which
vaccines will the nurse plan to administer? Select all that apply.
The pneumococcal and influenza vaccines are important for patients with a history of heart or
lung disease to prevent viral and bacterial pneumonia. Tetanus vaccine may be needed if there
is possible exposure to Clostridium tetani but will not protect against respiratory infection.
Herpes zoster immunization will protect from shingles but will not prevent respiratory
infections. BCG is used to protect against tuberculosis in some countries but not in the United
States.
Which factors are possible triggers for asthma exacerbations? Select all that apply.
Aspirin and other nonsteroidal antiinflammatory drugs (NSAIDS), perfumes, animal dander,
and GERD are all possible triggers for acute asthma exacerbations. Humidity is not an
asthma trigger.
Which action by a patient indicates a good understanding of the best way to determine if the
prescribed metered-dose inhaler (MDI) canister is empty?
Placing it in water to see if it floats
Keeping track of the number of inhalations used
Shaking the canister while holding it next to the ear
Checking the indicator line on the side of the canister - CORRECT ANSWER✔✔ - Keeping
track of the number of inhalations used
The best method to determine when to replace an MDI for a regularly scheduled medication
is by knowing the maximum puffs available per MDI and then replacing it when those
inhalations have been used (100 puffs/2 puffs each day = 50 days). For rescue MDI inhalers
which are used only PRN, the patient will need to keep track of the doses used. Although
floating the canister in water was previously recommended, this method may lead to water
leaking into the MDI and is not recommended now. Shaking the canister is inaccurate, as the
patient may not hear anything even if the MDI is not empty. MDIs do not have an indicator
line on the canister and most do not have a counter.
,Which instruction will the nurse include when teaching a patient to use a hand-held
nebulizer?
Sit in an upright position during the treatment.
Take short, shallow breaths while inhaling the medication.
Rinse the nebulizer equipment under running water once a week.
During the treatment, breathe in and hold the breath for 10 seconds. - CORRECT
ANSWER✔✔ - Sit in an upright position during the treatment.
The patient is placed in an upright position that allows for most efficient breathing to ensure
adequate penetration and deposition of the aerosolized medication. Deep and slow breaths
help ensure deposition of the medication throughout the lung. To reduce bacterial growth, the
patient is asked to wash the nebulizer equipment daily in soap and water, rinse it with water,
and soak it for 20 to 30 minutes in a 1:1 white vinegar-water solution, followed by a water
rinse and air drying. The patient is taught to hold the breath for two to three seconds during
nebulizer treatments.
Which information will the nurse include when educating a patient with asthma about use of
a peak flow meter?
"The peak flow meter should be used weekly."
"The peak flow meter reduces asthma attacks."
"You will need to measure peak flows soon after arising in the morning"
"You should find your personal best peak flow reading for comparison." - CORRECT
ANSWER✔✔ - "You should find your personal best peak flow reading for comparison."
It is important that the patient initially determine the personal best readings when first using a
peak flow meter to evaluate for decreasing airway function. It should be used at least twice a
day for the first two weeks to determine the patient's personal best, which will be used to
monitor airway constriction. After the personal best peak flow is determined, daily peak flow
readings are recommended. The peak flow meter does not reduce asthma attacks; it helps
monitor symptoms of asthma. Peak flows are ideally measured between 12 noon and 2:00
p.m. because peak flows are highest in the early afternoon.
When a patient is experiencing an acute asthma attack, how will the nurse position the
patient?
The goal for positioning during an asthma attack is to maximize the patient's ability to inhale
and exhale deep breaths, and the semi-to-high-Fowler's position will allow optimal chest
expansion. When the patient is supine, the abdomen can push up against the chest and it is
more difficult to fully expand the chest. The abdomen will place pressure against the chest in
the lithotomy position, making it more difficult to fully expand the lungs. While a reverse
Trendelenburg position will decrease abdominal pressure on the chest, a more upright
position is better for chest expansion.
Which response by the nurse is best when a patient with asthma asks "How will I know when
my metered-dose inhaler (MDI) is empty?"
"The canister will float in water."
"There will be no sound when shaking the canister."
"Your wheezing will not improve despite inhaler use."
"You need to keep track of how many puffs you have used." - CORRECT ANSWER✔✔ -
"You need to keep track of how many puffs you have used."
The MDI canister will state how many total doses are available, and the patient will need to
track how many doses are used to avoid running out of medication. Floating the canister in
water was recommended in the past, but is no longer recommended because water can enter
the chamber. The canister may or may not produce a sound when shaking. It is not safe for
the patient to wait for wheezing to worsen before getting a new inhaler.
Which assessment finding by the nurse indicates a common adverse effect of a patient's
prescribed albuterol inhaler?
Diarrhea
Headache
Tachycardia
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