01
True or false
1 point
True or false: In asthma, salmeterol may be used alone as maintenance treatment because it is not a rescue medicine.
Free Practice Quiz Question List
6 Integrated Respiratory Medication Practice Online Quiz Questions
Use this free practice quiz with 20 questions to review 6 Integrated Respiratory Medication Practice, test your knowledge, and prepare for your next test or exam.
20 questions
02
Choose one
1 point
A patient with asthma uses albuterol several times most days and wakes at night coughing. What is the best interpretation of these symptoms?
- A
The patient’s asthma is controlled; continue the current pattern of albuterol use.
- B
The symptoms suggest poor asthma control and a need for clinical reassessment.
- C
The patient should use salmeterol for sudden symptoms instead of albuterol.
- D
The patient should stop all controller medicines until symptoms improve.
03
Fill in the blank
1 point
After each inhaled corticosteroid dose, rinse the mouth with water and .
04
Written response
1 point
An older adult with difficulty urinating is prescribed ipratropium in addition to a LAMA. What urinary problem should the care team assess for worsening?
05
Choose one
1 point
A patient with narrow-angle glaucoma is learning to use an ipratropium inhaler. Which practical precaution should be taught?
- A
Direct the mist toward the eyes so it is not inhaled too deeply.
- B
Use the inhaler more frequently whenever urinary symptoms occur.
- C
Use the device as directed and avoid spraying mist into the eyes.
- D
Stop the LAMA whenever ipratropium is used, without consulting the prescriber.
06
True or false
1 point
True or false: If a teenager taking montelukast suddenly wheezes, the family should give an extra montelukast dose to treat the episode.
- A
True
- B
False
07
Written response
1 point
A teenager taking montelukast reports new thoughts of self-harm. What kind of assessment is needed to evaluate immediate risk?
08
Choose one
1 point
During nebulized acetylcysteine treatment, a patient develops worsening wheeze and increased work of breathing. What is the best immediate response?
- A
Continue the treatment until the secretions are fully loosened.
- B
Stop the treatment, assess the patient, and respond to the bronchospasm according to severity.
- C
Give an extra acetylcysteine dose to clear the airways faster.
- D
Wait until the next scheduled visit before reassessing the breathing.
09
Fill in the blank
1 point
As acetylcysteine loosens mucus, the volume of secretions may . If the patient has a weak or ineffective cough, may be needed when clinically indicated.
10
Choose one
1 point
A patient being treated for a COPD exacerbation develops worsening respiratory distress. What should the care team do?
- A
Wait for the next routine appointment if the patient has already received a bronchodilator.
- B
Stop monitoring once the wheezing has been treated.
- C
Urgently escalate care if respiratory distress worsens.
- D
Give an extra dose of any maintenance medicine without consulting the clinician.
11
Choose all
1 point
Which bronchodilator approaches are commonly used initially for an acute COPD exacerbation? Select all that apply.
- A
A short-acting inhaled beta₂-agonist.
- B
A short-acting anticholinergic used with the beta₂-agonist when appropriate.
- C
A long-acting beta₂-agonist as the only initial treatment.
- D
An inhaled corticosteroid as the only acute bronchodilator.
12
Choose all
1 point
A patient with a significant COPD exacerbation receives short-acting bronchodilators and a brief systemic corticosteroid course. Which changes or effects are appropriate to monitor? Select all that apply.
- A
Breathing, oxygenation, and response to treatment.
- B
Heart rate and tremor during short-acting beta₂-agonist treatment.
- C
Hair color changes after each bronchodilator dose.
- D
Blood glucose, mood or sleep changes, and infection risk when systemic corticosteroids are used.
13
Choose one
1 point
Before a clinician changes treatment for a patient with frequent asthma symptoms, which review best supports a safe, informed decision?
- A
Review only the number of inhalers the patient owns.
- B
Change treatment without checking how the patient uses the inhaler.
- C
Review the diagnosis, symptom and exacerbation history, adherence, inhaler technique, triggers, and written action plan.
- D
Focus only on whether the patient prefers a different inhaler color.
14
Open ended
1 point
A patient with COPD has repeated exacerbations despite long-acting bronchodilator therapy and is worried about thrush and pneumonia. Explain how the care team should decide whether to use an ICS-containing regimen and what safety counseling and follow-up should be included.
15
True or false
1 point
True or false: A patient with asthma can use salmeterol alone as maintenance treatment without an inhaled corticosteroid (ICS).
- A
True
- B
False
16
Written response
1 point
After using an ICS inhaler, a patient rinses their mouth with water. What should they do with the rinse rather than swallowing it?
17
Choose one
1 point
An older adult with narrow-angle glaucoma and difficulty urinating is prescribed ipratropium in addition to a LAMA. Which precaution is most appropriate?
- A
Direct the mist toward the eyes so the inhaler is easier to aim, and report only persistent urinary symptoms.
- B
Avoid directing the mist into the eyes, and seek prompt medical advice for new eye pain or sudden vision changes.
- C
Use the inhaler only when urinary symptoms occur, because this prevents eye effects.
- D
Stop all maintenance inhalers if any eye symptom occurs, without contacting the prescriber.
18
Choose one
1 point
A teenager taking montelukast develops vivid nightmares and thoughts of self-harm. What is the safest response?
- A
Continue montelukast unchanged and wait several weeks to see whether the symptoms resolve.
- B
Give an extra montelukast dose at bedtime to prevent the nightmares.
- C
Stop montelukast and promptly contact a health professional; seek emergency help if there is immediate danger.
- D
Replace montelukast with an over-the-counter sleep aid without consulting a health professional.
19
Written response
1 point
A clinician prescribes a short course of systemic corticosteroid for a COPD exacerbation. Which metabolic parameter may need monitoring?
20
Choose one
1 point
During nebulized acetylcysteine treatment, a patient develops worsening wheeze and increased work of breathing. What is the most appropriate immediate response?
- A
Stop the treatment, assess the worsening bronchospasm, and provide appropriate prescribed treatment or escalation.
- B
Continue the treatment at the same rate because wheezing is expected whenever mucus loosens.
- C
Give another dose of acetylcysteine before assessing the patient's breathing.
- D
Ask the patient to cough and defer assessment unless symptoms continue after the treatment ends.
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