NCLEX-RN Exam - Topic 3 Question 14 Discussion

Actual exam question for NCLEX's NCLEX-RN exam

Question #: 14
Topic #: 3

A client is being discharged with albuterol (Proventil) and beclomethasone dipropionate (Vanceril) to be administered via inhalation three times a day and at bedtime. Client teaching regarding the sequential order in which the drugs should be administered includes:

AGlucocorticoid followed by the bronchodilator

BBronchodilator followed by the glucocorticoid

CAlternate successive administrations

DAccording to the client's preference

Show Suggested Answer

Suggested Answer: B

(A) The client would not receive therapeutic effects of the glucocorticoid when it is inhaled through constricted airways. (B) Bronchodilating the airways first allows for the glucocorticoid to be inhaled through open airways and increases the penetration of the steroid for maximum effectiveness of the drug. (C) Inac- Inaccurate use of the inhalers will lead to decreased effectiveness of the treatment. (D) Client teaching regarding the use and effects of inhalers will promote client understanding and compliance.

by Kerrie at Jan 05, 2026, 05:16 AM

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Annice

3 days ago

I agree with B. It's important to get that bronchodilator in there to make sure the steroid can reach the right spots.

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Ettie

8 days ago

Definitely B. You want to open up those airways first before delivering the steroid.

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Johna

13 days ago

B) Bronchodilator followed by the glucocorticoid is the correct order to administer these medications.

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Francesco

18 days ago

I feel like I’ve seen this in a lecture, and I think the correct answer is B. It seems logical to use the bronchodilator first for better effectiveness.

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Samuel

23 days ago

I’m a bit confused about the order. I thought glucocorticoids were more important, but I guess it makes sense to use the bronchodilator first.

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Cristal

28 days ago

I remember practicing a similar question where we had to prioritize medications, and I think the bronchodilator opens the airways for better absorption of the glucocorticoid.

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Dortha

1 month ago

I think the bronchodilator should come first, but I'm not completely sure why that is.

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Cordelia

1 month ago

B seems like the safest option. You want to get the bronchodilator in first to clear the way, and then the glucocorticoid can do its job. I feel pretty good about selecting B for this question.

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Marilynn

1 month ago

I'm leaning towards B as well. The client needs to take the bronchodilator first to prepare the airways, and then the glucocorticoid can work more effectively. Seems like the logical sequence.

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Altha

2 months ago

Okay, let me walk through this step-by-step. The bronchodilator helps relax and open the airways, so that makes sense to take it first. Then the glucocorticoid can get better absorption. I'll go with B.

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Candra

2 months ago

Hmm, I'm not sure about this one. I know the order of administration is important, but I'm not confident which one is right. I'll have to think it through carefully.

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Lorrine

2 months ago

I think the correct answer is B. The bronchodilator should be administered first to open up the airways, and then the glucocorticoid can be more effectively delivered.

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