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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Willodean

24 hours ago

I always do bronchodilator first, makes sense!

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Elvis

6 days ago

Wait, I thought it was the other way around?

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Roselle

11 days ago

Totally agree, B is the right choice!

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Cherelle

16 days ago

Bronchodilator first, then glucocorticoid!

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Olive

22 days ago

B is the way to go. Gotta let that albuterol do its thing before the beclomethasone can work its magic.

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Dalene

27 days ago

Haha, imagine if the client just took them randomly. "Eeny, meeny, miny, moe, which one do I blow?"

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Annice

2 months 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

2 months ago

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

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Johna

2 months ago

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

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Francesco

2 months 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

2 months 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

2 months 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

3 months ago

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

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Cordelia

3 months 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

3 months 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

3 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

3 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

3 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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