NR 324 ADULT HEALTH 1 ACTUAL TEST
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
● The client is transferred from an assisted living facility to the
emergency department due to shortness of breath. The client has had
episodes of respiratory distress for the past 2 days. The healthcare
provider orders albuterol 2.5 mg via nebulization three times a day and
prednisone 30 mg orally daily for 14 days. What are the appropriate
nursing actions when administering these medications? Select all that
apply.
Assess respiratory rate and oxygen saturation.
Administer prednisone first, then albuterol.
Administer albuterol first, then prednisone.
Assess lung sounds before and after medication administration.
Administer oxygen with the nebulizer. Answer: Assess respiratory rate
and oxygen saturation.
Administer albuterol first, then prednisone.
Assess lung sounds before and after medication administration.
Assessing the client by listening to lung sounds before and after the
medication administration and assessing the respiratory rate and oxygen
saturation are vital to being able to evaluate the effects of the
,medication. Albuterol will help the immediate symptoms, while
prednisone will take time to reduce inflammation, so albuterol should be
administered first.
Oxygen is not needed to administer nebulizer therapy and may or may
not be administered depending upon prescriptions.
● The nurse is caring for a client 2 hours after a bronchoscopy. Which
finding should be reported immediately to the healthcare provider?
Select that all apply.
Dyspnea
Absent gag reflex
Blood-streaked sputum
Respiratory distress
Dry cough Answer: Dyspnea
Absent gag reflex
Respiratory distress
The nurse caring for a client two hours post-bronchoscopy should notify
the healthcare provider if the client is experiencing dyspnea, respiratory
distress, or has an absent gag reflex. A dry cough and blood-streaked
sputum are expected findings following a bronchoscopy.
, ● After receiving a report from the morning shift, the nurse visits each of
their clients in the rehabilitation center. Which finding is the highest
priority and needs to be addressed first?
Respiratory rate increased to 30 in a client with a tracheostomy
Oxygen disconnected with a client oxygen saturation of 92%
An unsecured intravenous line
Routine morning medications that were not administered Answer:
Respiratory rate increased to 30 in a client with a tracheostomy.
The highest priority is always anything that directly impacts ventilation
or the airway. In this case, the increased respiratory rate in a client with a
compromised airway is the highest priority.
● A client is admitted to the emergency department due to episodes of
shortness of breath and inability to walk due to edema in the lower
extremities. The client's spouse verbalizes that this has been happening
for the past 2 weeks. Upon assessment, the client is pale, diaphoretic,
and confused. The client has diabetes mellitus type I, emphysema, and
was admitted to the hospital last month due to pneumonia.
What would give the nurse the most accurate information about an
alteration in gas exchange?
Arterial blood gas
Venous blood gas
Oxygen saturation
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
● The client is transferred from an assisted living facility to the
emergency department due to shortness of breath. The client has had
episodes of respiratory distress for the past 2 days. The healthcare
provider orders albuterol 2.5 mg via nebulization three times a day and
prednisone 30 mg orally daily for 14 days. What are the appropriate
nursing actions when administering these medications? Select all that
apply.
Assess respiratory rate and oxygen saturation.
Administer prednisone first, then albuterol.
Administer albuterol first, then prednisone.
Assess lung sounds before and after medication administration.
Administer oxygen with the nebulizer. Answer: Assess respiratory rate
and oxygen saturation.
Administer albuterol first, then prednisone.
Assess lung sounds before and after medication administration.
Assessing the client by listening to lung sounds before and after the
medication administration and assessing the respiratory rate and oxygen
saturation are vital to being able to evaluate the effects of the
,medication. Albuterol will help the immediate symptoms, while
prednisone will take time to reduce inflammation, so albuterol should be
administered first.
Oxygen is not needed to administer nebulizer therapy and may or may
not be administered depending upon prescriptions.
● The nurse is caring for a client 2 hours after a bronchoscopy. Which
finding should be reported immediately to the healthcare provider?
Select that all apply.
Dyspnea
Absent gag reflex
Blood-streaked sputum
Respiratory distress
Dry cough Answer: Dyspnea
Absent gag reflex
Respiratory distress
The nurse caring for a client two hours post-bronchoscopy should notify
the healthcare provider if the client is experiencing dyspnea, respiratory
distress, or has an absent gag reflex. A dry cough and blood-streaked
sputum are expected findings following a bronchoscopy.
, ● After receiving a report from the morning shift, the nurse visits each of
their clients in the rehabilitation center. Which finding is the highest
priority and needs to be addressed first?
Respiratory rate increased to 30 in a client with a tracheostomy
Oxygen disconnected with a client oxygen saturation of 92%
An unsecured intravenous line
Routine morning medications that were not administered Answer:
Respiratory rate increased to 30 in a client with a tracheostomy.
The highest priority is always anything that directly impacts ventilation
or the airway. In this case, the increased respiratory rate in a client with a
compromised airway is the highest priority.
● A client is admitted to the emergency department due to episodes of
shortness of breath and inability to walk due to edema in the lower
extremities. The client's spouse verbalizes that this has been happening
for the past 2 weeks. Upon assessment, the client is pale, diaphoretic,
and confused. The client has diabetes mellitus type I, emphysema, and
was admitted to the hospital last month due to pneumonia.
What would give the nurse the most accurate information about an
alteration in gas exchange?
Arterial blood gas
Venous blood gas
Oxygen saturation
