NU661 FINAL EXAM REVIEW (REGIS) NEWEST 2026 ACTUAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
You are nurse discharging patient with newly diagnosed asthma. The HCP has
prescribed Albuterol 2 puffs 2x/day via MDI and Beclomethasone 2 puffs 2x/day
via MDI. How would you instruct the patient to take these medications?
A. Take medications 1hr apart 2x/day
B. Take albuterol first and follow by the beclomethasone
C. Take albuterol on awakening and alternate medications every 4 hours
D. Take beclomethasone inhaler and follow with the albuterol - CORRECT
ANSWER ✔✔- Albuterol - Beta 2 agonist - rescue inhaler - quick remedy
Beclomethasone - steroid inhaler (corticosteroid) - anti inflammatory
Necessary to open airways first in order to receive proper inhalation treatment of
steroid to alleviate inflammation. Treating with albuterol without treating
inflammation can cause remodeling inside lungs (d/t constant inflammation)
The nurse should teach the patient with asthma to avoid which of most common
precipitating factors of an acute asthma attack?
A. Occupational exposure to toxins
,B. Valsalva maneuver
C. Exposure to cigarette smoke
D. Exercising in cold temperatures - CORRECT ANSWER ✔✔- C. Exposure to
cigarette smoke
While some asthmatics are triggered by exercising in cold temperatures, it is not
most common precipitating factor.
Only some people work in environment with toxin exposure
Your 75yo patient with newly diagnosed adult onset asthma is being discharged.
Which other members of the health care team would you involve in discharge
planning? (SATA)
a. Pharmacist
b. Care coordination nurse
c. Respiratory therapist
d. Speech therapist
e. Physical therapist - CORRECT ANSWER ✔✔- a, b, c
,a. Pharmacist
b. Care coordination nurse
c. Respiratory therapist
COPD: Generally refers to emphysema and chronic bronchitis, both of which
obstruct airflow resulting in difficult expiration --> can lead to respiratory failure
and respiratory acidosis. Number one risk factor for both is smoking either direct
or secondhand
Emphysema
Chronic Bronchitis - CORRECT ANSWER ✔✔- Emphysema:
Abnormal and permanent enlargement of acini and destruction of alveolar walls.
The obstruction is caused by tissue changes NOT by excess mucous production.
Tripod position, barrel chest - >AP/Lateral diameter with decreased chest
expansion, crackles, wheezing, hyperresonnance, clubbing of fingers, DOE,
prolonged expiration, tachypnea
"Pink puffer"
Difficulty with lung elastic recoil, pursed lip breathing
Accessory muscle use, anorexia/weight loss
Chronic Bronchitis:
, Chronic inflammation and hypersecretion of mucous in the bronchi and a chronic
cough. The excess mucus and chronic inflammation can lead to infections. There
is impaired function of the cilia which help clear the mucus
"Blue bloater"
Accessory muscle use, tick copious mucus production, cyanosis, DOE, malaise,
weight gain, tachypnea
Treatment COPD:
Nursing care: - CORRECT ANSWER ✔✔- Avoid tobacco smoke
Bronchodilators, antibiotics, vaccines (flu, pneumonia), mucolytics
Adequate hydration
Chest physiotherapy
Cautious use of O2 therapy (low O2 and high CO2 levels is what drives COPD
patients to breath)
Incentive spirometry, deep breathing, teach pursed lip breathing
CPT and postural drainage
High calorie, small, frequent meals to conserve energy
Alternate rest and activity periods
Teach use of MDI
Your patient with COPD is experiencing dyspnea and has low PaO2 level. Your
plan is to administer O2 s prescribed. Which statement is true concerning oxygen
administration to a patient with COPD?
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
You are nurse discharging patient with newly diagnosed asthma. The HCP has
prescribed Albuterol 2 puffs 2x/day via MDI and Beclomethasone 2 puffs 2x/day
via MDI. How would you instruct the patient to take these medications?
A. Take medications 1hr apart 2x/day
B. Take albuterol first and follow by the beclomethasone
C. Take albuterol on awakening and alternate medications every 4 hours
D. Take beclomethasone inhaler and follow with the albuterol - CORRECT
ANSWER ✔✔- Albuterol - Beta 2 agonist - rescue inhaler - quick remedy
Beclomethasone - steroid inhaler (corticosteroid) - anti inflammatory
Necessary to open airways first in order to receive proper inhalation treatment of
steroid to alleviate inflammation. Treating with albuterol without treating
inflammation can cause remodeling inside lungs (d/t constant inflammation)
The nurse should teach the patient with asthma to avoid which of most common
precipitating factors of an acute asthma attack?
A. Occupational exposure to toxins
,B. Valsalva maneuver
C. Exposure to cigarette smoke
D. Exercising in cold temperatures - CORRECT ANSWER ✔✔- C. Exposure to
cigarette smoke
While some asthmatics are triggered by exercising in cold temperatures, it is not
most common precipitating factor.
Only some people work in environment with toxin exposure
Your 75yo patient with newly diagnosed adult onset asthma is being discharged.
Which other members of the health care team would you involve in discharge
planning? (SATA)
a. Pharmacist
b. Care coordination nurse
c. Respiratory therapist
d. Speech therapist
e. Physical therapist - CORRECT ANSWER ✔✔- a, b, c
,a. Pharmacist
b. Care coordination nurse
c. Respiratory therapist
COPD: Generally refers to emphysema and chronic bronchitis, both of which
obstruct airflow resulting in difficult expiration --> can lead to respiratory failure
and respiratory acidosis. Number one risk factor for both is smoking either direct
or secondhand
Emphysema
Chronic Bronchitis - CORRECT ANSWER ✔✔- Emphysema:
Abnormal and permanent enlargement of acini and destruction of alveolar walls.
The obstruction is caused by tissue changes NOT by excess mucous production.
Tripod position, barrel chest - >AP/Lateral diameter with decreased chest
expansion, crackles, wheezing, hyperresonnance, clubbing of fingers, DOE,
prolonged expiration, tachypnea
"Pink puffer"
Difficulty with lung elastic recoil, pursed lip breathing
Accessory muscle use, anorexia/weight loss
Chronic Bronchitis:
, Chronic inflammation and hypersecretion of mucous in the bronchi and a chronic
cough. The excess mucus and chronic inflammation can lead to infections. There
is impaired function of the cilia which help clear the mucus
"Blue bloater"
Accessory muscle use, tick copious mucus production, cyanosis, DOE, malaise,
weight gain, tachypnea
Treatment COPD:
Nursing care: - CORRECT ANSWER ✔✔- Avoid tobacco smoke
Bronchodilators, antibiotics, vaccines (flu, pneumonia), mucolytics
Adequate hydration
Chest physiotherapy
Cautious use of O2 therapy (low O2 and high CO2 levels is what drives COPD
patients to breath)
Incentive spirometry, deep breathing, teach pursed lip breathing
CPT and postural drainage
High calorie, small, frequent meals to conserve energy
Alternate rest and activity periods
Teach use of MDI
Your patient with COPD is experiencing dyspnea and has low PaO2 level. Your
plan is to administer O2 s prescribed. Which statement is true concerning oxygen
administration to a patient with COPD?
