NURSING 395 FINAL EXAM
STUDY GUIDE ACTUAL DUKE
UNIVERSITY |A RATED EXAM
LATEST |SPRING SUMMER
SEMESTER 2025
.
Which statement made by the patient with chronic obstructive pulmonary disease (COPD) indicates a need for further teaching
regarding the use of an ipratropium inhaler?
A. "I can rinse my mouth following the two puffs to get rid of the bad taste."
B. "I should wait at least 1 to 2 minutes between each puff of the inhaler."
C. "Because this medication is not fast acting, I cannot use it in an emergency if my breathing gets worse."
D. "If my breathing gets worse, I should keep taking extra puffs of the inhaler until I can breathe more easily."
D
.
The nurse is caring for a 48-yr-old male patient admitted for exacerbation of chronic obstructive pulmonary disease. The
patient develops severe dyspnea at rest, with a change in respiratory rate from 26 breaths/min to 44 breaths/min. Which
action by the nurse would be the most appropriate?
A. Have the patient perform huff coughing.
B. Perform chest physiotherapy for 5 minutes.
,C. Teach the patient to use pursed-lip breathing.
D. Instruct the patient in diaphragmatic breathing.
C
The nurse is assigned to care for a patient in the emergency department admitted with an exacerbation of asthma. The patient
has received a â-adrenergic bronchodilator and supplemental oxygen. If the patient's condition does not improve, the nurse
should anticipate what as the most likely next step in treatment?
A. IV fluids
B. Biofeedback therapy
C. Systemic corticosteroids
D. Pulmonary function testing
C
The nurse supervises a team including another registered nurse (RN), a licensed practical/vocational nurse (LPN/LVN), and
unlicensed assistive personnel (UAP) on a medical unit. The team is caring for many patients with respiratory problems. In what
situation should the nurse intervene with teaching for a team member?
A. LPN/LVN obtained a pulse oximetry reading of 94% but did not report it.
B. RN taught the patient about home oxygen safety in preparation for discharge.
C. UAP report to the nurse that the patient is complaining of difficulty breathing.
D. LPN/LVN changed the type of oxygen device based on arterial blood gas results.
D
Which position is most appropriate for the nurse to place a patient experiencing an asthma exacerbation?
A. Supine
B. Lithotomy
C. High Fowler's
D. Reverse Trendelenburg
C
,.
The nurse determines that a patient is experiencing common adverse effects from the inhaled corticosteroid beclomethasone
after what occurs?
A. Hypertension and pulmonary edema
B. Oropharyngeal candidiasis and hoarseness
C. Elevation of blood glucose and calcium levels
D. Adrenocortical dysfunction and hyperglycemia
B
A patient with an acute exacerbation of chronic obstructive pulmonary disease (COPD) needs to receive precise amounts of
oxygen. Which equipment should the nurse prepare to use?
A. Oxygen tent
B. Venturi mask
C. Nasal cannula
D. Oxygen-conserving cannula
B
.
Although a diagnosis of cystic fibrosis (CF) is most often made before age 2 years, an 18-yr-old patient at the student health
center with a history of frequent lung and sinus infections has clinical manifestations consistent with undiagnosed CF. Which
information would be accurate for the nurse to include when teaching the patient about a scheduled sweat chloride test?
A. "Sweat chloride greater than 60 mmol/L is consistent with a diagnosis of CF."
B. "The test measures the amount of sodium chloride in your postexercise sweat."
C. "If sweating occurs after an oral dose of pilocarpine, the test result for CP is positive."
D. "If the sweat chloride test result is positive on two occasions, genetic testing will be necessary."
A
, A 45-yr-old man with asthma is brought to the emergency department by automobile. He is short of breath and appears
frightened. During the initial nursing assessment, which clinical manifestation might be present as an early manifestation during
an exacerbation of asthma?
A. Anxiety
B. Cyanosis
C. Bradycardia
D. Hypercapnia
A
The patient has an order for each of the following inhalers. Which one should the nurse offer to the patient at the onset of an
asthma attack?
A. Albuterol
B. Ipratropium bromide
C. Salmeterol (Serevent)
D. Beclomethasone (Qvar)
A
The nurse is caring for a patient with an acute exacerbation of asthma. After initial treatment, what finding indicates to the
nurse that the patient's respiratory status is improving?
A. Wheezing becomes louder.
B. Cough remains nonproductive.
C. Vesicular breath sounds decrease.
D. Aerosol bronchodilators stimulate coughing.
A
.
While teaching a patient with asthma about the appropriate use of a peak flow meter, what should the nurse instruct the
patient to do?
STUDY GUIDE ACTUAL DUKE
UNIVERSITY |A RATED EXAM
LATEST |SPRING SUMMER
SEMESTER 2025
.
Which statement made by the patient with chronic obstructive pulmonary disease (COPD) indicates a need for further teaching
regarding the use of an ipratropium inhaler?
A. "I can rinse my mouth following the two puffs to get rid of the bad taste."
B. "I should wait at least 1 to 2 minutes between each puff of the inhaler."
C. "Because this medication is not fast acting, I cannot use it in an emergency if my breathing gets worse."
D. "If my breathing gets worse, I should keep taking extra puffs of the inhaler until I can breathe more easily."
D
.
The nurse is caring for a 48-yr-old male patient admitted for exacerbation of chronic obstructive pulmonary disease. The
patient develops severe dyspnea at rest, with a change in respiratory rate from 26 breaths/min to 44 breaths/min. Which
action by the nurse would be the most appropriate?
A. Have the patient perform huff coughing.
B. Perform chest physiotherapy for 5 minutes.
,C. Teach the patient to use pursed-lip breathing.
D. Instruct the patient in diaphragmatic breathing.
C
The nurse is assigned to care for a patient in the emergency department admitted with an exacerbation of asthma. The patient
has received a â-adrenergic bronchodilator and supplemental oxygen. If the patient's condition does not improve, the nurse
should anticipate what as the most likely next step in treatment?
A. IV fluids
B. Biofeedback therapy
C. Systemic corticosteroids
D. Pulmonary function testing
C
The nurse supervises a team including another registered nurse (RN), a licensed practical/vocational nurse (LPN/LVN), and
unlicensed assistive personnel (UAP) on a medical unit. The team is caring for many patients with respiratory problems. In what
situation should the nurse intervene with teaching for a team member?
A. LPN/LVN obtained a pulse oximetry reading of 94% but did not report it.
B. RN taught the patient about home oxygen safety in preparation for discharge.
C. UAP report to the nurse that the patient is complaining of difficulty breathing.
D. LPN/LVN changed the type of oxygen device based on arterial blood gas results.
D
Which position is most appropriate for the nurse to place a patient experiencing an asthma exacerbation?
A. Supine
B. Lithotomy
C. High Fowler's
D. Reverse Trendelenburg
C
,.
The nurse determines that a patient is experiencing common adverse effects from the inhaled corticosteroid beclomethasone
after what occurs?
A. Hypertension and pulmonary edema
B. Oropharyngeal candidiasis and hoarseness
C. Elevation of blood glucose and calcium levels
D. Adrenocortical dysfunction and hyperglycemia
B
A patient with an acute exacerbation of chronic obstructive pulmonary disease (COPD) needs to receive precise amounts of
oxygen. Which equipment should the nurse prepare to use?
A. Oxygen tent
B. Venturi mask
C. Nasal cannula
D. Oxygen-conserving cannula
B
.
Although a diagnosis of cystic fibrosis (CF) is most often made before age 2 years, an 18-yr-old patient at the student health
center with a history of frequent lung and sinus infections has clinical manifestations consistent with undiagnosed CF. Which
information would be accurate for the nurse to include when teaching the patient about a scheduled sweat chloride test?
A. "Sweat chloride greater than 60 mmol/L is consistent with a diagnosis of CF."
B. "The test measures the amount of sodium chloride in your postexercise sweat."
C. "If sweating occurs after an oral dose of pilocarpine, the test result for CP is positive."
D. "If the sweat chloride test result is positive on two occasions, genetic testing will be necessary."
A
, A 45-yr-old man with asthma is brought to the emergency department by automobile. He is short of breath and appears
frightened. During the initial nursing assessment, which clinical manifestation might be present as an early manifestation during
an exacerbation of asthma?
A. Anxiety
B. Cyanosis
C. Bradycardia
D. Hypercapnia
A
The patient has an order for each of the following inhalers. Which one should the nurse offer to the patient at the onset of an
asthma attack?
A. Albuterol
B. Ipratropium bromide
C. Salmeterol (Serevent)
D. Beclomethasone (Qvar)
A
The nurse is caring for a patient with an acute exacerbation of asthma. After initial treatment, what finding indicates to the
nurse that the patient's respiratory status is improving?
A. Wheezing becomes louder.
B. Cough remains nonproductive.
C. Vesicular breath sounds decrease.
D. Aerosol bronchodilators stimulate coughing.
A
.
While teaching a patient with asthma about the appropriate use of a peak flow meter, what should the nurse instruct the
patient to do?
