NUR 280 – Exam 4 Preparation
NUR 280 – EXAM 4 PREPARATION FOR 2025/2026 COMPLETE
200 QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED
A+||BRAND NEW!!
The nurse is performing a respiratory assessment of a patient who has been
experiencing episodes of hypoxia. The nurse is aware that this is ultimately
attributable to impaired gas exchange. On what factor does adequate gas
exchange primarily depend?
A) An appropriate perfusiondiffusion ratio
B) An adequate ventilationperfusion ratio
C) Adequate diffusion of gas in shunted blood
D) Appropriate blood nitrogen concentration
b
The nurse is caring for a patient who has a pleural effusion and who underwent a
thoracoscopic procedure earlier in the morning. The nurse should prioritize
assessment for which of the following?
A) Sputum production
b. Shortness of breath
c. Throat discomfort
d. Epistaxis
b
The nurse is assessing the respiratory status of a patient who is experiencing an
exacerbation of her emphysema symptoms. When preparing to auscultate, what
breath sounds should the nurse anticipate?
a. Absence of breath sounds
b. Wheezing with discontinuous breath sounds
c. Faint breath sounds with prolonged expiration
d. Faint breath sounds with fine crackles
c
1|Page
, NUR 280 – Exam 4 Preparation
The ED nurse is assessing the respiratory function of a teenage girl who presented
with acute shortness of breath. Auscultation reveals continuous wheezes during
inspiration and expiration. This finding is most suggestive what?
a. Pleurisy
b. Emphysema
c. Asthma
d. Pneumonia
c
The nurse is completing a patients health history with regard to potential risk
factors for lung disease. What interview question addresses the most significant
risk factor for respiratory diseases?
A) Have you ever been employed in a factory, smelter, or mill?
B) Does anyone in your family have any form of lung disease?
C) Do you currently smoke, or have you ever smoked?
D) Have you ever lived in an area that has high levels of air pollution?
c
The nurse has assessed a patients family history for three generations. The
presence of which respiratory disease would justify this type of assessment?
A) Asthma
B) Obstructive sleep apnea
C) Community-acquired pneumonia
D) Pulmonary edema
a
The nurse is caring for a patient with chronic obstructive pulmonary disease
(COPD). The patient has been receiving high-flow oxygen therapy for an extended
time. What symptoms should the nurse anticipate if the patient were experiencing
oxygen toxicity?
A) Bradycardia and frontal headache
B) Dyspnea and substernal pain
2|Page
, NUR 280 – Exam 4 Preparation
C) Peripheral cyanosis and restlessness
D) Hypotension and tachycardia
b
A nurse documents the following on a client chart: "client manifests difficulties
with spatial orientation, memory 7. language, and changes in personality." What
state of arousal/awareness does this describe?
A) Delirium
B) Dementia
C) Confusion
D) Locked-in syndrome
a
A client has an abrupt onset of a cluster of global changes in attention, cognition,
and level of consciousness. What 18. would be the most appropriate nursing
diagnosis?
A) Acute Confusion
B) Chronic Confusion
C) Impaired Memory
D) Disturbed Sensory Perception
a
A nurse is caring for a person who is delusional. What is important for the nurse to
do while communicating with the 25. client?
A) Touch the client gently while talking.
B) Avoid arguing about erroneous statements.
C) Reinforce reality for delusional statements.
D) Maintain eye contact at all times.
c
3|Page
, NUR 280 – Exam 4 Preparation
The nurse is caring for a client who suffered a stroke three days ago, and is
assessing the client's state of arousal. The 32. nurse knows that the part of the
body responsible for a person being alert or aroused is which of the following?
A) Reticular activating system
B) Renin-angiotensin-aldosterone system
C) Cranial nerves
D) Adrenal glands
a
The nurse caring for a client with emphysema has determined that a priority
nursing diagnosis for this client is
"Imbalanced Nutrition: Less Than Body Requirements related to difficulty
breathing while eating." Based upon this 1. diagnosis, which of the following is an
appropriate nursing intervention to include in the client's care plan?
A) Provide six small meals daily.
B) Provide three large meals daily.
C) Encourage the client to eat immediately before breathing treatments.
D) Encourage the client to alternate eating and using a nebulizer during meal time.
a
The nurse is developing a plan of care for a client admitted with pneumonia. The
nurse has determined that apriority
nursing diagnosis for this client is "Ineffective Airway Clearance related to copious
and tenacious secretions." Based 2. upon this nursing diagnosis, what is an
appropriate nursing intervention to include in the client's care plan?
A) Encouraging the client to consume two to three quarts of clear fluids daily
B) Creating an environment that is likely to reduce anxiety
C) Positioning the client supine
D) Encouraging the client to decrease the number of cigarettes smoked daily
a
While the nurse is providing morning hygiene for a client who has a chest tube,
the client has rolled over quickly and the 3. chest tube has become disconnected
4|Page
NUR 280 – EXAM 4 PREPARATION FOR 2025/2026 COMPLETE
200 QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED
A+||BRAND NEW!!
The nurse is performing a respiratory assessment of a patient who has been
experiencing episodes of hypoxia. The nurse is aware that this is ultimately
attributable to impaired gas exchange. On what factor does adequate gas
exchange primarily depend?
A) An appropriate perfusiondiffusion ratio
B) An adequate ventilationperfusion ratio
C) Adequate diffusion of gas in shunted blood
D) Appropriate blood nitrogen concentration
b
The nurse is caring for a patient who has a pleural effusion and who underwent a
thoracoscopic procedure earlier in the morning. The nurse should prioritize
assessment for which of the following?
A) Sputum production
b. Shortness of breath
c. Throat discomfort
d. Epistaxis
b
The nurse is assessing the respiratory status of a patient who is experiencing an
exacerbation of her emphysema symptoms. When preparing to auscultate, what
breath sounds should the nurse anticipate?
a. Absence of breath sounds
b. Wheezing with discontinuous breath sounds
c. Faint breath sounds with prolonged expiration
d. Faint breath sounds with fine crackles
c
1|Page
, NUR 280 – Exam 4 Preparation
The ED nurse is assessing the respiratory function of a teenage girl who presented
with acute shortness of breath. Auscultation reveals continuous wheezes during
inspiration and expiration. This finding is most suggestive what?
a. Pleurisy
b. Emphysema
c. Asthma
d. Pneumonia
c
The nurse is completing a patients health history with regard to potential risk
factors for lung disease. What interview question addresses the most significant
risk factor for respiratory diseases?
A) Have you ever been employed in a factory, smelter, or mill?
B) Does anyone in your family have any form of lung disease?
C) Do you currently smoke, or have you ever smoked?
D) Have you ever lived in an area that has high levels of air pollution?
c
The nurse has assessed a patients family history for three generations. The
presence of which respiratory disease would justify this type of assessment?
A) Asthma
B) Obstructive sleep apnea
C) Community-acquired pneumonia
D) Pulmonary edema
a
The nurse is caring for a patient with chronic obstructive pulmonary disease
(COPD). The patient has been receiving high-flow oxygen therapy for an extended
time. What symptoms should the nurse anticipate if the patient were experiencing
oxygen toxicity?
A) Bradycardia and frontal headache
B) Dyspnea and substernal pain
2|Page
, NUR 280 – Exam 4 Preparation
C) Peripheral cyanosis and restlessness
D) Hypotension and tachycardia
b
A nurse documents the following on a client chart: "client manifests difficulties
with spatial orientation, memory 7. language, and changes in personality." What
state of arousal/awareness does this describe?
A) Delirium
B) Dementia
C) Confusion
D) Locked-in syndrome
a
A client has an abrupt onset of a cluster of global changes in attention, cognition,
and level of consciousness. What 18. would be the most appropriate nursing
diagnosis?
A) Acute Confusion
B) Chronic Confusion
C) Impaired Memory
D) Disturbed Sensory Perception
a
A nurse is caring for a person who is delusional. What is important for the nurse to
do while communicating with the 25. client?
A) Touch the client gently while talking.
B) Avoid arguing about erroneous statements.
C) Reinforce reality for delusional statements.
D) Maintain eye contact at all times.
c
3|Page
, NUR 280 – Exam 4 Preparation
The nurse is caring for a client who suffered a stroke three days ago, and is
assessing the client's state of arousal. The 32. nurse knows that the part of the
body responsible for a person being alert or aroused is which of the following?
A) Reticular activating system
B) Renin-angiotensin-aldosterone system
C) Cranial nerves
D) Adrenal glands
a
The nurse caring for a client with emphysema has determined that a priority
nursing diagnosis for this client is
"Imbalanced Nutrition: Less Than Body Requirements related to difficulty
breathing while eating." Based upon this 1. diagnosis, which of the following is an
appropriate nursing intervention to include in the client's care plan?
A) Provide six small meals daily.
B) Provide three large meals daily.
C) Encourage the client to eat immediately before breathing treatments.
D) Encourage the client to alternate eating and using a nebulizer during meal time.
a
The nurse is developing a plan of care for a client admitted with pneumonia. The
nurse has determined that apriority
nursing diagnosis for this client is "Ineffective Airway Clearance related to copious
and tenacious secretions." Based 2. upon this nursing diagnosis, what is an
appropriate nursing intervention to include in the client's care plan?
A) Encouraging the client to consume two to three quarts of clear fluids daily
B) Creating an environment that is likely to reduce anxiety
C) Positioning the client supine
D) Encouraging the client to decrease the number of cigarettes smoked daily
a
While the nurse is providing morning hygiene for a client who has a chest tube,
the client has rolled over quickly and the 3. chest tube has become disconnected
4|Page
