Page 1 of 59
MEDICAL EMERGENCIES EXAM 5 NUR 114 NURSING
EXAM NEWEST 2026 EXAM QUESTIONS LATEST VERSION
SOLVED QUESTIONS & ANSWERS VERIFIED
Practice Questions
A nurse is monitoring a client with wheezing and increased work of breathing.
Which of
the following findings indicate late signs of respiratory distress? (Select all
that apply)
A. Restlessness
B. Syncope
C. Flushed skin
D. Cyanosis of lips
E. Confusion
Answer: B, D, E
Rationale: Restlessness and flushed skin are early signs. Syncope,
confusion, and cyanosis (especially mucous membranes) are late signs of
respiratory failure
A nurse is caring for a patient with worsening wheezing and an O2 sat of 88%.
After
raising the HOB and applying 6L nasal cannula, the O2 sat remains low. What
is the
next appropriate action?
A. Call HCP to intubate
B. Switch to a non-rebreather mask
C. Begin a bronchodilator treatment
D. Start a steroid IV
, Page 2 of 59
Answer: B
Rationale: Escalate oxygen delivery: NC → face mask → non-rebreather. If
NRB is ineffective, then call HCP for possible intubation. Always follow
oxygen escalation before jumping to meds or procedures unless in extreme
situations
After a patient is intubated for severe respiratory distress, which action should
the nurse
perform first?
A. Order a chest X-ray
B. Secure the ET tube with a tube holder
C. Assess for bilateral chest rise and breath sounds
D. Start vent management and suctioning
Answer: C
Rationale: After intubation, immediately assess for bilateral breath sounds
and chest movement to confirm adequate ventilation. Chest X-ray comes
next to confirm tube placement.
The nurse administers albuterol to a patient with wheezing. Which side effects
should
the nurse expect to monitor? (Select all that apply)
A. Decreased heart rate
B. Anxiety
C. Increased heart rate
D. Urinary retention
E. Jitteriness
Answer: B, C, E
Rationale: Albuterol is a bronchodilator and beta-agonist that can cause
tachycardia, anxiety, and jitteriness.
Ques
A patient presents with swelling of the lips, wheezing, and stridor after eating
shellfish.
What is the first-line medication?
A. Racemic epinephrine
B. IV steroids
, Page 3 of 59
C. IM epinephrine
D. IV benadryl
Answer: C
Rationale: IM epinephrine is the first-line treatment in anaphylaxis. Other
meds like benadryl and steroids support the response but are not first-line.
A nurse is auscultating the lungs of a patient with suspected pneumonia. The
nurse
hears low-pitched, snoring sounds that are continuous and heard best during
expiration.
What does this indicate?
A. Fine crackles
B. Coarse crackles
C. Rhonchi
D. Stridor
Answer: C
Rationale: Rhonchi are low-pitched, continuous "snoring" sounds caused
by thick fluid or mucus in larger airways, common in pneumonia
A client with crackles and rhonchi is experiencing SOB and a productive
cough with
purulent sputum. What is the nurse's priority intervention?
A. Administer cough suppressant to reduce coughing
B. Encourage use of the incentive spirometer
C. Place the patient in Trendelenburg position
D. Start high-flow oxygen immediately
Answer: B
Rationale: The incentive spirometer helps open alveoli and mobilize
secretions. High-flow O2 isn't first-line unless O2 sat is low; NC is preferred.
Cough suppressants should be avoided unless needed for sleep.
Trendelenburg is contraindicated in respiratory distress.
Which of the following medications are appropriate for a patient with rhonchi
and crackles due
to pneumonia and thick sputum? (Select all that apply)
A. Albuterol
B. Guaifenesin
, Page 4 of 59
C. Acetylcysteine
D. Dextromethorphan at bedtime
E. Furosemide
Answer: A, B, C, D
Rationale:
●
Albuterol = opens airways
●
Guaifenesin = helps mobilize sputum
●
Acetylcysteine = mucolytic, breaks down mucus
●
Dextromethorphan = cough suppressant used only at night to allow rest
●
Furosemide is for fluid overload—not first-line for pneumonia-related secretions
unless
concurrent heart failure
A patient with crackles and a pink frothy cough begins to appear pale, RR is
28,
and they are becoming lethargic. What is the nurse's immediate action?
A. Suction the airway
B. Apply nasal cannula oxygen and raise HOB
C. Administer diuretics and bronchodilators
D. Notify the healthcare provider immediately
Answer: B
Rationale: Initial actions for deteriorating respiratory status: elevate
HOB and apply oxygen. Diuretics and bronchodilators may be used
afterward but are not the immediate response.
During a mass casualty event, a nurse is triaging victims from a building
explosion. Which patient should be tagged RED?
A. Alert patient with a closed femur fracture and no visible bleeding
B. Patient with absent pulse and fixed pupils
C. Patient with an open chest wound and signs of respiratory distress
D. Patient who is able to walk with a sprained ankle and minor abrasions
MEDICAL EMERGENCIES EXAM 5 NUR 114 NURSING
EXAM NEWEST 2026 EXAM QUESTIONS LATEST VERSION
SOLVED QUESTIONS & ANSWERS VERIFIED
Practice Questions
A nurse is monitoring a client with wheezing and increased work of breathing.
Which of
the following findings indicate late signs of respiratory distress? (Select all
that apply)
A. Restlessness
B. Syncope
C. Flushed skin
D. Cyanosis of lips
E. Confusion
Answer: B, D, E
Rationale: Restlessness and flushed skin are early signs. Syncope,
confusion, and cyanosis (especially mucous membranes) are late signs of
respiratory failure
A nurse is caring for a patient with worsening wheezing and an O2 sat of 88%.
After
raising the HOB and applying 6L nasal cannula, the O2 sat remains low. What
is the
next appropriate action?
A. Call HCP to intubate
B. Switch to a non-rebreather mask
C. Begin a bronchodilator treatment
D. Start a steroid IV
, Page 2 of 59
Answer: B
Rationale: Escalate oxygen delivery: NC → face mask → non-rebreather. If
NRB is ineffective, then call HCP for possible intubation. Always follow
oxygen escalation before jumping to meds or procedures unless in extreme
situations
After a patient is intubated for severe respiratory distress, which action should
the nurse
perform first?
A. Order a chest X-ray
B. Secure the ET tube with a tube holder
C. Assess for bilateral chest rise and breath sounds
D. Start vent management and suctioning
Answer: C
Rationale: After intubation, immediately assess for bilateral breath sounds
and chest movement to confirm adequate ventilation. Chest X-ray comes
next to confirm tube placement.
The nurse administers albuterol to a patient with wheezing. Which side effects
should
the nurse expect to monitor? (Select all that apply)
A. Decreased heart rate
B. Anxiety
C. Increased heart rate
D. Urinary retention
E. Jitteriness
Answer: B, C, E
Rationale: Albuterol is a bronchodilator and beta-agonist that can cause
tachycardia, anxiety, and jitteriness.
Ques
A patient presents with swelling of the lips, wheezing, and stridor after eating
shellfish.
What is the first-line medication?
A. Racemic epinephrine
B. IV steroids
, Page 3 of 59
C. IM epinephrine
D. IV benadryl
Answer: C
Rationale: IM epinephrine is the first-line treatment in anaphylaxis. Other
meds like benadryl and steroids support the response but are not first-line.
A nurse is auscultating the lungs of a patient with suspected pneumonia. The
nurse
hears low-pitched, snoring sounds that are continuous and heard best during
expiration.
What does this indicate?
A. Fine crackles
B. Coarse crackles
C. Rhonchi
D. Stridor
Answer: C
Rationale: Rhonchi are low-pitched, continuous "snoring" sounds caused
by thick fluid or mucus in larger airways, common in pneumonia
A client with crackles and rhonchi is experiencing SOB and a productive
cough with
purulent sputum. What is the nurse's priority intervention?
A. Administer cough suppressant to reduce coughing
B. Encourage use of the incentive spirometer
C. Place the patient in Trendelenburg position
D. Start high-flow oxygen immediately
Answer: B
Rationale: The incentive spirometer helps open alveoli and mobilize
secretions. High-flow O2 isn't first-line unless O2 sat is low; NC is preferred.
Cough suppressants should be avoided unless needed for sleep.
Trendelenburg is contraindicated in respiratory distress.
Which of the following medications are appropriate for a patient with rhonchi
and crackles due
to pneumonia and thick sputum? (Select all that apply)
A. Albuterol
B. Guaifenesin
, Page 4 of 59
C. Acetylcysteine
D. Dextromethorphan at bedtime
E. Furosemide
Answer: A, B, C, D
Rationale:
●
Albuterol = opens airways
●
Guaifenesin = helps mobilize sputum
●
Acetylcysteine = mucolytic, breaks down mucus
●
Dextromethorphan = cough suppressant used only at night to allow rest
●
Furosemide is for fluid overload—not first-line for pneumonia-related secretions
unless
concurrent heart failure
A patient with crackles and a pink frothy cough begins to appear pale, RR is
28,
and they are becoming lethargic. What is the nurse's immediate action?
A. Suction the airway
B. Apply nasal cannula oxygen and raise HOB
C. Administer diuretics and bronchodilators
D. Notify the healthcare provider immediately
Answer: B
Rationale: Initial actions for deteriorating respiratory status: elevate
HOB and apply oxygen. Diuretics and bronchodilators may be used
afterward but are not the immediate response.
During a mass casualty event, a nurse is triaging victims from a building
explosion. Which patient should be tagged RED?
A. Alert patient with a closed femur fracture and no visible bleeding
B. Patient with absent pulse and fixed pupils
C. Patient with an open chest wound and signs of respiratory distress
D. Patient who is able to walk with a sprained ankle and minor abrasions
