LSU NURS 402 Exam 2 Practice Test
1. A client with COPD is experiencing increased dyspnea and anxiety. Which nursing
intervention should be performed first?
A. Place the client in Trendelenburg position
B. Encourage rapid shallow breathing
C. Position the client upright and assess oxygenation
D. Restrict all oral fluids
Answer: C
Rationale: Upright positioning promotes lung expansion, while oxygenation and respiratory
status should be assessed promptly.
2. A client with pneumonia has a temperature of 102.4°F (39.1°C), productive cough, and
crackles. Which finding requires the most immediate attention?
A. Oxygen saturation of 86%
B. Temperature of 102.4°F
C. Productive cough
D. Fatigue
Answer: A
Rationale: Significant hypoxemia is an immediate threat to life and takes priority.
3. Which assessment finding is most consistent with a pleural effusion?
A. Hyperactive bowel sounds
B. Increased urine output
C. Bounding peripheral pulses
D. Diminished breath sounds over the affected area
Answer: D
Rationale: Fluid accumulating in the pleural space can reduce breath sounds over the
affected area.
4. A client with asthma has received a prescribed short-acting bronchodilator. Which finding
indicates improvement?
A. Increasing respiratory rate
B. Improved air movement and oxygen saturation
1. A client with COPD is experiencing increased dyspnea and anxiety. Which nursing
intervention should be performed first?
A. Place the client in Trendelenburg position
B. Encourage rapid shallow breathing
C. Position the client upright and assess oxygenation
D. Restrict all oral fluids
Answer: C
Rationale: Upright positioning promotes lung expansion, while oxygenation and respiratory
status should be assessed promptly.
2. A client with pneumonia has a temperature of 102.4°F (39.1°C), productive cough, and
crackles. Which finding requires the most immediate attention?
A. Oxygen saturation of 86%
B. Temperature of 102.4°F
C. Productive cough
D. Fatigue
Answer: A
Rationale: Significant hypoxemia is an immediate threat to life and takes priority.
3. Which assessment finding is most consistent with a pleural effusion?
A. Hyperactive bowel sounds
B. Increased urine output
C. Bounding peripheral pulses
D. Diminished breath sounds over the affected area
Answer: D
Rationale: Fluid accumulating in the pleural space can reduce breath sounds over the
affected area.
4. A client with asthma has received a prescribed short-acting bronchodilator. Which finding
indicates improvement?
A. Increasing respiratory rate
B. Improved air movement and oxygen saturation
