NSG 202 EXAM 2 PRACTICE EXAM – QUESTIONS
AND ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | DOWNLOAD
AND PASS | LATEST EXAM UPDATE 2026/2027
* *
CORE DOMAINS
1. Asthma and Acute Asthma Management
2. Chronic Obstructive Pulmonary Disease (COPD)
3. Oxygenation and Respiratory Assessment
4. Arterial Blood Gases and Acid–Base Balance
5. Respiratory Pharmacology and Inhaled Medications
6. Pulmonary Diagnostic Procedures and Tests
7. Respiratory Nursing Interventions and Patient Education
8. Clinical Prioritization, Delegation, Safety, and Patient-Centered Care
9. Nutrition, Activity Tolerance, and Long-Term Management of Respiratory Disorders
10. Complications of Chronic and Acute Respiratory Disease
INTRODUCTION
*This practice assessment is designed to strengthen knowledge, clinical reasoning,
prioritization, and application of respiratory nursing concepts relevant to NSG 202 Exam 2
preparation. The questions use multiple-choice formats to assess understanding of asthma,
COPD, oxygenation, arterial blood gases, respiratory medications, diagnostic procedures,
patient education, safety, and nursing interventions. Emphasis is placed not only on
recognizing facts but also on interpreting clinical findings and selecting appropriate nursing
actions. The material is intended to support focused review and exam-style practice. Publicly
available NSG 202 Exam 2 materials similarly emphasize respiratory assessment, asthma,
COPD, ABGs, pharmacology, prioritization, and clinical decision-making. *
QUESTIONS 1–100
Question 1.
,A client with an acute asthma exacerbation is experiencing severe dyspnea. Which
assessment finding requires the nurse's most immediate attention?
A. Expiratory wheezing
B. Respiratory rate of 24/min
C. Inability to speak more than a few words at a time
D. Mild anxiety
Correct Answer: C. Inability to speak more than a few words at a time
Explanation: Inability to speak in complete sentences indicates severe respiratory
compromise and significant airflow limitation. Airway and breathing take priority over less
urgent findings.
Question 2.
A client with asthma is experiencing acute bronchospasm. Which medication should the
nurse expect to administer for rapid bronchodilation?
A. Albuterol
B. Fluticasone
C. Salmeterol
D. Montelukast
Correct Answer: A. Albuterol
Explanation: Albuterol is a short-acting beta2-adrenergic agonist used for rapid relief of
acute bronchospasm. Inhaled corticosteroids and long-acting medications are primarily
controller therapies.
Question 3.
Which statement by a client prescribed salmeterol indicates a need for additional teaching?
A. “I will use it according to my prescribed schedule.”
B. “This medication helps prevent bronchospasm.”
C. “I will use it as my first medication during a sudden asthma attack.”
D. “I understand that it is a long-acting medication.”
Correct Answer: C. “I will use it as my first medication during a sudden asthma attack.”
Explanation: Salmeterol is a long-acting bronchodilator used for maintenance therapy and is
not intended to provide rapid rescue during an acute asthma attack.
Question 4.
A client with asthma has bilateral wheezing, suprasternal retractions, and an oxygen
saturation of 89%. Which intervention should the nurse prioritize?
,A. Administer prescribed oxygen and rapid-acting bronchodilator therapy
B. Encourage the client to ambulate
C. Restrict oral fluids
D. Place the client flat in bed
Correct Answer: A. Administer prescribed oxygen and rapid-acting bronchodilator therapy
Explanation: Hypoxemia and increased work of breathing indicate impaired gas exchange.
Oxygen and prescribed rapid-acting bronchodilator therapy directly address the immediate
respiratory problem.
Question 5.
Which assessment finding in a client experiencing an asthma exacerbation may indicate
worsening airway obstruction rather than improvement?
A. Increased wheezing
B. Improved ability to speak
C. Decreased respiratory effort
D. Increasingly diminished breath sounds
Correct Answer: D. Increasingly diminished breath sounds
Explanation: Severe airflow obstruction may produce a “silent chest,” in which very little air
moves through the bronchi. This can be more concerning than prominent wheezing.
Question 6.
A client is prescribed both an inhaled bronchodilator and an inhaled corticosteroid. Which
instruction is appropriate?
A. Use the corticosteroid before the bronchodilator.
B. Use the bronchodilator before the corticosteroid.
C. Use both medications simultaneously.
D. Use only the corticosteroid during acute dyspnea.
Correct Answer: B. Use the bronchodilator before the corticosteroid.
Explanation: Bronchodilation can open the airways and improve delivery of the
subsequently administered inhaled corticosteroid.
Question 7.
Which adverse effect should the nurse anticipate after administration of albuterol?
A. Bradycardia
B. Tremor
C. Severe constipation
D. Urinary retention
, Correct Answer: B. Tremor
Explanation: Short-acting beta2 agonists such as albuterol can cause tremor, nervousness,
palpitations, and tachycardia.
Question 8.
A client with asthma reports increasingly frequent use of a rescue inhaler. What does this
finding suggest?
A. The asthma is completely controlled.
B. The client may require reassessment of the treatment plan.
C. The client should permanently discontinue controller medications.
D. The client should increase the rescue dose independently.
Correct Answer: B. The client may require reassessment of the treatment plan.
Explanation: Increasing reliance on rescue medication can indicate inadequate asthma
control and warrants evaluation of triggers, adherence, technique, and maintenance
therapy.
Question 9.
Which statement demonstrates correct understanding of inhaled corticosteroid therapy?
A. “I will use it only when an attack begins.”
B. “I can stop it whenever I feel better.”
C. “I will use it consistently as prescribed.”
D. “It should immediately stop severe bronchospasm.”
Correct Answer: C. “I will use it consistently as prescribed.”
Explanation: Inhaled corticosteroids reduce airway inflammation and are maintenance
medications. They are not intended for immediate relief of acute bronchospasm.
Question 10.
What should a client do after using an inhaled corticosteroid?
A. Drink grapefruit juice
B. Rinse the mouth and spit out the water
C. Lie flat for 30 minutes
D. Immediately repeat the medication
Correct Answer: B. Rinse the mouth and spit out the water
Explanation: Rinsing and spitting after inhaled corticosteroid use helps reduce medication
residue in the mouth and decreases the risk of oral candidiasis.
Question 11.
AND ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | DOWNLOAD
AND PASS | LATEST EXAM UPDATE 2026/2027
* *
CORE DOMAINS
1. Asthma and Acute Asthma Management
2. Chronic Obstructive Pulmonary Disease (COPD)
3. Oxygenation and Respiratory Assessment
4. Arterial Blood Gases and Acid–Base Balance
5. Respiratory Pharmacology and Inhaled Medications
6. Pulmonary Diagnostic Procedures and Tests
7. Respiratory Nursing Interventions and Patient Education
8. Clinical Prioritization, Delegation, Safety, and Patient-Centered Care
9. Nutrition, Activity Tolerance, and Long-Term Management of Respiratory Disorders
10. Complications of Chronic and Acute Respiratory Disease
INTRODUCTION
*This practice assessment is designed to strengthen knowledge, clinical reasoning,
prioritization, and application of respiratory nursing concepts relevant to NSG 202 Exam 2
preparation. The questions use multiple-choice formats to assess understanding of asthma,
COPD, oxygenation, arterial blood gases, respiratory medications, diagnostic procedures,
patient education, safety, and nursing interventions. Emphasis is placed not only on
recognizing facts but also on interpreting clinical findings and selecting appropriate nursing
actions. The material is intended to support focused review and exam-style practice. Publicly
available NSG 202 Exam 2 materials similarly emphasize respiratory assessment, asthma,
COPD, ABGs, pharmacology, prioritization, and clinical decision-making. *
QUESTIONS 1–100
Question 1.
,A client with an acute asthma exacerbation is experiencing severe dyspnea. Which
assessment finding requires the nurse's most immediate attention?
A. Expiratory wheezing
B. Respiratory rate of 24/min
C. Inability to speak more than a few words at a time
D. Mild anxiety
Correct Answer: C. Inability to speak more than a few words at a time
Explanation: Inability to speak in complete sentences indicates severe respiratory
compromise and significant airflow limitation. Airway and breathing take priority over less
urgent findings.
Question 2.
A client with asthma is experiencing acute bronchospasm. Which medication should the
nurse expect to administer for rapid bronchodilation?
A. Albuterol
B. Fluticasone
C. Salmeterol
D. Montelukast
Correct Answer: A. Albuterol
Explanation: Albuterol is a short-acting beta2-adrenergic agonist used for rapid relief of
acute bronchospasm. Inhaled corticosteroids and long-acting medications are primarily
controller therapies.
Question 3.
Which statement by a client prescribed salmeterol indicates a need for additional teaching?
A. “I will use it according to my prescribed schedule.”
B. “This medication helps prevent bronchospasm.”
C. “I will use it as my first medication during a sudden asthma attack.”
D. “I understand that it is a long-acting medication.”
Correct Answer: C. “I will use it as my first medication during a sudden asthma attack.”
Explanation: Salmeterol is a long-acting bronchodilator used for maintenance therapy and is
not intended to provide rapid rescue during an acute asthma attack.
Question 4.
A client with asthma has bilateral wheezing, suprasternal retractions, and an oxygen
saturation of 89%. Which intervention should the nurse prioritize?
,A. Administer prescribed oxygen and rapid-acting bronchodilator therapy
B. Encourage the client to ambulate
C. Restrict oral fluids
D. Place the client flat in bed
Correct Answer: A. Administer prescribed oxygen and rapid-acting bronchodilator therapy
Explanation: Hypoxemia and increased work of breathing indicate impaired gas exchange.
Oxygen and prescribed rapid-acting bronchodilator therapy directly address the immediate
respiratory problem.
Question 5.
Which assessment finding in a client experiencing an asthma exacerbation may indicate
worsening airway obstruction rather than improvement?
A. Increased wheezing
B. Improved ability to speak
C. Decreased respiratory effort
D. Increasingly diminished breath sounds
Correct Answer: D. Increasingly diminished breath sounds
Explanation: Severe airflow obstruction may produce a “silent chest,” in which very little air
moves through the bronchi. This can be more concerning than prominent wheezing.
Question 6.
A client is prescribed both an inhaled bronchodilator and an inhaled corticosteroid. Which
instruction is appropriate?
A. Use the corticosteroid before the bronchodilator.
B. Use the bronchodilator before the corticosteroid.
C. Use both medications simultaneously.
D. Use only the corticosteroid during acute dyspnea.
Correct Answer: B. Use the bronchodilator before the corticosteroid.
Explanation: Bronchodilation can open the airways and improve delivery of the
subsequently administered inhaled corticosteroid.
Question 7.
Which adverse effect should the nurse anticipate after administration of albuterol?
A. Bradycardia
B. Tremor
C. Severe constipation
D. Urinary retention
, Correct Answer: B. Tremor
Explanation: Short-acting beta2 agonists such as albuterol can cause tremor, nervousness,
palpitations, and tachycardia.
Question 8.
A client with asthma reports increasingly frequent use of a rescue inhaler. What does this
finding suggest?
A. The asthma is completely controlled.
B. The client may require reassessment of the treatment plan.
C. The client should permanently discontinue controller medications.
D. The client should increase the rescue dose independently.
Correct Answer: B. The client may require reassessment of the treatment plan.
Explanation: Increasing reliance on rescue medication can indicate inadequate asthma
control and warrants evaluation of triggers, adherence, technique, and maintenance
therapy.
Question 9.
Which statement demonstrates correct understanding of inhaled corticosteroid therapy?
A. “I will use it only when an attack begins.”
B. “I can stop it whenever I feel better.”
C. “I will use it consistently as prescribed.”
D. “It should immediately stop severe bronchospasm.”
Correct Answer: C. “I will use it consistently as prescribed.”
Explanation: Inhaled corticosteroids reduce airway inflammation and are maintenance
medications. They are not intended for immediate relief of acute bronchospasm.
Question 10.
What should a client do after using an inhaled corticosteroid?
A. Drink grapefruit juice
B. Rinse the mouth and spit out the water
C. Lie flat for 30 minutes
D. Immediately repeat the medication
Correct Answer: B. Rinse the mouth and spit out the water
Explanation: Rinsing and spitting after inhaled corticosteroid use helps reduce medication
residue in the mouth and decreases the risk of oral candidiasis.
Question 11.
