NUR 355 ACTUAL EXAM 3 (MEDSURG 1) |COMPLETE AND GRADED QUESTIONS AND
ANSWERS 2026 LATEST UPDATED | 100% GRADED CORRECT | 100% GUARANTEED TO
PASS | GET A+
1. What is the purpose of giving steroids (prednisone) to a patient with asthma
or COPD?: To reduce inflammation and swelling
2. Albuterol, what does it do?: Bronchodilator (SABA) - rescue medication
-educate to use before doing sports
3. What is assessed to see if a Bronchodilator is effective?: O2 sats improve, RR slows, decreased wheezing
4. True or False: Rhonchi are described as 'snoring' sounds caused by secretions in the upper airway?: True
5. Given patient a SABA (Albuterol), how will the nurse see if it worked?: Auscultate their lungs
-check for wheezing (squeaky musical instrument)
6. What would we want to reduce exposure of for a patient with asthma?: Triggers ex. dust and other allergens
7. What are some triggers of asthma?: Smoking, pet dandruff, dust/pollutants
8. A patient with acute asthma, showing signs of expiratory wheezing, should be treated with a?: SABA - rescue dilator
-always monitor for diminished breath sounds
9. If a patient is having difficulty breathing and sounds are absent when auscultating, what does this mean?:
Vasoconstriction - medical emergency
10. What would you hear if an asthma patient's airway wasn't obstructed during
an attack?: Expiratory Wheezing
-Other S&S: coughing and accessory muscle use
11. If a patient is using accessory muscles, what must the nurse do?: Report this
immediately
12. CM of acute asthma attack?: Inspiratory/expiratory wheezes
-cough/wheezing, tenacious mucoi sputum, tachycardia, use of accessory muscles
13. Nurse walks into a patient room and they are using accessory muscles and a bit cyanotic...: Number one priority
patient for this question
14. Nurse walks into a patient room, they are SOB, increased work of breathing, and sitting in tripod position, what is
something you can do?: Provide oxygen ordered by provider
15. Nurse walks into the room, the patient is experiencing tachycardia, tachypnea, agitation and confusion: Worry about
hypoxia
16. Common s&s or hypoxemia?: Agitation
17. Asthma education: how to use inhaler, use inhaler 15min before sports, rest and balance activity -Fam Hx can
increase risk
18. Risk factors of asthma: -smoking/second hand smoke exposure
-environmental pollution
1/6
, -eczema
19. Side effects of inhaler: agitation, hands shaking, increased heart rate
20. How to use an MDI?: Hold 1-2in from face, press button, inhale softly, hold breath and then exhale 21. Peak flow
meter, patient should be educated to?: Blow within the "green section":
80-100%
-Yellow: coughing, wheezing SOB 50-80%
-if they blow in the red zone: below 50%, wheezing, and trouble talking go to ER
22. Aero chamber: Spacer for inhaler
23. Risk factor of COPD?: Smoking
24. Emphysema: Pink, puffing with breathing, barrel chest
25. Chronic bronchitis: "Blue bloaters" - appear cyanotic and have excessive mucus with productive cough
26. COPD patient comes from ED on 15L of oxygen: Nurse must decrease flow, must worry about oxygen toxicity
27. Remember this is a priority assessment:: Patient with respiratory rate of 40
28. S&S of oxygen toxicity?: Lethargic, minimal response to painful stimuli, O2 at 15L nonrebreather
29. When giving oxygen, a nurse intervention to prevent dryness is?: Humidification
-also help pt breath by elevating head of bed
30. CPT - chest physiotherapy: Vest that pounds and loosens mucus in the lungs and airway -1 hr before meals or 2
hrs after
31. If a patient with COPD has an O2 sat of 76%, is this concerning?: Yes, start oxygen, COPD should be between
86-90%
32. What is appropriate for a COPD pt with O2 sat 90%, RR 40, fever, elevated
WBCs?: Raise HOB, humidify O2, perform CPT as ordered
33. COPD patients should?: -Eat small frequent meals, high in protein -Sit in tripod when struggling to breathe
-encourage vaccines
-get plenty of rest
-smoking cessation
-report worsening S&S
34. Techniques for patient experiencing COPD exacerbation?: -Pursed lip breathing
-high fowler
-using O2 Nasal cannula 2L
35. Patient with pneumonia, what are some clinical manifestations?: Tachypnea, fever, pleuritic chest pain
36. Why is it important to determine if the pneumonia is viral or bacterial?: To determine what form of treatment will
be most effective
37. What test is performed to determine the type of pneumonia a pt has?: Sputum specimen (check for
microorganisms and abnormal cell growth)
-first thing in the morning, rinse mouth before hand
38. Patient has bacterial pneumonia, which labs (WBC) will be out of whack?: -
Neutrophils
2/6
ANSWERS 2026 LATEST UPDATED | 100% GRADED CORRECT | 100% GUARANTEED TO
PASS | GET A+
1. What is the purpose of giving steroids (prednisone) to a patient with asthma
or COPD?: To reduce inflammation and swelling
2. Albuterol, what does it do?: Bronchodilator (SABA) - rescue medication
-educate to use before doing sports
3. What is assessed to see if a Bronchodilator is effective?: O2 sats improve, RR slows, decreased wheezing
4. True or False: Rhonchi are described as 'snoring' sounds caused by secretions in the upper airway?: True
5. Given patient a SABA (Albuterol), how will the nurse see if it worked?: Auscultate their lungs
-check for wheezing (squeaky musical instrument)
6. What would we want to reduce exposure of for a patient with asthma?: Triggers ex. dust and other allergens
7. What are some triggers of asthma?: Smoking, pet dandruff, dust/pollutants
8. A patient with acute asthma, showing signs of expiratory wheezing, should be treated with a?: SABA - rescue dilator
-always monitor for diminished breath sounds
9. If a patient is having difficulty breathing and sounds are absent when auscultating, what does this mean?:
Vasoconstriction - medical emergency
10. What would you hear if an asthma patient's airway wasn't obstructed during
an attack?: Expiratory Wheezing
-Other S&S: coughing and accessory muscle use
11. If a patient is using accessory muscles, what must the nurse do?: Report this
immediately
12. CM of acute asthma attack?: Inspiratory/expiratory wheezes
-cough/wheezing, tenacious mucoi sputum, tachycardia, use of accessory muscles
13. Nurse walks into a patient room and they are using accessory muscles and a bit cyanotic...: Number one priority
patient for this question
14. Nurse walks into a patient room, they are SOB, increased work of breathing, and sitting in tripod position, what is
something you can do?: Provide oxygen ordered by provider
15. Nurse walks into the room, the patient is experiencing tachycardia, tachypnea, agitation and confusion: Worry about
hypoxia
16. Common s&s or hypoxemia?: Agitation
17. Asthma education: how to use inhaler, use inhaler 15min before sports, rest and balance activity -Fam Hx can
increase risk
18. Risk factors of asthma: -smoking/second hand smoke exposure
-environmental pollution
1/6
, -eczema
19. Side effects of inhaler: agitation, hands shaking, increased heart rate
20. How to use an MDI?: Hold 1-2in from face, press button, inhale softly, hold breath and then exhale 21. Peak flow
meter, patient should be educated to?: Blow within the "green section":
80-100%
-Yellow: coughing, wheezing SOB 50-80%
-if they blow in the red zone: below 50%, wheezing, and trouble talking go to ER
22. Aero chamber: Spacer for inhaler
23. Risk factor of COPD?: Smoking
24. Emphysema: Pink, puffing with breathing, barrel chest
25. Chronic bronchitis: "Blue bloaters" - appear cyanotic and have excessive mucus with productive cough
26. COPD patient comes from ED on 15L of oxygen: Nurse must decrease flow, must worry about oxygen toxicity
27. Remember this is a priority assessment:: Patient with respiratory rate of 40
28. S&S of oxygen toxicity?: Lethargic, minimal response to painful stimuli, O2 at 15L nonrebreather
29. When giving oxygen, a nurse intervention to prevent dryness is?: Humidification
-also help pt breath by elevating head of bed
30. CPT - chest physiotherapy: Vest that pounds and loosens mucus in the lungs and airway -1 hr before meals or 2
hrs after
31. If a patient with COPD has an O2 sat of 76%, is this concerning?: Yes, start oxygen, COPD should be between
86-90%
32. What is appropriate for a COPD pt with O2 sat 90%, RR 40, fever, elevated
WBCs?: Raise HOB, humidify O2, perform CPT as ordered
33. COPD patients should?: -Eat small frequent meals, high in protein -Sit in tripod when struggling to breathe
-encourage vaccines
-get plenty of rest
-smoking cessation
-report worsening S&S
34. Techniques for patient experiencing COPD exacerbation?: -Pursed lip breathing
-high fowler
-using O2 Nasal cannula 2L
35. Patient with pneumonia, what are some clinical manifestations?: Tachypnea, fever, pleuritic chest pain
36. Why is it important to determine if the pneumonia is viral or bacterial?: To determine what form of treatment will
be most effective
37. What test is performed to determine the type of pneumonia a pt has?: Sputum specimen (check for
microorganisms and abnormal cell growth)
-first thing in the morning, rinse mouth before hand
38. Patient has bacterial pneumonia, which labs (WBC) will be out of whack?: -
Neutrophils
2/6
