NUR 301 - Care of Adults II
NUR 301 FINAL EXAM 2026 UNIVERSITY OF
MAINE GRADED A+ 100% ACCURATE
SPRING QUESTION AND ANSWER
the nurse monitors a client receiving oxygen per face mask. the nurse is most concerned with
which observation
a. there is condensation in the tubing
b. the pulse oximetry reading is 92%
c. the client has a nonproductive cough
d. the skin under the elastic band is reddened
c. the client has a nonproductive cough
rationale: this is a sign of lung oxygen toxicity
which objective data is most important when determining if a pt is hypoxic?
a. cool, bluish skin
b. abnormal blood gases
c. elevated temperature
d. increased sputum production
b. abnormal blood gases
rationale: arterial blood gases (ABG) measures tissue oxygenation, co2 removal, and acid-
base balance. if the pt has inadequate exchange of oxygen and co2, respiratory acidosis occurs
the nurse identifies which type of food is most likely to present problems for a pt with
respiratory issues?
a fruits
b grains
c dairy
d fish
c dairy
rationale: dairy products are mucus producing which can cause thick secretions
,NUR 301 - Care of Adults II
after receiving hand off shift report, the nurse assesses a pt who is having cheyne-stokes
respirations. which is the best description of this breathing pattern?
a. regular but increased in rate and abnormally deep respirations
b. irregular patterns of shallow breathing alternating with periods of apnea
c. regular rapid and shallow breathing
d. gradual increase in depth of respirations, followed by a gradual decrease in depth, then a
period of apnea
d. gradual increase in depth of respirations, followed by a gradual decrease in depth, then a
period of apnea
after oxygen had been administered, the next priority intervention the nurse would initiate for a
pt with a pulmonary embolism is the administration of which of the following therapies?
a. normal saline IV fluid
b. IV heparin
c. platelet administration
d. antibiotics for inflammatory fever
b. IV heparin
a pt diagnosed with pneumonia complains of a new onset slight SOB. for which of the following
assessment findings would the nurse call the doctor immediately? (select all that apply
a. the pt is voiding, but amounts are decreasing
b. the pt is sleeping more than usual
c. there is pink coloration to the skin
d. the pt's secretions are thin and milky colored
e. the pt thought it was the 3rd instead of the 5th of the month
b. the pt is sleeping more than usual
c. there is pink coloration to the skin
the nurse includes which nursing diagnosis in the plan of care for a pt with pneumonia?
a anxiety related to hypoxia
b. deficient knowledge related to cause of disorder
c. fear related to threat of pain
d. ineffective breathing pattern related to decreased surfactant
a anxiety related to hypoxia
the nurse is reviewing orders on the pt who is to receive supplemental oxygen. it is a priority
for the nurse to follow up with the provider about which order?
a. nasal cannula at 2 l/min
b. venturi mask at 24% concentration
c. nasal cannula at 8 l/ min
d. venturi mask at 50% concentration
,NUR 301 - Care of Adults II
c. nasal cannula at 8 l/ min
rationale: nasal cannulas are at 1-6 l/min
the nurse is caring for a pt who is receiving oxygen therapy via the venturi mask. which
complications are associated with oxygen therapy? select all that apply
a. oxygen toxicity
b. cachexia
c. bradycardia
d. absorption atelastasic
e. increased dead space
a. oxygen toxicity
e. increased dead space
when the nurse is performing postural drainage for the pt, which factor promotes the
movement of secretions to the upper airway?
a. dilation of alveoli
b. action of the cilia
d. muscle contraction
d. force of gravity
d. force of gravity
the nurse is screening patients for their risk of developing VAP. the nurse considers which pt
at greatest risk?
a. pt who was extubated within 24 hours of being intubated
b. a pt intubated and placed on mechanical ventilation less than 72 hours ago
c. a pt with HOB elevated 45 degrees
d. a pt who was placed on nasal cannula after being extubated
b. a pt intubated and placed on mechanical ventilation less than 72 hours ago
which of the following is not a function of the respiratory system?
a acid-base balance
b temperature regulation
c fluid balance
d tissue perfusion
d tissue perfusion
which of the following structures actively participates in gas exchange?
a bronchi
b visceral pleura
c respiratory bronchioles
d terminal bronchioles
, NUR 301 - Care of Adults II
c respiratory bronchioles
which of the following indicates an abnormal assessment finding of the respiratory system?
a symmetrical chest expansion
b muscle retractions with inhalation
c the sound of resonance with percussion of lung tissue
d pink mucosa of mouth and nares
b muscle retractions with inhalation
which of the following is a finding attributable to age related changes?
a. kyphosis
b. ap to lateral diameter of 1:1
c. PaCO2 of 47 on ABF
D. PaCO2 of 60 on ABG
D. PaCO2 of 60 on ABG
the correct statement about the prevalence of pneumonia is which of the following?
a. pneumonia is no longer a major problem
b the prevalence of pneumonia is increasing dramatically
c the prevalence and mortality is highest in persons older than 65
d the frequency has not declined, but mortality has
c the prevalence and mortality is highest in persons older than 65
d the frequency has not
When ausculatiting a patient's lungs, your hear crackles. These are caused by:
a. Secretions blocking the bronchial airways.
b. Collapsed or fluid-filled alveoli snapping open
c. A foreign body obstructing the trachea
d. Consolidation
b. Collapsed or fluid-filled alveoli snapping open
Rationale: Crackles are caused by alveoli opening and are usually associated with fluid in the
alveolar space.
Which strategy is recommended to prevent ventilator associated pneumonia?
a. Administering antibiotics
b. Elevating the head of the bed 30 to 45 degrees
c. Opening the ventilator circuit when removing condensate
d. Avoid routine mouth care
NUR 301 FINAL EXAM 2026 UNIVERSITY OF
MAINE GRADED A+ 100% ACCURATE
SPRING QUESTION AND ANSWER
the nurse monitors a client receiving oxygen per face mask. the nurse is most concerned with
which observation
a. there is condensation in the tubing
b. the pulse oximetry reading is 92%
c. the client has a nonproductive cough
d. the skin under the elastic band is reddened
c. the client has a nonproductive cough
rationale: this is a sign of lung oxygen toxicity
which objective data is most important when determining if a pt is hypoxic?
a. cool, bluish skin
b. abnormal blood gases
c. elevated temperature
d. increased sputum production
b. abnormal blood gases
rationale: arterial blood gases (ABG) measures tissue oxygenation, co2 removal, and acid-
base balance. if the pt has inadequate exchange of oxygen and co2, respiratory acidosis occurs
the nurse identifies which type of food is most likely to present problems for a pt with
respiratory issues?
a fruits
b grains
c dairy
d fish
c dairy
rationale: dairy products are mucus producing which can cause thick secretions
,NUR 301 - Care of Adults II
after receiving hand off shift report, the nurse assesses a pt who is having cheyne-stokes
respirations. which is the best description of this breathing pattern?
a. regular but increased in rate and abnormally deep respirations
b. irregular patterns of shallow breathing alternating with periods of apnea
c. regular rapid and shallow breathing
d. gradual increase in depth of respirations, followed by a gradual decrease in depth, then a
period of apnea
d. gradual increase in depth of respirations, followed by a gradual decrease in depth, then a
period of apnea
after oxygen had been administered, the next priority intervention the nurse would initiate for a
pt with a pulmonary embolism is the administration of which of the following therapies?
a. normal saline IV fluid
b. IV heparin
c. platelet administration
d. antibiotics for inflammatory fever
b. IV heparin
a pt diagnosed with pneumonia complains of a new onset slight SOB. for which of the following
assessment findings would the nurse call the doctor immediately? (select all that apply
a. the pt is voiding, but amounts are decreasing
b. the pt is sleeping more than usual
c. there is pink coloration to the skin
d. the pt's secretions are thin and milky colored
e. the pt thought it was the 3rd instead of the 5th of the month
b. the pt is sleeping more than usual
c. there is pink coloration to the skin
the nurse includes which nursing diagnosis in the plan of care for a pt with pneumonia?
a anxiety related to hypoxia
b. deficient knowledge related to cause of disorder
c. fear related to threat of pain
d. ineffective breathing pattern related to decreased surfactant
a anxiety related to hypoxia
the nurse is reviewing orders on the pt who is to receive supplemental oxygen. it is a priority
for the nurse to follow up with the provider about which order?
a. nasal cannula at 2 l/min
b. venturi mask at 24% concentration
c. nasal cannula at 8 l/ min
d. venturi mask at 50% concentration
,NUR 301 - Care of Adults II
c. nasal cannula at 8 l/ min
rationale: nasal cannulas are at 1-6 l/min
the nurse is caring for a pt who is receiving oxygen therapy via the venturi mask. which
complications are associated with oxygen therapy? select all that apply
a. oxygen toxicity
b. cachexia
c. bradycardia
d. absorption atelastasic
e. increased dead space
a. oxygen toxicity
e. increased dead space
when the nurse is performing postural drainage for the pt, which factor promotes the
movement of secretions to the upper airway?
a. dilation of alveoli
b. action of the cilia
d. muscle contraction
d. force of gravity
d. force of gravity
the nurse is screening patients for their risk of developing VAP. the nurse considers which pt
at greatest risk?
a. pt who was extubated within 24 hours of being intubated
b. a pt intubated and placed on mechanical ventilation less than 72 hours ago
c. a pt with HOB elevated 45 degrees
d. a pt who was placed on nasal cannula after being extubated
b. a pt intubated and placed on mechanical ventilation less than 72 hours ago
which of the following is not a function of the respiratory system?
a acid-base balance
b temperature regulation
c fluid balance
d tissue perfusion
d tissue perfusion
which of the following structures actively participates in gas exchange?
a bronchi
b visceral pleura
c respiratory bronchioles
d terminal bronchioles
, NUR 301 - Care of Adults II
c respiratory bronchioles
which of the following indicates an abnormal assessment finding of the respiratory system?
a symmetrical chest expansion
b muscle retractions with inhalation
c the sound of resonance with percussion of lung tissue
d pink mucosa of mouth and nares
b muscle retractions with inhalation
which of the following is a finding attributable to age related changes?
a. kyphosis
b. ap to lateral diameter of 1:1
c. PaCO2 of 47 on ABF
D. PaCO2 of 60 on ABG
D. PaCO2 of 60 on ABG
the correct statement about the prevalence of pneumonia is which of the following?
a. pneumonia is no longer a major problem
b the prevalence of pneumonia is increasing dramatically
c the prevalence and mortality is highest in persons older than 65
d the frequency has not declined, but mortality has
c the prevalence and mortality is highest in persons older than 65
d the frequency has not
When ausculatiting a patient's lungs, your hear crackles. These are caused by:
a. Secretions blocking the bronchial airways.
b. Collapsed or fluid-filled alveoli snapping open
c. A foreign body obstructing the trachea
d. Consolidation
b. Collapsed or fluid-filled alveoli snapping open
Rationale: Crackles are caused by alveoli opening and are usually associated with fluid in the
alveolar space.
Which strategy is recommended to prevent ventilator associated pneumonia?
a. Administering antibiotics
b. Elevating the head of the bed 30 to 45 degrees
c. Opening the ventilator circuit when removing condensate
d. Avoid routine mouth care
