NURSING 104 EXAM 4 — UNIVERSITY OF LOUISIANA AT LAFAYETTE (ULL)
ACTUAL EXAM 2026 || MOST RECENT EXAM 2026|2027 ACTUAL
COMPLETE REAL EXAM QUESTIONS AND CORRECT ANSWERS
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Which assessment finding is most concerning in a patient experiencing
acute respiratory distress?
A. Respiratory rate of 18 breaths/min
B. Oxygen saturation of 98% on room air
C. Use of accessory muscles with increasing respiratory effort
D. Clear bilateral breath sounds
Answer: C. Use of accessory muscles with increasing respiratory effort
Rationale: Use of accessory muscles indicates increased work of
breathing and possible respiratory compromise. The nurse should
recognize this as an early warning sign of deterioration and assess
airway, breathing, oxygenation, and the underlying cause promptly.
A nurse is assessing a patient with pneumonia. Which finding is most
consistent with impaired oxygenation?
A. Warm, dry skin
B. Restlessness and confusion
C. Heart rate of 72 beats/min
D. Respiratory rate of 14 breaths/min
,Answer: B. Restlessness and confusion
Rationale: Restlessness, agitation, and confusion can occur when the
brain is not receiving adequate oxygen. These changes may precede
more obvious cyanosis and should prompt immediate reassessment of
oxygenation and respiratory status.
Which intervention is most appropriate for a patient experiencing
hypoxemia?
A. Place the patient flat in bed
B. Encourage prolonged bed rest
C. Position the patient to promote maximum lung expansion
D. Restrict all oral fluids
Answer: C. Position the patient to promote maximum lung expansion
Rationale: Upright positioning, such as semi-Fowler or high-Fowler,
promotes lung expansion and improves ventilation. The nurse should
also administer oxygen as prescribed and investigate the cause of
hypoxemia.
A patient with chronic obstructive pulmonary disease is receiving
oxygen therapy. Which nursing action is appropriate?
A. Administer oxygen at the highest possible flow rate
B. Monitor respiratory status and oxygen saturation closely
C. Withhold oxygen because oxygen is contraindicated in COPD
D. Encourage the patient to breathe rapidly
,Answer: B. Monitor respiratory status and oxygen saturation closely
Rationale: Oxygen can be safely administered to patients with COPD
when clinically indicated, but the nurse should carefully monitor
oxygenation and respiratory status. Excessive oxygen administration
may worsen carbon dioxide retention in some patients.
Which breathing technique should the nurse teach a patient with
COPD to improve ventilation?
A. Pursed-lip breathing
B. Rapid shallow breathing
C. Breath holding for 30 seconds
D. Continuous mouth breathing
Answer: A. Pursed-lip breathing
Rationale: Pursed-lip breathing slows expiration and helps maintain
airway pressure, reducing airway collapse and air trapping. It can
decrease dyspnea and improve the patient's ability to control
breathing.
A nurse is caring for a patient with asthma who is experiencing
wheezing and dyspnea.
Which medication would generally be expected for rapid relief of acute
bronchospasm?
A. Albuterol
B. Warfarin
, C. Furosemide
D. Omeprazole
Answer: A. Albuterol
Rationale: Albuterol is a short-acting beta₂-adrenergic agonist that
produces bronchodilation and is commonly used as a rescue
medication for acute bronchospasm. The nurse should assess
respiratory response after administration.
Which finding in a patient with asthma indicates potentially severe
airway obstruction?
A. Mild cough
B. Ability to speak in complete sentences
C. Decreasing or absent wheezing with worsening respiratory distress
D. Respiratory rate of 16 breaths/min
Answer: C. Decreasing or absent wheezing with worsening respiratory
distress
Rationale: A silent or nearly silent chest in a severely distressed patient
may indicate minimal air movement rather than improvement. This is
an emergency because profound airway obstruction can prevent
sufficient airflow to produce wheezing.
A nurse is caring for a patient receiving mechanical ventilation. Which
finding requires immediate attention?
ACTUAL EXAM 2026 || MOST RECENT EXAM 2026|2027 ACTUAL
COMPLETE REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ | GUARANTEED
SUCCESS!! BRAND NEW VERSION! | JUST RELEASED!!
Which assessment finding is most concerning in a patient experiencing
acute respiratory distress?
A. Respiratory rate of 18 breaths/min
B. Oxygen saturation of 98% on room air
C. Use of accessory muscles with increasing respiratory effort
D. Clear bilateral breath sounds
Answer: C. Use of accessory muscles with increasing respiratory effort
Rationale: Use of accessory muscles indicates increased work of
breathing and possible respiratory compromise. The nurse should
recognize this as an early warning sign of deterioration and assess
airway, breathing, oxygenation, and the underlying cause promptly.
A nurse is assessing a patient with pneumonia. Which finding is most
consistent with impaired oxygenation?
A. Warm, dry skin
B. Restlessness and confusion
C. Heart rate of 72 beats/min
D. Respiratory rate of 14 breaths/min
,Answer: B. Restlessness and confusion
Rationale: Restlessness, agitation, and confusion can occur when the
brain is not receiving adequate oxygen. These changes may precede
more obvious cyanosis and should prompt immediate reassessment of
oxygenation and respiratory status.
Which intervention is most appropriate for a patient experiencing
hypoxemia?
A. Place the patient flat in bed
B. Encourage prolonged bed rest
C. Position the patient to promote maximum lung expansion
D. Restrict all oral fluids
Answer: C. Position the patient to promote maximum lung expansion
Rationale: Upright positioning, such as semi-Fowler or high-Fowler,
promotes lung expansion and improves ventilation. The nurse should
also administer oxygen as prescribed and investigate the cause of
hypoxemia.
A patient with chronic obstructive pulmonary disease is receiving
oxygen therapy. Which nursing action is appropriate?
A. Administer oxygen at the highest possible flow rate
B. Monitor respiratory status and oxygen saturation closely
C. Withhold oxygen because oxygen is contraindicated in COPD
D. Encourage the patient to breathe rapidly
,Answer: B. Monitor respiratory status and oxygen saturation closely
Rationale: Oxygen can be safely administered to patients with COPD
when clinically indicated, but the nurse should carefully monitor
oxygenation and respiratory status. Excessive oxygen administration
may worsen carbon dioxide retention in some patients.
Which breathing technique should the nurse teach a patient with
COPD to improve ventilation?
A. Pursed-lip breathing
B. Rapid shallow breathing
C. Breath holding for 30 seconds
D. Continuous mouth breathing
Answer: A. Pursed-lip breathing
Rationale: Pursed-lip breathing slows expiration and helps maintain
airway pressure, reducing airway collapse and air trapping. It can
decrease dyspnea and improve the patient's ability to control
breathing.
A nurse is caring for a patient with asthma who is experiencing
wheezing and dyspnea.
Which medication would generally be expected for rapid relief of acute
bronchospasm?
A. Albuterol
B. Warfarin
, C. Furosemide
D. Omeprazole
Answer: A. Albuterol
Rationale: Albuterol is a short-acting beta₂-adrenergic agonist that
produces bronchodilation and is commonly used as a rescue
medication for acute bronchospasm. The nurse should assess
respiratory response after administration.
Which finding in a patient with asthma indicates potentially severe
airway obstruction?
A. Mild cough
B. Ability to speak in complete sentences
C. Decreasing or absent wheezing with worsening respiratory distress
D. Respiratory rate of 16 breaths/min
Answer: C. Decreasing or absent wheezing with worsening respiratory
distress
Rationale: A silent or nearly silent chest in a severely distressed patient
may indicate minimal air movement rather than improvement. This is
an emergency because profound airway obstruction can prevent
sufficient airflow to produce wheezing.
A nurse is caring for a patient receiving mechanical ventilation. Which
finding requires immediate attention?
