NR 324 FINAL EXAM -ADULT HEALTH I |ACTUAL
QUESTIONS AND VERIFIED ANSWERS |BRAND
NEW 2026-2027 UPDATE|GRADED A+
Question 1
The nurse suspects that a client is at risk for tuberculosis. Which risk factor should the
nurse assess in this client? (Select all that apply.)
A) Sharing clothes with an infected individual
B) Living in a poorly ventilated environment
C) Using injection drugs
D) Being an immigrant to the United States
E) Having a compromised immune system
CORRECT ANSWER
B, C, D, E
Other risk factors think "TB RISK":
T → tight living quarters
B → below poverty line
R → refugee
I → immunocompromised
S → substance abuse
K → kids < 5y/o
Question 2
The nurse instructs a client with tuberculosis on the medication rifampin. Which client
statement indicates teaching has been effective? (Select all that apply.)
A) "I should take rifampin on an empty stomach."
B) "I need to monitor my vision daily by reading a newspaper."
1
,C) "I should not take aspirin while I am taking rifampin."
D) "I should not be frightened if my urine changes to an orange-red color; it is a normal side
effect."
E) "I need to take pyridoxine (vitamin B6) along with the rifampin."
CORRECT ANSWER
A, C, D
Answer B is important education for pt's on ethambutol
Answer E is pertinent for izoniazid (INH) to avoid peripheral neuropathy
Question 3
During an assessment of a 45-year-old patient with asthma, the nurse notes wheezing and
dyspnea. The nurse interprets that these symptoms are related to what pathophysiologic
change?
A) laryngospasm
B) pulmonary edema
C) narrowing of the airway
D) over distention of the alveoli
CORRECT ANSWER
C. Narrowing of the airwayNarrowing of the airway by persistent but variable
inflammation leads to reduced airflow, making it difficult for the patient to breathe and
producing the characteristic wheezing. Laryngospasm, pulmonary edema, and
overdistention of the alveoli do not produce wheezing.
Question 4
The patient has an order for each of the following inhalers. Which one should the nurse
offer to the patient at the onset of an asthma attack?
A) Albuterol
B) Salterm-11meterol
2
,C) Beclomethasone
D) Ipratropium bromide
CORRECT ANSWER
A. Albuterol
Albuterol is a short-acting bronchodilator that should be given initially when the patient
experiences an asthma attack. Salmeterol (Serevent) is a long-acting β2-adrenergic
agonist, which is not used for acute asthma attacks. Beclomethasone (Qvar) is a
corticosteroid inhaler and not recommended for an acute asthma attack. Ipratropium
bromide (Atrovent) is an anticholinergic agent that is less effective than β2-adrenergic
agonists. It may be used in an emergency with a patient unable to tolerate short-acting
β2-adrenergic agonists (SABAs).
Question 5
When providing discharge teaching to a patient who is newly diagnosed with asthma,
which of these points should the healthcare provider emphasize?
A) " eliminate or reduce exposure to known asthma triggers"
B) " measure and record your peak flow meter readings every month"
C) take a NSAID agent daily as part of your treatment "
D) " when you feel an attack is imminent, use your inhaled corticosteroid"
CORRECT ANSWER
A) " eliminate or reduce exposure to known asthma triggers"
Question 6
The nurse teaches pursed lip breathing to a patient who is newly diagnosed with chronic
obstructive pulmonary disease (COPD). The nurse reinforces that this technique will assist
respiration by which mechanism?
A) Loosening secretions so that they may be coughed up more easily
B) Promoting maximal inhalation for better oxygenation of the lungs
3
, C) Preventing bronchial collapse and air trapping in the lungs during exhalation
D) Increasing the respiratory rate and giving the patient control of respiratory patterns
CORRECT ANSWER
C. Preventing bronchial collapse and air trapping in the lungs during exhalation.
The purpose of pursed lip breathing is to slow down the exhalation phase of respiration,
which decreases bronchial collapse and subsequent air trapping in the lungs during
exhalation. It does not affect secretions, inhalation, or increase the rate of breathing.
Question 7
The client diagnosed with an exacerbation of COPD is in respiratory distress. Which
intervention should the nurse implement first?
A) Assist the client into a sitting position at 90 degrees.
B) Administer oxygen at 6 LPM via nasal cannula.
C) Monitor vital signs with the client sitting upright.
D) Notify the HCP about pt's status.
CORRECT ANSWER
A. Assist the client into a sitting position at 90 degrees.
The client should be assisted into a sitting position either on the side of the bed or in the
bed. This position decreases the work of breathing. Some clients find it easier to sitting
on the side of the bed leaning over the bed table. The nurse needs to maintain client's
safety.
Question 8
The nurse is assessing the client diagnosed with COPD. Which data requires immediate
intervention by the nurse?
A) Large amounts of thick white sputum.
B) Oxygen flowmeter set at 8lpm.
C) Use of accessory muscles during inspiration.
4
QUESTIONS AND VERIFIED ANSWERS |BRAND
NEW 2026-2027 UPDATE|GRADED A+
Question 1
The nurse suspects that a client is at risk for tuberculosis. Which risk factor should the
nurse assess in this client? (Select all that apply.)
A) Sharing clothes with an infected individual
B) Living in a poorly ventilated environment
C) Using injection drugs
D) Being an immigrant to the United States
E) Having a compromised immune system
CORRECT ANSWER
B, C, D, E
Other risk factors think "TB RISK":
T → tight living quarters
B → below poverty line
R → refugee
I → immunocompromised
S → substance abuse
K → kids < 5y/o
Question 2
The nurse instructs a client with tuberculosis on the medication rifampin. Which client
statement indicates teaching has been effective? (Select all that apply.)
A) "I should take rifampin on an empty stomach."
B) "I need to monitor my vision daily by reading a newspaper."
1
,C) "I should not take aspirin while I am taking rifampin."
D) "I should not be frightened if my urine changes to an orange-red color; it is a normal side
effect."
E) "I need to take pyridoxine (vitamin B6) along with the rifampin."
CORRECT ANSWER
A, C, D
Answer B is important education for pt's on ethambutol
Answer E is pertinent for izoniazid (INH) to avoid peripheral neuropathy
Question 3
During an assessment of a 45-year-old patient with asthma, the nurse notes wheezing and
dyspnea. The nurse interprets that these symptoms are related to what pathophysiologic
change?
A) laryngospasm
B) pulmonary edema
C) narrowing of the airway
D) over distention of the alveoli
CORRECT ANSWER
C. Narrowing of the airwayNarrowing of the airway by persistent but variable
inflammation leads to reduced airflow, making it difficult for the patient to breathe and
producing the characteristic wheezing. Laryngospasm, pulmonary edema, and
overdistention of the alveoli do not produce wheezing.
Question 4
The patient has an order for each of the following inhalers. Which one should the nurse
offer to the patient at the onset of an asthma attack?
A) Albuterol
B) Salterm-11meterol
2
,C) Beclomethasone
D) Ipratropium bromide
CORRECT ANSWER
A. Albuterol
Albuterol is a short-acting bronchodilator that should be given initially when the patient
experiences an asthma attack. Salmeterol (Serevent) is a long-acting β2-adrenergic
agonist, which is not used for acute asthma attacks. Beclomethasone (Qvar) is a
corticosteroid inhaler and not recommended for an acute asthma attack. Ipratropium
bromide (Atrovent) is an anticholinergic agent that is less effective than β2-adrenergic
agonists. It may be used in an emergency with a patient unable to tolerate short-acting
β2-adrenergic agonists (SABAs).
Question 5
When providing discharge teaching to a patient who is newly diagnosed with asthma,
which of these points should the healthcare provider emphasize?
A) " eliminate or reduce exposure to known asthma triggers"
B) " measure and record your peak flow meter readings every month"
C) take a NSAID agent daily as part of your treatment "
D) " when you feel an attack is imminent, use your inhaled corticosteroid"
CORRECT ANSWER
A) " eliminate or reduce exposure to known asthma triggers"
Question 6
The nurse teaches pursed lip breathing to a patient who is newly diagnosed with chronic
obstructive pulmonary disease (COPD). The nurse reinforces that this technique will assist
respiration by which mechanism?
A) Loosening secretions so that they may be coughed up more easily
B) Promoting maximal inhalation for better oxygenation of the lungs
3
, C) Preventing bronchial collapse and air trapping in the lungs during exhalation
D) Increasing the respiratory rate and giving the patient control of respiratory patterns
CORRECT ANSWER
C. Preventing bronchial collapse and air trapping in the lungs during exhalation.
The purpose of pursed lip breathing is to slow down the exhalation phase of respiration,
which decreases bronchial collapse and subsequent air trapping in the lungs during
exhalation. It does not affect secretions, inhalation, or increase the rate of breathing.
Question 7
The client diagnosed with an exacerbation of COPD is in respiratory distress. Which
intervention should the nurse implement first?
A) Assist the client into a sitting position at 90 degrees.
B) Administer oxygen at 6 LPM via nasal cannula.
C) Monitor vital signs with the client sitting upright.
D) Notify the HCP about pt's status.
CORRECT ANSWER
A. Assist the client into a sitting position at 90 degrees.
The client should be assisted into a sitting position either on the side of the bed or in the
bed. This position decreases the work of breathing. Some clients find it easier to sitting
on the side of the bed leaning over the bed table. The nurse needs to maintain client's
safety.
Question 8
The nurse is assessing the client diagnosed with COPD. Which data requires immediate
intervention by the nurse?
A) Large amounts of thick white sputum.
B) Oxygen flowmeter set at 8lpm.
C) Use of accessory muscles during inspiration.
4
