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NURS 2055 FALL FINAL Exam Questions With Correct Answers 100% Verified.

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©THESTAR 2024/2025 ALL RIGHTS RESERVED 12:43 PM. 1 | P a g e NURS 2055 FALL FINAL Exam Questions With Correct Answers 100% Verified. The nurse is assessing a patient with asthma and notes wheezing and dyspnea. Which of the following pathophysiological change sis attributable to these symptoms? • Laryngospasm • Pulmonary edema • Narrowing of the airway • Over distension of the alveoli - AnswerNarrowing of the airway leads to reduced airflow, making it difficultfor the patient to breathe and producing the characteristic wheezing The nurse is assessing a patient with asthma who isshort of breath and appears frightened. Which of the following clinical manifestations is often present as a nearly symptom during an acute exacerbation of asthma? • Anxiety •Cyanosis • Bradycardia • Hypercapnia - AnswerAn early symptom during an acute asthma attack is anxiety because the patient is acutelyaware of the inability to get sufficient air to breathe. They will be hypoxic early on, with decreased PaCO2, and increased pH as they are hyperventilating. The nurse is caring for a patient who has anxiety and is experiencing an exacerbation of asthma.For which of the following reasons should the nurse carefully inspect the chest wall of the patient? • Allow time to calm the patient. • Observe for signs of diaphoresis. • Evaluate the use of intercostal muscles ©THESTAR 2024/2025 ALL RIGHTS RESERVED 12:43 PM. 2 | P a g e • Monitor the patient for bilateral chest expansion. - AnswerThe nurse physically inspects the chest wall to evaluate the use of intercostal (accessory) muscles, which gives an indication of the degree of respiratory distress experienced by the patient. Which of the following positions is best for the nurse to place apatient whois experiencing an asthma exacerbation? • Supine • Lithotomy • High Fowler's • Reverse Trendelenburg - AnswerHigh Fowler's The nurse is caring for a patient with an acute exacerbation of asthma. Following initial treatment,which of the following findings indicates to the nurse that the patient's respiratory status is improving? • Wheezing becomes louder • Vesicular breath sounds decrease • The cough remains non-productive • Aerosol bronchodilators stimulate coughing - AnswerThe primary problem during an exacerbation of asthma is narrowing of the airway and subsequent diminished air exchange. As the airways begin to dilate, wheezing gets louder because of better air exchange. The nurse identifies the nursing diagnosis of activity intolerance for a patient with asthma. Which of the following etiological factors should the nurse assess in the patient? • Work of breathing Fear of suffocation • Effects of medications • Anxiety and restlessness - AnswerWhen the patient does not have sufficient gas exchange to engage in activity, the etiologicalfactor is often the work of breathing. When patients with asthma do not have effective respirations, they use all available energy to breathe and have little left over for purposeful activity. The nurse is caring for a patient with an acute exacerbation of chronic obstructive pulmonary disease (COPD) who needs to receive precise amounts of oxygen. Which of the following types of equipment should the nurse prepare touse? • Oxygen tent • Venturi mas

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©THESTAR 2024/2025 ALL RIGHTS RESERVED 12:43 PM.




NURS 2055 FALL FINAL Exam Questions
With Correct Answers 100% Verified.



The nurse is assessing a patient with asthma and notes wheezing and dyspnea. Which of the
following pathophysiological change sis attributable to these symptoms?
• Laryngospasm
• Pulmonary edema
• Narrowing of the airway

• Over distension of the alveoli - Answer✔Narrowing of the airway leads to reduced airflow,
making it difficultfor the patient to breathe and producing the characteristic wheezing
The nurse is assessing a patient with asthma who isshort of breath and appears frightened.
Which of the following clinical manifestations is often present as a nearly symptom during an
acute exacerbation of asthma?
• Anxiety
•Cyanosis
• Bradycardia

• Hypercapnia - Answer✔An early symptom during an acute asthma attack is anxiety because
the patient is acutelyaware of the inability to get sufficient air to breathe. They will be hypoxic
early on, with decreased PaCO2, and increased pH as they are hyperventilating.
The nurse is caring for a patient who has anxiety and is experiencing an exacerbation of
asthma.For which of the following reasons should the nurse carefully inspect the chest wall of
the patient?
• Allow time to calm the patient.
• Observe for signs of diaphoresis.
• Evaluate the use of intercostal muscles



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, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 12:43 PM.


• Monitor the patient for bilateral chest expansion. - Answer✔The nurse physically inspects the
chest wall to evaluate the use of intercostal (accessory) muscles, which gives an indication of
the degree of respiratory distress experienced by the patient.
Which of the following positions is best for the nurse to place apatient whois experiencing an
asthma exacerbation?
• Supine
• Lithotomy
• High Fowler's

• Reverse Trendelenburg - Answer✔High Fowler's
The nurse is caring for a patient with an acute exacerbation of asthma. Following initial
treatment,which of the following findings indicates to the nurse that the patient's respiratory
status is improving?
• Wheezing becomes louder
• Vesicular breath sounds decrease
• The cough remains non-productive

• Aerosol bronchodilators stimulate coughing - Answer✔The primary problem during an
exacerbation of asthma is narrowing of the airway and subsequent diminished air exchange. As
the airways begin to dilate, wheezing gets louder because of better air exchange.
The nurse identifies the nursing diagnosis of activity intolerance for a patient with asthma.
Which of the following etiological factors should the nurse assess in the patient?
• Work of breathing
Fear of suffocation
• Effects of medications

• Anxiety and restlessness - Answer✔When the patient does not have sufficient gas exchange
to engage in activity, the etiologicalfactor is often the work of breathing. When patients with
asthma do not have effective respirations, they use all available energy to breathe and have
little left over for purposeful activity.
The nurse is caring for a patient with an acute exacerbation of chronic obstructive pulmonary
disease (COPD) who needs to receive precise amounts of oxygen. Which of the following types
of equipment should the nurse prepare touse?
• Oxygen tent
• Venturi mask

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, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 12:43 PM.


• Nasal cannula•

Partial non-rebreather mask - Answer✔The Venturi mask delivers precise concentrations of
oxygen and should be selected whenever this is a priority concern. The other methods are less
precise in terms of amount of oxygen delivered
The nurse is teaching a patient with asthma about the appropriate use of a peak flowmeter.
Which of the following instructions should the nurse include in the teaching plan?
• Use the flowmeter each morning after taking medications to evaluate theireffectiveness
.• Keep a record of the peak flowmeter numbers if symptoms of asthma are getting worse.
• Increase the doses of the long-term control medication if the peak flow numbersdecrease.
• Empty the lungs and then inhale quickly through the mouthpiece to measurehow fast air can
be inhaled. - Answer✔It is important to keep track of peak flow readings daily, especially when
the patient's symptoms are getting worse.The patient should have specific directions as to
when to call the physician, based on personal peak flow numbers.Peak flow is measured by
exhaling into the flowmeter and should be assessed before and after medications toevaluate
their effectiveness
The nurse determines that a patient is experiencing common adverse effects from the inhaled
corticosteroid beclomethasone. Which of the following symptoms is the basis for this
determination?
• Hypertension and pulmonary edema
• Oropharyngeal candidiasis and hoarseness
• Elevation of blood glucose and calcium levels

• Adrenocortical dysfunction and hyperglycemia - Answer✔Oropharyngeal candidiasis and
hoarseness are common adverse effects from the use of inhaled corticosteroids because the
medication can lead to overgrowth of organisms and local irritation if the patient does not rinse
the mouth following each dose
The nurse is teaching a patient about the use of a spacerdevice when taking inhaled
medications. Which of the followingpatient statements indicates that the teaching has
beeneffective?
• "I will pay less for medication because it will last longer."
• "More of the medication will get down into my lungs to help my breathing."
• "Now I will not need to breathe in as deeply when taking theinhaler medications."




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