NUR 230 FINAL EXAM 2026-2027 LATEST
VERSION QUESTIONS AND VERIFIED CORRECT
ANSWERS JUST RELEASED
In what age group would a nurse expect to assess the most rapid respiratory rate?
Older adults
Middle adults
Adolescents
Infants - answer>>>Infants
Which oxygen delivery system is most commonly used because it does not impede eating
or speaking?
Nasal cannula
Oxygen mask
Oxygen hood
Oxygen tent - answer>>>Nasal cannula
A client 90 years of age has been in an automobile crash and sustained four fractured ribs
on the left side of the thorax. Based on age and the injury, the client is at risk for what
complication?
Pneumonia
Altered thought processes
Urinary incontinence
Viral influenza - answer>>>Pneumonia
A nurse is caring for a client who suddenly begins to have respiratory difficulty. In what
position would the nurse place the client to facilitate respirations?
Supine
Prone
High-Fowler's
Dorsal recumbent - answer>>>High-Fowler's
,-
A nurse is using a pulse oximeter to measure the arterial oxyhemoglobin saturation (SaO2
or SpO2) of a client's arterial blood. What range is considered a normal value for SpO2?
65% to 70%
75% to 80%
85% to 90%
95% to 100% - answer>>>95% to 100%
A nurse is educating a client who has congested lungs on how to keep secretions thin and
more easily coughed-up and expectorated. What would be one self-care measure to
teach?
Limit oral intake of fluids to less than 500 mL per day.
Increase oral intake of fluids to 2 to 3 quarts per day.
Maintain bed rest for at least 3 days.
Take warm baths every night for a week. - answer>>>Increase oral intake of fluids to 2 to
3 quarts per day.
The nurse should assess for respiratory depression before and after the administration of
which drugs?
Opioid analgesics
Antibiotics and antivirals
Diuretics
Proton-pump inhibitors - answer>>>Opioid analgesics
While reading a physician's progress notes, a student notes that an assigned client is
having hypoxia. What abnormal assessments would the student expect to find?
abdominal pain, hyperthermia, dry skin
diarrhea, flatulence, decreased skin turgor
hypotension, reddened skin, edema
dyspnea, tachycardia, cyanosis - answer>>>dyspnea, tachycardia, cyanosis
,A nurse is beginning to conduct a health history for a client with respiratory problems. He
notes that the client is having respiratory distress. What would the nurse do next?
Continue with the health history, but more slowly.
Ask questions of the family instead of the client.
Conduct the interview later and let the client rest.
Initiate interventions to help relieve the symptoms. - answer>>>Initiate interventions to
help relieve the symptoms.
The nurse is caring for a client with a chronic lung disorder who has been prescribed
portable oxygen @ 2L/min. What delivery device will the nurse select that is most
appropriate for this client?
simple mask
tracheostomy collar
nasal cannula
face tent - answer>>>nasal cannula
The nursing process consists of 5 steps. What is the first step?
Nursing Diagnosis
Planning
Assessment
Evaluation - answer>>>Assessment
How do Nursing Diagnoses differ from Medical Diagnoses?
Nursing Diagnoses remain the same for as long as the patient is hospitalized.
Nursing Diagnosis require a physician's oversight and orders.
Nursing Diagnoses can be actual or potential health problems
Nursing Diagnoses identify diseases with which patients are suffering. - answer>>>Nursing
Diagnoses can be actual or potential health problems
In an actual NANDA-I diagnosis there needs to be a diagnosis and defining characteristics.
What other part is required for a complete NANDA-I diagnosis?
, -
Etiology
As evidenced by statement
The Diagnostic Statement
Confirmation that the problem exists - answer>>>Etiology
During the planning step of the Nursing Process, the nurse develops a plan of action. This
plan should include which of the following:
Setting priorities, identifying outcomes, selecting a nursing diagnosis, and selecting
interventions
Identifying outcomes, setting priorities, selecting interventions and communication
Selecting a nursing diagnosis, setting priorities, selecting interventions and
communicating
Setting priorities, identifying outcomes, selecting interventions, and communication. -
answer>>>Setting priorities, identifying outcomes, selecting interventions, and
communication.
Which acronym describes qualities of a good outcome?
HIPAA
SMART
SOAP
SBAR - answer>>>SMART
What is the 4th step in the Nursing Process and comes after Planning?
Assessment
Diagnosing
Implementing
Evaluating - answer>>>Implementing
Which of the following is NOT an element of the evaluation process?
Collecting the data to determine if standards were met
VERSION QUESTIONS AND VERIFIED CORRECT
ANSWERS JUST RELEASED
In what age group would a nurse expect to assess the most rapid respiratory rate?
Older adults
Middle adults
Adolescents
Infants - answer>>>Infants
Which oxygen delivery system is most commonly used because it does not impede eating
or speaking?
Nasal cannula
Oxygen mask
Oxygen hood
Oxygen tent - answer>>>Nasal cannula
A client 90 years of age has been in an automobile crash and sustained four fractured ribs
on the left side of the thorax. Based on age and the injury, the client is at risk for what
complication?
Pneumonia
Altered thought processes
Urinary incontinence
Viral influenza - answer>>>Pneumonia
A nurse is caring for a client who suddenly begins to have respiratory difficulty. In what
position would the nurse place the client to facilitate respirations?
Supine
Prone
High-Fowler's
Dorsal recumbent - answer>>>High-Fowler's
,-
A nurse is using a pulse oximeter to measure the arterial oxyhemoglobin saturation (SaO2
or SpO2) of a client's arterial blood. What range is considered a normal value for SpO2?
65% to 70%
75% to 80%
85% to 90%
95% to 100% - answer>>>95% to 100%
A nurse is educating a client who has congested lungs on how to keep secretions thin and
more easily coughed-up and expectorated. What would be one self-care measure to
teach?
Limit oral intake of fluids to less than 500 mL per day.
Increase oral intake of fluids to 2 to 3 quarts per day.
Maintain bed rest for at least 3 days.
Take warm baths every night for a week. - answer>>>Increase oral intake of fluids to 2 to
3 quarts per day.
The nurse should assess for respiratory depression before and after the administration of
which drugs?
Opioid analgesics
Antibiotics and antivirals
Diuretics
Proton-pump inhibitors - answer>>>Opioid analgesics
While reading a physician's progress notes, a student notes that an assigned client is
having hypoxia. What abnormal assessments would the student expect to find?
abdominal pain, hyperthermia, dry skin
diarrhea, flatulence, decreased skin turgor
hypotension, reddened skin, edema
dyspnea, tachycardia, cyanosis - answer>>>dyspnea, tachycardia, cyanosis
,A nurse is beginning to conduct a health history for a client with respiratory problems. He
notes that the client is having respiratory distress. What would the nurse do next?
Continue with the health history, but more slowly.
Ask questions of the family instead of the client.
Conduct the interview later and let the client rest.
Initiate interventions to help relieve the symptoms. - answer>>>Initiate interventions to
help relieve the symptoms.
The nurse is caring for a client with a chronic lung disorder who has been prescribed
portable oxygen @ 2L/min. What delivery device will the nurse select that is most
appropriate for this client?
simple mask
tracheostomy collar
nasal cannula
face tent - answer>>>nasal cannula
The nursing process consists of 5 steps. What is the first step?
Nursing Diagnosis
Planning
Assessment
Evaluation - answer>>>Assessment
How do Nursing Diagnoses differ from Medical Diagnoses?
Nursing Diagnoses remain the same for as long as the patient is hospitalized.
Nursing Diagnosis require a physician's oversight and orders.
Nursing Diagnoses can be actual or potential health problems
Nursing Diagnoses identify diseases with which patients are suffering. - answer>>>Nursing
Diagnoses can be actual or potential health problems
In an actual NANDA-I diagnosis there needs to be a diagnosis and defining characteristics.
What other part is required for a complete NANDA-I diagnosis?
, -
Etiology
As evidenced by statement
The Diagnostic Statement
Confirmation that the problem exists - answer>>>Etiology
During the planning step of the Nursing Process, the nurse develops a plan of action. This
plan should include which of the following:
Setting priorities, identifying outcomes, selecting a nursing diagnosis, and selecting
interventions
Identifying outcomes, setting priorities, selecting interventions and communication
Selecting a nursing diagnosis, setting priorities, selecting interventions and
communicating
Setting priorities, identifying outcomes, selecting interventions, and communication. -
answer>>>Setting priorities, identifying outcomes, selecting interventions, and
communication.
Which acronym describes qualities of a good outcome?
HIPAA
SMART
SOAP
SBAR - answer>>>SMART
What is the 4th step in the Nursing Process and comes after Planning?
Assessment
Diagnosing
Implementing
Evaluating - answer>>>Implementing
Which of the following is NOT an element of the evaluation process?
Collecting the data to determine if standards were met
