AND 100% CORRECT ANSWERS 2025-
2026 UPDATED.
When the nurse assesses a 78-year-old patient with pneumonia, what is the priority
assessment?
a. Breath sounds
b. Airway patency
c. Respiratory rate
d. Percussion sounds - Answer B
A 45-year-old man has been admitted to the hospital with suspicion of pulmonary embolism.
Which of the following symptoms should the nurse report to the primary health practitioner
immediately?
a. Chest pain
b. Shortness of breath
c. Respirations 20 breaths/min
d. Productive cough - Answer a
A 62-year-old woman comes to the clinic with an exacerbation of asthma. Which of the
following findings indicate worsening status of her asthma?
a. Increased wheezing
b. Sustained rhonchi
c. Decreased respirations
d. Pulse oximetry 94% - Answer a
A 3-year-old boy is brought to the emergency department with stridor, nasal flaring, intercostal
and supraclavicular retractions, and respiratory rate of 40 breaths/min. What type of situation is
this?
a. Stable
b. Acute
c. Urgent
d. Emergency - Answer d
A 92-year-old woman with a history of COPD presents with increasing shortness of breath,
decreased lung sounds in the bases, increased ankle edema, and 5-lb weight gain in 1 week.
What is the most likely problem?
, a. Impaired gas exchange
b. Ineffective airway clearance
c. Activity intolerance
d. fluid volume excess - Answer d
Which of the following factors is the most significant risk factor for COPD?
a. Increased age
b. Immune suppression
c. Tobacco smoking
d. Occupational exposure - Answer c
When the nurse assesses the client with respiratory symptoms, which of the following
complaints should be evaluated first?
a. Chest pain
b. Dyspnea
c. Cough
d. Sputum - Answer b
When assessing the patient with atelectasis, what assessment findings are expected? Choose all
that apply.
a. Shortness of breath
b. Decreased breath sounds
c. Decreased oxygen saturation
d. Increased tactile fremitus
e. Hyperresonance - Answer a, b, c, d
Which assessment findings would indicate that inhaled bronchodilators have been effective?
a. Expiratory wheezing, O2 saturation 94%, pallor
b. Vesicular breath sounds, O2 saturation 96%, pink
c. Bronchial breath sounds, O2 saturation 100%, erythema
d. Crackles, O2 saturation 90%, circumoral cyanosis - Answer b
The nurse auscultates bronchovesicular breath sounds in the second ICS near the sternum. The
nurse interprets this as
a. a normal finding over the trachea.
b. a normal finding over the bronchi.