WEST COAST UNIVERSITY OB NURS 306 TEST BANK EXAM
PRACTICE QUESTIONS AND ANSWERS BY CHAPTERS CH1
TO CH19 UPDATED REVIEW COLLECTION 2026 QUESTIONS
WITH CORRECT SOLUTIONS GRADED A+
⩥ Which factor most increases risk for aspiration pneumonia?
A. Difficulty swallowing
B. Daily exercise
C. Adequate hydration
D. Upright eating posture. ANSWER: A. Difficulty swallowing
Rationale: Impaired swallowing significantly increases aspiration risk.
⩥ Which is an age-related musculoskeletal change affecting breathing?
A. Stiff chest wall
B. Enlarged liver
C. Thickened diaphragm
D. Increased rib mobility. ANSWER: A. Stiff chest wall
Rationale: Chest wall rigidity decreases lung expansion.
⩥ Which early sign is most typical in pneumonia for older adults?
A. Mental status changes
B. High fever
,C. Productive cough
D. Severe pleuritic pain. ANSWER: A. Mental status changes
Rationale: Older adults often show atypical or subtle symptoms.
⩥ Which intervention best prevents pneumonia in older adults?
A. Vaccinations
B. Daily vitamin supplements
C. Avoid dairy
D. Sleep in prone position. ANSWER: A. Vaccinations
Rationale: Influenza and pneumococcal vaccines reduce infection risk.
⩥ Which finding is associated with emphysema?
A. Hyperinflated lungs
B. Increased mucus production
C. Low PaCO₂
D. Frequent bronchospasm. ANSWER: B. Increased mucus production
Rationale: Emphysema results in air trapping and hyperinflation.
⩥ Which risk factor most affects respiratory wellness?
A. Tobacco use
B. Moderate alcohol use
C. High-protein diet
, D. Low humidity. ANSWER: B. Tobacco use
Rationale: Smoking is the greatest modifiable respiratory risk factor.
⩥ Which health promotion teaching is most effective for COPD clients?
A. Participate in self-management programs
B. Limit activity
C. Avoid all exercise
D. Increase sodium intake. ANSWER: B. Participate in self-
management programs
Rationale: Education improves adherence and outcomes.
⩥ Which sign suggests impaired gas exchange in COPD?
A. Cyanosis
B. Normal capillary refill
C. Deep, slow respirations
D. Loud crackles. ANSWER: B. Cyanosis
Rationale: Poor oxygenation manifests as dusky skin or cyanosis.
⩥ Which is a functional consequence of respiratory aging?
A. Increased susceptibility to infection
B. Increased lung elasticity
C. Strong cough reflex
PRACTICE QUESTIONS AND ANSWERS BY CHAPTERS CH1
TO CH19 UPDATED REVIEW COLLECTION 2026 QUESTIONS
WITH CORRECT SOLUTIONS GRADED A+
⩥ Which factor most increases risk for aspiration pneumonia?
A. Difficulty swallowing
B. Daily exercise
C. Adequate hydration
D. Upright eating posture. ANSWER: A. Difficulty swallowing
Rationale: Impaired swallowing significantly increases aspiration risk.
⩥ Which is an age-related musculoskeletal change affecting breathing?
A. Stiff chest wall
B. Enlarged liver
C. Thickened diaphragm
D. Increased rib mobility. ANSWER: A. Stiff chest wall
Rationale: Chest wall rigidity decreases lung expansion.
⩥ Which early sign is most typical in pneumonia for older adults?
A. Mental status changes
B. High fever
,C. Productive cough
D. Severe pleuritic pain. ANSWER: A. Mental status changes
Rationale: Older adults often show atypical or subtle symptoms.
⩥ Which intervention best prevents pneumonia in older adults?
A. Vaccinations
B. Daily vitamin supplements
C. Avoid dairy
D. Sleep in prone position. ANSWER: A. Vaccinations
Rationale: Influenza and pneumococcal vaccines reduce infection risk.
⩥ Which finding is associated with emphysema?
A. Hyperinflated lungs
B. Increased mucus production
C. Low PaCO₂
D. Frequent bronchospasm. ANSWER: B. Increased mucus production
Rationale: Emphysema results in air trapping and hyperinflation.
⩥ Which risk factor most affects respiratory wellness?
A. Tobacco use
B. Moderate alcohol use
C. High-protein diet
, D. Low humidity. ANSWER: B. Tobacco use
Rationale: Smoking is the greatest modifiable respiratory risk factor.
⩥ Which health promotion teaching is most effective for COPD clients?
A. Participate in self-management programs
B. Limit activity
C. Avoid all exercise
D. Increase sodium intake. ANSWER: B. Participate in self-
management programs
Rationale: Education improves adherence and outcomes.
⩥ Which sign suggests impaired gas exchange in COPD?
A. Cyanosis
B. Normal capillary refill
C. Deep, slow respirations
D. Loud crackles. ANSWER: B. Cyanosis
Rationale: Poor oxygenation manifests as dusky skin or cyanosis.
⩥ Which is a functional consequence of respiratory aging?
A. Increased susceptibility to infection
B. Increased lung elasticity
C. Strong cough reflex
