NSG 3800 EXAM 2 2026/2027 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST |BRAND NEW VERSION|JUST
RELEASED!!
The charge nurse is teaching a group of newly graduated nurses how to easily locate
thoraciclandmarks when assessing lower respiratory structures. Which statement by a new
nurse requires immediate follow-up by the charge nurse?
a. "Thoracic locations are identified horizontally according to the proximity of the rib or
intercostal spaces under the nurse's fingers."
b. "There is no presentation for the right middle lobe on the posterior surface of the client's
chest."
c. "The lobes of the lung may be mapped on the surface of the chest wall in the manner that
aidsin locating thoracic landmarks."
d. "The nurse must avoid using any imaginary lines when identifying the vertical references of all
thoracic findings."
d. "The nurse must avoid using any imaginary lines when identifying the vertical references of all
thoracic findings."
The nurse is caring for a client who presents to the emergency department (ED) for an
exacerbation of chronic obstructive pulmonary disease (COPD). Which of the following
1|Page
,admission findings requires immediate follow-up by the nurse?
a. The client fails to read the paperwork without reading glasses.
b. The client's chest is observed to symmetrically rise with each breath.
c. The client leans forward with hands on upper thighs during inspiration with respirations of 26.
d. The client's blood pressure is 143/56 mm Hg and pulse is 92.
c. The client leans forward with hands on upper thighs during inspiration with respirations of 26.
The nurse working on the acute respiratory care unit is admitting an 85-year-old client who is
diagnosed with chronic obstructive pulmonary disease (COPD). Which of the following relevant
diseaseand age-related findings should the nurse expect during the assessment?
a. Hemoptysis.
b. Barrel chest.
c. Dry cough.
d. Wheezing.
b. Barrel chest.
The nurse is caring for a client who is diagnosed with sarcoidosis and is taking long-term
corticosteroids. Which of the following laboratory values is most important for the nurse to
report to theprimary health care provider (PHCP)?
a. Cholesterol < 200 mg/dL.
b. Hemoglobin (Hgb) 11.6 g/dL.
c. Platelet count 390 mm³.
d. Glucose 153 mg/dL.
d. Glucose 153 mg/dL.
2|Page
,The nurse is caring for a client who has had emphysema for the past 15 years and uses
prescribed oxygen at 2 L/minute per nasal cannula. It is a priority for follow-up by the nurse if
the client has a
a. HCO₃⁻ that has been 31 mEq/L for the past 4 hours.
b. decrease in oxygen saturation from 93% to 88% when ambulating.
c. decrease in the PaO₂ from 78 to 60 mm Hg.
d. PaCO₂ that has been 52 mm Hg for the past 4 hours.
c. decrease in the PaO₂ from 78 to 60 mm Hg.
The nurse is teaching a client who is newly diagnosed with active pulmonary tuberculosis (TB)
about the medication isoniazid. Which of the following client statements indicates a need for
additional teaching?
a. "A person living with human immunodeficiency virus (HIV) is much more likely to develop an
active form of TB."
b. "I will take this medication for the full 3 months to ensure cure of the disease."
c. "A liver panel will be drawn prior to administration and every month after I start the
medication."
d. "I will avoid eating tuna, aged cheese, red wine, soy sauce, and anything containing yeast
products."
b. "I will take this medication for the full 3 months to ensure cure of the disease."
The nurse is reviewing recent arterial blood gas (ABG) results for a client who is diagnosed with
chronic obstructive pulmonary disease (COPD). Which of the following ABG results would be
consistent for this client?
3|Page
, a. pH = 7.45; PaO2 = 70 mm Hg; PaCO2 = 38 mm Hg; HCO3 - = 28 mEq/L; SaO2 = 70%.
b. pH = 7.50; PaO2 = 79 mm Hg; PaCO2 = 35 mm Hg; HCO3 - = 30 mEq/L; SaO2 = 88%.
c. pH = 7.35; PaO2 = 63 mm Hg; PaCO2 = 42 mm Hg; HCO3 - = 26 mEq/L; SaO2 = 84%.
d. pH = 7.31; PaO2 = 73 mm Hg; PaCO2 = 50 mm Hg; HCO3 - = 22 mEq/L; SaO2 = 60%
d. pH = 7.31; PaO2 = 73 mm Hg; PaCO2 = 50 mm Hg; HCO3 - = 22 mEq/L; SaO2 = 60%
The nurse working in the emergency department (ED) is caring for a 60-year-old female client
who presents with chest pain, back pain, and shortness of breath. The client's history reveals a
past diagnosis of diabetes mellitus (type 2). The client's vital signs are temperature 98.2˚F, pulse
143, blood pressure 190/98 mm Hg, respirations 28, oxygen saturation 90% (on room air).
Which of the following nursing actions does the nurse recognize as non-essential?
a. Obtaining a chest radiography (x-ray).
b. Applying supplemental oxygen.
c. Inserting an indwelling catheter.
d. Obtaining an electrocardiogram (ECG).
c. Inserting an indwelling catheter.
The nurse is caring for a client who was admitted to the emergency department (ED) with
reports of substernal chest pain. Twenty-four hours after presentation, the client's laboratory
results demonstratenormal levels of creatine kinase isoenzymes. Which of the following actions
should the nurse take next?
a. Administer nitroglycerin to prevent further myocardial cell death.
b. Assess the client to identify another potential cause of the chest pain.
4|Page
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST |BRAND NEW VERSION|JUST
RELEASED!!
The charge nurse is teaching a group of newly graduated nurses how to easily locate
thoraciclandmarks when assessing lower respiratory structures. Which statement by a new
nurse requires immediate follow-up by the charge nurse?
a. "Thoracic locations are identified horizontally according to the proximity of the rib or
intercostal spaces under the nurse's fingers."
b. "There is no presentation for the right middle lobe on the posterior surface of the client's
chest."
c. "The lobes of the lung may be mapped on the surface of the chest wall in the manner that
aidsin locating thoracic landmarks."
d. "The nurse must avoid using any imaginary lines when identifying the vertical references of all
thoracic findings."
d. "The nurse must avoid using any imaginary lines when identifying the vertical references of all
thoracic findings."
The nurse is caring for a client who presents to the emergency department (ED) for an
exacerbation of chronic obstructive pulmonary disease (COPD). Which of the following
1|Page
,admission findings requires immediate follow-up by the nurse?
a. The client fails to read the paperwork without reading glasses.
b. The client's chest is observed to symmetrically rise with each breath.
c. The client leans forward with hands on upper thighs during inspiration with respirations of 26.
d. The client's blood pressure is 143/56 mm Hg and pulse is 92.
c. The client leans forward with hands on upper thighs during inspiration with respirations of 26.
The nurse working on the acute respiratory care unit is admitting an 85-year-old client who is
diagnosed with chronic obstructive pulmonary disease (COPD). Which of the following relevant
diseaseand age-related findings should the nurse expect during the assessment?
a. Hemoptysis.
b. Barrel chest.
c. Dry cough.
d. Wheezing.
b. Barrel chest.
The nurse is caring for a client who is diagnosed with sarcoidosis and is taking long-term
corticosteroids. Which of the following laboratory values is most important for the nurse to
report to theprimary health care provider (PHCP)?
a. Cholesterol < 200 mg/dL.
b. Hemoglobin (Hgb) 11.6 g/dL.
c. Platelet count 390 mm³.
d. Glucose 153 mg/dL.
d. Glucose 153 mg/dL.
2|Page
,The nurse is caring for a client who has had emphysema for the past 15 years and uses
prescribed oxygen at 2 L/minute per nasal cannula. It is a priority for follow-up by the nurse if
the client has a
a. HCO₃⁻ that has been 31 mEq/L for the past 4 hours.
b. decrease in oxygen saturation from 93% to 88% when ambulating.
c. decrease in the PaO₂ from 78 to 60 mm Hg.
d. PaCO₂ that has been 52 mm Hg for the past 4 hours.
c. decrease in the PaO₂ from 78 to 60 mm Hg.
The nurse is teaching a client who is newly diagnosed with active pulmonary tuberculosis (TB)
about the medication isoniazid. Which of the following client statements indicates a need for
additional teaching?
a. "A person living with human immunodeficiency virus (HIV) is much more likely to develop an
active form of TB."
b. "I will take this medication for the full 3 months to ensure cure of the disease."
c. "A liver panel will be drawn prior to administration and every month after I start the
medication."
d. "I will avoid eating tuna, aged cheese, red wine, soy sauce, and anything containing yeast
products."
b. "I will take this medication for the full 3 months to ensure cure of the disease."
The nurse is reviewing recent arterial blood gas (ABG) results for a client who is diagnosed with
chronic obstructive pulmonary disease (COPD). Which of the following ABG results would be
consistent for this client?
3|Page
, a. pH = 7.45; PaO2 = 70 mm Hg; PaCO2 = 38 mm Hg; HCO3 - = 28 mEq/L; SaO2 = 70%.
b. pH = 7.50; PaO2 = 79 mm Hg; PaCO2 = 35 mm Hg; HCO3 - = 30 mEq/L; SaO2 = 88%.
c. pH = 7.35; PaO2 = 63 mm Hg; PaCO2 = 42 mm Hg; HCO3 - = 26 mEq/L; SaO2 = 84%.
d. pH = 7.31; PaO2 = 73 mm Hg; PaCO2 = 50 mm Hg; HCO3 - = 22 mEq/L; SaO2 = 60%
d. pH = 7.31; PaO2 = 73 mm Hg; PaCO2 = 50 mm Hg; HCO3 - = 22 mEq/L; SaO2 = 60%
The nurse working in the emergency department (ED) is caring for a 60-year-old female client
who presents with chest pain, back pain, and shortness of breath. The client's history reveals a
past diagnosis of diabetes mellitus (type 2). The client's vital signs are temperature 98.2˚F, pulse
143, blood pressure 190/98 mm Hg, respirations 28, oxygen saturation 90% (on room air).
Which of the following nursing actions does the nurse recognize as non-essential?
a. Obtaining a chest radiography (x-ray).
b. Applying supplemental oxygen.
c. Inserting an indwelling catheter.
d. Obtaining an electrocardiogram (ECG).
c. Inserting an indwelling catheter.
The nurse is caring for a client who was admitted to the emergency department (ED) with
reports of substernal chest pain. Twenty-four hours after presentation, the client's laboratory
results demonstratenormal levels of creatine kinase isoenzymes. Which of the following actions
should the nurse take next?
a. Administer nitroglycerin to prevent further myocardial cell death.
b. Assess the client to identify another potential cause of the chest pain.
4|Page
