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NURS 325 MIDTERM EXAM PRACTICE TEST
|NURS 325 HEALTH AND ILLNESS ACTUAL
EXAM QUESTIONS WITH CORRECT DETAILED
ANSWERS (100% VERIFIED) | UPDATED
VERSION 2025/2026 | 100% GUARANTEED A+
SCORE BRAND NEW!!!
1. A patient has been facing consecutive gas exchange impairment due to unmanaged
asthma. Pronounced issues with ventilation can cause a buildup of acid that will most likely
present itself through what condition?
a. Metabolic alkalosis
b. Metabolic acidosis
c. Respiratory alkalosis
d. Respiratory acidosis
d. Respiratory acidosis
2. A 30 year-old patient is suffering from 2 fractured ribs following a motor vehicle
accident. In addition to the pain experienced from injury, the patient is also experiencing
an impairment of gas exchange most likely to do what?
a. Inadequate perfusion
b. Ineffective ventilation
c. Inability to transport O2 .
d. Reduced capacity for gas transportation
b. Ineffective ventilation
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3. A young adult patient is being assessed for gas exchange impairment. The patient states
that she was diagnosed with mild asthma in her adolescence, however has been facing a
recent increased difficulty breathing during exercise and stress. The nurse decides to
educate the patient on individual risk factors that could be playing a role on her gas
exchange ability. What statement made by the patient indicates a need for further
education?
a. “I am going to quit smoking cigarettes and using other tobacco products.”
b. “As I get older, it is understandable that my breathing may get worse.”
c. “The more active I am, the more complications I am going to have breathing.”
d. “When I am sick, my immune system is impaired and might play a role in my regular
gas exchange ability.”
c. “The more active I am, the more complications I am going to have breathing.”
4. The nurse is responsible for monitoring during the first 24 hours after the birth of a
neonate at 38 weeks' gestation. What is the most important parameter for the nurse to
monitor?
a. Duration of cry
b. Decreased body temperature
c. Sleep patterns
d. Respiratory distress
d. Respiratory distress
(ABC's always come first)
5. What is considered the earliest sign of decreased tissue oxygenation?
a. Unexplained restlessness
b. Blue-ish nail beds
c. Cold skin
d. Cyanosis
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a. Unexplained restlessness
(the others come later)
1. In a long-term care facility, the nurse is working with a patient who has been suffering
from COPD with a predominance of pulmonary emphysema. Which of the following are
symptoms that correspond with pulmonary emphysema? Select all that apply.
a. Barrel chest
b. Cyanosis
c. Dyspnea
d. Respiratory Acidosis
e. Thin appearance
f. Ineffective cough
a. Barrel chest
c. Dyspnea
e. Thin appearance
f. Ineffective cough
(described as a "pink puffer"; trapped air in enlarged airspaces = barrel)
2. A 43 year-old male patient is at a high risk for developing COPD. Which of these lifestyle
factors mentioned by the patient does not contribute to his likelihood of developing COPD?
a. The patient states has been smoking for the past 14 years
b. He bought a gym membership and has been going 5 times per week
c. His father died from COPD 7 years ago
d. Recently, he developed an infection in his hand from a work injury
b. He bought a gym membership and has been going 5 times per week
(a recent infection contributes to the likelihood of getting COPD)
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1. Which of the following are used for the diagnosis of asthma? Select all that apply.
a. Peak flow monitoring
b. Assessment of patient's cough
c. Chest x-ray
d. Pulmonary function test
e. Severity of wheezing
f. Health history
a. Peak flow monitoring
c. Chest x-ray
d. Pulmonary function test
f. Health history
2. A patient was just diagnosed with acute, intermittent asthma. What medication would
you suspect the patient was prescribed as a "reliever" during periods of exacerbation?
a. short-acting β2 -adrenergic agonists (SABA)
b. long-acting β2 -adrenergic agonists (LABA)
c. Inhaled glucocorticoid (IGC)
d. Anticholinergic inhalers
a. short-acting β2 -adrenergic agonists (SABA)
(SABA's are the "gold standard" and most effective for short-term meds)
1. During the palpation phase of the respiratory assessment, the nurse notices a strong
tactile fremitus when the patient speaks. It is observed symmetrically throughout the
intercostal spaces. What might be the reason or cause of this?
a. The patient may have an obstructed airway and needs to be further assessed.
b. Asthma is a common cause of this condition.
c. The patient is healthy, and this is normal.
d. This results from a buildup of mucus, but it will go away if the patient coughs.
c. The patient is healthy, and this is normal.
NURS 325 MIDTERM EXAM PRACTICE TEST
|NURS 325 HEALTH AND ILLNESS ACTUAL
EXAM QUESTIONS WITH CORRECT DETAILED
ANSWERS (100% VERIFIED) | UPDATED
VERSION 2025/2026 | 100% GUARANTEED A+
SCORE BRAND NEW!!!
1. A patient has been facing consecutive gas exchange impairment due to unmanaged
asthma. Pronounced issues with ventilation can cause a buildup of acid that will most likely
present itself through what condition?
a. Metabolic alkalosis
b. Metabolic acidosis
c. Respiratory alkalosis
d. Respiratory acidosis
d. Respiratory acidosis
2. A 30 year-old patient is suffering from 2 fractured ribs following a motor vehicle
accident. In addition to the pain experienced from injury, the patient is also experiencing
an impairment of gas exchange most likely to do what?
a. Inadequate perfusion
b. Ineffective ventilation
c. Inability to transport O2 .
d. Reduced capacity for gas transportation
b. Ineffective ventilation
, Page |2
3. A young adult patient is being assessed for gas exchange impairment. The patient states
that she was diagnosed with mild asthma in her adolescence, however has been facing a
recent increased difficulty breathing during exercise and stress. The nurse decides to
educate the patient on individual risk factors that could be playing a role on her gas
exchange ability. What statement made by the patient indicates a need for further
education?
a. “I am going to quit smoking cigarettes and using other tobacco products.”
b. “As I get older, it is understandable that my breathing may get worse.”
c. “The more active I am, the more complications I am going to have breathing.”
d. “When I am sick, my immune system is impaired and might play a role in my regular
gas exchange ability.”
c. “The more active I am, the more complications I am going to have breathing.”
4. The nurse is responsible for monitoring during the first 24 hours after the birth of a
neonate at 38 weeks' gestation. What is the most important parameter for the nurse to
monitor?
a. Duration of cry
b. Decreased body temperature
c. Sleep patterns
d. Respiratory distress
d. Respiratory distress
(ABC's always come first)
5. What is considered the earliest sign of decreased tissue oxygenation?
a. Unexplained restlessness
b. Blue-ish nail beds
c. Cold skin
d. Cyanosis
, Page |3
a. Unexplained restlessness
(the others come later)
1. In a long-term care facility, the nurse is working with a patient who has been suffering
from COPD with a predominance of pulmonary emphysema. Which of the following are
symptoms that correspond with pulmonary emphysema? Select all that apply.
a. Barrel chest
b. Cyanosis
c. Dyspnea
d. Respiratory Acidosis
e. Thin appearance
f. Ineffective cough
a. Barrel chest
c. Dyspnea
e. Thin appearance
f. Ineffective cough
(described as a "pink puffer"; trapped air in enlarged airspaces = barrel)
2. A 43 year-old male patient is at a high risk for developing COPD. Which of these lifestyle
factors mentioned by the patient does not contribute to his likelihood of developing COPD?
a. The patient states has been smoking for the past 14 years
b. He bought a gym membership and has been going 5 times per week
c. His father died from COPD 7 years ago
d. Recently, he developed an infection in his hand from a work injury
b. He bought a gym membership and has been going 5 times per week
(a recent infection contributes to the likelihood of getting COPD)
, Page |4
1. Which of the following are used for the diagnosis of asthma? Select all that apply.
a. Peak flow monitoring
b. Assessment of patient's cough
c. Chest x-ray
d. Pulmonary function test
e. Severity of wheezing
f. Health history
a. Peak flow monitoring
c. Chest x-ray
d. Pulmonary function test
f. Health history
2. A patient was just diagnosed with acute, intermittent asthma. What medication would
you suspect the patient was prescribed as a "reliever" during periods of exacerbation?
a. short-acting β2 -adrenergic agonists (SABA)
b. long-acting β2 -adrenergic agonists (LABA)
c. Inhaled glucocorticoid (IGC)
d. Anticholinergic inhalers
a. short-acting β2 -adrenergic agonists (SABA)
(SABA's are the "gold standard" and most effective for short-term meds)
1. During the palpation phase of the respiratory assessment, the nurse notices a strong
tactile fremitus when the patient speaks. It is observed symmetrically throughout the
intercostal spaces. What might be the reason or cause of this?
a. The patient may have an obstructed airway and needs to be further assessed.
b. Asthma is a common cause of this condition.
c. The patient is healthy, and this is normal.
d. This results from a buildup of mucus, but it will go away if the patient coughs.
c. The patient is healthy, and this is normal.
