NSG4100 NURSING PRACTICE ADULT HEALTH
EXAM 3 2026 TEST PAPER SOLVED QUESTIONS
AND SOLUTIONS
◉ A pt presents to the ED stating she was in a boating accident
about 3 hours ago. Now the pt has complaints of HA, fatigue, and the
feeling that he just can't breathe enough. The nurse notes that the pt
is restless and tachycardia with an elevated BP. This pt may be in the
early stages of what respiratory problem?
a. pneumoconiosis
b. pleural effusion
c. acute respiratory failure
d. pneumonia. Answer: C
◉ The nurse is caring for a 46 y/o pt recently diagnosed w/ the early
stages of lung cancer. The nurse is aware that the preferred method
of treating pt's w/ non small cell tumors is what?
a. chemotherapy
b. radiation
c. surgical resection
d. bronchoscope opening of the airway. Answer: C
,◉ A pt w/ thoracic trauma is admitted to the ICU. The nurse notes
the pt's chest and neck are swollen and there is a crackling sensation
when palpated. The nurse consequently identifies the presence of
subcutaneous emphysema. If this condition becomes severe and
threatens airway patency, what intervention is indicated?
a. a chest tube
b. a tracheostomy
c. an endotracheal tube
d. a feeding tube. Answer: B
◉ The nurse is caring for a pt in the ICU admitted with ARDS after
exposure to toxic fumes from a hazardous spill at work. The pt has
become hypotensive. What is the cause of this complication to the
ARDS tx?
a. pulmonary hypotension due to decreased cardiac output
b. severe and progressive pulmonary hypotension
c. hypovolemia secondary to leakage of fluid into the interstitial
spaces
d. increased cardiac output from high levels of PEEP therapy.
Answer: C
◉ The occupational health nurse is assessing new employees at a
company. What would be important to asses in employees with a
potential occupational respiratory exposure to a toxin? Select all that
apply.
,a. time frame of exposure
b. type of respiratory protection used
c. immunization status
d. breath sounds
e. intensity of exposure. Answer: A, B, D, E
◉ A 54y/o man has just been diagnosed with small cell lung cancer.
The pt asks the nurse why the doctor is not offering surgery as a
treatment for his cancer. What fact about lung cancer tx should
inform the nurses response?
a. the cells in small cell cancer of the lung are not large enough to
visualize in surgery
b. small cell lung cancer is self-limiting in many pt's and surgery
should be delayed
c. pt's w/ small cell lung cancer are not normally stable enough to
survive surgery
d. small cell cancer of the lung grows rapidly and metastasizes early
and extensively. Answer: D
◉ A pt who involved in a workplace accident suffered a penetrating
wound of the chest that led to acute respiratory failure. What goal of
treatment should the care team prioritize when planning this pt's
care?
a. facilitation of long-term intubation
, b. restoration of adequate gas exchange
c. attainment of effective coping
d. self-management of oxygen therapy. Answer: B
◉ A pt is brought to the ED by ambulance after a MVA in which the
pt received bunt trauma to the chest. The pt is in acute respiratory
failure, is intubated, and is transferred tot he ICU. What parameters
of care should the nurse monitor closely? Select all that apply.
a. coping
b. level of consciousness
c. oral intake
d. arterial blood gases
e. vital signs. Answer: B, D, E
◉ A pt has just been diagnosed w/ lung cancer. After the physician
discusses treatment options and leaves the room, the pt asks the
nurse how the treatment is decided upon. What would be the nurses
best response?
a. the type of treatment depends not he pt's age and health status
b. the type of treatment depends on what the pt wants when given
the options
c. the type of treatment depends on the cell type of the cancer, the
stage of the cancer and the pt's health status
EXAM 3 2026 TEST PAPER SOLVED QUESTIONS
AND SOLUTIONS
◉ A pt presents to the ED stating she was in a boating accident
about 3 hours ago. Now the pt has complaints of HA, fatigue, and the
feeling that he just can't breathe enough. The nurse notes that the pt
is restless and tachycardia with an elevated BP. This pt may be in the
early stages of what respiratory problem?
a. pneumoconiosis
b. pleural effusion
c. acute respiratory failure
d. pneumonia. Answer: C
◉ The nurse is caring for a 46 y/o pt recently diagnosed w/ the early
stages of lung cancer. The nurse is aware that the preferred method
of treating pt's w/ non small cell tumors is what?
a. chemotherapy
b. radiation
c. surgical resection
d. bronchoscope opening of the airway. Answer: C
,◉ A pt w/ thoracic trauma is admitted to the ICU. The nurse notes
the pt's chest and neck are swollen and there is a crackling sensation
when palpated. The nurse consequently identifies the presence of
subcutaneous emphysema. If this condition becomes severe and
threatens airway patency, what intervention is indicated?
a. a chest tube
b. a tracheostomy
c. an endotracheal tube
d. a feeding tube. Answer: B
◉ The nurse is caring for a pt in the ICU admitted with ARDS after
exposure to toxic fumes from a hazardous spill at work. The pt has
become hypotensive. What is the cause of this complication to the
ARDS tx?
a. pulmonary hypotension due to decreased cardiac output
b. severe and progressive pulmonary hypotension
c. hypovolemia secondary to leakage of fluid into the interstitial
spaces
d. increased cardiac output from high levels of PEEP therapy.
Answer: C
◉ The occupational health nurse is assessing new employees at a
company. What would be important to asses in employees with a
potential occupational respiratory exposure to a toxin? Select all that
apply.
,a. time frame of exposure
b. type of respiratory protection used
c. immunization status
d. breath sounds
e. intensity of exposure. Answer: A, B, D, E
◉ A 54y/o man has just been diagnosed with small cell lung cancer.
The pt asks the nurse why the doctor is not offering surgery as a
treatment for his cancer. What fact about lung cancer tx should
inform the nurses response?
a. the cells in small cell cancer of the lung are not large enough to
visualize in surgery
b. small cell lung cancer is self-limiting in many pt's and surgery
should be delayed
c. pt's w/ small cell lung cancer are not normally stable enough to
survive surgery
d. small cell cancer of the lung grows rapidly and metastasizes early
and extensively. Answer: D
◉ A pt who involved in a workplace accident suffered a penetrating
wound of the chest that led to acute respiratory failure. What goal of
treatment should the care team prioritize when planning this pt's
care?
a. facilitation of long-term intubation
, b. restoration of adequate gas exchange
c. attainment of effective coping
d. self-management of oxygen therapy. Answer: B
◉ A pt is brought to the ED by ambulance after a MVA in which the
pt received bunt trauma to the chest. The pt is in acute respiratory
failure, is intubated, and is transferred tot he ICU. What parameters
of care should the nurse monitor closely? Select all that apply.
a. coping
b. level of consciousness
c. oral intake
d. arterial blood gases
e. vital signs. Answer: B, D, E
◉ A pt has just been diagnosed w/ lung cancer. After the physician
discusses treatment options and leaves the room, the pt asks the
nurse how the treatment is decided upon. What would be the nurses
best response?
a. the type of treatment depends not he pt's age and health status
b. the type of treatment depends on what the pt wants when given
the options
c. the type of treatment depends on the cell type of the cancer, the
stage of the cancer and the pt's health status
