NSG 3850 EXAM 2
60+ (Fully Updated 2026) Exam Questions + Verified & Rationalized
Answers | A+ Graded
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 60 Qs
This document, "NSG 3850 Exam 2", covers various respiratory and cardiopulmonary topics, including
pneumothorax, pneumonia, pulmonary disease, chronic bronchitis, obstructive sleep apnea, heart failure,
and cor pulmonale. The document provides 60 questions with correct answers and detailed explanations,
serving as a study aid for nursing students to review and understand key concepts. This resource can be
used to reinforce learning, clarify complex ideas, and prepare for exams by providing a comprehensive
review of relevant material.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
Which is indicative of a left tension pneumothorax?
a. course crackles throughout the left chest
b. tracheal deviation to the left
c. absent breath sounds on the left
d. respiratory acidosis
CORRECT ANSWER
C
RATIONALE: Absent breath sounds on the left are indicative of a left tension pneumothorax because the accumulation of
air in the pleural space compresses the lung tissue, preventing normal lung expansion and thus eliminating breath
sounds in the affected area. This sign is particularly characteristic of tension pneumothorax due to the increased
pressure causing the lung to collapse and move away from the chest wall.
QUESTION 2
A pt. with a productive cough and parenchymal infiltrated on x-ray is demonstrating symptomology of
a. bacterial pneumonia
b. viral pneumonia
c. tuberculosis
d. acute respiratory distress syndrome
Trusted by thousands of students and professionals worldwide Page 1 of 19
, CORRECT ANSWER
A
RATIONALE: The presence of a productive cough indicates the body is attempting to expel an infectious agent, which is
more characteristic of a bacterial infection, as the body is producing mucus to fight off the bacteria. Additionally,
parenchymal infiltrates on an x-ray suggest an infection affecting the lung's functional tissue, which is more consistent
with bacterial pneumonia's ability to cause localized damage and inflammation.
QUESTION 3
Which ds is caused by inhalation of organic substances?
a. diffuse interstitial lung ds
b. hypersensitivity pneumonitis
c. sarcoidosis
d. acute respiratory distress syndrome
CORRECT ANSWER
B
RATIONALE: Hypersensitivity pneumonitis is a lung condition caused by an allergic reaction to inhaled organic
substances, such as bird droppings, mold, or dust, leading to inflammation and scarring in the lungs. This condition is
specifically associated with the inhalation of organic substances, making it the correct answer based on the given
options.
QUESTION 4
Empyema is defined as an
a. exudative bronchitis
b. infection int he pleural space
c. infection localized in the lung
d. infection in the blood
CORRECT ANSWER
B
RATIONALE: Empyema is defined as a collection of pus in the pleural space, which is the area between the lungs and
the chest wall. This condition occurs when a bacterial infection spreads to the pleural space, causing inflammation and
the accumulation of pus, making option b the correct choice.
QUESTION 5
A pt with flail chest will demonstrate
a. absence of chest movement with breaths
b. no inspiratory breath sounds
c. fluttering chest movements on expirations
d. outward chest movement on expiration
CORRECT ANSWER
d
Trusted by thousands of students and professionals worldwide Page 2 of 19
, RATIONALE: A flail chest occurs when a segment of the rib cage is separated from the rest of the chest wall due to a
traumatic injury, causing the affected area to move paradoxically with breathing. This results in outward chest movement
on expiration because the flail segment is pushed outward as air is exhaled, which is the hallmark clinical sign of a flail
chest.
QUESTION 6
Obstructive sleep apnea would most likely be found in a pt. diagnosed with
a. myasthenia gravis
b. poliomyelitis
c. pickwickian syndrome
d. pneumonia
CORRECT ANSWER
C
RATIONALE: Pickwickian syndrome is a condition characterized by obesity, hyperventilation, and respiratory acidosis,
which can lead to obstructive sleep apnea due to the compression of airways by excess body fat. This condition directly
relates to the physical obstruction of the airway, making obstructive sleep apnea a likely complication.
QUESTION 7
Pneumocystitis is a term hat refers to a
a. fingal pneumonia secondary to HIV
b. viral PNA found in transplant recipients
c. non-infectious inflammation in the lung
d. pneumonia secondary to bladder infection
CORRECT ANSWER
A
RATIONALE: Pneumocystis pneumonia is a type of opportunistic infection that primarily affects individuals with
weakened immune systems, such as those with HIV/AIDS, making option a a plausible choice. Non-infectious
inflammation in the lung refers to a condition where lung inflammation is caused by internal injury or irritation rather
than by a pathogen, which aligns with the key concept of pneumocystitis being a non-infectious condition.
QUESTION 8
The most definitive diagnostic method for active TB is acquired via
a. sputum culture
b. montoux skin test
c. chest x-ray
d. blood culture
CORRECT ANSWER
A
RATIONALE: Sputum culture is the most definitive diagnostic method for active TB because it directly detects the
presence of Mycobacterium tuberculosis bacteria in the patient's sputum, providing a definitive and reliable diagnosis.
This method is considered gold standard due to its high sensitivity and specificity, allowing for accurate identification of
TB infection.
Trusted by thousands of students and professionals worldwide
Page 3 of 19
60+ (Fully Updated 2026) Exam Questions + Verified & Rationalized
Answers | A+ Graded
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 60 Qs
This document, "NSG 3850 Exam 2", covers various respiratory and cardiopulmonary topics, including
pneumothorax, pneumonia, pulmonary disease, chronic bronchitis, obstructive sleep apnea, heart failure,
and cor pulmonale. The document provides 60 questions with correct answers and detailed explanations,
serving as a study aid for nursing students to review and understand key concepts. This resource can be
used to reinforce learning, clarify complex ideas, and prepare for exams by providing a comprehensive
review of relevant material.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
Which is indicative of a left tension pneumothorax?
a. course crackles throughout the left chest
b. tracheal deviation to the left
c. absent breath sounds on the left
d. respiratory acidosis
CORRECT ANSWER
C
RATIONALE: Absent breath sounds on the left are indicative of a left tension pneumothorax because the accumulation of
air in the pleural space compresses the lung tissue, preventing normal lung expansion and thus eliminating breath
sounds in the affected area. This sign is particularly characteristic of tension pneumothorax due to the increased
pressure causing the lung to collapse and move away from the chest wall.
QUESTION 2
A pt. with a productive cough and parenchymal infiltrated on x-ray is demonstrating symptomology of
a. bacterial pneumonia
b. viral pneumonia
c. tuberculosis
d. acute respiratory distress syndrome
Trusted by thousands of students and professionals worldwide Page 1 of 19
, CORRECT ANSWER
A
RATIONALE: The presence of a productive cough indicates the body is attempting to expel an infectious agent, which is
more characteristic of a bacterial infection, as the body is producing mucus to fight off the bacteria. Additionally,
parenchymal infiltrates on an x-ray suggest an infection affecting the lung's functional tissue, which is more consistent
with bacterial pneumonia's ability to cause localized damage and inflammation.
QUESTION 3
Which ds is caused by inhalation of organic substances?
a. diffuse interstitial lung ds
b. hypersensitivity pneumonitis
c. sarcoidosis
d. acute respiratory distress syndrome
CORRECT ANSWER
B
RATIONALE: Hypersensitivity pneumonitis is a lung condition caused by an allergic reaction to inhaled organic
substances, such as bird droppings, mold, or dust, leading to inflammation and scarring in the lungs. This condition is
specifically associated with the inhalation of organic substances, making it the correct answer based on the given
options.
QUESTION 4
Empyema is defined as an
a. exudative bronchitis
b. infection int he pleural space
c. infection localized in the lung
d. infection in the blood
CORRECT ANSWER
B
RATIONALE: Empyema is defined as a collection of pus in the pleural space, which is the area between the lungs and
the chest wall. This condition occurs when a bacterial infection spreads to the pleural space, causing inflammation and
the accumulation of pus, making option b the correct choice.
QUESTION 5
A pt with flail chest will demonstrate
a. absence of chest movement with breaths
b. no inspiratory breath sounds
c. fluttering chest movements on expirations
d. outward chest movement on expiration
CORRECT ANSWER
d
Trusted by thousands of students and professionals worldwide Page 2 of 19
, RATIONALE: A flail chest occurs when a segment of the rib cage is separated from the rest of the chest wall due to a
traumatic injury, causing the affected area to move paradoxically with breathing. This results in outward chest movement
on expiration because the flail segment is pushed outward as air is exhaled, which is the hallmark clinical sign of a flail
chest.
QUESTION 6
Obstructive sleep apnea would most likely be found in a pt. diagnosed with
a. myasthenia gravis
b. poliomyelitis
c. pickwickian syndrome
d. pneumonia
CORRECT ANSWER
C
RATIONALE: Pickwickian syndrome is a condition characterized by obesity, hyperventilation, and respiratory acidosis,
which can lead to obstructive sleep apnea due to the compression of airways by excess body fat. This condition directly
relates to the physical obstruction of the airway, making obstructive sleep apnea a likely complication.
QUESTION 7
Pneumocystitis is a term hat refers to a
a. fingal pneumonia secondary to HIV
b. viral PNA found in transplant recipients
c. non-infectious inflammation in the lung
d. pneumonia secondary to bladder infection
CORRECT ANSWER
A
RATIONALE: Pneumocystis pneumonia is a type of opportunistic infection that primarily affects individuals with
weakened immune systems, such as those with HIV/AIDS, making option a a plausible choice. Non-infectious
inflammation in the lung refers to a condition where lung inflammation is caused by internal injury or irritation rather
than by a pathogen, which aligns with the key concept of pneumocystitis being a non-infectious condition.
QUESTION 8
The most definitive diagnostic method for active TB is acquired via
a. sputum culture
b. montoux skin test
c. chest x-ray
d. blood culture
CORRECT ANSWER
A
RATIONALE: Sputum culture is the most definitive diagnostic method for active TB because it directly detects the
presence of Mycobacterium tuberculosis bacteria in the patient's sputum, providing a definitive and reliable diagnosis.
This method is considered gold standard due to its high sensitivity and specificity, allowing for accurate identification of
TB infection.
Trusted by thousands of students and professionals worldwide
Page 3 of 19
