NR 226 Adult Health I Exam 4 Practice Questions 2026 |Chamberlain
College
1. A nurse is assessing a client with suspected pneumonia. Which of the
following clinical manifestations should the nurse expect to find?
A. Productive cough and crackles upon auscultation
B. Bradypnea and dry skin
C. Hyperresonance on percussion
D. Decreased tactile fremitus
Answer: A
Rationale: Pneumonia typically presents with a productive cough, fever, and adventitious
breath sounds like crackles due to fluid in the alveoli.
2. Which positioning is most appropriate for a client suffering from acute
shortness of breath related to COPD?
A. Supine with legs elevated
B. Prone position
C. Side-lying Sims position
D. High-Fowler’s or tripod position
Answer: D
Rationale: The tripod position or high-Fowler’s helps maximize chest expansion and
decrease the work of breathing in COPD patients.
,3. A nurse is teaching a client about the use of a peak flow meter for asthma
management. What does the ‘green zone’ indicate?
A. Serious airway narrowing; seek medical help
B. Caution; asthma is not well controlled
C. The device needs to be recalibrated
D. Asthma is well controlled; 80% to 100% of personal best
Answer: D
Rationale: The green zone indicates that the asthma is under good control, typically
representing 80-100% of the patient’s personal best flow rate.
4. When caring for a patient with active Tuberculosis (TB), which type of
isolation precautions must the nurse implement?
A. Standard precautions only
B. Droplet precautions
C. Contact precautions
D. Airborne precautions
Answer: D
Rationale: TB is transmitted through small droplets that remain suspended in the air,
requiring airborne precautions, including a negative pressure room and N95 mask.
5. A patient is diagnosed with Stage 1 Hypertension. Which blood pressure
reading is consistent with this diagnosis according to current guidelines?
A. 134/84 mmHg
B. 125/75 mmHg
C. 118/78 mmHg
D. 145/95 mmHg
Answer: A
Rationale: Stage 1 Hypertension is defined as a systolic pressure between 130-139 mmHg
or a diastolic pressure between 80-89 mmHg.
, 6. What is the primary goal of using an incentive spirometer after surgery?
A. To prevent atelectasis
B. To increase heart rate
C. To measure lung volume for diagnostic purposes
D. To reduce the need for supplemental oxygen
Answer: A
Rationale: Incentive spirometry encourages deep breathing, which helps keep the alveoli
open and prevents lung collapse (atelectasis) post-operatively.
7. A patient with Peripheral Arterial Disease (PAD) complains of pain while
walking that stops with rest. The nurse identifies this as:
A. Rest pain
B. Intermittent claudication
C. Neuropathic pain
D. Venous insufficiency
Answer: B
Rationale: Intermittent claudication is the classic symptom of PAD, characterized by
ischemic muscle pain triggered by exercise and relieved by rest.
8. Which of the following is a sign of Right-sided Heart Failure?
A. Pulmonary edema
B. Peripheral edema and JVD
C. Crackles in the lungs
D. Dyspnea on exertion
Answer: B
Rationale: Right-sided heart failure causes systemic congestion, leading to peripheral
edema, jugular venous distention (JVD), and hepatomegaly.
College
1. A nurse is assessing a client with suspected pneumonia. Which of the
following clinical manifestations should the nurse expect to find?
A. Productive cough and crackles upon auscultation
B. Bradypnea and dry skin
C. Hyperresonance on percussion
D. Decreased tactile fremitus
Answer: A
Rationale: Pneumonia typically presents with a productive cough, fever, and adventitious
breath sounds like crackles due to fluid in the alveoli.
2. Which positioning is most appropriate for a client suffering from acute
shortness of breath related to COPD?
A. Supine with legs elevated
B. Prone position
C. Side-lying Sims position
D. High-Fowler’s or tripod position
Answer: D
Rationale: The tripod position or high-Fowler’s helps maximize chest expansion and
decrease the work of breathing in COPD patients.
,3. A nurse is teaching a client about the use of a peak flow meter for asthma
management. What does the ‘green zone’ indicate?
A. Serious airway narrowing; seek medical help
B. Caution; asthma is not well controlled
C. The device needs to be recalibrated
D. Asthma is well controlled; 80% to 100% of personal best
Answer: D
Rationale: The green zone indicates that the asthma is under good control, typically
representing 80-100% of the patient’s personal best flow rate.
4. When caring for a patient with active Tuberculosis (TB), which type of
isolation precautions must the nurse implement?
A. Standard precautions only
B. Droplet precautions
C. Contact precautions
D. Airborne precautions
Answer: D
Rationale: TB is transmitted through small droplets that remain suspended in the air,
requiring airborne precautions, including a negative pressure room and N95 mask.
5. A patient is diagnosed with Stage 1 Hypertension. Which blood pressure
reading is consistent with this diagnosis according to current guidelines?
A. 134/84 mmHg
B. 125/75 mmHg
C. 118/78 mmHg
D. 145/95 mmHg
Answer: A
Rationale: Stage 1 Hypertension is defined as a systolic pressure between 130-139 mmHg
or a diastolic pressure between 80-89 mmHg.
, 6. What is the primary goal of using an incentive spirometer after surgery?
A. To prevent atelectasis
B. To increase heart rate
C. To measure lung volume for diagnostic purposes
D. To reduce the need for supplemental oxygen
Answer: A
Rationale: Incentive spirometry encourages deep breathing, which helps keep the alveoli
open and prevents lung collapse (atelectasis) post-operatively.
7. A patient with Peripheral Arterial Disease (PAD) complains of pain while
walking that stops with rest. The nurse identifies this as:
A. Rest pain
B. Intermittent claudication
C. Neuropathic pain
D. Venous insufficiency
Answer: B
Rationale: Intermittent claudication is the classic symptom of PAD, characterized by
ischemic muscle pain triggered by exercise and relieved by rest.
8. Which of the following is a sign of Right-sided Heart Failure?
A. Pulmonary edema
B. Peripheral edema and JVD
C. Crackles in the lungs
D. Dyspnea on exertion
Answer: B
Rationale: Right-sided heart failure causes systemic congestion, leading to peripheral
edema, jugular venous distention (JVD), and hepatomegaly.
