ADULT HEALTH 1 CERTIFICATION
EVALUATION TEST PAPER 2026
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
●● Chronic Bronchitis. Answer: •Cough and sputum production for at
least 3 months in each of 2 consecutive years
•Ciliary function is reduced, bronchial walls thicken, bronchial airways
narrow, and mucous may plug airways
•Alveoli become damaged, fibrosed, and alveolar macrophage function
diminishes
•The patient is more susceptible to respiratory infections
●● COPD: Poor Gas Exchange. Answer: -do not give O2 over 2 lpm
-low o2 high CO2
●● COPD: Body Accommodates. Answer: -50/50 club
PaO2 50
PCO2 50
●● COPD: stimulus to breathe. Answer: Normal: high CO2 level
COPD: low O2 level
,●● COPD: supplement O2. Answer: -short term fix: increase SPO2
-decreases respiratory drive
-CO2 Narcosis(toxicity)
●● COPD clinical manifestations. Answer: •Three primary symptoms:
•Chronic cough
•Sputum production
•Dyspnea
•Accessory Muscles
•Adventitious breath sounds
•"Barrel chest"
•Weight loss due to dyspnea
•Unable to tolerate activity
•ABG's abnormal
●● Diagnosis of COPD. Answer: •Health history
•Spirometry:
•Measuring the Forced Vital Capacity (FVC)
•Forced Expiratory Volume (FEV)
,•Arterial blood gas:
•Respiratory Acidosis
•Chest x-ray
●● COPD Jasons. Answer: •Cor Pulmonale
•Pneumothorax
•Risk for pneumonia
•Cancer
●● COPD Nursing Management. Answer: •Monitor respiratory system:
•Lung sounds
•Sputum production
•Monitor SPO2 and ABG's
•Pursed-lip breathing
•Diaphragmatic breathing
•Chest physiotherapy
•Administer medications
●● Medication Management COPD:
, "Chronic Pulmonary Medications Save Lives". Answer:
•Corticosteroids:
•Decrease inflammation and mucous production
•Symbicort, prednisone, solumedrol
•Phosphodiestrace-4 inhibitor
•Decreases COPD exacerbation
•Roflumilast
•Methylxanthines
•Bronchodilator
•Theophylline
•Short-acting bronchodilators
•Relaxes smooth muscle of bronchial tubes
•Albuterol
•Long-acting bronchodilator
•Relaxes smooth muscle of bronchial tubes
•Spiriva, Salmeterol
●● Bronchiectasis. Answer: Bronchiectasis is a chronic, irreversible
dilation of the bronchi and bronchioles
EVALUATION TEST PAPER 2026
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
●● Chronic Bronchitis. Answer: •Cough and sputum production for at
least 3 months in each of 2 consecutive years
•Ciliary function is reduced, bronchial walls thicken, bronchial airways
narrow, and mucous may plug airways
•Alveoli become damaged, fibrosed, and alveolar macrophage function
diminishes
•The patient is more susceptible to respiratory infections
●● COPD: Poor Gas Exchange. Answer: -do not give O2 over 2 lpm
-low o2 high CO2
●● COPD: Body Accommodates. Answer: -50/50 club
PaO2 50
PCO2 50
●● COPD: stimulus to breathe. Answer: Normal: high CO2 level
COPD: low O2 level
,●● COPD: supplement O2. Answer: -short term fix: increase SPO2
-decreases respiratory drive
-CO2 Narcosis(toxicity)
●● COPD clinical manifestations. Answer: •Three primary symptoms:
•Chronic cough
•Sputum production
•Dyspnea
•Accessory Muscles
•Adventitious breath sounds
•"Barrel chest"
•Weight loss due to dyspnea
•Unable to tolerate activity
•ABG's abnormal
●● Diagnosis of COPD. Answer: •Health history
•Spirometry:
•Measuring the Forced Vital Capacity (FVC)
•Forced Expiratory Volume (FEV)
,•Arterial blood gas:
•Respiratory Acidosis
•Chest x-ray
●● COPD Jasons. Answer: •Cor Pulmonale
•Pneumothorax
•Risk for pneumonia
•Cancer
●● COPD Nursing Management. Answer: •Monitor respiratory system:
•Lung sounds
•Sputum production
•Monitor SPO2 and ABG's
•Pursed-lip breathing
•Diaphragmatic breathing
•Chest physiotherapy
•Administer medications
●● Medication Management COPD:
, "Chronic Pulmonary Medications Save Lives". Answer:
•Corticosteroids:
•Decrease inflammation and mucous production
•Symbicort, prednisone, solumedrol
•Phosphodiestrace-4 inhibitor
•Decreases COPD exacerbation
•Roflumilast
•Methylxanthines
•Bronchodilator
•Theophylline
•Short-acting bronchodilators
•Relaxes smooth muscle of bronchial tubes
•Albuterol
•Long-acting bronchodilator
•Relaxes smooth muscle of bronchial tubes
•Spiriva, Salmeterol
●● Bronchiectasis. Answer: Bronchiectasis is a chronic, irreversible
dilation of the bronchi and bronchioles
