NUR 3260 EXAM 3 NCLEX STYLE PRACTICE EXAM
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questions
Which pulse is best used to assess central circulation during shock?
A. Radial
B. Pedal
C. Carotid
D. Brachial
C
Rationale: The carotid pulse remains palpable even with severe hypotension.
Which assessment finding indicates adequate cardiac perfusion?
A. Capillary refill <2 seconds
B. Cyanosis
C. Weak pulses
D. Cool extremities
A
Rationale: Normal capillary refill indicates good peripheral perfusion.
Which structure prevents food from entering the respiratory tract?
A. Bronchi
B. Epiglottis
C. Trachea
D. Larynx
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B
Rationale: The epiglottis closes over the trachea during swallowing.
Which term describes difficulty breathing when lying flat?
A. Dyspnea
B. Orthopnea
C. Tachypnea
D. Apnea
B
Rationale: Orthopnea is shortness of breath when lying flat, common in heart failure.
Which factor contributes to atherosclerosis development?
A. Low cholesterol
B. Smoking
C. Regular exercise
D. Low sodium diet
B
Rationale: Smoking damages blood vessel walls, increasing plaque formation.
Which chamber of the heart has the thickest muscle wall?
A. Right atrium
B. Left atrium
C. Right ventricle
D. Left ventricle
D
Rationale: The left ventricle pumps blood through the entire body, requiring more
force.
Which lung sound indicates secretions in large airways?
A. Crackles
B. Rhonchi
C. Wheezes
D. Stridor
B
Rationale: Rhonchi are caused by secretions in the bronchi.
Which vital sign change may occur with hypoxia?
A. Bradycardia
B. Tachycardia
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C. Hypotension
D. Decreased respirations
B
Rationale: The body increases heart rate to deliver more oxygen to tissues.
Which condition involves inflammation of the pleural membranes?
A. Pneumonia
B. Pleuritis
C. Bronchitis
D. Emphysema
B
Rationale: Pleuritis causes pain and pleural friction rub.
Which nursing intervention improves oxygenation in a dyspneic patient?
A. Supine positioning
B. High Fowler's position
C. Decreasing oxygen flow
D. Limiting activity
B
Rationale: High Fowler's promotes lung expansion.
Which assessment finding suggests fluid in lung tissue?
A. Hyperresonance
B. Crackles
C. Wheezes
D. Stridor
B
Rationale: Crackles occur when fluid is present in alveoli.
Which electrolyte imbalance most commonly causes cardiac dysrhythmias?
A. Sodium
B. Potassium
C. Calcium
D. Chloride
B
Rationale: Potassium imbalance affects cardiac electrical activity.
Which term describes cessation of breathing?
A. Dyspnea
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B. Apnea
C. Tachypnea
D. Orthopnea
B
Rationale: Apnea means absence of breathing.
Which symptom is most common in heart failure?
A. Increased appetite
B. Dyspnea
C. Blurred vision
D. Abdominal pain
B
Rationale: Fluid buildup in lungs causes shortness of breath.
Which blood vessel delivers oxygenated blood to the heart muscle?
A. Pulmonary artery
B. Coronary arteries
C. Aorta
D. Pulmonary vein
B
Rationale: Coronary arteries supply oxygenated blood to myocardium.
Which finding may indicate decreased cardiac output?
A. Strong pulses
B. Confusion
C. Warm skin
D. Pink lips
B
Rationale: Decreased perfusion to the brain may cause confusion.
Which term describes rapid heart rate over 100 bpm?
A. Bradycardia
B. Tachycardia
C. Dysrhythmia
D. Hypertension
B
Rationale: Tachycardia refers to heart rate >100 bpm.