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Adult Health 1 NSG 3250 Chapter 19 Chest and Lower Respiratory Tract Disorders Exam Review – 35 NCLEX Questions and Answers on ARDS, Pneumothorax, Mechanical Ventilation & Lung Cancer | Galen College of Nursing

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This comprehensive Adult Health 1 (NSG 3250) exam review document contains 35 NCLEX-style questions with verified answers focused on Chapter 19: Management of Patients with Chest and Lower Respiratory Tract Disorders. The material provides detailed coverage of lower respiratory and thoracic conditions including atelectasis, pneumonia, pleurisy, pulmonary embolism, pulmonary hypertension, pneumothorax, tuberculosis, acute respiratory distress syndrome (ARDS), lung cancer, tracheostomy care, chest drainage systems, thoracotomy recovery, respiratory failure, mechanical ventilation, thoracic trauma, and oxygen therapy. The questions are designed to strengthen clinical reasoning, respiratory assessment skills, nursing interventions, postoperative care, and evidence-based management of acute and chronic pulmonary disorders commonly tested in Adult Health and Medical-Surgical Nursing courses. This study guide is highly valuable for nursing students preparing for Adult Health examinations, NCLEX-RN preparation, respiratory system assessments, and clinical competency evaluations involving pulmonary and thoracic disorders. The content emphasizes essential nursing concepts such as airway management, chest tube monitoring, ventilator weaning, arterial blood gas interpretation, pulmonary hygiene, oxygenation assessment, prevention of postoperative respiratory complications, tuberculosis medication adherence, thoracic trauma management, and early recognition of respiratory emergencies. The structured question-and-answer format promotes active recall, exam readiness, and improved understanding of respiratory nursing care in both acute and critical care settings. The material aligns with evidence-based respiratory and medical-surgical nursing principles presented in Lewis’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems (Harding, Kwong, Roberts, Hagler & Reinisch, Elsevier, 2023), Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (Hinkle & Cheever, Wolters Kluwer, 2022), and current pulmonary care guidelines supported by the American Thoracic Society (ATS), American Association of Critical-Care Nurses (AACN), and the Centers for Disease Control and Prevention (CDC) tuberculosis management recommendations. The document reinforces clinically relevant concepts frequently encountered in nursing examinations and hospital-based respiratory care. This document is highly relevant for: Adult Health Nursing students Medical-Surgical Nursing students BSN and ADN nursing students NCLEX-RN candidates Galen College of Nursing students Nursing students studying respiratory and thoracic disorders Students preparing for NSG 3250 examinations Critical care and respiratory nursing students Healthcare students reviewing mechanical ventilation and chest tube management Students preparing for pulmonary assessment and respiratory clinical competency testing Keywords Adult Health 1, NSG 3250, chest disorders, lower respiratory tract disorders, respiratory nursing, NCLEX questions, ARDS, pneumothorax, pulmonary embolism, pneumonia, pleurisy, tuberculosis, atelectasis, pulmonary hypertension, lung cancer, thoracotomy, chest tubes, chest drainage system, tracheostomy care, mechanical ventilation, ventilator weaning, oxygen therapy, respiratory failure, thoracic trauma, pulmonary assessment, arterial blood gases, ABGs, pulmonary hygiene, respiratory interventions, thoracic nursing, respiratory critical care, respiratory pharmacology, airway management, respiratory complications, medical surgical nursing, respiratory exam review, respiratory study guide, respiratory system disorders, Galen College of Nursing, respiratory clinical practice, pulmonary disorders, respiratory care nursing, thoracic surgery nursing

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NSG 3250 Chapter 19
Management of Patients with
Chest and Lower Res- piratory
Tract Disorders 2026 Expert
Verifed Ace the Text




A perioperative nurse is caring for a postoperative client. The client has a

shallow respiratory pattern and is reluctant to cough or to begin

mobilizing. The nurse should address the client's increased risk for what

complication?

,A. Acute respiratory distress syndrome (ARDS)

B. Atelectasis

C. Aspiration


D. Pulmonary embolism - ANSWER ✔✔B. Atelectasis


A critical-care nurse is caring for a client diagnosed with pneumonia as a

surgical complication. The nurse's assessment reveals that the client

has an increased work of breathing due to copious tracheobronchial

secretions. What should the nurse encourage the client to do?




A. Increase oral fluids unless contraindicated.

B. Call the nurse for oral suctioning, as needed.

C. Lie in a low Fowler or supine position.


D. Increase activity. - ANSWER ✔✔A. Increase oral fluids unless

contraindicated.

The nurse is caring for a client who has been in a motor vehicle accident

and is suspected of having developed pleurisy. Which assessment

finding would best corroborate this diagnosis?

, A. The client is experiencing painless hemoptysis.

B. The client's arterial blood gases (ABGs) are normal, but the client

demonstrates increased work of breathing.

C. The client's oxygen saturation level is below 88%, but the client

denies shortness of breath.

D. The client's pain intensifies when the client coughs or takes a deep

breath. - ANSWER ✔✔D. The client's pain intensifies when the client

coughs or takes a deep breath.

The nurse caring for a client recently diagnosed with lung disease

encourages the client not to smoke. What is the primary rationale behind

this nursing action?




A. Smoking decreases the amount of mucus production.

B. Smoke particles compete for binding sites on hemoglobin.

C. Smoking causes atrophy of the alveoli.


D. Smoking damages the ciliary cleansing mechanism. - ANSWER

✔✔D. Smoking damages the ciliary cleansing mechanism.


The nurse is caring for a client who is scheduled for a lobectomy for lung

cancer. While assisting with a subclavian vein central line insertion, the

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