1
HALLMARK STUDY ISB BSN 206 EXAM LATEST UPDATES -
2025/2026- ACTUAL QUESTIONS WITH VERIFIED ANSWERS
ALREADY GRADED A+ GUARANTEED PASS
T/F: The appearance of cyanosis around the lips and fingertips of the patient may
be the result of chronic respiratory impairment.
True.
Cyanosis, a bluish discoloration of the skin or mucous membranes, is caused by
inadequate oxygenation of the bloodstream. Patients with chronic lung diseases
(COPD) may exhibit cyanosis.
T/F: An elevated pulse rate is the body's attempt to increase oxygen delivery to
the tissues.
True.
An increase in pulse rate is an adaptive response to meet the body's oxygen
demand. The increased pulse rate may occur in conjunction with an increased
respiratory rate that attempts to increase oxygen supply.
What are signs & symptoms of hypoxia (low cellular and tissue oxygen)
restlessness (early sign of hypoxia)
irritability
anxiety
confusion/disorientation
Decreased ability to concentrate
, 2
Altered level of consciousness
Syncope
Altered behavior
increased pulse rate (tachycardia)
increased respiratory rate (tachypnea)
Elevated BP
Cardiac dysrhythmias (irregular/and or premature rhythms)
Pallor
Complaints of dyspnea (breathlessness)
Cyanosis (usually a late sign of hypoxia)
What causes hypoxia?
Inadequate tissue oxygen w/ adequate blood supply
Develops from a deficiency in oxygen delivery or oxygen utilization at the cellular
level
T/F: A patient with a "normal" respiratory rate cannot become hypoxic
False.
An individula can have a normal ventilation rate and be unable to absorb enough
oxygen to sustain normal tissue and organ function
What are the 3 cough types?
Huff; Cascade; Quad
Which type of cough stimulates the natural cough reflex and is helpful in clearing
the large central airways such as the tracheobronchial tree.?
Huff cough
T/F: A patient with an acute onset of pneumonia is coughing copious amounts of
secretions. The best coughing technique to teach a patient is the huff cough
, 3
False
The best coughing technique for large volumes of sputum is the cascade cough.
T/F: Coughing maintains patency of the airway by removing secretions and/or
foreign body materials.
True.
Coughing is a protective mechanism that assists in maintaining airway patency.
Assisting a patient, a paraplegic patient w/ bronchitis, by supporting his
abdominal muscles during forced expiration and coughing is an example of huff
coughing.
False.
this is an example of quad coughing.
The quad cough is used w/ patients who lack control of their abdominal muscles
(patients w/ spinal cord injuries and patienst w/ recent abdominal surgery)
T/F: Patients at risk for airway obstruction should be encountered to breathe
deeply and cough at least once every 4 hours.
False.
Patients at risk for airway obstruction should be encouraged to cough at least
every hour.
T/F: Huff coughing is usually effective only for clearing the central airways.
True.
It mimic the natural cough reflex
, 4
T/F: Cascade coughing requires that the patient take a deep breath and hold it for
2 seconds before performing a series of forceful coughs.
True.
Cascade couging is more effective at removing sputum than huff coughing
T/F: Excessive airway secretions can cause airway occlusion.
True
The most common cause of airway obstruction in the adult is excessive
secretions.
T/F: A key assessment technique to determine whether a patient's airways are
occluded is auscultation of the lungs.
True.
Auscultation determines whether secretions are present in the airways
A patient is able to cough and expectorate but complains of mucus in the back of
the throat. You should:
a. Perform orotracheal suctioning
b. Perform oropharyngeal suctioning
c. Perform endotracheal suctioning
b. Perform oropharyngeal suctioning.
Oropharyngeal and nasopharyngeal suctioning are performed for those patients
who are able to cough but are unable to clear their airway secretions effectively
HALLMARK STUDY ISB BSN 206 EXAM LATEST UPDATES -
2025/2026- ACTUAL QUESTIONS WITH VERIFIED ANSWERS
ALREADY GRADED A+ GUARANTEED PASS
T/F: The appearance of cyanosis around the lips and fingertips of the patient may
be the result of chronic respiratory impairment.
True.
Cyanosis, a bluish discoloration of the skin or mucous membranes, is caused by
inadequate oxygenation of the bloodstream. Patients with chronic lung diseases
(COPD) may exhibit cyanosis.
T/F: An elevated pulse rate is the body's attempt to increase oxygen delivery to
the tissues.
True.
An increase in pulse rate is an adaptive response to meet the body's oxygen
demand. The increased pulse rate may occur in conjunction with an increased
respiratory rate that attempts to increase oxygen supply.
What are signs & symptoms of hypoxia (low cellular and tissue oxygen)
restlessness (early sign of hypoxia)
irritability
anxiety
confusion/disorientation
Decreased ability to concentrate
, 2
Altered level of consciousness
Syncope
Altered behavior
increased pulse rate (tachycardia)
increased respiratory rate (tachypnea)
Elevated BP
Cardiac dysrhythmias (irregular/and or premature rhythms)
Pallor
Complaints of dyspnea (breathlessness)
Cyanosis (usually a late sign of hypoxia)
What causes hypoxia?
Inadequate tissue oxygen w/ adequate blood supply
Develops from a deficiency in oxygen delivery or oxygen utilization at the cellular
level
T/F: A patient with a "normal" respiratory rate cannot become hypoxic
False.
An individula can have a normal ventilation rate and be unable to absorb enough
oxygen to sustain normal tissue and organ function
What are the 3 cough types?
Huff; Cascade; Quad
Which type of cough stimulates the natural cough reflex and is helpful in clearing
the large central airways such as the tracheobronchial tree.?
Huff cough
T/F: A patient with an acute onset of pneumonia is coughing copious amounts of
secretions. The best coughing technique to teach a patient is the huff cough
, 3
False
The best coughing technique for large volumes of sputum is the cascade cough.
T/F: Coughing maintains patency of the airway by removing secretions and/or
foreign body materials.
True.
Coughing is a protective mechanism that assists in maintaining airway patency.
Assisting a patient, a paraplegic patient w/ bronchitis, by supporting his
abdominal muscles during forced expiration and coughing is an example of huff
coughing.
False.
this is an example of quad coughing.
The quad cough is used w/ patients who lack control of their abdominal muscles
(patients w/ spinal cord injuries and patienst w/ recent abdominal surgery)
T/F: Patients at risk for airway obstruction should be encountered to breathe
deeply and cough at least once every 4 hours.
False.
Patients at risk for airway obstruction should be encouraged to cough at least
every hour.
T/F: Huff coughing is usually effective only for clearing the central airways.
True.
It mimic the natural cough reflex
, 4
T/F: Cascade coughing requires that the patient take a deep breath and hold it for
2 seconds before performing a series of forceful coughs.
True.
Cascade couging is more effective at removing sputum than huff coughing
T/F: Excessive airway secretions can cause airway occlusion.
True
The most common cause of airway obstruction in the adult is excessive
secretions.
T/F: A key assessment technique to determine whether a patient's airways are
occluded is auscultation of the lungs.
True.
Auscultation determines whether secretions are present in the airways
A patient is able to cough and expectorate but complains of mucus in the back of
the throat. You should:
a. Perform orotracheal suctioning
b. Perform oropharyngeal suctioning
c. Perform endotracheal suctioning
b. Perform oropharyngeal suctioning.
Oropharyngeal and nasopharyngeal suctioning are performed for those patients
who are able to cough but are unable to clear their airway secretions effectively
