1. Which clinical manifestation is most commonly associated with emphysema?
a. Productive cough and fever
b. Barrel-shaped chest and pursed-lip breathing
c. Sudden onset of chest pain
d. Inspiratory stridor and cyanosis
e. Frequent night sweats
2. What are hallmark features of asthma?
a. Progressive loss of lung elasticity
b. Chronic productive cough
c. Hemoptysis and weight loss
d. Clubbing of fingers
e. Wheezing and reversible airway obstruction
3. Which arterial blood gas findings are consistent with respiratory acidosis in COPD?
a. Decreased pCO2 and increased pH
b. Normal pCO2 and normal pH
c. Elevated pO2 and increased pH
d. Elevated pCO2 and decreased pH
e. Decreased pO2 and decreased pH
4. What is an appropriate nursing intervention to prevent postoperative atelectasis?
a. Restrict fluid intake
b. Administer high-flow oxygen without monitoring
c. Keep patient NPO for 48 hours
d. Avoid ambulation postoperatively
e. Encourage use of incentive spirometer
5. Which signs indicate a respiratory infection in an adult patient?
a. Assess for bradycardia and hypotension
b. Observe for dry skin and hair loss
c. Check for joint pain and swelling
d. Monitor for fever, increased WBC, and purulent sputum
e. Evaluate for abdominal distention and constipation
6. What is a critical step in the nursing checklist prior to blood transfusion?
a. Administer blood rapidly to prevent clotting
b. Warm blood to body temperature before transfusion
c. Check patient identification and blood type before transfusion
d. Monitor vital signs only after transfusion is complete
e. Use a small bore needle for transfusion
7. Which intervention is most appropriate for a patient experiencing an acute asthma attack?
a. Restrict oral fluids
b. Encourage bed rest only
c. Apply cold compresses to chest
d. Limit oxygen therapy to 1 L/min
e. Administer bronchodilators as ordered
This study source was downloaded by 100000901307859 from CourseHero.com on 10-15-2025 21:40:27 GMT -05:00
https://www.coursehero.com/file/251745984/Nursing-Exam-2docx/
, 8. Which laboratory finding is most indicative of a bacterial respiratory infection?
a. Elevated WBC count
b. Decreased hemoglobin
c. Low platelet count
d. High creatinine
e. Low sodium
9. What is a key nursing intervention for a patient postoperatively after major surgery?
a. Encourage early removal of IV lines
b. Monitor for signs of hypovolemia and bleeding
c. Restrict movement of affected limb
d. Apply heat packs to surgical site
e. Administer diuretics routinely
10. How should a nurse address a patient's spiritual needs during hospitalization?
a. Discourage family visits during care
b. Avoid discussing spiritual beliefs
c. Limit dietary options regardless of preferences
d. Ignore requests for religious items
e. Respect and accommodate prayer times as requested
11. Which laboratory value is most critical to monitor for a patient receiving diuretics for COPD?
a. Sodium (Na)
b. Potassium (K)
c. Chloride (Cl)
d. Glucose
e. BUN
12. Which component of the CBC is most important to assess before surgery to evaluate bleeding risk?
a. BUN
b. Creatinine
c. Glucose
d. Platelet count
e. CO2
13. What is a priority nursing intervention for a patient with chronic bronchitis?
a. Restrict oxygen to prevent dependency
b. Encourage deep coughing without monitoring
c. Administer oxygen as prescribed and monitor saturation
d. Limit ambulation to prevent fatigue
e. Withhold bronchodilators until symptoms worsen
14. What is the correct method to calculate a basic IV flow rate?
a. Calculate IV flow rate using total volume and time
b. Estimate flow rate based on patient weight
c. Use only gravity to regulate IV rate
d. Administer IV fluids as fast as possible
e. Ignore manufacturer's recommendations for IV setup
This study source was downloaded by 100000901307859 from CourseHero.com on 10-15-2025 21:40:27 GMT -05:00
https://www.coursehero.com/file/251745984/Nursing-Exam-2docx/
a. Productive cough and fever
b. Barrel-shaped chest and pursed-lip breathing
c. Sudden onset of chest pain
d. Inspiratory stridor and cyanosis
e. Frequent night sweats
2. What are hallmark features of asthma?
a. Progressive loss of lung elasticity
b. Chronic productive cough
c. Hemoptysis and weight loss
d. Clubbing of fingers
e. Wheezing and reversible airway obstruction
3. Which arterial blood gas findings are consistent with respiratory acidosis in COPD?
a. Decreased pCO2 and increased pH
b. Normal pCO2 and normal pH
c. Elevated pO2 and increased pH
d. Elevated pCO2 and decreased pH
e. Decreased pO2 and decreased pH
4. What is an appropriate nursing intervention to prevent postoperative atelectasis?
a. Restrict fluid intake
b. Administer high-flow oxygen without monitoring
c. Keep patient NPO for 48 hours
d. Avoid ambulation postoperatively
e. Encourage use of incentive spirometer
5. Which signs indicate a respiratory infection in an adult patient?
a. Assess for bradycardia and hypotension
b. Observe for dry skin and hair loss
c. Check for joint pain and swelling
d. Monitor for fever, increased WBC, and purulent sputum
e. Evaluate for abdominal distention and constipation
6. What is a critical step in the nursing checklist prior to blood transfusion?
a. Administer blood rapidly to prevent clotting
b. Warm blood to body temperature before transfusion
c. Check patient identification and blood type before transfusion
d. Monitor vital signs only after transfusion is complete
e. Use a small bore needle for transfusion
7. Which intervention is most appropriate for a patient experiencing an acute asthma attack?
a. Restrict oral fluids
b. Encourage bed rest only
c. Apply cold compresses to chest
d. Limit oxygen therapy to 1 L/min
e. Administer bronchodilators as ordered
This study source was downloaded by 100000901307859 from CourseHero.com on 10-15-2025 21:40:27 GMT -05:00
https://www.coursehero.com/file/251745984/Nursing-Exam-2docx/
, 8. Which laboratory finding is most indicative of a bacterial respiratory infection?
a. Elevated WBC count
b. Decreased hemoglobin
c. Low platelet count
d. High creatinine
e. Low sodium
9. What is a key nursing intervention for a patient postoperatively after major surgery?
a. Encourage early removal of IV lines
b. Monitor for signs of hypovolemia and bleeding
c. Restrict movement of affected limb
d. Apply heat packs to surgical site
e. Administer diuretics routinely
10. How should a nurse address a patient's spiritual needs during hospitalization?
a. Discourage family visits during care
b. Avoid discussing spiritual beliefs
c. Limit dietary options regardless of preferences
d. Ignore requests for religious items
e. Respect and accommodate prayer times as requested
11. Which laboratory value is most critical to monitor for a patient receiving diuretics for COPD?
a. Sodium (Na)
b. Potassium (K)
c. Chloride (Cl)
d. Glucose
e. BUN
12. Which component of the CBC is most important to assess before surgery to evaluate bleeding risk?
a. BUN
b. Creatinine
c. Glucose
d. Platelet count
e. CO2
13. What is a priority nursing intervention for a patient with chronic bronchitis?
a. Restrict oxygen to prevent dependency
b. Encourage deep coughing without monitoring
c. Administer oxygen as prescribed and monitor saturation
d. Limit ambulation to prevent fatigue
e. Withhold bronchodilators until symptoms worsen
14. What is the correct method to calculate a basic IV flow rate?
a. Calculate IV flow rate using total volume and time
b. Estimate flow rate based on patient weight
c. Use only gravity to regulate IV rate
d. Administer IV fluids as fast as possible
e. Ignore manufacturer's recommendations for IV setup
This study source was downloaded by 100000901307859 from CourseHero.com on 10-15-2025 21:40:27 GMT -05:00
https://www.coursehero.com/file/251745984/Nursing-Exam-2docx/
