Adult Health II NSG 3800 Exam 2 Review of 250
Latest real exam questions and correct answers with
rationales/ Galen NSG 3800 Nursing Practice Adult
Health 2 Exam 2 Prep 2026-2027 (medical surgical II)
The perioperative nurse is writing a care plan for a patient who has returned from
surgery 2 hours prior. Which measure should the nurse implement to most decrease
the patients risk of developing pulmonary emboli (PE)?
A) Early ambulation
B) Increased dietary intake of protein
C) Maintaining the patient in a supine position
D) Administering aspirin with warfarin - ANSWER-A
Feedback: For patients at risk for PE, the most effective approach for prevention is
to prevent deep vein thrombosis. Active leg exercises to avoid venous stasis, early
ambulation, and use of elastic compression stocking are general preventive
measures. The patient does not require increased dietary intake of protein directly
related to prevention of PE, although it will assist in wound healing during the
postoperative period. The patient should not be maintained in one position, but
frequently repositioned, unless contraindicated by the surgical procedure. Aspirin
should never be administered with warfarin because it will increase the patients
risk for bleeding.
The school nurse is presenting a class on smoking cessation at the local high
school. A participant in the class asks the nurse about the risk of lung cancer in
those who smoke. What response related to risk for lung cancer in smokers is most
accurate?
A) The younger you are when you start smoking, the higher your risk of lung
cancer.
,B) The risk for lung cancer never decreases once you have smoked, which is why
smokers need annual chest x-rays.
C) ) The risk for lung cancer is determined mostly by what type of cigarettes you
smoke.
D) The risk for lung cancer depends primarily on the other risk factors for cancer
that you have. - ANSWER-A
feedback: Risk is determined by the pack-year history (number of packs of
cigarettes used each day, multiplied by the number of years smoked), the age of
initiation of smoking, the depth of inhalation, and the tar and nicotine levels in the
cigarettes smoked. The younger a person is when he or she starts smoking, the
greater the risk of developing lung cancer. Risk declines after smoking cessation.
The type of cigarettes is a significant variable, but this is not the most important
factor.
The nurse is caring for a patient who has a pleural effusion and who underwent a
thoracoscopic procedure earlier in the morning. The nurse should prioritize
assessment for which of the following?
A) Sputum production
B) Shortness of breath
C) Throat discomfort
D) Epistaxis - ANSWER-B
Feedback: Follow-up care in the health care facility and at home involves
monitoring the patient for shortness of breath (which might indicate a
pneumothorax). All of the listed options are relevant assessment findings, but
shortness of breath is the most serious complication.
A gerontologic nurse is analyzing the data from a patients focused respiratory
assessment. The nurse is aware that the amount of respiratory dead space increases
with age. What is the effect of this physiological change?
A) Increased diffusion of gases
,B) Decreased diffusion capacity for oxygen
C) Decreased shunting of blood
D) Increased ventilation - ANSWER-B
Feedback: The amount of respiratory dead space increases with age. Combined
with other changes, this results in a decreased diffusion capacity for oxygen with
increasing age, producing lower oxygen levels in the arterial circulation. Decreased
shunting and increased ventilation do not occur with age.
The nurse is assessing the respiratory status of a patient who is experiencing an
exacerbation of her emphysema symptoms. When preparing to auscultate, what
breath sounds should the nurse anticipate?
A) Absence of breath sounds
B) Wheezing with discontinuous breath sounds
C) Faint breath sounds with prolonged expiration
D) Faint breath sounds with fine crackles - ANSWER-C
Feedback: The breath sounds of the patient with emphysema are faint or often
completely inaudible. When they are heard, the expiratory phase is prolonged.
The patient has just had an MRI ordered because a routine chest x-ray showed
suspicious areas in the right lung. The physician suspects bronchogenic carcinoma.
An MRI would most likely be order to assess for what in this patient?
A) Alveolar dysfunction
B) Forced vital capacity
C) Tidal volume
D) Chest wall invasion - ANSWER-D
Feedback: MRI is used to characterize pulmonary nodules; to help stage
bronchogenic carcinoma (assessment of chest wall invasion); and to evaluate
inflammatory activity in interstitial lung disease, acute pulmonary embolism, and
chronic thrombolytic pulmonary hypertension. Imaging would not focus on the
, alveoli since the problem in the bronchi. A static image such as MRI cannot inform
PFT.
A sputum study has been ordered for a patient who has developed coarse chest
crackles and a fever. At
what
time should the nurse best collect the sample?
A) Immediately after a meal
B) First thing in the morning
C) At bedtime
D) After a period of exercise - ANSWER-B
Feedback: Sputum samples ideally are obtained early in the morning before the
patient has had anything to eat or drink.
The ED nurse is assessing the respiratory function of a teenage girl who presented
with acute shortness of breath. Auscultation reveals continuous wheezes during
inspiration and expiration. This finding is
most
suggestive what?
A) Pleurisy
B) Emphysema
C) Asthma
D) Pneumonia - ANSWER-C
Feedback: Sibilant wheezes are commonly associated with asthma. They do not
normally accompany pleurisy, emphysema, or pneumonia.
The nurse is caring for a patient who has been scheduled for a bronchoscopy. How
should the nurse prepare the patient for this procedure?
Latest real exam questions and correct answers with
rationales/ Galen NSG 3800 Nursing Practice Adult
Health 2 Exam 2 Prep 2026-2027 (medical surgical II)
The perioperative nurse is writing a care plan for a patient who has returned from
surgery 2 hours prior. Which measure should the nurse implement to most decrease
the patients risk of developing pulmonary emboli (PE)?
A) Early ambulation
B) Increased dietary intake of protein
C) Maintaining the patient in a supine position
D) Administering aspirin with warfarin - ANSWER-A
Feedback: For patients at risk for PE, the most effective approach for prevention is
to prevent deep vein thrombosis. Active leg exercises to avoid venous stasis, early
ambulation, and use of elastic compression stocking are general preventive
measures. The patient does not require increased dietary intake of protein directly
related to prevention of PE, although it will assist in wound healing during the
postoperative period. The patient should not be maintained in one position, but
frequently repositioned, unless contraindicated by the surgical procedure. Aspirin
should never be administered with warfarin because it will increase the patients
risk for bleeding.
The school nurse is presenting a class on smoking cessation at the local high
school. A participant in the class asks the nurse about the risk of lung cancer in
those who smoke. What response related to risk for lung cancer in smokers is most
accurate?
A) The younger you are when you start smoking, the higher your risk of lung
cancer.
,B) The risk for lung cancer never decreases once you have smoked, which is why
smokers need annual chest x-rays.
C) ) The risk for lung cancer is determined mostly by what type of cigarettes you
smoke.
D) The risk for lung cancer depends primarily on the other risk factors for cancer
that you have. - ANSWER-A
feedback: Risk is determined by the pack-year history (number of packs of
cigarettes used each day, multiplied by the number of years smoked), the age of
initiation of smoking, the depth of inhalation, and the tar and nicotine levels in the
cigarettes smoked. The younger a person is when he or she starts smoking, the
greater the risk of developing lung cancer. Risk declines after smoking cessation.
The type of cigarettes is a significant variable, but this is not the most important
factor.
The nurse is caring for a patient who has a pleural effusion and who underwent a
thoracoscopic procedure earlier in the morning. The nurse should prioritize
assessment for which of the following?
A) Sputum production
B) Shortness of breath
C) Throat discomfort
D) Epistaxis - ANSWER-B
Feedback: Follow-up care in the health care facility and at home involves
monitoring the patient for shortness of breath (which might indicate a
pneumothorax). All of the listed options are relevant assessment findings, but
shortness of breath is the most serious complication.
A gerontologic nurse is analyzing the data from a patients focused respiratory
assessment. The nurse is aware that the amount of respiratory dead space increases
with age. What is the effect of this physiological change?
A) Increased diffusion of gases
,B) Decreased diffusion capacity for oxygen
C) Decreased shunting of blood
D) Increased ventilation - ANSWER-B
Feedback: The amount of respiratory dead space increases with age. Combined
with other changes, this results in a decreased diffusion capacity for oxygen with
increasing age, producing lower oxygen levels in the arterial circulation. Decreased
shunting and increased ventilation do not occur with age.
The nurse is assessing the respiratory status of a patient who is experiencing an
exacerbation of her emphysema symptoms. When preparing to auscultate, what
breath sounds should the nurse anticipate?
A) Absence of breath sounds
B) Wheezing with discontinuous breath sounds
C) Faint breath sounds with prolonged expiration
D) Faint breath sounds with fine crackles - ANSWER-C
Feedback: The breath sounds of the patient with emphysema are faint or often
completely inaudible. When they are heard, the expiratory phase is prolonged.
The patient has just had an MRI ordered because a routine chest x-ray showed
suspicious areas in the right lung. The physician suspects bronchogenic carcinoma.
An MRI would most likely be order to assess for what in this patient?
A) Alveolar dysfunction
B) Forced vital capacity
C) Tidal volume
D) Chest wall invasion - ANSWER-D
Feedback: MRI is used to characterize pulmonary nodules; to help stage
bronchogenic carcinoma (assessment of chest wall invasion); and to evaluate
inflammatory activity in interstitial lung disease, acute pulmonary embolism, and
chronic thrombolytic pulmonary hypertension. Imaging would not focus on the
, alveoli since the problem in the bronchi. A static image such as MRI cannot inform
PFT.
A sputum study has been ordered for a patient who has developed coarse chest
crackles and a fever. At
what
time should the nurse best collect the sample?
A) Immediately after a meal
B) First thing in the morning
C) At bedtime
D) After a period of exercise - ANSWER-B
Feedback: Sputum samples ideally are obtained early in the morning before the
patient has had anything to eat or drink.
The ED nurse is assessing the respiratory function of a teenage girl who presented
with acute shortness of breath. Auscultation reveals continuous wheezes during
inspiration and expiration. This finding is
most
suggestive what?
A) Pleurisy
B) Emphysema
C) Asthma
D) Pneumonia - ANSWER-C
Feedback: Sibilant wheezes are commonly associated with asthma. They do not
normally accompany pleurisy, emphysema, or pneumonia.
The nurse is caring for a patient who has been scheduled for a bronchoscopy. How
should the nurse prepare the patient for this procedure?
