, NSG 3800 EXAM 2 - Original Practice Study Guide
NSG 3800 Exam 2| Adult Health II| 2026 Update |
100% Correct – Galen College
1. Which finding most strongly suggests acute hypoxemia?
A) Warm dry skin
B) Mild chronic fatigue
C) New restlessness with low oxygen saturation
D) Increased appetite
Correct Answer: New restlessness with low oxygen saturation
Rationale: Early hypoxemia may cause restlessness, anxiety, tachycardia, and declining oxygen saturation.
2. A nurse is applying this concept in an Adult Health II clinical scenario. which position best supports
ventilation in a patient with dyspnea?
A) Flat supine
B) High-Fowler position
C) Trendelenburg
D) Prone without indication
Correct Answer: High-Fowler position
Rationale: Upright positioning improves diaphragmatic excursion and lung expansion. Clinical judgment requires
linking the finding with ABC priorities, hemodynamic stability, medication effects, and timely reassessment.
3. A nurse is applying this concept in an Adult Health II clinical scenario. which breath sound is most
associated with narrowed lower airways?
A) Wheezing
B) Crackles
C) Pleural friction rub
D) Normal vesicular sounds
Correct Answer: Wheezing
Rationale: Wheezing is caused by airflow through narrowed bronchi. Clinical judgment requires linking the finding
with ABC priorities, hemodynamic stability, medication effects, and timely reassessment.
4. A nurse is applying this concept in an Adult Health II clinical scenario. which breath sound may occur
with fluid in small airways or alveoli?
A) Normal bronchial sounds
B) Stridor
C) Crackles
D) Bowel sounds
Correct Answer: Crackles
Rationale: Crackles occur as collapsed small airways reopen or air moves through fluid. Clinical judgment requires
linking the finding with ABC priorities, hemodynamic stability, medication effects, and timely reassessment.
Page 2
, NSG 3800 EXAM 2 - Original Practice Study Guide
5. Which finding is most ominous in severe asthma?
A) A quiet chest with minimal air movement
B) Mild expiratory wheeze
C) Intermittent cough
D) Normal speech
Correct Answer: A quiet chest with minimal air movement
Rationale: A silent or quiet chest can indicate critically reduced airflow and impending respiratory failure.
6. A nurse is applying this concept in an Adult Health II clinical scenario. which medication is commonly
used as rapid rescue therapy for acute bronchospasm?
A) Short-acting beta2 agonist
B) Long-acting statin
C) Loop diuretic
D) Proton pump inhibitor
Correct Answer: Short-acting beta2 agonist
Rationale: Short-acting beta2 agonists rapidly relax bronchial smooth muscle. Clinical judgment requires linking the
finding with ABC priorities, hemodynamic stability, medication effects, and timely reassessment.
7. A nurse is applying this concept in an Adult Health II clinical scenario. which teaching is appropriate for
inhaled corticosteroids?
A) Take only with food
B) Use only for sudden attacks
C) Stop abruptly when symptoms improve
D) Rinse the mouth after use
Correct Answer: Rinse the mouth after use
Rationale: Rinsing reduces local candidiasis and dysphonia risk. Clinical judgment requires linking the finding with
ABC priorities, hemodynamic stability, medication effects, and timely reassessment.
8. A nurse is applying this concept in an Adult Health II clinical scenario. which finding is characteristic of
COPD exacerbation?
A) Projectile vomiting
B) Sudden unilateral paralysis
C) Increasing dyspnea with worsening cough and sputum changes
D) Tea-colored urine
Correct Answer: Increasing dyspnea with worsening cough and sputum changes
Rationale: COPD exacerbations commonly present with worsening dyspnea, cough, and sputum amount or
purulence. Clinical judgment requires linking the finding with ABC priorities, hemodynamic stability, medication
effects, and timely reassessment.
9. Which intervention helps reduce air trapping in COPD?
A) Pursed-lip breathing
B) Rapid shallow breathing
C) Breath holding after exhalation
Page 3
NSG 3800 Exam 2| Adult Health II| 2026 Update |
100% Correct – Galen College
1. Which finding most strongly suggests acute hypoxemia?
A) Warm dry skin
B) Mild chronic fatigue
C) New restlessness with low oxygen saturation
D) Increased appetite
Correct Answer: New restlessness with low oxygen saturation
Rationale: Early hypoxemia may cause restlessness, anxiety, tachycardia, and declining oxygen saturation.
2. A nurse is applying this concept in an Adult Health II clinical scenario. which position best supports
ventilation in a patient with dyspnea?
A) Flat supine
B) High-Fowler position
C) Trendelenburg
D) Prone without indication
Correct Answer: High-Fowler position
Rationale: Upright positioning improves diaphragmatic excursion and lung expansion. Clinical judgment requires
linking the finding with ABC priorities, hemodynamic stability, medication effects, and timely reassessment.
3. A nurse is applying this concept in an Adult Health II clinical scenario. which breath sound is most
associated with narrowed lower airways?
A) Wheezing
B) Crackles
C) Pleural friction rub
D) Normal vesicular sounds
Correct Answer: Wheezing
Rationale: Wheezing is caused by airflow through narrowed bronchi. Clinical judgment requires linking the finding
with ABC priorities, hemodynamic stability, medication effects, and timely reassessment.
4. A nurse is applying this concept in an Adult Health II clinical scenario. which breath sound may occur
with fluid in small airways or alveoli?
A) Normal bronchial sounds
B) Stridor
C) Crackles
D) Bowel sounds
Correct Answer: Crackles
Rationale: Crackles occur as collapsed small airways reopen or air moves through fluid. Clinical judgment requires
linking the finding with ABC priorities, hemodynamic stability, medication effects, and timely reassessment.
Page 2
, NSG 3800 EXAM 2 - Original Practice Study Guide
5. Which finding is most ominous in severe asthma?
A) A quiet chest with minimal air movement
B) Mild expiratory wheeze
C) Intermittent cough
D) Normal speech
Correct Answer: A quiet chest with minimal air movement
Rationale: A silent or quiet chest can indicate critically reduced airflow and impending respiratory failure.
6. A nurse is applying this concept in an Adult Health II clinical scenario. which medication is commonly
used as rapid rescue therapy for acute bronchospasm?
A) Short-acting beta2 agonist
B) Long-acting statin
C) Loop diuretic
D) Proton pump inhibitor
Correct Answer: Short-acting beta2 agonist
Rationale: Short-acting beta2 agonists rapidly relax bronchial smooth muscle. Clinical judgment requires linking the
finding with ABC priorities, hemodynamic stability, medication effects, and timely reassessment.
7. A nurse is applying this concept in an Adult Health II clinical scenario. which teaching is appropriate for
inhaled corticosteroids?
A) Take only with food
B) Use only for sudden attacks
C) Stop abruptly when symptoms improve
D) Rinse the mouth after use
Correct Answer: Rinse the mouth after use
Rationale: Rinsing reduces local candidiasis and dysphonia risk. Clinical judgment requires linking the finding with
ABC priorities, hemodynamic stability, medication effects, and timely reassessment.
8. A nurse is applying this concept in an Adult Health II clinical scenario. which finding is characteristic of
COPD exacerbation?
A) Projectile vomiting
B) Sudden unilateral paralysis
C) Increasing dyspnea with worsening cough and sputum changes
D) Tea-colored urine
Correct Answer: Increasing dyspnea with worsening cough and sputum changes
Rationale: COPD exacerbations commonly present with worsening dyspnea, cough, and sputum amount or
purulence. Clinical judgment requires linking the finding with ABC priorities, hemodynamic stability, medication
effects, and timely reassessment.
9. Which intervention helps reduce air trapping in COPD?
A) Pursed-lip breathing
B) Rapid shallow breathing
C) Breath holding after exhalation
Page 3
