NUR 252 EXAM 2 QUIZZES- QUESTIONS
AND CORRECT ANSWERS
A child with an acute exacerbation of asthma is brought for emergency medical care.
Which assessment finding should the nurse expect? Select all that apply.
Bradycardia
Chest tightness
Thin secretions
Wheezing
Coughing ✅chest tightness
Wheezing
Coughing
A patient with chronic obstructive pulmonary disease asks how cigarette smoking led to
this disease. How should the nurse respond?
"Smoking introduces infection into the airway, resulting in airway obstruction."
"Smoking causes blood to enter the airway, which obstructs airflow."
"Smoking causes inflammation and structural abnormalities in the lung that obstruct the
airway."
"Smoking causes the airway to spasm, which leads to airway obstruction." ✅"Smoking
causes inflammation and structural abnormalities in the lung that obstruct the airway."
The parents of a child with cystic fibrosis ask how this illness will affect the child. How
should the nurse respond?
"The child's lungs will produce thick, sticky mucus."
"The child's liver will eventually fail."
"The child is likely to experience schizophrenia."
"The child will grow and develop normally." ✅"The child's lungs will produce thick,
sticky mucus."
The nurse notes "V/Q mismatch, a low V/Q ratio" is written on the patient's chart. Based
on this, the nurse's interventions should focus on which of the following?
Improving ventilation
Improving blood flow to the lungs
Improving perfusion
Eliminating alveolar "dead space" ✅improving ventilation
An infection of one or both lungs caused by bacterium, virus, fungus, or other
microorganism that enters the body through the respiratory passages ✅pneumonia
Any group of irreversible respiratory diseases that are characterized by airflow
obstruction or limitation ✅chronic obstructive pulmonary disease
, A condition in which the alveoli are damaged from infection, injury or inhalation injury
✅acute respiratory distress syndrome
A patient diagnosed with a primary spontaneous pneumothorax asks the nurse, "Why
has my lung collapsed?" How should the nurse respond?
"You were likely coughing too hard."
"Fluid has accumulated in your lung and collapsed the tissue."
"You must have hit your chest at the wrong angle."
"A small air-filled sac on your lung surface ruptured." ✅"A small air-filled sac on your
lung surface ruptured."
Which of the following defining characteristics indicate adequate gas exchange? Select
all that apply.
Vital signs (O2 saturation and respiratory rate) within defined limits
Chest x-ray with no abnormalities
No murmurs on auscultation
Clear lung sounds
Hypoactive bowel sounds ✅vital signs (O2 saturation and respiratory rate) within
defined limits
Chest x-ray with no abnormalities
Clear lung sounds
Which of the following is the primary cause of respiratory distress syndrome in the
premature infant?
A shorter, smaller trachea
Decreased surfactant
Increased alveoli
Decreased lung compliance ✅decreased surfactant
Which of the following is a compensatory change related to dyspnea? Select all that
apply.
Bradycardia
Fever
Tachycardia
Tachypnea ✅tachycardia
Tachypnea
The nurse is teaching a patient about emphysema. Which of the following best
describes this pathology?
Inadequate perfusion with adequate ventilation
Prolonged inspiration secondary to bronchospasm
Increased area for gas exchange
Damage to alveolar walls with air trapping ✅damage to alveolar walls with air trapping
The patient reports symptoms of chest pain (angina). The nurse explains this is due to
which of the following?
AND CORRECT ANSWERS
A child with an acute exacerbation of asthma is brought for emergency medical care.
Which assessment finding should the nurse expect? Select all that apply.
Bradycardia
Chest tightness
Thin secretions
Wheezing
Coughing ✅chest tightness
Wheezing
Coughing
A patient with chronic obstructive pulmonary disease asks how cigarette smoking led to
this disease. How should the nurse respond?
"Smoking introduces infection into the airway, resulting in airway obstruction."
"Smoking causes blood to enter the airway, which obstructs airflow."
"Smoking causes inflammation and structural abnormalities in the lung that obstruct the
airway."
"Smoking causes the airway to spasm, which leads to airway obstruction." ✅"Smoking
causes inflammation and structural abnormalities in the lung that obstruct the airway."
The parents of a child with cystic fibrosis ask how this illness will affect the child. How
should the nurse respond?
"The child's lungs will produce thick, sticky mucus."
"The child's liver will eventually fail."
"The child is likely to experience schizophrenia."
"The child will grow and develop normally." ✅"The child's lungs will produce thick,
sticky mucus."
The nurse notes "V/Q mismatch, a low V/Q ratio" is written on the patient's chart. Based
on this, the nurse's interventions should focus on which of the following?
Improving ventilation
Improving blood flow to the lungs
Improving perfusion
Eliminating alveolar "dead space" ✅improving ventilation
An infection of one or both lungs caused by bacterium, virus, fungus, or other
microorganism that enters the body through the respiratory passages ✅pneumonia
Any group of irreversible respiratory diseases that are characterized by airflow
obstruction or limitation ✅chronic obstructive pulmonary disease
, A condition in which the alveoli are damaged from infection, injury or inhalation injury
✅acute respiratory distress syndrome
A patient diagnosed with a primary spontaneous pneumothorax asks the nurse, "Why
has my lung collapsed?" How should the nurse respond?
"You were likely coughing too hard."
"Fluid has accumulated in your lung and collapsed the tissue."
"You must have hit your chest at the wrong angle."
"A small air-filled sac on your lung surface ruptured." ✅"A small air-filled sac on your
lung surface ruptured."
Which of the following defining characteristics indicate adequate gas exchange? Select
all that apply.
Vital signs (O2 saturation and respiratory rate) within defined limits
Chest x-ray with no abnormalities
No murmurs on auscultation
Clear lung sounds
Hypoactive bowel sounds ✅vital signs (O2 saturation and respiratory rate) within
defined limits
Chest x-ray with no abnormalities
Clear lung sounds
Which of the following is the primary cause of respiratory distress syndrome in the
premature infant?
A shorter, smaller trachea
Decreased surfactant
Increased alveoli
Decreased lung compliance ✅decreased surfactant
Which of the following is a compensatory change related to dyspnea? Select all that
apply.
Bradycardia
Fever
Tachycardia
Tachypnea ✅tachycardia
Tachypnea
The nurse is teaching a patient about emphysema. Which of the following best
describes this pathology?
Inadequate perfusion with adequate ventilation
Prolonged inspiration secondary to bronchospasm
Increased area for gas exchange
Damage to alveolar walls with air trapping ✅damage to alveolar walls with air trapping
The patient reports symptoms of chest pain (angina). The nurse explains this is due to
which of the following?
