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Suffolk County Community College: NUR 133 Nursing Exam 1 (Answer at the end) Fall 2025

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Suffolk County Community College: NUR 133 Nursing Exam 1 (Answer at the end) Fall 2025

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1. What are two common objective clinical manifestations of emphysema?

2. What are two subjective symptoms commonly reported by patients with asthma?

3. What is the normal range for arterial blood pH?

4. Which electrolyte imbalance is most likely to cause cardiac arrhythmias?

5. Name one objective sign and one subjective symptom of respiratory infection.

6. What is the primary purpose of intraoperative monitoring?

7. List two common causes of post-operative hypoxemia.

8. How does the nurse evaluate the effectiveness of bronchodilator therapy in a patient with
asthma?

9. Discuss the rationale for using incentive spirometry in post-operative patients.

10. Analyze how cultural dietary restrictions might affect medication administration in respiratory
care.

11. Given a patient with a platelet count of 50,000/mm³, what precautions should the nurse
implement?

12. Synthesize a comprehensive nursing care plan for a patient with COPD, including assessment,
interventions, and education.

13. Which medication class is typically prescribed for long-term management of COPD?

14. Explain how elevated BUN and creatinine levels might impact perioperative care planning.

15. Describe two nursing considerations when administering blood transfusions post-operatively.

16. How does hypokalemia present in laboratory values, and what are possible clinical
manifestations?

17. Discuss the importance of patient education regarding inhaler technique for respiratory
disorders.

18. Compare and contrast the nursing care priorities for a patient with pneumonia versus a patient
with emphysema.

19. How can a nurse assess for spiritual distress in a patient undergoing surgery?

20. Interpret the following CBC results and suggest possible clinical implications: WBC =
15,000/mm³, Hgb = 9 g/dL, Platelets = 80,000/mm³.

21. Propose a culturally sensitive approach to medication education for a patient whose primary
language is not English.

22. Which subjective symptom is frequently reported by patients with chronic bronchitis?

23. Name one key difference in the pathophysiology between asthma and COPD.


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, 24. List two nursing interventions for a patient experiencing an acute asthma attack.

25. Which laboratory value is most useful for assessing respiratory acidosis in a patient with COPD?

26. Describe the purpose of a pre-operative checklist in perioperative nursing care.

27. Identify two potential post-operative complications and corresponding nursing interventions.

28. How might a nurse incorporate a patient’s cultural beliefs into the plan of care for respiratory
disorders?

29. Calculate the correct IV dose if a patient requires 500 mg of a medication and the available
concentration is 250 mg/mL.

30. Analyze the following ABG results and determine the acid-base imbalance: pH = 7.30, pCO2 = 55
mmHg, HCO3 = 26 mEq/L.

31. Which of the following is an objective clinical manifestation of emphysema?
1. Chest pain
2. Barrel-shaped chest
3. Night sweats
4. Productive cough

32. A patient with chronic bronchitis is most likely to report which symptom?
1. Sudden weight loss
2. Persistent productive cough
3. Hemoptysis
4. Chest tightness only at night

33. Which of the following best describes the pathophysiology of asthma?
1. Irreversible airway obstruction
2. Reversible airway inflammation and constriction
3. Alveolar destruction
4. Chronic infection of the bronchi

34. Which medication is commonly used as a rescue treatment during an acute asthma attack?
1. Inhaled corticosteroid
2. Long-acting beta agonist
3. Short-acting beta agonist
4. Leukotriene inhibitor

35. Which laboratory value is most indicative of respiratory acidosis?
1. pH 7.48, pCO2 32 mmHg
2. pH 7.30, pCO2 55 mmHg
3. pH 7.40, pCO2 40 mmHg
4. pH 7.50, pCO2 28 mmHg

36. What is the primary purpose of a pre-operative checklist?
1. To document medication administration



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