Nurs 225 Review Questions and Correct
Answers for Exam 2
B ✅What is a sign of late lung cancer?
A. Persistent cough
B. Pain
C. Dyspnea
D. Purulent sputum
C ✅A patient experiencing an acute asthma attack arrives to the urgent care center.
Which assessment finding is most concerning to the nurse?
A. Tachypnea and prolonged expirations
B. Tachycardia and intercostal retractions
C. inaudible breathing sounds and ineffective cough
D. Anxiety and increasing fatigue
B, D, E ✅The nurse is assessing a patient who has just undergone a total
hysterectomy. What are early indicators that the patient has developed atelectasis?
Select all that apply
A. Central cyanosis
B. Low grade fever
C. Tachypnea
D. Diminished breath sounds
E. Decreased SpO2
B ✅What is the most appropriate response by the nurse when the parent of a child
with asthma questions why a corticosteroid is being used in his treatment plan?
A. Promote bronchodilation
B. Decrease airway edema
C. Promote expectoration of mucus
,D. Prevent respiratory infections
B ✅What is an expected finding in a patient with emphysema?
A. Inspiratory stridor
B. Increased anterior-posterior diameter of chest
C. Decreased total lung capacity
D. A productive cough
C ✅A 56 year old patient with a history of heart failure has developed a pleural
effusion - given his history what you would expect the pleural effusion to be?
Exudative
Infiltrative
Transudative
Consolidated
B ✅A patient with a suspected empyema has a thoracentesis done where pleural fluid
is collected and sent to the lab for examination. Which sentiment found in the fluid
would best support a diagnosis of empyema?
Erythrocytes
Leukocytes
Plasma proteins
Epithelial cells
D ✅After a thoracentesis procedure for a pleural effusion, the nurse will monitor the
patient for which of the following possible complications of the procedure?
Coagulopathies
Respiratory acidosis
Pulmonary fibrosis
Pneumothorax
A ✅A 65-year-old man presents with a chronic productive cough, dyspnea, and
wheezing. Examination reveals cyanosis, distended neck veins, and a prominent
epigastric pulsation. What is the most probable diagnosis?
Cor pulmonale
, Pneumonia
CKD
Anemia
A, C, E, ✅Which of the following are clinical manifestations of a pneumothorax? Select
all that apply
Ipsilateral chest pain
Dyspnea on exertion
Diminished breath sounds
Dullness on percussion
Tachypnea
C ✅What would the ABGs reflect in a patient in the late stage of status asthmaticus?
Respiratory alkalosis
Metabolic acidosis
Respiratory acidosis
Metabolic alkalosis
C ✅What should the patient who blows into their peak flow meter and reaches the
yellow zone do next?
Use rescue inhaler and call 911
Continue normal activities
Use rescue inhaler and then retest
Drink water to maintain hydration status
Normal ABG values ✅pH: 7.35-7.45
HCO3: 22-26
PaCO2: 35- 45
PaO2: 80-100
Answers for Exam 2
B ✅What is a sign of late lung cancer?
A. Persistent cough
B. Pain
C. Dyspnea
D. Purulent sputum
C ✅A patient experiencing an acute asthma attack arrives to the urgent care center.
Which assessment finding is most concerning to the nurse?
A. Tachypnea and prolonged expirations
B. Tachycardia and intercostal retractions
C. inaudible breathing sounds and ineffective cough
D. Anxiety and increasing fatigue
B, D, E ✅The nurse is assessing a patient who has just undergone a total
hysterectomy. What are early indicators that the patient has developed atelectasis?
Select all that apply
A. Central cyanosis
B. Low grade fever
C. Tachypnea
D. Diminished breath sounds
E. Decreased SpO2
B ✅What is the most appropriate response by the nurse when the parent of a child
with asthma questions why a corticosteroid is being used in his treatment plan?
A. Promote bronchodilation
B. Decrease airway edema
C. Promote expectoration of mucus
,D. Prevent respiratory infections
B ✅What is an expected finding in a patient with emphysema?
A. Inspiratory stridor
B. Increased anterior-posterior diameter of chest
C. Decreased total lung capacity
D. A productive cough
C ✅A 56 year old patient with a history of heart failure has developed a pleural
effusion - given his history what you would expect the pleural effusion to be?
Exudative
Infiltrative
Transudative
Consolidated
B ✅A patient with a suspected empyema has a thoracentesis done where pleural fluid
is collected and sent to the lab for examination. Which sentiment found in the fluid
would best support a diagnosis of empyema?
Erythrocytes
Leukocytes
Plasma proteins
Epithelial cells
D ✅After a thoracentesis procedure for a pleural effusion, the nurse will monitor the
patient for which of the following possible complications of the procedure?
Coagulopathies
Respiratory acidosis
Pulmonary fibrosis
Pneumothorax
A ✅A 65-year-old man presents with a chronic productive cough, dyspnea, and
wheezing. Examination reveals cyanosis, distended neck veins, and a prominent
epigastric pulsation. What is the most probable diagnosis?
Cor pulmonale
, Pneumonia
CKD
Anemia
A, C, E, ✅Which of the following are clinical manifestations of a pneumothorax? Select
all that apply
Ipsilateral chest pain
Dyspnea on exertion
Diminished breath sounds
Dullness on percussion
Tachypnea
C ✅What would the ABGs reflect in a patient in the late stage of status asthmaticus?
Respiratory alkalosis
Metabolic acidosis
Respiratory acidosis
Metabolic alkalosis
C ✅What should the patient who blows into their peak flow meter and reaches the
yellow zone do next?
Use rescue inhaler and call 911
Continue normal activities
Use rescue inhaler and then retest
Drink water to maintain hydration status
Normal ABG values ✅pH: 7.35-7.45
HCO3: 22-26
PaCO2: 35- 45
PaO2: 80-100
