NURSING (2026)
Grand Canyon University | Complete 150-
Question Test Bank with Verified Answers &
Rationales
EXAM BLUEPRINT
Topic Percentage Focus Areas
Respiratory
Physiological
assessment, gas
Integrity I:
exchangeventilation
Oxygenation & 30%
oxygen therapy,
Perfusion –
suctioning, COPD,
Respiratory
pneumonia
Physiological
Cardiac assessment,
Integrity II: 35%
hemodynamics, hear
Oxygenation &
,Topic Percentage Focus Areas
Perfusion – failure, coronary
Cardiac & Sleep artery disease,
sleep physiology,
sleep disorders
Neurological
Physiological assessment,
Integrity III: sensory perception
Neurological & 35% , pain
Sensoriperceptual pathophysiology
Issues & Pain , pain management
modalities
SECTION 1: RESPIRATORY OXYGENATION &
PERFUSION (Questions 1–50)
, 1. A patient with COPD is using accessory muscles
k k k k k k k k
to breathe. What does this indicate?
k k k k k k
A) Normal breathing pattern
k k k
B) Increased work of breathing
k k k k
C) Improved oxygenation
k k
D) Respiratory relaxation
k k
Answer: B) Increased work of breathing
k k k k k
Rationale: Accessory muscle use (intercostal and
k k k k k
abdominal muscles) indicates the patient is
k k k k k k
working harder to breathe. This is frequently seen
k k k k k k k k
in patients with COPD/emphysema who need to
k k k k k k k
increase lung volume. Prolonged use eventually
k k k k k k
leads to fatigue.
k k k
2. What are the three steps of oxygenation?
k k k k k k k
A) Inspiration, expiration, diffusion
k k k
B) Ventilation, perfusion, diffusion
k k k
C) Inhalation, exhalation, circulation
k k k
D) Oxygenation, ventilation, respiration
k k k