NSG 223 Respiratory Review - Practice Exam
Questions and Answers with Verified
Solutions | Latest Updated 2026
On auscultation, which finding B. In pneumothorax, the alveoli are
suggests a right pneumothorax? deflated and no
A. Bilateral pleural friction rub air exchange occurs in the lungs.
B. Absence of breath sounds in Therefore, breath
the sounds in the affected lung field are
right thorax absent. None
C. Bilateral inspiratory and of the other options are associated with
expiratory pneumothorax. Bilateral crackles may
crackles result from
D. Inspiratory wheezes in the right pulmonary congestion, inspiratory
thorax wheezes may
signal asthma, and a pleural friction rub
may
indicate pleural inflammation.
,A client is exhibiting signs of a A. Chest tubes and closed drainage
pneumothorax following systems are
tracheostomy. The surgeon inserts used to re-expand the lung involved and to
a remove excess air, fluid, and blood. The
chest tube into the anterior chest primary
wall. What should the nurse tell purpose of a chest tube is not to drain
the sputum
family is the primary purpose of secretions, monitor bleeding, or assist with
this mechanical ventilation.
chest tube?
A. To remove air from the pleural
space
B. To drain copious sputum
secretions
C. To assist with mechanical
ventilation
D. To monitor bleeding around the
lungs
A client has a sucking stab wound C. The nurse should immediately apply a
to dressing
the chest. Which action should the over the stab wound and tape it on three
nurse take first? sides to
A. Prepare a chest tube insertion allow air to escape and to prevent tension
tray. pneumothorax (which is more
B. Draw blood for a hematocrit and life-threatening than
hemoglobin level. an open chest wound). Only after covering
C. Apply a dressing over the and
wound taping the wound should the nurse draw
and tape it on three sides. blood for
D. Prepare to start an I.V. line. laboratory tests, assist with chest tube
insertion,
and start an I.V. line.
, A client who has just had a triple- A. Pneumothorax (air in the pleural space)
lumen catheter placed in his right is a
subclavian vein complains of chest potential complication of all central venous
pain and shortness of breath. His access
blood pressure is decreased from devices. Signs and symptoms include
baseline and, on auscultation of chest pain,
his dyspnea, shoulder or neck pain, irritability,
chest, the nurse notes unequal palpitations, lightheadedness,
breath sounds. A chest X-ray is hypotension,
immediately ordered by the cyanosis, and unequal breath sounds. A
physician. What diagnosis should chest X-ray
the reveals the collapse of the affected lung
nurse suspect? that
A. Pneumothorax results from pneumothorax. Triple-lumen
B. Heart failure catheter
C. Pulmonary embolism insertion through the subclavian vein isn't
D. Myocardial infarction (MI) associated with pulmonary embolism, MI,
or heart
failure.
The patient with a chest tube is C. Clamping can result in a tension
being pneumothorax.
transported to X-ray. Which The other options would not occur if the
complication may occur if the chest
chest tube was clamped during transportation.
tube is clamped during
transportation?
A. Flail chest
B. Cardiac tamponade
C. Tension pneumothorax
D. Pulmonary contusion
Questions and Answers with Verified
Solutions | Latest Updated 2026
On auscultation, which finding B. In pneumothorax, the alveoli are
suggests a right pneumothorax? deflated and no
A. Bilateral pleural friction rub air exchange occurs in the lungs.
B. Absence of breath sounds in Therefore, breath
the sounds in the affected lung field are
right thorax absent. None
C. Bilateral inspiratory and of the other options are associated with
expiratory pneumothorax. Bilateral crackles may
crackles result from
D. Inspiratory wheezes in the right pulmonary congestion, inspiratory
thorax wheezes may
signal asthma, and a pleural friction rub
may
indicate pleural inflammation.
,A client is exhibiting signs of a A. Chest tubes and closed drainage
pneumothorax following systems are
tracheostomy. The surgeon inserts used to re-expand the lung involved and to
a remove excess air, fluid, and blood. The
chest tube into the anterior chest primary
wall. What should the nurse tell purpose of a chest tube is not to drain
the sputum
family is the primary purpose of secretions, monitor bleeding, or assist with
this mechanical ventilation.
chest tube?
A. To remove air from the pleural
space
B. To drain copious sputum
secretions
C. To assist with mechanical
ventilation
D. To monitor bleeding around the
lungs
A client has a sucking stab wound C. The nurse should immediately apply a
to dressing
the chest. Which action should the over the stab wound and tape it on three
nurse take first? sides to
A. Prepare a chest tube insertion allow air to escape and to prevent tension
tray. pneumothorax (which is more
B. Draw blood for a hematocrit and life-threatening than
hemoglobin level. an open chest wound). Only after covering
C. Apply a dressing over the and
wound taping the wound should the nurse draw
and tape it on three sides. blood for
D. Prepare to start an I.V. line. laboratory tests, assist with chest tube
insertion,
and start an I.V. line.
, A client who has just had a triple- A. Pneumothorax (air in the pleural space)
lumen catheter placed in his right is a
subclavian vein complains of chest potential complication of all central venous
pain and shortness of breath. His access
blood pressure is decreased from devices. Signs and symptoms include
baseline and, on auscultation of chest pain,
his dyspnea, shoulder or neck pain, irritability,
chest, the nurse notes unequal palpitations, lightheadedness,
breath sounds. A chest X-ray is hypotension,
immediately ordered by the cyanosis, and unequal breath sounds. A
physician. What diagnosis should chest X-ray
the reveals the collapse of the affected lung
nurse suspect? that
A. Pneumothorax results from pneumothorax. Triple-lumen
B. Heart failure catheter
C. Pulmonary embolism insertion through the subclavian vein isn't
D. Myocardial infarction (MI) associated with pulmonary embolism, MI,
or heart
failure.
The patient with a chest tube is C. Clamping can result in a tension
being pneumothorax.
transported to X-ray. Which The other options would not occur if the
complication may occur if the chest
chest tube was clamped during transportation.
tube is clamped during
transportation?
A. Flail chest
B. Cardiac tamponade
C. Tension pneumothorax
D. Pulmonary contusion
