EXAM 3 FUNDAMENTALS PRACTICE QUIZZES UNIT 6 AND UNIT 7
UNIT 6 – REPIRATORY POST QUIZ:
1. A patient ordered postural drainage. When should the nurse perform
this procedure?
A. Once weekly to prevent fatigue
B. Only if breath sounds are absent
C. After meals to promote digestion
Correct answer:
D. In the morning before eating
2. A patient receiving oxygen by simple face mask at 6 L/min reports
feeling claustrophobic and anxious while wearing the mask. Which
nursing response is best?
Incorrect answer:
A. Switch to nasal cannula if SpO₂ remains adequate
Correct Answer:
B. Remove mask and stop oxygen
C. Tighten the mask straps
D. Increase flow to 12 L/min
Feedback
Based on your answer
A cannula can improve comfort if oxygenation is maintained.
3. The nurse is assessing a 26-year-old who presents with severe
respiratory distress. On auscultation, the nurse hears a loud, high-
pitched, crowing sound over the upper airway. Which is the
nurse’s priority action?
Correct answer:
A. Notify the provider immediately because this indicates airway
obstruction
B. Administer a prescribed bronchodilator for bronchospasm
C. Continue assessment because this is a normal finding in children
D. Document the finding as rhonchi and reassess after coughing
,Feedback
Based on your answer
Stridor is a loud, high-pitched crowing sound, always a medical
emergency that indicates upper airway obstruction. Immediate provider
notification and emergency interventions are required.
4. A patient with COPD on 2 L/min nasal cannula reports dry nasal
passages.
Which of the following nursing interventions is correct?
A. Switch to a non-rebreather mask
Correct answer:
B. Add humidification to the oxygen delivery system
C. Increase oxygen flow to 6 L/min
D. Remove the cannula until symptoms resolve
5. The nurse prepares to teach oxygen safety to a patient who will be
discharged home on oxygen therapy. Which teaching points are
correct? Select all that apply.
Correct answer:
A. No smoking or open flames near oxygen
Correct answer:
B. Check skin where tubing rests
Answer, NOT SELECTED
C. Smoke two feet away from the oxygen tank
Incorrect answer:
D. Use petroleum jelly inside nares to prevent dryness
Selected Answer - Incorrect
Correct answer:
E. Secure tubing to prevent tripping
6. A patient begins choking while eating and is unable to speak. What is
the nurse’s first action?
A. Give sips of water
,Correct answer:
B. Perform abdominal thrusts (Heimlich)
C. Insert an oropharyngeal airway immediately
D. Start back blows in an adult
Feedback
Based on your answer
Inability to speak indicates a complete airway obstruction. The priority
action is to perform abdominal thrusts (Heimlich maneuver) to dislodge the
obstruction. Offering fluids (B) is unsafe, back blows (C) are not
recommended for adults (they’re used in infants), and notifying the provider
(D) delays life-saving intervention.
7. The nurse hears fine crackles in a patient’s lung bases. Which
condition is most consistent with this finding?
A. Thick secretions in the bronchi
B. Upper airway obstruction
Correct answer:
C. Fluid in alveoli from heart failure
D. Bronchospasm from asthma
8. A patient with thick sputum has difficulty clearing secretions.
Which intervention is most appropriate?
A. Provide only rest to conserve energy
B. Restrict fluids until sputum decreases
Correct answer:
C. Place in semi-Fowler’s and encourage huff coughing
D. Position supine and encourage breath-holding
9. A post-op patient with thick secretions has coarse crackles. Which
sequence follows “least- to-most invasive” care?
A. NRB mask → Intubation → Suction
Correct answer:
B. Cough/deep breathe → Hydration → Chest PT/postural drainage
C. Suction → Chest PT → Cough/deep breathe
D. Bronchoscopy first
, Feedback Based on your answer
Start with cough/deep breathing and hydration; add CPT/postural drainage
as needed.
10. A patient with pneumonia has an SpO₂ of 88% and is restless.
The nurse places the patient in high Fowler’s and applies oxygen.
Which additional intervention is most appropriate?
A. Leave the patient and document the findings
Correct answer:
B. Encourage deep breathing and coughing
C. Limit fluid intake to prevent fluid overload
D. Place patient in Trendelenburg position
11. A patient recovering from abdominal surgery has shallow
breathing and diminished lung sounds.Which nursing action is best to
promote lung expansion?
Correct answer:
A. Encourage incentive spirometer use every hour while awake
B. Place patient in Trendelenburg position
C. Offer sips of water frequently
D. Limit movement to reduce fatigue
12. The nurse is caring for a 45-year-old patient admitted with
pneumonia. During morning rounds, the patient reports increased
shortness of breath and chest tightness. The nurse notes a new
expiratory wheeze on auscultation. The patient’s oxygen saturation is
92% on room air, respiratory rate is 26 breaths per minute, and pulse
is 110 beats per minute. What is the nurse's priority action?
A. Percuss the entire thorax only
Incorrect answer:
B. Place a face mask on the patient
Correct Answer:
UNIT 6 – REPIRATORY POST QUIZ:
1. A patient ordered postural drainage. When should the nurse perform
this procedure?
A. Once weekly to prevent fatigue
B. Only if breath sounds are absent
C. After meals to promote digestion
Correct answer:
D. In the morning before eating
2. A patient receiving oxygen by simple face mask at 6 L/min reports
feeling claustrophobic and anxious while wearing the mask. Which
nursing response is best?
Incorrect answer:
A. Switch to nasal cannula if SpO₂ remains adequate
Correct Answer:
B. Remove mask and stop oxygen
C. Tighten the mask straps
D. Increase flow to 12 L/min
Feedback
Based on your answer
A cannula can improve comfort if oxygenation is maintained.
3. The nurse is assessing a 26-year-old who presents with severe
respiratory distress. On auscultation, the nurse hears a loud, high-
pitched, crowing sound over the upper airway. Which is the
nurse’s priority action?
Correct answer:
A. Notify the provider immediately because this indicates airway
obstruction
B. Administer a prescribed bronchodilator for bronchospasm
C. Continue assessment because this is a normal finding in children
D. Document the finding as rhonchi and reassess after coughing
,Feedback
Based on your answer
Stridor is a loud, high-pitched crowing sound, always a medical
emergency that indicates upper airway obstruction. Immediate provider
notification and emergency interventions are required.
4. A patient with COPD on 2 L/min nasal cannula reports dry nasal
passages.
Which of the following nursing interventions is correct?
A. Switch to a non-rebreather mask
Correct answer:
B. Add humidification to the oxygen delivery system
C. Increase oxygen flow to 6 L/min
D. Remove the cannula until symptoms resolve
5. The nurse prepares to teach oxygen safety to a patient who will be
discharged home on oxygen therapy. Which teaching points are
correct? Select all that apply.
Correct answer:
A. No smoking or open flames near oxygen
Correct answer:
B. Check skin where tubing rests
Answer, NOT SELECTED
C. Smoke two feet away from the oxygen tank
Incorrect answer:
D. Use petroleum jelly inside nares to prevent dryness
Selected Answer - Incorrect
Correct answer:
E. Secure tubing to prevent tripping
6. A patient begins choking while eating and is unable to speak. What is
the nurse’s first action?
A. Give sips of water
,Correct answer:
B. Perform abdominal thrusts (Heimlich)
C. Insert an oropharyngeal airway immediately
D. Start back blows in an adult
Feedback
Based on your answer
Inability to speak indicates a complete airway obstruction. The priority
action is to perform abdominal thrusts (Heimlich maneuver) to dislodge the
obstruction. Offering fluids (B) is unsafe, back blows (C) are not
recommended for adults (they’re used in infants), and notifying the provider
(D) delays life-saving intervention.
7. The nurse hears fine crackles in a patient’s lung bases. Which
condition is most consistent with this finding?
A. Thick secretions in the bronchi
B. Upper airway obstruction
Correct answer:
C. Fluid in alveoli from heart failure
D. Bronchospasm from asthma
8. A patient with thick sputum has difficulty clearing secretions.
Which intervention is most appropriate?
A. Provide only rest to conserve energy
B. Restrict fluids until sputum decreases
Correct answer:
C. Place in semi-Fowler’s and encourage huff coughing
D. Position supine and encourage breath-holding
9. A post-op patient with thick secretions has coarse crackles. Which
sequence follows “least- to-most invasive” care?
A. NRB mask → Intubation → Suction
Correct answer:
B. Cough/deep breathe → Hydration → Chest PT/postural drainage
C. Suction → Chest PT → Cough/deep breathe
D. Bronchoscopy first
, Feedback Based on your answer
Start with cough/deep breathing and hydration; add CPT/postural drainage
as needed.
10. A patient with pneumonia has an SpO₂ of 88% and is restless.
The nurse places the patient in high Fowler’s and applies oxygen.
Which additional intervention is most appropriate?
A. Leave the patient and document the findings
Correct answer:
B. Encourage deep breathing and coughing
C. Limit fluid intake to prevent fluid overload
D. Place patient in Trendelenburg position
11. A patient recovering from abdominal surgery has shallow
breathing and diminished lung sounds.Which nursing action is best to
promote lung expansion?
Correct answer:
A. Encourage incentive spirometer use every hour while awake
B. Place patient in Trendelenburg position
C. Offer sips of water frequently
D. Limit movement to reduce fatigue
12. The nurse is caring for a 45-year-old patient admitted with
pneumonia. During morning rounds, the patient reports increased
shortness of breath and chest tightness. The nurse notes a new
expiratory wheeze on auscultation. The patient’s oxygen saturation is
92% on room air, respiratory rate is 26 breaths per minute, and pulse
is 110 beats per minute. What is the nurse's priority action?
A. Percuss the entire thorax only
Incorrect answer:
B. Place a face mask on the patient
Correct Answer:
