NSG 3250 Adult Health I Exam QUESTIONS AND ANSWERS ALREADY GRADED
A+. 100% Verified Solutions Updated Per Latest Guidelines Graded A+..
NSG 3250 Adult Health I Exam Practice Questions
200 Multiple Choice Questions with Answers and Rationales
SECTION 1: RESPIRATORY ASSESSMENT & DISORDERS (Questions 1-30)
Question 1
A nurse is performing a focused respiratory assessment on a patient with
shortness of breath. Which finding requires immediate intervention?
A) Crackles in the lung bases
B) Audible stridor
C) Expiratory wheezing
D) Rhonchi that clear with coughing
Answer: B) Audible stridor
Rationale: Stridor is a high-pitched, monophonic inspiratory sound that indicates
upper airway obstruction. This is a critical finding that signals respiratory
compromise requiring immediate intervention. Crackles may indicate fluid in the
alveoli, wheezing suggests bronchospasm, and rhonchi often clear with
coughing—all require assessment but are not immediately life-threatening .
,Question 2
A patient with COPD on 2 L/min oxygen by nasal cannula has an SpO₂ of 86%.
What is the priority nursing action?
A) Decrease oxygen to 1 L/min
B) Call a rapid response team
C) Assess the patient and notify the provider
D) Increase oxygen to 4 L/min
Answer: C) Assess the patient and notify the provider
Rationale: An SpO₂ of 86% indicates hypoxemia requiring intervention. The nurse
should first assess the patient (level of consciousness, respiratory effort, lung
sounds) and then notify the provider for further orders. Oxygen should not be
increased without an order, especially in COPD patients who may have hypoxic
drive. Decreasing oxygen would worsen hypoxia .
Question 3
A patient is using pursed-lip breathing. The nurse understands this technique
helps to:
,A) Increase oxygen intake
B) Keep airways open during exhalation
C) Clear mucus from the lungs
D) Reduce anxiety
Answer: B) Keep airways open during exhalation
Rationale: Pursed-lip breathing creates positive pressure in the airways during
exhalation, preventing airway collapse in patients with COPD. This technique
improves oxygenation by keeping smaller airways open longer and allowing more
complete exhalation .
Question 4
Which finding on lung auscultation is considered normal?
A) Crackles
B) Wheezes
C) Bronchovesicular breath sounds
D) Rhonchi
, Answer: C) Bronchovesicular breath sounds
Rationale: Bronchovesicular breath sounds are normal around the sternum and
between the scapulae. Crackles, wheezes, and rhonchi are adventitious
(abnormal) sounds that require further assessment. Crackles indicate fluid in
alveoli, wheezes indicate narrowed airways, and rhonchi suggest secretions in
larger airways .
Question 5
Expiratory wheezing in a patient most likely indicates:
A) Pulmonary edema
B) Pleural effusion
C) Bronchospasm
D) Atelectasis
Answer: C) Bronchospasm
A+. 100% Verified Solutions Updated Per Latest Guidelines Graded A+..
NSG 3250 Adult Health I Exam Practice Questions
200 Multiple Choice Questions with Answers and Rationales
SECTION 1: RESPIRATORY ASSESSMENT & DISORDERS (Questions 1-30)
Question 1
A nurse is performing a focused respiratory assessment on a patient with
shortness of breath. Which finding requires immediate intervention?
A) Crackles in the lung bases
B) Audible stridor
C) Expiratory wheezing
D) Rhonchi that clear with coughing
Answer: B) Audible stridor
Rationale: Stridor is a high-pitched, monophonic inspiratory sound that indicates
upper airway obstruction. This is a critical finding that signals respiratory
compromise requiring immediate intervention. Crackles may indicate fluid in the
alveoli, wheezing suggests bronchospasm, and rhonchi often clear with
coughing—all require assessment but are not immediately life-threatening .
,Question 2
A patient with COPD on 2 L/min oxygen by nasal cannula has an SpO₂ of 86%.
What is the priority nursing action?
A) Decrease oxygen to 1 L/min
B) Call a rapid response team
C) Assess the patient and notify the provider
D) Increase oxygen to 4 L/min
Answer: C) Assess the patient and notify the provider
Rationale: An SpO₂ of 86% indicates hypoxemia requiring intervention. The nurse
should first assess the patient (level of consciousness, respiratory effort, lung
sounds) and then notify the provider for further orders. Oxygen should not be
increased without an order, especially in COPD patients who may have hypoxic
drive. Decreasing oxygen would worsen hypoxia .
Question 3
A patient is using pursed-lip breathing. The nurse understands this technique
helps to:
,A) Increase oxygen intake
B) Keep airways open during exhalation
C) Clear mucus from the lungs
D) Reduce anxiety
Answer: B) Keep airways open during exhalation
Rationale: Pursed-lip breathing creates positive pressure in the airways during
exhalation, preventing airway collapse in patients with COPD. This technique
improves oxygenation by keeping smaller airways open longer and allowing more
complete exhalation .
Question 4
Which finding on lung auscultation is considered normal?
A) Crackles
B) Wheezes
C) Bronchovesicular breath sounds
D) Rhonchi
, Answer: C) Bronchovesicular breath sounds
Rationale: Bronchovesicular breath sounds are normal around the sternum and
between the scapulae. Crackles, wheezes, and rhonchi are adventitious
(abnormal) sounds that require further assessment. Crackles indicate fluid in
alveoli, wheezes indicate narrowed airways, and rhonchi suggest secretions in
larger airways .
Question 5
Expiratory wheezing in a patient most likely indicates:
A) Pulmonary edema
B) Pleural effusion
C) Bronchospasm
D) Atelectasis
Answer: C) Bronchospasm
