NSG 3800 EXAM 2 | FROM QUESTION TO PERFECTION|
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, what o2 saturation do we prefer patients without respiratory issues to be above? Answer: 92%
When is their cough the worst with COPD? Answer: in the morning
s/s of COPD (emphysema and chronic bronchitis) Answer: dyspnea, chronic cough, barrel chest
d/t loss of elasticity with emphysema, weight loss,
what results with an ABG show in a patient with COPD? Answer: hypercapnia and decreased
O2 (hypoxemia)
how do they diagnose COPD? Answer: PFT-track how well their lungs are functioning over a
period of time, ABG- assess gas exchange in alveoli, chest xray-to rule out other conditions, CT,
transbronchial biopsy
COPD prevention Answer: don't inhale chemicals, minimize air pollution on high alert days
patients don't go outside
The single most cost-effective intervention to reduce the risk of developing COPD or slow
progression is? Answer: no smoking/avoid tobacco
transbronchial biopsy nursing considerations Answer: numb throat & conscious sedation means
NOTHING by mouth until they are awake, and alert and gag reflex has returned- can cause
aspiration
sarcoidosis treatment Answer: steroids (for up to 1 year) to help with inflammation which can
cause immunosuppression and increases blood sugar- MUST MONITOR
normal blood sugar level Answer: 70-110
how do you discontinue steroid use in a patient? Answer: taper them off, do not just
immediately stop
pneumothorax tension Answer: d/t traumatic experience, opening in chest wall
s/s of pneumothorax Answer: depends on the size of the pneumothorax: chest pain, absent/
diminished breath sounds on effected side, tachypnea, agitation, air hungry, restlessness,
cyanosis if 02 is extremely compromised, tracheal shift to contralateral side
nursing care of patient with a pneumothorax Answer: monitor o2 status, chest tube placement
nurses job DURING chest tube placement Answer: POSITIONING patient- and advocacy for
our patients, patient will be hooked to low wall suction
suction control chamber, what will you see? Answer: GENTLE continuous bubbling
what will you see in the water seal chamber? Answer: intermittent bubbling as the air escapes
the pleural space and goes into the tube
what will you see in the patient drainage section of the chest tube/suctioning? Answer: 3 large
chambers where the fluid escapes pleural space and stays in the machine
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, what o2 saturation do we prefer patients without respiratory issues to be above? Answer: 92%
When is their cough the worst with COPD? Answer: in the morning
s/s of COPD (emphysema and chronic bronchitis) Answer: dyspnea, chronic cough, barrel chest
d/t loss of elasticity with emphysema, weight loss,
what results with an ABG show in a patient with COPD? Answer: hypercapnia and decreased
O2 (hypoxemia)
how do they diagnose COPD? Answer: PFT-track how well their lungs are functioning over a
period of time, ABG- assess gas exchange in alveoli, chest xray-to rule out other conditions, CT,
transbronchial biopsy
COPD prevention Answer: don't inhale chemicals, minimize air pollution on high alert days
patients don't go outside
The single most cost-effective intervention to reduce the risk of developing COPD or slow
progression is? Answer: no smoking/avoid tobacco
transbronchial biopsy nursing considerations Answer: numb throat & conscious sedation means
NOTHING by mouth until they are awake, and alert and gag reflex has returned- can cause
aspiration
sarcoidosis treatment Answer: steroids (for up to 1 year) to help with inflammation which can
cause immunosuppression and increases blood sugar- MUST MONITOR
normal blood sugar level Answer: 70-110
how do you discontinue steroid use in a patient? Answer: taper them off, do not just
immediately stop
pneumothorax tension Answer: d/t traumatic experience, opening in chest wall
s/s of pneumothorax Answer: depends on the size of the pneumothorax: chest pain, absent/
diminished breath sounds on effected side, tachypnea, agitation, air hungry, restlessness,
cyanosis if 02 is extremely compromised, tracheal shift to contralateral side
nursing care of patient with a pneumothorax Answer: monitor o2 status, chest tube placement
nurses job DURING chest tube placement Answer: POSITIONING patient- and advocacy for
our patients, patient will be hooked to low wall suction
suction control chamber, what will you see? Answer: GENTLE continuous bubbling
what will you see in the water seal chamber? Answer: intermittent bubbling as the air escapes
the pleural space and goes into the tube
what will you see in the patient drainage section of the chest tube/suctioning? Answer: 3 large
chambers where the fluid escapes pleural space and stays in the machine
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
