NUR 257 Chronic Exam 3 -Galen College of Nursing
Practice Questions with Verified Answers and Rationales
Edition 100% Correct -A+ Guaranteed
Excel on your third adult health nursing milestone with this definitive 2026-2027 NUR
257 Chronic Exam 3 practice bank explicitly tailored for Galen College of Nursing. This
comprehensive preparation guide features high-yield questions paired with verified
correct answers and rigorous clinical rationales covering complex multi-system
disorders, progressive degenerative diseases, oncology care, and long-term
pharmacological management. It is an indispensable study tool for pre-licensure nursing
students looking to streamline their study time, master clinical judgment case studies,
and confidently secure an A+ grade.
Question 1:
A patient with COPD is being discharged with oxygen therapy. Which
statement indicates the patient understands home oxygen safety?
A) "I can smoke as long as I remove my oxygen first."
B) "I should keep oxygen at least 10 feet from any open flame."
C) "I can store my oxygen tanks in a closet."
D) "I can use petroleum-based products on my face."
*Answer: * *B) "I should keep oxygen at least 10 feet from any open
flame."
*Rationale: * Oxygen supports combustion and should be kept at least 10
feet from open flames, including smoking materials. Patients should be
taught to avoid smoking near oxygen and to not store tanks in enclosed
spaces.
Question 2:
A patient with asthma is prescribed a combination inhaler containing
fluticasone and salmeterol. What is the purpose of this combination?
,A) Rapid relief and long-term control
B) Anti-inflammatory and bronchodilator effects
C) Immediate bronchodilation only
D) Prevention of asthma attacks only
*Answer: * *B) Anti-inflammatory and bronchodilator effects
*Rationale: * Fluticasone is an inhaled corticosteroid (anti-inflammatory),
and salmeterol is a long-acting beta-agonist (bronchodilator). Together they
provide both anti-inflammatory and bronchodilator effects for long-term
asthma control.
Question 3:
A patient with COPD is experiencing dyspnea. Which position is most
effective for relieving dyspnea?
A) Supine with feet elevated
B) Prone position
C) High Fowler's with arms supported
D) Left lateral recumbent
*Answer: * *C) High Fowler's with arms supported
*Rationale: * High Fowler's position with arms supported (tripod position)
allows for optimal lung expansion and accessory muscle use, reducing the
work of breathing in dyspneic patients.
Question 4:
A patient with pneumonia is experiencing pleuritic chest pain. Which
intervention is most appropriate?
,A) Splinting the affected area during coughing
B) Encouraging deep breathing without splinting
C) Restricting activity
D) Administering oral analgesics only
*Answer: * *A) Splinting the affected area during coughing
*Rationale: * Splinting the chest during coughing helps reduce pain and
allows for more effective airway clearance in patients with pleuritic chest
pain.
Question 5:
A patient with asthma is being discharged. Which finding indicates the
patient needs additional teaching?
A) "I should rinse my mouth after using my steroid inhaler."
B) "I should use my rescue inhaler before exercise."
C) "I can stop my controller medication when I feel better."
D) "I should track my peak flow readings daily."
*Answer: * *C) "I can stop my controller medication when I feel better."
*Rationale: * Controller medications should not be stopped when symptoms
improve; they are used for long-term prevention and should be continued as
prescribed.
Question 6:
A patient with COPD has a nursing diagnosis of Ineffective Breathing
Pattern. Which goal is most appropriate?
A) Patient will maintain SpO2 ≥ 90% with minimal dyspnea
B) Patient will use accessory muscles
, C) Patient will ambulate independently
D) Patient will have clear breath sounds
*Answer: * *A) Patient will maintain SpO2 ≥ 90% with minimal dyspnea
*Rationale: * Maintaining oxygen saturation ≥90% with minimal dyspnea
indicates effective breathing and is a realistic goal for COPD patients.
Question 7:
A patient with pneumonia is prescribed empiric antibiotics. What is the
purpose of empiric therapy?
A) To treat the specific organism identified
B) To provide broad-spectrum coverage until culture results are available
C) To prevent antibiotic resistance
D) To treat viral infections
*Answer: * *B) To provide broad-spectrum coverage until culture
results are available
*Rationale: * Empiric antibiotic therapy is initiated before culture results are
available to provide broad-spectrum coverage against common pathogens.
Question 8:
A patient with asthma is experiencing an acute exacerbation. Which finding
indicates the patient is not responding to treatment?
A) Improved peak flow
B) Decreased wheezing
C) Increased respiratory effort
D) Decreased heart rate
Practice Questions with Verified Answers and Rationales
Edition 100% Correct -A+ Guaranteed
Excel on your third adult health nursing milestone with this definitive 2026-2027 NUR
257 Chronic Exam 3 practice bank explicitly tailored for Galen College of Nursing. This
comprehensive preparation guide features high-yield questions paired with verified
correct answers and rigorous clinical rationales covering complex multi-system
disorders, progressive degenerative diseases, oncology care, and long-term
pharmacological management. It is an indispensable study tool for pre-licensure nursing
students looking to streamline their study time, master clinical judgment case studies,
and confidently secure an A+ grade.
Question 1:
A patient with COPD is being discharged with oxygen therapy. Which
statement indicates the patient understands home oxygen safety?
A) "I can smoke as long as I remove my oxygen first."
B) "I should keep oxygen at least 10 feet from any open flame."
C) "I can store my oxygen tanks in a closet."
D) "I can use petroleum-based products on my face."
*Answer: * *B) "I should keep oxygen at least 10 feet from any open
flame."
*Rationale: * Oxygen supports combustion and should be kept at least 10
feet from open flames, including smoking materials. Patients should be
taught to avoid smoking near oxygen and to not store tanks in enclosed
spaces.
Question 2:
A patient with asthma is prescribed a combination inhaler containing
fluticasone and salmeterol. What is the purpose of this combination?
,A) Rapid relief and long-term control
B) Anti-inflammatory and bronchodilator effects
C) Immediate bronchodilation only
D) Prevention of asthma attacks only
*Answer: * *B) Anti-inflammatory and bronchodilator effects
*Rationale: * Fluticasone is an inhaled corticosteroid (anti-inflammatory),
and salmeterol is a long-acting beta-agonist (bronchodilator). Together they
provide both anti-inflammatory and bronchodilator effects for long-term
asthma control.
Question 3:
A patient with COPD is experiencing dyspnea. Which position is most
effective for relieving dyspnea?
A) Supine with feet elevated
B) Prone position
C) High Fowler's with arms supported
D) Left lateral recumbent
*Answer: * *C) High Fowler's with arms supported
*Rationale: * High Fowler's position with arms supported (tripod position)
allows for optimal lung expansion and accessory muscle use, reducing the
work of breathing in dyspneic patients.
Question 4:
A patient with pneumonia is experiencing pleuritic chest pain. Which
intervention is most appropriate?
,A) Splinting the affected area during coughing
B) Encouraging deep breathing without splinting
C) Restricting activity
D) Administering oral analgesics only
*Answer: * *A) Splinting the affected area during coughing
*Rationale: * Splinting the chest during coughing helps reduce pain and
allows for more effective airway clearance in patients with pleuritic chest
pain.
Question 5:
A patient with asthma is being discharged. Which finding indicates the
patient needs additional teaching?
A) "I should rinse my mouth after using my steroid inhaler."
B) "I should use my rescue inhaler before exercise."
C) "I can stop my controller medication when I feel better."
D) "I should track my peak flow readings daily."
*Answer: * *C) "I can stop my controller medication when I feel better."
*Rationale: * Controller medications should not be stopped when symptoms
improve; they are used for long-term prevention and should be continued as
prescribed.
Question 6:
A patient with COPD has a nursing diagnosis of Ineffective Breathing
Pattern. Which goal is most appropriate?
A) Patient will maintain SpO2 ≥ 90% with minimal dyspnea
B) Patient will use accessory muscles
, C) Patient will ambulate independently
D) Patient will have clear breath sounds
*Answer: * *A) Patient will maintain SpO2 ≥ 90% with minimal dyspnea
*Rationale: * Maintaining oxygen saturation ≥90% with minimal dyspnea
indicates effective breathing and is a realistic goal for COPD patients.
Question 7:
A patient with pneumonia is prescribed empiric antibiotics. What is the
purpose of empiric therapy?
A) To treat the specific organism identified
B) To provide broad-spectrum coverage until culture results are available
C) To prevent antibiotic resistance
D) To treat viral infections
*Answer: * *B) To provide broad-spectrum coverage until culture
results are available
*Rationale: * Empiric antibiotic therapy is initiated before culture results are
available to provide broad-spectrum coverage against common pathogens.
Question 8:
A patient with asthma is experiencing an acute exacerbation. Which finding
indicates the patient is not responding to treatment?
A) Improved peak flow
B) Decreased wheezing
C) Increased respiratory effort
D) Decreased heart rate
