NUR 257 Chronic Exam 3 -Galen College of Nursing Practice
Questions with Verified Answers and Rationales 2026 Edition
100% Correct -A+ Guaranteed
Excel on your third adult health nursing milestone with this definitive 2026
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 prescribed a long-acting muscarinic antagonist
(LAMA). Which medication is an example of a LAMA?
A) Albuterol
B) Tiotropium
C) Fluticasone
D) Montelukast
*Answer: * *B) Tiotropium
*Rationale: * Tiotropium is a long-acting muscarinic antagonist (LAMA) used
as maintenance therapy for COPD. It provides bronchodilation by blocking
muscarinic receptors in the airways.
,Question 2:
A patient with asthma is prescribed a leukotriene receptor antagonist. What
is the mechanism of action?
A) Bronchodilation
B) Anti-inflammatory effects by blocking leukotrienes
C) Mast cell stabilization
D) Corticosteroid effects
*Answer: * *B) Anti-inflammatory effects by blocking leukotrienes
*Rationale: * Leukotriene receptor antagonists (e.g., montelukast) block the
action of leukotrienes, which are inflammatory mediators that cause
bronchoconstriction, mucus secretion, and airway edema.
Question 3:
A patient with COPD is experiencing a severe exacerbation. Which
medication is the priority?
A) Inhaled corticosteroid
B) Long-acting beta-agonist
C) Short-acting bronchodilator
D) Oral corticosteroid
*Answer: * *C) Short-acting bronchodilator
*Rationale: * Short-acting bronchodilators (e.g., albuterol) are the priority for
acute exacerbations of COPD to rapidly relieve bronchospasm.
Question 4:
A patient with asthma is using a peak flow meter. What does a reading in
the "red zone" indicate?
,A) Good asthma control
B) Need for immediate medical attention
C) Need for rescue medication
D) Normal lung function
*Answer: * *B) Need for immediate medical attention
*Rationale: * The "red zone" on a peak flow meter indicates severe airway
obstruction (less than 50% of personal best) and requires immediate medical
attention.
Question 5:
A patient with COPD is prescribed home oxygen. Which is a sign of oxygen
toxicity?
A) Increased appetite
B) Headache and confusion
C) Bradycardia
D) Weight gain
*Answer: * *B) Headache and confusion
*Rationale: * Oxygen toxicity in COPD patients can present with headache,
confusion, and respiratory depression. This occurs when high concentrations
of oxygen suppress the hypoxic drive.
Question 6:
A patient with pneumonia is prescribed antibiotics. What is the most
important assessment to evaluate effectiveness?
A) Decreased fever
B) Improved breath sounds
, C) Decreased WBC count
D) All of the above
*Answer: * *D) All of the above
*Rationale: * Effective antibiotic therapy is indicated by decreased fever,
improved breath sounds, and decreased WBC count. All are important
indicators of response to treatment.
Question 7:
A patient with asthma is experiencing a severe exacerbation. What is the
priority nursing intervention?
A) Administer bronchodilators
B) Assess oxygen saturation
C) Position the patient in high Fowler's
D) Administer corticosteroids
*Answer: * *A) Administer bronchodilators
*Rationale: * The priority in a severe asthma exacerbation is to administer
bronchodilators to rapidly relieve bronchospasm and improve airflow.
Question 8:
A patient with COPD is at risk for malnutrition. Which intervention is most
appropriate?
A) Encourage three large meals daily
B) Provide small, frequent meals
C) Restrict fluid intake
D) Provide high-fat diet
Questions with Verified Answers and Rationales 2026 Edition
100% Correct -A+ Guaranteed
Excel on your third adult health nursing milestone with this definitive 2026
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 prescribed a long-acting muscarinic antagonist
(LAMA). Which medication is an example of a LAMA?
A) Albuterol
B) Tiotropium
C) Fluticasone
D) Montelukast
*Answer: * *B) Tiotropium
*Rationale: * Tiotropium is a long-acting muscarinic antagonist (LAMA) used
as maintenance therapy for COPD. It provides bronchodilation by blocking
muscarinic receptors in the airways.
,Question 2:
A patient with asthma is prescribed a leukotriene receptor antagonist. What
is the mechanism of action?
A) Bronchodilation
B) Anti-inflammatory effects by blocking leukotrienes
C) Mast cell stabilization
D) Corticosteroid effects
*Answer: * *B) Anti-inflammatory effects by blocking leukotrienes
*Rationale: * Leukotriene receptor antagonists (e.g., montelukast) block the
action of leukotrienes, which are inflammatory mediators that cause
bronchoconstriction, mucus secretion, and airway edema.
Question 3:
A patient with COPD is experiencing a severe exacerbation. Which
medication is the priority?
A) Inhaled corticosteroid
B) Long-acting beta-agonist
C) Short-acting bronchodilator
D) Oral corticosteroid
*Answer: * *C) Short-acting bronchodilator
*Rationale: * Short-acting bronchodilators (e.g., albuterol) are the priority for
acute exacerbations of COPD to rapidly relieve bronchospasm.
Question 4:
A patient with asthma is using a peak flow meter. What does a reading in
the "red zone" indicate?
,A) Good asthma control
B) Need for immediate medical attention
C) Need for rescue medication
D) Normal lung function
*Answer: * *B) Need for immediate medical attention
*Rationale: * The "red zone" on a peak flow meter indicates severe airway
obstruction (less than 50% of personal best) and requires immediate medical
attention.
Question 5:
A patient with COPD is prescribed home oxygen. Which is a sign of oxygen
toxicity?
A) Increased appetite
B) Headache and confusion
C) Bradycardia
D) Weight gain
*Answer: * *B) Headache and confusion
*Rationale: * Oxygen toxicity in COPD patients can present with headache,
confusion, and respiratory depression. This occurs when high concentrations
of oxygen suppress the hypoxic drive.
Question 6:
A patient with pneumonia is prescribed antibiotics. What is the most
important assessment to evaluate effectiveness?
A) Decreased fever
B) Improved breath sounds
, C) Decreased WBC count
D) All of the above
*Answer: * *D) All of the above
*Rationale: * Effective antibiotic therapy is indicated by decreased fever,
improved breath sounds, and decreased WBC count. All are important
indicators of response to treatment.
Question 7:
A patient with asthma is experiencing a severe exacerbation. What is the
priority nursing intervention?
A) Administer bronchodilators
B) Assess oxygen saturation
C) Position the patient in high Fowler's
D) Administer corticosteroids
*Answer: * *A) Administer bronchodilators
*Rationale: * The priority in a severe asthma exacerbation is to administer
bronchodilators to rapidly relieve bronchospasm and improve airflow.
Question 8:
A patient with COPD is at risk for malnutrition. Which intervention is most
appropriate?
A) Encourage three large meals daily
B) Provide small, frequent meals
C) Restrict fluid intake
D) Provide high-fat diet
