NUR 2180 | Module Quiz 8 Practice Page 1
, NUR 2180 Module Quiz 8 - Original Practice Questions
1. Which assessment finding suggests possible respiratory compromise?
A) Calm breathing and baseline oxygen saturation
B) New low oxygen saturation accompanied by increased work of breathing
C) Symmetric chest expansion without distress
D) Regular respirations at rest
Correct Answer: New low oxygen saturation accompanied by increased work of breathing
Rationale: A decline in oxygenation with increased respiratory effort requires prompt reassessment of airway, breathing, and circulation.
Pulse oximetry can have limitations, so correlate with skin perfusion, consciousness, and the overall clinical picture.
2. Which technique promotes accurate lung auscultation?
A) Compare matching lung areas side to side while the patient breathes through the mouth
B) Auscultate only one area if the patient coughs
C) Listen through thick clothing
D) Tap the chest with the stethoscope diaphragm
Correct Answer: Compare matching lung areas side to side while the patient breathes through the mouth
Rationale: Systematic side-to-side comparison helps detect asymmetry in breath sounds. Ask for slightly deeper breathing as tolerated
and avoid prolonged hyperventilation. Document sound character, location, and associated distress.
3. What do fine inspiratory crackles generally represent?
A) Brief discontinuous sounds often related to reopening small airways or fluid processes
B) Intestinal peristalsis
C) Normal heart valve closure
D) A carotid bruit
Correct Answer: Brief discontinuous sounds often related to reopening small airways or fluid processes
Rationale: Fine crackles are short nonmusical sounds often heard during inspiration and may occur with edema, fibrosis, or other lung
conditions. Distribution and associated symptoms help interpretation; they are not diagnostic alone.
4. What is the purpose of asking a patient to cough during an inguinal assessment?
A) Test visual acuity
B) Measure leg reflexes
C) Assess finger coordination
D) Increase abdominal pressure to help reveal a possible hernia
Correct Answer: Increase abdominal pressure to help reveal a possible hernia
Rationale: A hernia may become more evident with cough or strain. Inspection and palpation should be gentle and guided by symptoms.
A painful irreducible bulge requires urgent evaluation.
NUR 2180 | Module Quiz 8 Practice Page 2
, 5. A patient reports chest discomfort. Which additional history should the nurse obtain first?
A) Only preferred television program
B) Only occupation
C) Only childhood vaccination dates
D) Onset, location, duration, triggers, associated symptoms, and current severity
Correct Answer: Onset, location, duration, triggers, associated symptoms, and current severity
Rationale: A structured symptom history clarifies immediate risk and directs focused assessment.
6. Which respiratory observation should be included in a general assessment?
A) Rate, depth, rhythm, effort, and accessory muscle use
B) Only body mass index
C) Only temperature
D) Only the sound of the patient's voice
Correct Answer: Rate, depth, rhythm, effort, and accessory muscle use
Rationale: Respiratory pattern and effort provide important early indicators of distress.
7. Which lung finding raises concern for fluid or alveolar reopening?
A) A normal tympanic membrane
B) Inspiratory crackles
C) Painless joint flexion
D) Normal patellar reflex
Correct Answer: Inspiratory crackles
Rationale: Crackles can reflect airway or alveolar processes and require interpretation with the whole clinical picture.
8. A coughing patient is suspected to have pulmonary tuberculosis. Which transmission precaution is indicated?
A) Airborne isolation with a fit-tested respirator
B) Droplet mask alone in a shared room
C) Routine gloves only without respiratory protection
D) Protective isolation for neutropenia only
Correct Answer: Airborne isolation with a fit-tested respirator
Rationale: Airborne transmission involves small particles that can remain suspended. Appropriate respiratory protection and an airborne
infection isolation room reduce exposure. A standard surgical mask is not equivalent to a fit-tested respirator for staff entering the room.
9. Influenza is suspected in a patient with fever and cough. What addition to standard precautions is generally
appropriate?
A) No masking when within close range
B) Sterile gloves for all hallway activity
NUR 2180 | Module Quiz 8 Practice Page 3
, NUR 2180 Module Quiz 8 - Original Practice Questions
1. Which assessment finding suggests possible respiratory compromise?
A) Calm breathing and baseline oxygen saturation
B) New low oxygen saturation accompanied by increased work of breathing
C) Symmetric chest expansion without distress
D) Regular respirations at rest
Correct Answer: New low oxygen saturation accompanied by increased work of breathing
Rationale: A decline in oxygenation with increased respiratory effort requires prompt reassessment of airway, breathing, and circulation.
Pulse oximetry can have limitations, so correlate with skin perfusion, consciousness, and the overall clinical picture.
2. Which technique promotes accurate lung auscultation?
A) Compare matching lung areas side to side while the patient breathes through the mouth
B) Auscultate only one area if the patient coughs
C) Listen through thick clothing
D) Tap the chest with the stethoscope diaphragm
Correct Answer: Compare matching lung areas side to side while the patient breathes through the mouth
Rationale: Systematic side-to-side comparison helps detect asymmetry in breath sounds. Ask for slightly deeper breathing as tolerated
and avoid prolonged hyperventilation. Document sound character, location, and associated distress.
3. What do fine inspiratory crackles generally represent?
A) Brief discontinuous sounds often related to reopening small airways or fluid processes
B) Intestinal peristalsis
C) Normal heart valve closure
D) A carotid bruit
Correct Answer: Brief discontinuous sounds often related to reopening small airways or fluid processes
Rationale: Fine crackles are short nonmusical sounds often heard during inspiration and may occur with edema, fibrosis, or other lung
conditions. Distribution and associated symptoms help interpretation; they are not diagnostic alone.
4. What is the purpose of asking a patient to cough during an inguinal assessment?
A) Test visual acuity
B) Measure leg reflexes
C) Assess finger coordination
D) Increase abdominal pressure to help reveal a possible hernia
Correct Answer: Increase abdominal pressure to help reveal a possible hernia
Rationale: A hernia may become more evident with cough or strain. Inspection and palpation should be gentle and guided by symptoms.
A painful irreducible bulge requires urgent evaluation.
NUR 2180 | Module Quiz 8 Practice Page 2
, 5. A patient reports chest discomfort. Which additional history should the nurse obtain first?
A) Only preferred television program
B) Only occupation
C) Only childhood vaccination dates
D) Onset, location, duration, triggers, associated symptoms, and current severity
Correct Answer: Onset, location, duration, triggers, associated symptoms, and current severity
Rationale: A structured symptom history clarifies immediate risk and directs focused assessment.
6. Which respiratory observation should be included in a general assessment?
A) Rate, depth, rhythm, effort, and accessory muscle use
B) Only body mass index
C) Only temperature
D) Only the sound of the patient's voice
Correct Answer: Rate, depth, rhythm, effort, and accessory muscle use
Rationale: Respiratory pattern and effort provide important early indicators of distress.
7. Which lung finding raises concern for fluid or alveolar reopening?
A) A normal tympanic membrane
B) Inspiratory crackles
C) Painless joint flexion
D) Normal patellar reflex
Correct Answer: Inspiratory crackles
Rationale: Crackles can reflect airway or alveolar processes and require interpretation with the whole clinical picture.
8. A coughing patient is suspected to have pulmonary tuberculosis. Which transmission precaution is indicated?
A) Airborne isolation with a fit-tested respirator
B) Droplet mask alone in a shared room
C) Routine gloves only without respiratory protection
D) Protective isolation for neutropenia only
Correct Answer: Airborne isolation with a fit-tested respirator
Rationale: Airborne transmission involves small particles that can remain suspended. Appropriate respiratory protection and an airborne
infection isolation room reduce exposure. A standard surgical mask is not equivalent to a fit-tested respirator for staff entering the room.
9. Influenza is suspected in a patient with fever and cough. What addition to standard precautions is generally
appropriate?
A) No masking when within close range
B) Sterile gloves for all hallway activity
NUR 2180 | Module Quiz 8 Practice Page 3
