NUR 206 COMMUNITY MAIN EXAM TEST 2025/2026
QUESTIONS WITH ANSWERS GRADED A+
✔✔A patient has acute bronchitis with a nonproductive cough and wheezes. Which
topic should the nurse plan to include in the teaching plan?
Appropriate use of cough suppressants
Safety concerns with home oxygen therapy
Purpose of antibiotic therapy
Ways to limit oral fluid intake - ✔✔1
✔✔In assessment of the patient with acute respiratory distress, what should the nurse
expect to observe (select all that apply.)?
Cyanosis
Tripod position
pursed-lip breathing
Kussmaul's respirations
accessory muscle use
increased AP diameter - ✔✔Tripod position and
Accessory muscle use
✔✔The nurse assesses a patient with chronic obstructive pulmonary disease (COPD)
who has been admitted with increasing dyspnea over the last 3 days. Which finding is
most important for the nurse to report to the health care provider?
Lung expansion is decreased bilaterally.
Hyperresonance to percussion is present.
Respirations are 36 breaths/minute.
Anterior-posterior chest ratio is 1:1. - ✔✔3
✔✔Which information will the nurse include in the asthma teaching plan for a patient
being discharged?
,Hold your breath for 5 seconds after using the bronchodilator inhaler.
Tremors are an expected side effect of rapidly acting bronchodilators.
Use the inhaled corticosteroid when shortness of breath occurs.
Inhale slowly and deeply when using the dry powder inhaler (DPI). - ✔✔2
✔✔Which intervention will the nurse include in the plan of care for a patient who is
diagnosed with a lung abscess?
Notify the health care provider immediately about any bloody or foul-smelling sputum.
Teach about the need for prolonged antibiotic therapy after discharge from the hospital.
Teach the patient to avoid the use of over-the-counter expectorants.
Assist the patient with chest physiotherapy and postural drainage. - ✔✔2
✔✔The nurse discusses management of upper respiratory infections (URI) with a
patient who has acute sinusitis. Which statement by the patient indicates that additional
teaching is needed?
"I can use my nasal decongestant spray until the congestion is all gone."
"I will watch for changes in nasal secretions or the sputum that I cough up."
"I can take acetaminophen (Tylenol) to treat my discomfort."
"I will drink lots of juices and other fluids to stay well hydrated." - ✔✔1
✔✔When assessing a patient who has just arrived after an automobile accident, the
emergency department nurse notes tachycardia and absent breath sounds over the
right lung. For which intervention will the nurse prepare the patient?
Administration of an inhaled bronchodilator
Insertion of a chest tube with a chest drainage system
Emergency pericardiocentesis
Stabilization of the chest wall with tape - ✔✔2
,✔✔A young adult patient who denies any history of smoking is seen in the clinic with a
new diagnosis of chronic obstructive pulmonary disease (COPD). It is most appropriate
for the nurse to teach the patient about
continuous pulse oximetry.
effects of leukotriene modifiers.
a1-antitrypsin testing.
use of the nicotine patch. - ✔✔3
✔✔Which action by the nurse will be most effective in decreasing the spread of
pertussis in a community setting?
Teaching patients about the need for adult pertussis immunizations
Encouraging patients to complete the prescribed course of antibiotics
Providing supportive care to patients diagnosed with pertussis
Teaching family members about the need for careful hand washing - ✔✔1
✔✔A patient who has just been admitted with community-acquired pneumococcal
pneumonia has a temperature of 101.6° F with a frequent cough and is complaining of
severe pleuritic chest pain. Which prescribed medication should the nurse give first?
Acetaminophen (Tylenol)
Piperacillin/tazobactam (Zosyn)
Codeine
Guaifenesin (Robitussin) - ✔✔2
✔✔The nurse takes an admission history on a patient with possible asthma who has
new-onset wheezing and shortness of breath. Which information may indicate a need
for a change in therapy?
The patient takes propranolol (Inderal) for hypertension.
The patient uses acetaminophen (Tylenol) for headaches.
The patient has chronic inflammatory bowel disease.
, The patient has a history of pneumonia 6 months ago. - ✔✔1
✔✔The nurse assumes care of a patient who just returned from surgery for a total
laryngectomy and radical neck dissection and notes the following problems. In which
order should the nurse address the problems? (Put a comma and a space between
each answer choice [A, B, C, D].)
a. The patient is in a side-lying position with the head of the bed flat.
b. The patient is coughing blood-tinged secretions from the tracheostomy.
c. The nasogastric (NG) tube is disconnected from suction and clamped off.
d. The wound drain in the neck incision contains 200 mL of bloody drainage. - ✔✔abdc
✔✔A student nurse is providing tracheostomy care. What action by the student requires
intervention by the instructor?
Tying a square knot at the back of the neck
Using half-strength peroxide for cleansing
Holding the device securely when changing ties
Suctioning the client first if secretions are present - ✔✔1
✔✔Following assessment of a patient with pneumonia, the nurse identifies a nursing
diagnosis of ineffective airway clearance. Which assessment data best supports this
diagnosis?
Respiratory rate of 28 breaths/minute
Resting pulse oximetry (SpO2) of 85%
Weak, nonproductive cough effort
Large amounts of greenish sputum - ✔✔3
✔✔A patient with a chronic cough has a bronchoscopy. After the procedure, which
intervention by the nurse is most appropriate?
Place on bed rest for at least 4 hours after bronchoscopy.
Notify the health care provider about blood-tinged mucus.
Elevate the head of the bed to 80 to 90 degrees.
Keep the patient NPO until the gag reflex returns. - ✔✔4
QUESTIONS WITH ANSWERS GRADED A+
✔✔A patient has acute bronchitis with a nonproductive cough and wheezes. Which
topic should the nurse plan to include in the teaching plan?
Appropriate use of cough suppressants
Safety concerns with home oxygen therapy
Purpose of antibiotic therapy
Ways to limit oral fluid intake - ✔✔1
✔✔In assessment of the patient with acute respiratory distress, what should the nurse
expect to observe (select all that apply.)?
Cyanosis
Tripod position
pursed-lip breathing
Kussmaul's respirations
accessory muscle use
increased AP diameter - ✔✔Tripod position and
Accessory muscle use
✔✔The nurse assesses a patient with chronic obstructive pulmonary disease (COPD)
who has been admitted with increasing dyspnea over the last 3 days. Which finding is
most important for the nurse to report to the health care provider?
Lung expansion is decreased bilaterally.
Hyperresonance to percussion is present.
Respirations are 36 breaths/minute.
Anterior-posterior chest ratio is 1:1. - ✔✔3
✔✔Which information will the nurse include in the asthma teaching plan for a patient
being discharged?
,Hold your breath for 5 seconds after using the bronchodilator inhaler.
Tremors are an expected side effect of rapidly acting bronchodilators.
Use the inhaled corticosteroid when shortness of breath occurs.
Inhale slowly and deeply when using the dry powder inhaler (DPI). - ✔✔2
✔✔Which intervention will the nurse include in the plan of care for a patient who is
diagnosed with a lung abscess?
Notify the health care provider immediately about any bloody or foul-smelling sputum.
Teach about the need for prolonged antibiotic therapy after discharge from the hospital.
Teach the patient to avoid the use of over-the-counter expectorants.
Assist the patient with chest physiotherapy and postural drainage. - ✔✔2
✔✔The nurse discusses management of upper respiratory infections (URI) with a
patient who has acute sinusitis. Which statement by the patient indicates that additional
teaching is needed?
"I can use my nasal decongestant spray until the congestion is all gone."
"I will watch for changes in nasal secretions or the sputum that I cough up."
"I can take acetaminophen (Tylenol) to treat my discomfort."
"I will drink lots of juices and other fluids to stay well hydrated." - ✔✔1
✔✔When assessing a patient who has just arrived after an automobile accident, the
emergency department nurse notes tachycardia and absent breath sounds over the
right lung. For which intervention will the nurse prepare the patient?
Administration of an inhaled bronchodilator
Insertion of a chest tube with a chest drainage system
Emergency pericardiocentesis
Stabilization of the chest wall with tape - ✔✔2
,✔✔A young adult patient who denies any history of smoking is seen in the clinic with a
new diagnosis of chronic obstructive pulmonary disease (COPD). It is most appropriate
for the nurse to teach the patient about
continuous pulse oximetry.
effects of leukotriene modifiers.
a1-antitrypsin testing.
use of the nicotine patch. - ✔✔3
✔✔Which action by the nurse will be most effective in decreasing the spread of
pertussis in a community setting?
Teaching patients about the need for adult pertussis immunizations
Encouraging patients to complete the prescribed course of antibiotics
Providing supportive care to patients diagnosed with pertussis
Teaching family members about the need for careful hand washing - ✔✔1
✔✔A patient who has just been admitted with community-acquired pneumococcal
pneumonia has a temperature of 101.6° F with a frequent cough and is complaining of
severe pleuritic chest pain. Which prescribed medication should the nurse give first?
Acetaminophen (Tylenol)
Piperacillin/tazobactam (Zosyn)
Codeine
Guaifenesin (Robitussin) - ✔✔2
✔✔The nurse takes an admission history on a patient with possible asthma who has
new-onset wheezing and shortness of breath. Which information may indicate a need
for a change in therapy?
The patient takes propranolol (Inderal) for hypertension.
The patient uses acetaminophen (Tylenol) for headaches.
The patient has chronic inflammatory bowel disease.
, The patient has a history of pneumonia 6 months ago. - ✔✔1
✔✔The nurse assumes care of a patient who just returned from surgery for a total
laryngectomy and radical neck dissection and notes the following problems. In which
order should the nurse address the problems? (Put a comma and a space between
each answer choice [A, B, C, D].)
a. The patient is in a side-lying position with the head of the bed flat.
b. The patient is coughing blood-tinged secretions from the tracheostomy.
c. The nasogastric (NG) tube is disconnected from suction and clamped off.
d. The wound drain in the neck incision contains 200 mL of bloody drainage. - ✔✔abdc
✔✔A student nurse is providing tracheostomy care. What action by the student requires
intervention by the instructor?
Tying a square knot at the back of the neck
Using half-strength peroxide for cleansing
Holding the device securely when changing ties
Suctioning the client first if secretions are present - ✔✔1
✔✔Following assessment of a patient with pneumonia, the nurse identifies a nursing
diagnosis of ineffective airway clearance. Which assessment data best supports this
diagnosis?
Respiratory rate of 28 breaths/minute
Resting pulse oximetry (SpO2) of 85%
Weak, nonproductive cough effort
Large amounts of greenish sputum - ✔✔3
✔✔A patient with a chronic cough has a bronchoscopy. After the procedure, which
intervention by the nurse is most appropriate?
Place on bed rest for at least 4 hours after bronchoscopy.
Notify the health care provider about blood-tinged mucus.
Elevate the head of the bed to 80 to 90 degrees.
Keep the patient NPO until the gag reflex returns. - ✔✔4
