ICHS Med surge / ICHS Medical-Surgical
Nursing: Patient-Centered Case Analysis
Practice Exam 2025 UPDATE/PRACTICE
QUESTIONS AND CORRECT VERIFIED
ANSWERS(complete solutions)ASSURED
SUCCESS/GRADED A+!!
Which information about gender, cultural differences, and ethnic differences in patients
with obstructive lung disease will the nurse use when planning care? answerWhites
have the highest incidence of cystic fibrosis
Which diagnostic test will the clinic nurse anticipate to confirm a diagnosis of chronic
obstructive pulmonary disease (COPD) in a patient with dyspnea? answerSpirometry
Which factor causes the clinical manifestations of chronic obstructive pulmonary
disease (COPD)? answerInability to effectively expire air
Which are the predominant inflammatory cells in chronic obstructive pulmonary disease
(COPD)? Select all that apply. answerNeutrophils
Lymphocytes
Macrophages
Which physiologic effect of ongoing tobacco smoking leads to chronic obstructive
pulmonary disease (COPD)? answerRespiratory tract cell hyperplasia
When educating a patient with chronic obstructive pulmonary disease (COPD) who
continues to smoke cigarettes, which complication of smoking would the nurse discuss
with the patient? answerCardiovascular disease
Which of these is a clinical manifestation of early chronic obstructive pulmonary disease
(COPD)? answerA chronic, intermittent cough
, Which findings will the nurse expect when assessing a clinic patient with chronic
obstructive pulmonary disease (COPD)? Select all that apply. answerBarrel chest on
inspection
Wheezes on auscultation
Which factor contributes to loss of lung elastic recoil in a patient with chronic obstructive
pulmonary disease (COPD) due to cigarette smoking? answerImbalance of protease
and antiprotease activity
Which is the purpose of lung reduction surgery for the patient with chronic obstructive
pulmonary disease (COPD)? answerAllows more room for normal alveoli to expand
When caring for a patient diagnosed with cor pulmonale, which finding will the nurse
expect? answerAnkle edema
Which information about the purpose of pursed-lip breathing will the nurse include when
teaching a patient with chronic obstructive pulmonary disease about breathing
exercises? answerPreventing air trapping
Which explanation is likely when the nurse notes a hemoglobin level of 20 g/dL in a
patient admitted with chronic obstructive pulmonary disease (COPD)? answerHypoxia
has stimulated erythropoiesis
Which complication would the nurse expect in a patient with chronic obstructive
pulmonary disease who has α1-antitrypsin (AAT) deficiency? answerLiver disease
Which statements about health disparities that contribute to chronic obstructive
pulmonary diseases are accurate? Select all that apply. answer"Asthma prevalence
and age-adjusted death rates are the highest among Puerto Ricans."
"Hispanics have lower death rates from chronic obstructive pulmonary diseases than
other ethnic groups."
"Despite higher rates of smoking in other groups, whites have the highest incidence of
chronic obstructive pulmonary diseases."
Which actions will the nurse include when performing chest physiotherapy on a patient
with chronic obstructive pulmonary disease? Select all that apply. answerVibration
Percussion
Postural drainage
Which is the most common organism found in heated nebulizers used for humidification
during oxygen administration? answerPseudomonas aeruginosa
Which description best characterizes chronic obstructive pulmonary disease (COPD)?
answerProgressive persistent expiratory airflow limitation
Nursing: Patient-Centered Case Analysis
Practice Exam 2025 UPDATE/PRACTICE
QUESTIONS AND CORRECT VERIFIED
ANSWERS(complete solutions)ASSURED
SUCCESS/GRADED A+!!
Which information about gender, cultural differences, and ethnic differences in patients
with obstructive lung disease will the nurse use when planning care? answerWhites
have the highest incidence of cystic fibrosis
Which diagnostic test will the clinic nurse anticipate to confirm a diagnosis of chronic
obstructive pulmonary disease (COPD) in a patient with dyspnea? answerSpirometry
Which factor causes the clinical manifestations of chronic obstructive pulmonary
disease (COPD)? answerInability to effectively expire air
Which are the predominant inflammatory cells in chronic obstructive pulmonary disease
(COPD)? Select all that apply. answerNeutrophils
Lymphocytes
Macrophages
Which physiologic effect of ongoing tobacco smoking leads to chronic obstructive
pulmonary disease (COPD)? answerRespiratory tract cell hyperplasia
When educating a patient with chronic obstructive pulmonary disease (COPD) who
continues to smoke cigarettes, which complication of smoking would the nurse discuss
with the patient? answerCardiovascular disease
Which of these is a clinical manifestation of early chronic obstructive pulmonary disease
(COPD)? answerA chronic, intermittent cough
, Which findings will the nurse expect when assessing a clinic patient with chronic
obstructive pulmonary disease (COPD)? Select all that apply. answerBarrel chest on
inspection
Wheezes on auscultation
Which factor contributes to loss of lung elastic recoil in a patient with chronic obstructive
pulmonary disease (COPD) due to cigarette smoking? answerImbalance of protease
and antiprotease activity
Which is the purpose of lung reduction surgery for the patient with chronic obstructive
pulmonary disease (COPD)? answerAllows more room for normal alveoli to expand
When caring for a patient diagnosed with cor pulmonale, which finding will the nurse
expect? answerAnkle edema
Which information about the purpose of pursed-lip breathing will the nurse include when
teaching a patient with chronic obstructive pulmonary disease about breathing
exercises? answerPreventing air trapping
Which explanation is likely when the nurse notes a hemoglobin level of 20 g/dL in a
patient admitted with chronic obstructive pulmonary disease (COPD)? answerHypoxia
has stimulated erythropoiesis
Which complication would the nurse expect in a patient with chronic obstructive
pulmonary disease who has α1-antitrypsin (AAT) deficiency? answerLiver disease
Which statements about health disparities that contribute to chronic obstructive
pulmonary diseases are accurate? Select all that apply. answer"Asthma prevalence
and age-adjusted death rates are the highest among Puerto Ricans."
"Hispanics have lower death rates from chronic obstructive pulmonary diseases than
other ethnic groups."
"Despite higher rates of smoking in other groups, whites have the highest incidence of
chronic obstructive pulmonary diseases."
Which actions will the nurse include when performing chest physiotherapy on a patient
with chronic obstructive pulmonary disease? Select all that apply. answerVibration
Percussion
Postural drainage
Which is the most common organism found in heated nebulizers used for humidification
during oxygen administration? answerPseudomonas aeruginosa
Which description best characterizes chronic obstructive pulmonary disease (COPD)?
answerProgressive persistent expiratory airflow limitation
