NSG 3800 EXAM 2Galen College focusing on Nursing Practice in
Adult Health II – Questions wth answers (Respiratory & Cardiac)
LATEST UPDATE THIS YEAR.pdf
Complete NSG 3800 Exam 2 Coverage Summary:
Respiratory: COPD (emphysema, chronic bronchitis), asthma, pneumonia, sarcoidosis,
lung cancer, pulmonary embolism, pneumothorax, pleural effusion, chest tubes, sleep
apnea, oxygen therapy, ABG interpretation, airway management, tracheostomy care
Cardiac: Heart failure (left and right-sided), coronary artery disease, angina, myocardial
infarction, dysrhythmias, valve disorders, cardiogenic shock, hypertension, pericarditis,
endocarditis, DVT, PAD, aortic aneurysm, pacemakers, ICDs, anticoagulation therapy,
hemodynamic monitoring
Pain Management: NSAIDs, opioids, assessment, complications
Musculoskeletal: Ankylosing spondylitis, kyphoscoliosis, spinal disorders
Nutrition: Tube feeding, aspiration prevention
1. A patient with COPD is being assessed. Which physical characteristic is
MOST commonly associated with emphysema?
A. Productive cough
B. Barrel chest*
C. Cyanosis
D. Clubbing
Barrel chest results from air trapping and hyperinflation in emphysema.
Productive cough is more typical of chronic bronchitis.
Coverage: Respiratory – COPD/Emphysema Assessment
,2. What is the MOST effective intervention to reduce the risk of developing
COPD?
A. Annual influenza vaccination
B. Smoking cessation*
C. Use of bronchodilators
D. Pulmonary rehabilitation
Smoking is the primary risk factor for COPD. Smoking cessation is the most
effective prevention.
Coverage: Respiratory – COPD Prevention
3. A patient is receiving steroid treatment for sarcoidosis. Which side effect
requires monitoring?
A. Hypoglycemia
B. Hyperglycemia*
C. Weight loss
D. Hypotension
Corticosteroids cause hyperglycemia, weight gain, hypertension, and
immunosuppression.
Coverage: Respiratory – Sarcoidosis Treatment
4. What finding in the suction control chamber of a wet chest tube system
indicates proper functioning?
A. Continuous bubbling
B. Gentle bubbling*
C. No bubbling
D. Intermittent gurgling
,Gentle bubbling in the suction control chamber is normal. Continuous bubbling
in the water seal indicates an air leak.
Coverage: Respiratory – Chest Tube Management
5. A patient with a pneumothorax has a tracheal shift toward the unaffected lung.
What does this indicate?
A. Simple pneumothorax
B. Tension pneumothorax*
C. Hemothorax
D. Pleural effusion
Tracheal shift away from the affected side indicates tension pneumothorax, a
medical emergency.
Coverage: Respiratory – Pneumothorax Complications
6. What is the PRIMARY concern when a chest tube is fully pulled out?
A. Infection
B. Tension pneumothorax*
C. Bleeding
D. Pain
Immediate concern is tension pneumothorax. Cover with sterile occlusive
dressing taped on three sides.
Coverage: Respiratory – Chest Tube Complications
7. What is a typical cause of pleural effusion?
A. Pulmonary embolism
B. Heart failure*
, C. Asthma
D. Bronchitis
Heart failure is a common cause of transudative pleural effusion due to
increased hydrostatic pressure.
Coverage: Respiratory – Pleural Effusion Etiology
8. What is a characteristic symptom of pleural effusion?
A. Productive cough
B. Dyspnea and decreased breath sounds*
C. Wheezing
D. Stridor
Pleural effusion causes dyspnea, decreased/absent breath sounds, and
dullness to percussion.
Coverage: Respiratory – Pleural Effusion Assessment
9. Which assessment finding is typically associated with pleural effusion?
A. Hyperresonance on percussion
B. Dullness on percussion*
C. Increased breath sounds
D. Wheezing
Fluid in the pleural space causes dullness to percussion and decreased breath
sounds.
Coverage: Respiratory – Pleural Effusion Assessment
10. What is a key consideration when managing pain with NSAIDs?
Adult Health II – Questions wth answers (Respiratory & Cardiac)
LATEST UPDATE THIS YEAR.pdf
Complete NSG 3800 Exam 2 Coverage Summary:
Respiratory: COPD (emphysema, chronic bronchitis), asthma, pneumonia, sarcoidosis,
lung cancer, pulmonary embolism, pneumothorax, pleural effusion, chest tubes, sleep
apnea, oxygen therapy, ABG interpretation, airway management, tracheostomy care
Cardiac: Heart failure (left and right-sided), coronary artery disease, angina, myocardial
infarction, dysrhythmias, valve disorders, cardiogenic shock, hypertension, pericarditis,
endocarditis, DVT, PAD, aortic aneurysm, pacemakers, ICDs, anticoagulation therapy,
hemodynamic monitoring
Pain Management: NSAIDs, opioids, assessment, complications
Musculoskeletal: Ankylosing spondylitis, kyphoscoliosis, spinal disorders
Nutrition: Tube feeding, aspiration prevention
1. A patient with COPD is being assessed. Which physical characteristic is
MOST commonly associated with emphysema?
A. Productive cough
B. Barrel chest*
C. Cyanosis
D. Clubbing
Barrel chest results from air trapping and hyperinflation in emphysema.
Productive cough is more typical of chronic bronchitis.
Coverage: Respiratory – COPD/Emphysema Assessment
,2. What is the MOST effective intervention to reduce the risk of developing
COPD?
A. Annual influenza vaccination
B. Smoking cessation*
C. Use of bronchodilators
D. Pulmonary rehabilitation
Smoking is the primary risk factor for COPD. Smoking cessation is the most
effective prevention.
Coverage: Respiratory – COPD Prevention
3. A patient is receiving steroid treatment for sarcoidosis. Which side effect
requires monitoring?
A. Hypoglycemia
B. Hyperglycemia*
C. Weight loss
D. Hypotension
Corticosteroids cause hyperglycemia, weight gain, hypertension, and
immunosuppression.
Coverage: Respiratory – Sarcoidosis Treatment
4. What finding in the suction control chamber of a wet chest tube system
indicates proper functioning?
A. Continuous bubbling
B. Gentle bubbling*
C. No bubbling
D. Intermittent gurgling
,Gentle bubbling in the suction control chamber is normal. Continuous bubbling
in the water seal indicates an air leak.
Coverage: Respiratory – Chest Tube Management
5. A patient with a pneumothorax has a tracheal shift toward the unaffected lung.
What does this indicate?
A. Simple pneumothorax
B. Tension pneumothorax*
C. Hemothorax
D. Pleural effusion
Tracheal shift away from the affected side indicates tension pneumothorax, a
medical emergency.
Coverage: Respiratory – Pneumothorax Complications
6. What is the PRIMARY concern when a chest tube is fully pulled out?
A. Infection
B. Tension pneumothorax*
C. Bleeding
D. Pain
Immediate concern is tension pneumothorax. Cover with sterile occlusive
dressing taped on three sides.
Coverage: Respiratory – Chest Tube Complications
7. What is a typical cause of pleural effusion?
A. Pulmonary embolism
B. Heart failure*
, C. Asthma
D. Bronchitis
Heart failure is a common cause of transudative pleural effusion due to
increased hydrostatic pressure.
Coverage: Respiratory – Pleural Effusion Etiology
8. What is a characteristic symptom of pleural effusion?
A. Productive cough
B. Dyspnea and decreased breath sounds*
C. Wheezing
D. Stridor
Pleural effusion causes dyspnea, decreased/absent breath sounds, and
dullness to percussion.
Coverage: Respiratory – Pleural Effusion Assessment
9. Which assessment finding is typically associated with pleural effusion?
A. Hyperresonance on percussion
B. Dullness on percussion*
C. Increased breath sounds
D. Wheezing
Fluid in the pleural space causes dullness to percussion and decreased breath
sounds.
Coverage: Respiratory – Pleural Effusion Assessment
10. What is a key consideration when managing pain with NSAIDs?
