NSG 3250 Exams 14 | Latest Update 2026/2027 | 200 Practice
Questions & Verified Answers | Galen College of Nursing
EXAM 1 (Units 12): Rehabilitation, Foundations, & Basic Adult Health
1. A nurse is performing a focused respiratory assessment. Which finding is most concerning?
A) Respiratory rate of 22 breaths per minute
B) Fine crackles at the lung bases
C) Audible stridor
D) SpO₂ of 95% on room air
Answer: C) Audible stridor
Explanation: Audible stridor indicates upper airway obstruction and is a medical emergency requiring
immediate intervention. A respiratory rate of 22 is slightly elevated but not immediately lifethreatening.
Fine crackles may indicate fluid in the lungs but are not as urgent as stridor. An SpO₂ of 95% is within
normal limits.
2. A patient with COPD on 2 L/min via nasal cannula has an SpO₂ of 86%. What is the priority action?
A) Decrease oxygen to 1 L/min
B) Call a rapid response
C) Assess the patient and notify the provider
D) Increase oxygen to 4 L/min
Answer: C) Assess the patient and notify the provider
,Explanation: The nurse should first assess the patient's overall clinical status and notify the healthcare
provider. Increasing oxygen too rapidly in COPD patients can suppress the hypoxic drive. Decreasing
oxygen would worsen the hypoxia.
3. The nurse is caring for a patient with COPD receiving oxygen at 2 L/min via nasal cannula. Which
finding requires immediate intervention?
A) The patient is using pursedlip breathing
B) The SpO₂ decreases to 86%
C) The patient has a productive cough
D) The patient has a barrel chest appearance
Answer: B) The SpO₂ decreases to 86%
Explanation: A decrease in SpO₂ to 86% indicates worsening hypoxemia and requires immediate
intervention. Pursedlip breathing is an adaptive technique for COPD patients. A productive cough and
barrel chest are expected findings in COPD.
4. Which action by a nurse demonstrates proper sterile technique?
A) Holding sterile objects below waist level
B) Keeping the sterile field in sight at all times
C) Turning the back to the sterile field while walking by
D) Reaching over the sterile field to adjust equipment
Answer: B) Keeping the sterile field in sight at all times
,Explanation: The sterile field must remain in the nurse's sight at all times to maintain sterility. Sterile
objects should be kept above waist level. Turning away from or reaching over the sterile field
contaminates it.
5. What is the primary goal of rehabilitation nursing?
A) To cure the patient's underlying disease
B) To assist the patient to attain and maintain optimum health as defined by the patient
C) To restore the patient to their previous level of function regardless of patient preference
D) To provide custodial care for chronically ill patients
Answer: B) To assist the patient to attain and maintain optimum health as defined by the patient
Explanation: The goal of rehabilitation nursing is based on the patient's concept of quality of life and
individual goals. All patients, regardless of age, gender, ethnicity, socioeconomic status, or diagnosis,
have the right to rehabilitation services.
6. Which of the following is NOT a member of the rehabilitation multidisciplinary team?
A) Physical therapist
B) Occupational therapist
C) Radiologist
D) Speech therapist
Answer: C) Radiologist
Explanation: The rehabilitation team includes nurses, physicians, physical therapists, occupational
therapists, speech therapists, psychologists/psychiatrists, spiritual advisors, and social workers.
Radiologists are not typically part of the core rehabilitation team.
, 7. What percentage of spinal cord injuries involve substance abuse?
A) 25%
B) 50%
C) 75%
D) 10%
Answer: B) 50%
Explanation: Substance abuse evaluation should always be considered when developing a rehabilitation
plan. Approximately 50% of spinal cord injuries and 50% of traumatic brain injuries occurred due to
acute intoxication.
8. Which of the following is an example of an assistive or adaptive device used in rehabilitation?
A) Stethoscope
B) Walker
C) Blood pressure cuff
D) Pulse oximeter
Answer: B) Walker
Explanation: Assistive or adaptive devices used in rehabilitation include walkers, canes, grab bars,
shower chairs, and adaptive utensils. These devices help patients maintain independence and perform
activities of daily living.
Questions & Verified Answers | Galen College of Nursing
EXAM 1 (Units 12): Rehabilitation, Foundations, & Basic Adult Health
1. A nurse is performing a focused respiratory assessment. Which finding is most concerning?
A) Respiratory rate of 22 breaths per minute
B) Fine crackles at the lung bases
C) Audible stridor
D) SpO₂ of 95% on room air
Answer: C) Audible stridor
Explanation: Audible stridor indicates upper airway obstruction and is a medical emergency requiring
immediate intervention. A respiratory rate of 22 is slightly elevated but not immediately lifethreatening.
Fine crackles may indicate fluid in the lungs but are not as urgent as stridor. An SpO₂ of 95% is within
normal limits.
2. A patient with COPD on 2 L/min via nasal cannula has an SpO₂ of 86%. What is the priority action?
A) Decrease oxygen to 1 L/min
B) Call a rapid response
C) Assess the patient and notify the provider
D) Increase oxygen to 4 L/min
Answer: C) Assess the patient and notify the provider
,Explanation: The nurse should first assess the patient's overall clinical status and notify the healthcare
provider. Increasing oxygen too rapidly in COPD patients can suppress the hypoxic drive. Decreasing
oxygen would worsen the hypoxia.
3. The nurse is caring for a patient with COPD receiving oxygen at 2 L/min via nasal cannula. Which
finding requires immediate intervention?
A) The patient is using pursedlip breathing
B) The SpO₂ decreases to 86%
C) The patient has a productive cough
D) The patient has a barrel chest appearance
Answer: B) The SpO₂ decreases to 86%
Explanation: A decrease in SpO₂ to 86% indicates worsening hypoxemia and requires immediate
intervention. Pursedlip breathing is an adaptive technique for COPD patients. A productive cough and
barrel chest are expected findings in COPD.
4. Which action by a nurse demonstrates proper sterile technique?
A) Holding sterile objects below waist level
B) Keeping the sterile field in sight at all times
C) Turning the back to the sterile field while walking by
D) Reaching over the sterile field to adjust equipment
Answer: B) Keeping the sterile field in sight at all times
,Explanation: The sterile field must remain in the nurse's sight at all times to maintain sterility. Sterile
objects should be kept above waist level. Turning away from or reaching over the sterile field
contaminates it.
5. What is the primary goal of rehabilitation nursing?
A) To cure the patient's underlying disease
B) To assist the patient to attain and maintain optimum health as defined by the patient
C) To restore the patient to their previous level of function regardless of patient preference
D) To provide custodial care for chronically ill patients
Answer: B) To assist the patient to attain and maintain optimum health as defined by the patient
Explanation: The goal of rehabilitation nursing is based on the patient's concept of quality of life and
individual goals. All patients, regardless of age, gender, ethnicity, socioeconomic status, or diagnosis,
have the right to rehabilitation services.
6. Which of the following is NOT a member of the rehabilitation multidisciplinary team?
A) Physical therapist
B) Occupational therapist
C) Radiologist
D) Speech therapist
Answer: C) Radiologist
Explanation: The rehabilitation team includes nurses, physicians, physical therapists, occupational
therapists, speech therapists, psychologists/psychiatrists, spiritual advisors, and social workers.
Radiologists are not typically part of the core rehabilitation team.
, 7. What percentage of spinal cord injuries involve substance abuse?
A) 25%
B) 50%
C) 75%
D) 10%
Answer: B) 50%
Explanation: Substance abuse evaluation should always be considered when developing a rehabilitation
plan. Approximately 50% of spinal cord injuries and 50% of traumatic brain injuries occurred due to
acute intoxication.
8. Which of the following is an example of an assistive or adaptive device used in rehabilitation?
A) Stethoscope
B) Walker
C) Blood pressure cuff
D) Pulse oximeter
Answer: B) Walker
Explanation: Assistive or adaptive devices used in rehabilitation include walkers, canes, grab bars,
shower chairs, and adaptive utensils. These devices help patients maintain independence and perform
activities of daily living.
