Galen College of Nursing
Actual Exam Questions and Answers Practice Questions
A+ GRADED
Welcome to NSG 3850 Exam 2 Practice Examination. This comprehensive test bank covers
essential concepts in respiratory disorders including acute and chronic bronchitis, emphysema,
restrictive lung diseases, and sarcoidosis. The exam consists of 250 multiple-choice questions
designed to assess your understanding of pathophysiology, clinical manifestations, diagnostic
procedures, and nursing interventions for respiratory conditions. Each question includes the
correct answer and a brief rationale to enhance your learning experience and prepare you for
success on the actual examination.
Domains Covered:
1. Acute Bronchitis - Pathophysiology and Clinical Manifestations (Questions 1-35)
2. Chronic Bronchitis - Pathophysiology and Clinical Manifestations (Questions 36-70)
3. Emphysema - Pathophysiology and Clinical Manifestations (Questions 71-110)
4. Chronic Obstructive Pulmonary Disease (COPD) - Comprehensive (Questions 111-145)
5. Restrictive Lung Diseases - Pathophysiology and Clinical Manifestations (Questions 146-
175)
6. Sarcoidosis - Pathophysiology, Diagnosis, and Clinical Manifestations (Questions 176-210)
7. Diagnostic Procedures and Assessment (Questions 211-235)
8. Nursing Interventions and Patient Education (Questions 236-250)
QUESTION 1
What is the distinct hallmark of acute bronchitis?
A) Fever and chills
B) Hemoptysis
C) Recent onset of cough
D) Chest pain
Answer: C) Recent onset of cough
Rationale: The distinct hallmark of acute bronchitis is the recent onset of cough. Acute
bronchitis is characterized by inflammation of the bronchial tubes that typically presents
with a cough that develops acutely, often following an upper respiratory infection.
,QUESTION 2
Which of the following is a clinical manifestation of acute bronchitis?
A) Barrel chest
B) Clubbing of fingers
C) Upper Respiratory Infection (URI)
D) Hemoptysis with blood clots
Answer: C) Upper Respiratory Infection (URI)
Rationale: Acute bronchitis often presents following an Upper Respiratory Infection (URI).
The inflammation of the bronchial tubes results from viral or bacterial infections that
originate in the upper respiratory tract.
QUESTION 3
Acute bronchitis typically presents with which type of cough?
A) Non-productive cough only
B) Dry, irritating or productive cough
C) Paroxysmal cough
D) Nocturnal cough only
Answer: B) Dry, irritating or productive cough
Rationale: Acute bronchitis presents with a dry, irritating cough that may later become
productive with sputum. The cough is the hallmark symptom and may persist for several
weeks.
QUESTION 4
Which of the following is a clinical manifestation associated with acute bronchitis?
A) Barrel chest
B) Sore throat, chest pain, wheezing
C) Digital clubbing
D) Cyanosis at rest
Answer: B) Sore throat, chest pain, wheezing
Rationale: Acute bronchitis presents with sore throat, chest pain, and wheezing. Patients
may also experience malaise, low-grade fever, and a cough that is initially dry and later
productive.
,QUESTION 5
Laryngitis is a clinical manifestation associated with which respiratory condition?
A) Emphysema
B) Sarcoidosis
C) Acute bronchitis
D) Restrictive lung disease
Answer: C) Acute bronchitis
Rationale: Laryngitis may accompany acute bronchitis as the inflammation extends to the
upper airway. The patient may experience hoarseness and loss of voice.
QUESTION 6
Which of the following are clinical manifestations of acute bronchitis?
A) Barrel chest and digital clubbing
B) Cold, fever, constitutional symptoms
C) Prolonged expiration and pursed-lip breathing
D) Weight loss and anorexia
Answer: B) Cold, fever, constitutional symptoms
Rationale: Acute bronchitis is often preceded by cold symptoms and presents with fever
and constitutional symptoms including malaise, myalgia, and headache. These symptoms
reflect the infectious nature of the condition.
QUESTION 7
What is the characteristic cough pattern in acute bronchitis?
A) Productive cough with purulent sputum that worsens at night
B) Dry, hacking cough that is worse in the morning
C) Cough that produces blood-tinged sputum
D) Cough that is worse with exercise
Answer: A) Productive cough with purulent sputum that worsens at night
, Rationale: In acute bronchitis, the cough typically becomes productive with purulent (yellow
or green) sputum. The cough often worsens at night due to postnasal drip and recumbent
positioning.
QUESTION 8
The cough associated with acute bronchitis may persist for:
A) 1-2 days
B) Up to 3 weeks
C) 6-8 weeks
D) More than 3 months
Answer: B) Up to 3 weeks
Rationale: In acute bronchitis, the cough may persist for up to 3 weeks even after other
symptoms have resolved. This is due to the continued inflammation and hyperreactivity of
the bronchial airways.
QUESTION 9
Acute bronchitis is most commonly caused by:
A) Bacterial infection
B) Viral infection
C) Fungal infection
D) Environmental allergens
Answer: B) Viral infection
Rationale: Acute bronchitis is most commonly caused by viral infections, including rhinovirus,
influenza, adenovirus, and respiratory syncytial virus. Bacterial infections are less common
causes.
QUESTION 10
What is the primary pathophysiological process in acute bronchitis?
A) Alveolar destruction
B) Inflammation of the bronchial tubes
C) Granuloma formation
D) Fibrosis of lung tissue