NR 302 ACTUAL EXAM LATEST 2024/2025 QUESTIONS AND
VERIFIED CORRECT ANSWERS/ ALREADY GRADED A++
Which abnormal breath sounds are caused by narrowing of the airways? -
ANSWER Sibilant rhonchi
Bronchovesicular breath sounds can be auscultated over which area of the
lungs? Select all that apply. - ANSWER Sternal area
Mid-scapula area
Identify the correct lung lobe label for their specific locations. Click the
drop-down menu and select the correct answer. - ANSWER ANTERIOR:
1.Right Upper Lobe (RUL)
2.Right Middle Lobe (RML
3.Right Lower Lobe (RLL)
4.Left Upper Lobe (LUL)
5.Left Lower Lobe (LLL)
POSTERIOR
6.Left Upper Lobe (LUL)
7.Left Lower Lobe (LLL)
8.Right Upper Lobe (RUL)
9.Right Lower Lobe (RLL)
Which lifestyle choices impact respiratory health? Select all that apply. -
ANSWER Smoking
Occupation
Exercise
Normal findings of the inspection are____rhythm, rate of breaths per
minute, and chest movement. - ANSWER REGULAR
12-20
symmetrical
Upon palpating the upper chest, the examiner feels crackling, little pockets
of air. The examiner documents this as which of the following terms? -
ANSWER Crepitus
,The nurse is observing the auscultation technique of another nurse. The
correct method to use when progressing from one auscultatory site on the
thorax to another is___COMPARISON - ANSWER SIDE TO SIDE
Which is a non-modifiable risk factor for respiratory problems? Drag the
answer into the box. - ANSWER AGE
During the chest assessment of a client, which reference landmark line
does the examiner note on the lateral chest wall? - ANSWER midaxillary
line
During inspection, the examiner notes unequal chest expansion and
recognizes that this occurs in which situation? - ANSWER Part of the lung
is obstructed or collapsed.
During auscultation of breath sounds, which are the proper techniques?
Select all that apply. - ANSWER Listen to at least one full respiration in
each location.
Use the diaphragm of the stethoscope.
A healthy client in their third trimester of pregnancy states that "baby is
pushing on my lungs, and I can't breathe deeply." What is the examiner's
best reply? - ANSWER "What you are experiencing is normal."
During palpation of the posterior chest wall, the examiner feels vibrations
through the chest wall when the client is talking. This would be documented
as - ANSWER fremitus
When performing the physical assessment on a 4-month-old infant, the
examiner notes that the child has nasal flaring with sternal and intercostal
retractions. What should the examiner's conclusion be? - ANSWER The
infant is in respiratory distress and it is an emergency.
Align the assessment findings to the correct assessment step. Each finding
may be used in more than one assessment step. - ANSWER Inspection:
Shape & Configuration
Use of Accessory Muscles
Symmetric Chest Expansion
Palpation:
Fremitus
,Symmetric Chest Expansion
Auscultation:
Adventitious Sounds
Breath Sounds
According to documentation, the client has course crackles in the left
anterior base. The examiner would like to confirm this finding.
Identify the correct location on the image where the examiner should listen
for the crackles. - ANSWER Left Lower Lobe (LLL)
What assessment finding associated with respiratory distress is found in
the following picture? - ANSWER cyanosis
Which respiratory diseases contribute to chronic obstructive pulmonary
disorder (COPD)? - ANSWER Bronchitis and emphysema
- ANSWER Modifiable Risk Factors
Cigarette smoking (active/passive)
Occupational exposure to dust and chemicals
Non-Modifiable Developmental Risk Factors
Over the age of 40
Severe respiratory infections as a child
Alpha-1 antitrypsin deficiency
Select the assessment data you would expect to find on a client with
chronic obstructive pulmonary disease (COPD). - ANSWER Limited chest
expansion
Anteroposterior to transverse diameter 1:1 (AP=T)
Rhonchi Rapid, shallow respirations
A client with chronic obstructive pulmonary disease (COPD) reports
difficulty with daily life activities and being "too tired from just breathing to
do anything." Which nursing diagnosis would be most appropriate when
planning interventions - ANSWER Activity intolerance related to fatigue
, A client with severe chronic obstructive pulmonary disease (COPD) asked
the nurse why the healthcare provider ordered a corticosteroid inhaler for
them.
Drag the correct rationale provided by the nurse to the drop-zone. -
ANSWER Corticosteroids decrease inflammation.
Which tests are used to determine the severity and treatment of chronic
obstructive pulmonary disease (COPD)? Select all that apply. - ANSWER
Modified Medical Research Council Dyspnea Scale
COPD Assessment Test
Which outcome would be appropriate for a client with chronic obstructive
pulmonary disease (COPD) who has been discharged home? - ANSWER
The client states they will call the healthcare provider if shortness of breath
increases.
A client is newly diagnosed with chronic obstructive pulmonary disease
(COPD). The nurse is providing education to the client about this disease
process. Which statement made by the client indicates an understanding of
the education about this condition? - ANSWER "Complications from COPD
can lead to pulmonary hypertension and right-sided heart failure."
In a client with advanced chronic obstructive pulmonary disease (COPD),
the nurse would expect to find___in the upper lobes andbreath sounds and
- ANSWER rhonchi
diminished
crackles
A nurse has four clients who all have chronic obstructive pulmonary
disease (COPD). Which client should the nurse see first? - ANSWER A 49-
year-old in a tripod position using accessory muscles to breathe
With which symptoms may a client with advanced chronic obstructive
pulmonary disease (COPD) present? Select the correct findings from the
table below. - ANSWER Dyspnea
Barrel Chest
Hyperinflation
VERIFIED CORRECT ANSWERS/ ALREADY GRADED A++
Which abnormal breath sounds are caused by narrowing of the airways? -
ANSWER Sibilant rhonchi
Bronchovesicular breath sounds can be auscultated over which area of the
lungs? Select all that apply. - ANSWER Sternal area
Mid-scapula area
Identify the correct lung lobe label for their specific locations. Click the
drop-down menu and select the correct answer. - ANSWER ANTERIOR:
1.Right Upper Lobe (RUL)
2.Right Middle Lobe (RML
3.Right Lower Lobe (RLL)
4.Left Upper Lobe (LUL)
5.Left Lower Lobe (LLL)
POSTERIOR
6.Left Upper Lobe (LUL)
7.Left Lower Lobe (LLL)
8.Right Upper Lobe (RUL)
9.Right Lower Lobe (RLL)
Which lifestyle choices impact respiratory health? Select all that apply. -
ANSWER Smoking
Occupation
Exercise
Normal findings of the inspection are____rhythm, rate of breaths per
minute, and chest movement. - ANSWER REGULAR
12-20
symmetrical
Upon palpating the upper chest, the examiner feels crackling, little pockets
of air. The examiner documents this as which of the following terms? -
ANSWER Crepitus
,The nurse is observing the auscultation technique of another nurse. The
correct method to use when progressing from one auscultatory site on the
thorax to another is___COMPARISON - ANSWER SIDE TO SIDE
Which is a non-modifiable risk factor for respiratory problems? Drag the
answer into the box. - ANSWER AGE
During the chest assessment of a client, which reference landmark line
does the examiner note on the lateral chest wall? - ANSWER midaxillary
line
During inspection, the examiner notes unequal chest expansion and
recognizes that this occurs in which situation? - ANSWER Part of the lung
is obstructed or collapsed.
During auscultation of breath sounds, which are the proper techniques?
Select all that apply. - ANSWER Listen to at least one full respiration in
each location.
Use the diaphragm of the stethoscope.
A healthy client in their third trimester of pregnancy states that "baby is
pushing on my lungs, and I can't breathe deeply." What is the examiner's
best reply? - ANSWER "What you are experiencing is normal."
During palpation of the posterior chest wall, the examiner feels vibrations
through the chest wall when the client is talking. This would be documented
as - ANSWER fremitus
When performing the physical assessment on a 4-month-old infant, the
examiner notes that the child has nasal flaring with sternal and intercostal
retractions. What should the examiner's conclusion be? - ANSWER The
infant is in respiratory distress and it is an emergency.
Align the assessment findings to the correct assessment step. Each finding
may be used in more than one assessment step. - ANSWER Inspection:
Shape & Configuration
Use of Accessory Muscles
Symmetric Chest Expansion
Palpation:
Fremitus
,Symmetric Chest Expansion
Auscultation:
Adventitious Sounds
Breath Sounds
According to documentation, the client has course crackles in the left
anterior base. The examiner would like to confirm this finding.
Identify the correct location on the image where the examiner should listen
for the crackles. - ANSWER Left Lower Lobe (LLL)
What assessment finding associated with respiratory distress is found in
the following picture? - ANSWER cyanosis
Which respiratory diseases contribute to chronic obstructive pulmonary
disorder (COPD)? - ANSWER Bronchitis and emphysema
- ANSWER Modifiable Risk Factors
Cigarette smoking (active/passive)
Occupational exposure to dust and chemicals
Non-Modifiable Developmental Risk Factors
Over the age of 40
Severe respiratory infections as a child
Alpha-1 antitrypsin deficiency
Select the assessment data you would expect to find on a client with
chronic obstructive pulmonary disease (COPD). - ANSWER Limited chest
expansion
Anteroposterior to transverse diameter 1:1 (AP=T)
Rhonchi Rapid, shallow respirations
A client with chronic obstructive pulmonary disease (COPD) reports
difficulty with daily life activities and being "too tired from just breathing to
do anything." Which nursing diagnosis would be most appropriate when
planning interventions - ANSWER Activity intolerance related to fatigue
, A client with severe chronic obstructive pulmonary disease (COPD) asked
the nurse why the healthcare provider ordered a corticosteroid inhaler for
them.
Drag the correct rationale provided by the nurse to the drop-zone. -
ANSWER Corticosteroids decrease inflammation.
Which tests are used to determine the severity and treatment of chronic
obstructive pulmonary disease (COPD)? Select all that apply. - ANSWER
Modified Medical Research Council Dyspnea Scale
COPD Assessment Test
Which outcome would be appropriate for a client with chronic obstructive
pulmonary disease (COPD) who has been discharged home? - ANSWER
The client states they will call the healthcare provider if shortness of breath
increases.
A client is newly diagnosed with chronic obstructive pulmonary disease
(COPD). The nurse is providing education to the client about this disease
process. Which statement made by the client indicates an understanding of
the education about this condition? - ANSWER "Complications from COPD
can lead to pulmonary hypertension and right-sided heart failure."
In a client with advanced chronic obstructive pulmonary disease (COPD),
the nurse would expect to find___in the upper lobes andbreath sounds and
- ANSWER rhonchi
diminished
crackles
A nurse has four clients who all have chronic obstructive pulmonary
disease (COPD). Which client should the nurse see first? - ANSWER A 49-
year-old in a tripod position using accessory muscles to breathe
With which symptoms may a client with advanced chronic obstructive
pulmonary disease (COPD) present? Select the correct findings from the
table below. - ANSWER Dyspnea
Barrel Chest
Hyperinflation
