PCHA FINAL EXAM TEST AND
PRACTICE EXAM QUESTIONS 2025
NEWEST COMPLETE EXAM
QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+
The patient is admitted to the hospital after a three day
history of severe vomiting and diarrhea secondary to a
bacterial infection of the colon. The patient is otherwise
in good health with no chronic illnesses. The baseline
blood pressure is 130/84, pulse 78. During the admission
assessment, what might the nurse expect the patient's
vital signs to be based on the illness? (All blood pressures
taken in the supine (lying) position). -
....ANSWER...Pulse: 130, Blood Pressure: 90/50, Resp:
24, Temp: 102°F
The nurse is observing a student who is listening to a
patient's lungs. Which action by the student indicates a
need to review respiratory assessment skills? -
,....ANSWER...The student auscultates over the
scapulae.
Mrs. M. is admitted for pneumonia in her right middle
lobe. Where would the practitioner expect to auscultate
decreased or adventitious breath sounds? -
....ANSWER...On the anterior and lateral chest,
between the 4th and 6th ribs approximately, starting
from the midaxillary line to the right sternal border.
Your client has a long history of chronic obstructive
pulmonary disease. Which of the following are you most
likely to observe? - ....ANSWER...all of the above
- an anterior-posterior (AP) : transverse diameter ratio
of 1:1.
- pursed lip breathing
- tripod position when sitting
A 25-year-old female college student comes to the
Emergency Department after she has fallen down the
stairs. She has sudden, sharp pain on the right side of
her chest with shortness of breath. Thoracic expansion is
asymmetrical, with little movement of her right side.
Her trachea is deviated toward the left side. She has
hyperresonant percussion sounds on the right chest and
,resonant sounds on the left chest. There are no breath
sounds heard on the right. This description is most
consistent with: - ....ANSWER...pneumothorax
Expected assessment findings in the normal adult lung
include the presence of: - ....ANSWER...resonant
percussion tones over lung tissue and symmetrical
thoracic expansion.
When auscultating the posterior lower lung lobes of the
adult client, the practitioner notes low pitched, soft
breath sounds with inspiration being longer than
expiration. The practitioner knows that these are: -
....ANSWER...vesicular breath sounds and are normal
in that location
Which of the following techniques is appropriate during
auscultation of breath sounds? - ....ANSWER...Listen to
at least one full respiration (inspiration and expiration)
in each location.
The angle of Louis: - ....ANSWER...is a landmark used
to mark tracheal bifurcation anteriorly.
, When inspecting the anterior chest of an adult, the nurse
should assess for: (choose all that apply)
1. diaphragmatic excursion.
2. symmetric chest expansion.
3. the presence of breath sounds.
4. the shape and configuration of the chest wall.
5. retractions or bulging
6. skin temperature
7. use of accessory muscles - ....ANSWER...2, 4, 5, 7
The nurse has noted unequal chest expansion and
recognizes that this occurs when: - ....ANSWER...part of
the lung is obstructed or collapsed
When listening to heart sounds, the nurse knows that
which of the following statements concerning S1 is true?
- ....ANSWER...S1 is caused by closure of the mitral and
tricuspid valves.
Ms. Key has a visible apical impulse in the seventh to
eighth left intercostal space lateral to the midclavicular
line. Upon palpation, the impulse, which feels like a
short 'tap', is approximately 5 cm in diameter and feels
PRACTICE EXAM QUESTIONS 2025
NEWEST COMPLETE EXAM
QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+
The patient is admitted to the hospital after a three day
history of severe vomiting and diarrhea secondary to a
bacterial infection of the colon. The patient is otherwise
in good health with no chronic illnesses. The baseline
blood pressure is 130/84, pulse 78. During the admission
assessment, what might the nurse expect the patient's
vital signs to be based on the illness? (All blood pressures
taken in the supine (lying) position). -
....ANSWER...Pulse: 130, Blood Pressure: 90/50, Resp:
24, Temp: 102°F
The nurse is observing a student who is listening to a
patient's lungs. Which action by the student indicates a
need to review respiratory assessment skills? -
,....ANSWER...The student auscultates over the
scapulae.
Mrs. M. is admitted for pneumonia in her right middle
lobe. Where would the practitioner expect to auscultate
decreased or adventitious breath sounds? -
....ANSWER...On the anterior and lateral chest,
between the 4th and 6th ribs approximately, starting
from the midaxillary line to the right sternal border.
Your client has a long history of chronic obstructive
pulmonary disease. Which of the following are you most
likely to observe? - ....ANSWER...all of the above
- an anterior-posterior (AP) : transverse diameter ratio
of 1:1.
- pursed lip breathing
- tripod position when sitting
A 25-year-old female college student comes to the
Emergency Department after she has fallen down the
stairs. She has sudden, sharp pain on the right side of
her chest with shortness of breath. Thoracic expansion is
asymmetrical, with little movement of her right side.
Her trachea is deviated toward the left side. She has
hyperresonant percussion sounds on the right chest and
,resonant sounds on the left chest. There are no breath
sounds heard on the right. This description is most
consistent with: - ....ANSWER...pneumothorax
Expected assessment findings in the normal adult lung
include the presence of: - ....ANSWER...resonant
percussion tones over lung tissue and symmetrical
thoracic expansion.
When auscultating the posterior lower lung lobes of the
adult client, the practitioner notes low pitched, soft
breath sounds with inspiration being longer than
expiration. The practitioner knows that these are: -
....ANSWER...vesicular breath sounds and are normal
in that location
Which of the following techniques is appropriate during
auscultation of breath sounds? - ....ANSWER...Listen to
at least one full respiration (inspiration and expiration)
in each location.
The angle of Louis: - ....ANSWER...is a landmark used
to mark tracheal bifurcation anteriorly.
, When inspecting the anterior chest of an adult, the nurse
should assess for: (choose all that apply)
1. diaphragmatic excursion.
2. symmetric chest expansion.
3. the presence of breath sounds.
4. the shape and configuration of the chest wall.
5. retractions or bulging
6. skin temperature
7. use of accessory muscles - ....ANSWER...2, 4, 5, 7
The nurse has noted unequal chest expansion and
recognizes that this occurs when: - ....ANSWER...part of
the lung is obstructed or collapsed
When listening to heart sounds, the nurse knows that
which of the following statements concerning S1 is true?
- ....ANSWER...S1 is caused by closure of the mitral and
tricuspid valves.
Ms. Key has a visible apical impulse in the seventh to
eighth left intercostal space lateral to the midclavicular
line. Upon palpation, the impulse, which feels like a
short 'tap', is approximately 5 cm in diameter and feels
