NR 511 CEA / FINAL EXAM PRACTICE TEST
COMPLETE 250-QUESTION BANK
SECTION 1: Cardiovascular & Respiratory Assessment
50 Questions
1. (MC) The Point of Maximum Impulse (PMI) is normally located at which anatomical position?
• A) 2nd intercostal space, right sternal border
• B) 5th intercostal space, left midclavicular line
• C) 4th intercostal space, left axillary line
• D) 6th intercostal space, midaxillary line
2. (MC) A patient presents with dyspnea on exertion, chronic cough, and prolonged expiration.
These findings are MOST consistent with:
• A) Asthma
• B) COPD
• C) Pulmonary embolism
• D) Congestive heart failure
3. (T/F) Atelectasis is a common cause of early postoperative fever and presents with localized
dullness to percussion over lung bases.
4. (FB) Fine crackles that clear after a deep cough are most indicative of transient ______.
5. (MC) Which of the following is a key differentiating feature between asthma and COPD?
• A) Asthma involves irreversible airway obstruction
• B) COPD involves reversible airway obstruction with elevated eosinophils
• C) Asthma involves reversible airway obstruction and is associated with elevated
eosinophils/IgE
, • D) COPD primarily affects children and young adults
6. (SA) A lateral displacement of the PMI suggests which underlying condition? Briefly explain
the pathophysiology.
7. (MC) A patient with known COPD is being evaluated. Which of the following findings would
you expect on examination?
• A) Wheezing that resolves with bronchodilators
• B) Prolonged expiration and chronic productive cough
• C) Elevated serum IgE levels
• D) Normal pulmonary function tests
8. (T/F) Expiratory wheezing is a hallmark finding in both asthma and COPD exacerbations.
9. (FB) The anatomical landmark for assessing the PMI is the ______ intercostal space at the left
midclavicular line.
10. (MC) A post-operative patient develops fever and crackles at the lung bases that clear with
coughing. The most appropriate initial management would be:
• A) Start broad-spectrum antibiotics
• B) Encourage deep breathing and early mobilization
• C) Order a chest CT immediately
• D) Administer diuretics
11. (MC) Which of the following is a hallmark symptom of COPD?
• A) Paroxysmal nocturnal dyspnea
• B) Dyspnea on exertion
• C) Hemoptysis
• D) Pleuritic chest pain
12. (T/F) Asthma is characterized by reversible airway obstruction with elevated eosinophils and
IgE.
13. (FB) The PMI is displaced laterally in patients with ______.
14. (MC) A patient with asthma during an acute exacerbation would MOST likely present with:
, • A) Diminished breath sounds with prolonged expiration
• B) Crackles at the bases
• C) Pleural friction rub
• D) Egophony
15. (SA) Explain the difference in pathophysiology between asthma and COPD regarding airway
obstruction.
16. (MC) Which of the following is NOT a typical finding in COPD?
• A) Chronic cough
• B) Prolonged expiration
• C) Reversible airway obstruction
• D) Dyspnea on exertion
17. (T/F) The PMI is normally located at the 4th intercostal space, left midclavicular line.
18. (FB) Atelectasis is a common cause of early postoperative ______.
19. (MC) A patient with COPD exacerbation presents with worsening dyspnea and wheezing.
The initial treatment should include:
• A) Antibiotics alone
• B) Bronchodilators and corticosteroids
• C) Anticoagulation
• D) Thoracentesis
20. (MC) Which laboratory finding is more commonly associated with asthma than COPD?
• A) Elevated eosinophils and IgE
• B) Elevated BNP
• C) Elevated troponin
• D) Elevated D-dimer
21. (SA) Describe the auscultatory findings expected in a patient with atelectasis.
22. (T/F) COPD is a reversible airway disease that primarily affects children.
23. (FB) The PMI is located at the 5th intercostal space, ______ midclavicular line.
, 24. (MC) A patient with left ventricular hypertrophy would MOST likely have which physical
exam finding?
• A) PMI displaced to the right
• B) PMI displaced laterally
• C) PMI not palpable
• D) PMI at the 2nd intercostal space
25. (MC) Prolonged expiration is a hallmark of which condition?
• A) Restrictive lung disease
• B) COPD
• C) Pulmonary fibrosis
• D) Pneumothorax
26. (T/F) Fine crackles that clear with coughing are indicative of pneumonia.
27. (FB) Asthma is associated with elevated ______ and IgE.
28. (MC) Which of the following is a common trigger for asthma exacerbation?
• A) Allergens
• B) Exercise
• C) Cold air
• D) All of the above
29. (SA) Why is early mobilization important in preventing postoperative atelectasis?
30. (MC) A patient with COPD has a chronic cough and sputum production. This is most
consistent with:
• A) Asthma
• B) Chronic bronchitis phenotype
• C) Emphysema phenotype only
• D) Allergic rhinitis
31. (T/F) The PMI is assessed by inspection and palpation of the chest wall.
32. (FB) COPD is characterized by ______ airway obstruction.
COMPLETE 250-QUESTION BANK
SECTION 1: Cardiovascular & Respiratory Assessment
50 Questions
1. (MC) The Point of Maximum Impulse (PMI) is normally located at which anatomical position?
• A) 2nd intercostal space, right sternal border
• B) 5th intercostal space, left midclavicular line
• C) 4th intercostal space, left axillary line
• D) 6th intercostal space, midaxillary line
2. (MC) A patient presents with dyspnea on exertion, chronic cough, and prolonged expiration.
These findings are MOST consistent with:
• A) Asthma
• B) COPD
• C) Pulmonary embolism
• D) Congestive heart failure
3. (T/F) Atelectasis is a common cause of early postoperative fever and presents with localized
dullness to percussion over lung bases.
4. (FB) Fine crackles that clear after a deep cough are most indicative of transient ______.
5. (MC) Which of the following is a key differentiating feature between asthma and COPD?
• A) Asthma involves irreversible airway obstruction
• B) COPD involves reversible airway obstruction with elevated eosinophils
• C) Asthma involves reversible airway obstruction and is associated with elevated
eosinophils/IgE
, • D) COPD primarily affects children and young adults
6. (SA) A lateral displacement of the PMI suggests which underlying condition? Briefly explain
the pathophysiology.
7. (MC) A patient with known COPD is being evaluated. Which of the following findings would
you expect on examination?
• A) Wheezing that resolves with bronchodilators
• B) Prolonged expiration and chronic productive cough
• C) Elevated serum IgE levels
• D) Normal pulmonary function tests
8. (T/F) Expiratory wheezing is a hallmark finding in both asthma and COPD exacerbations.
9. (FB) The anatomical landmark for assessing the PMI is the ______ intercostal space at the left
midclavicular line.
10. (MC) A post-operative patient develops fever and crackles at the lung bases that clear with
coughing. The most appropriate initial management would be:
• A) Start broad-spectrum antibiotics
• B) Encourage deep breathing and early mobilization
• C) Order a chest CT immediately
• D) Administer diuretics
11. (MC) Which of the following is a hallmark symptom of COPD?
• A) Paroxysmal nocturnal dyspnea
• B) Dyspnea on exertion
• C) Hemoptysis
• D) Pleuritic chest pain
12. (T/F) Asthma is characterized by reversible airway obstruction with elevated eosinophils and
IgE.
13. (FB) The PMI is displaced laterally in patients with ______.
14. (MC) A patient with asthma during an acute exacerbation would MOST likely present with:
, • A) Diminished breath sounds with prolonged expiration
• B) Crackles at the bases
• C) Pleural friction rub
• D) Egophony
15. (SA) Explain the difference in pathophysiology between asthma and COPD regarding airway
obstruction.
16. (MC) Which of the following is NOT a typical finding in COPD?
• A) Chronic cough
• B) Prolonged expiration
• C) Reversible airway obstruction
• D) Dyspnea on exertion
17. (T/F) The PMI is normally located at the 4th intercostal space, left midclavicular line.
18. (FB) Atelectasis is a common cause of early postoperative ______.
19. (MC) A patient with COPD exacerbation presents with worsening dyspnea and wheezing.
The initial treatment should include:
• A) Antibiotics alone
• B) Bronchodilators and corticosteroids
• C) Anticoagulation
• D) Thoracentesis
20. (MC) Which laboratory finding is more commonly associated with asthma than COPD?
• A) Elevated eosinophils and IgE
• B) Elevated BNP
• C) Elevated troponin
• D) Elevated D-dimer
21. (SA) Describe the auscultatory findings expected in a patient with atelectasis.
22. (T/F) COPD is a reversible airway disease that primarily affects children.
23. (FB) The PMI is located at the 5th intercostal space, ______ midclavicular line.
, 24. (MC) A patient with left ventricular hypertrophy would MOST likely have which physical
exam finding?
• A) PMI displaced to the right
• B) PMI displaced laterally
• C) PMI not palpable
• D) PMI at the 2nd intercostal space
25. (MC) Prolonged expiration is a hallmark of which condition?
• A) Restrictive lung disease
• B) COPD
• C) Pulmonary fibrosis
• D) Pneumothorax
26. (T/F) Fine crackles that clear with coughing are indicative of pneumonia.
27. (FB) Asthma is associated with elevated ______ and IgE.
28. (MC) Which of the following is a common trigger for asthma exacerbation?
• A) Allergens
• B) Exercise
• C) Cold air
• D) All of the above
29. (SA) Why is early mobilization important in preventing postoperative atelectasis?
30. (MC) A patient with COPD has a chronic cough and sputum production. This is most
consistent with:
• A) Asthma
• B) Chronic bronchitis phenotype
• C) Emphysema phenotype only
• D) Allergic rhinitis
31. (T/F) The PMI is assessed by inspection and palpation of the chest wall.
32. (FB) COPD is characterized by ______ airway obstruction.
