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1. A 58-year-old male with a history of COPD presents with
increased shortness of breath. Which assessment finding would
indicate the need for immediate intervention?
A. Oxygen saturation of 89% on room air
B. Use of accessory muscles to breathe
C. A productive cough with green sputum
D. A respiratory rate of 22 breaths per minute
Answer: A
Rationale: An oxygen saturation below 90% indicates
hypoxemia and requires prompt intervention to improve
oxygenation.
2. During a cardiovascular assessment, you note III/VI
systolic murmur best heard at the right sternal border. Which
additional finding would be most concerning?
A. Carotid pulse with a brisk upstroke
B. Jugular venous distension
C. A displaced apical impulse
D. Pitting edema in the lower extremities
Answer: B
Rationale: Jugular venous distension can indicate right-sided
heart failure and warrants further evaluation.
ANCC AGACNP Advanced Physical Assessment Comprehensive CBT Exam Guide Q & S 2026 Complete And Study material 25pages LEARNEXAMS
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