Practice Question
62-year-old woman reports worsening shortness of breath and a chronic morning cough. She has a 30-pack-year smoking history and works as a baker. The nurse begins collecting an environmental exposure history using the I PREPARE model. Which action should the nurse take FIRST to guide further respiratory assessment?
Answer Choices:
Correct Answer:
Ask about current and past workplace exposures to particulate matter
Rationale:
🟤 The I PREPARE model begins with evaluating environmental exposures, making occupational assessment the first step.
🟤 As a baker, the patient may inhale flour dust, spores, or particulate matter that worsen chronic respiratory symptoms.
🟤 Identifying workplace triggers guides the need for masks, ventilation adjustments, or referral to occupational medicine.
🟤 This step also helps differentiate COPD from occupational lung diseases such as baker’s asthma.
❌ Ask whether she has traveled recently to areas where fungal lung diseases are common— Travel exposure is not the first step.
❌ Ask whether her sputum has a foul odor or rust color— Assesses infection but not environmental history.
❌ Ask whether her dyspnea is relieved by sitting upright— Identifies orthopnea, not exposure risks.
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This question is from EXAMPLIFY NUR 105 EXAM 3 FALL 2025 which contains 50 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Medical-Surgical
- Answer Choices: 4