NSG 3800 All Exams Binder 2026 – Galen
College of Nursing (U.S.) | Complete Course
Review & Verified Answers | Comprehensive
Nursing Assessment
Q001: A 68-year-old male with a history of COPD and CHF is admitted with acute
shortness of breath. His SpO₂ is 86% on 4 L nasal cannula, respiratory rate 32, and he is
using accessory muscles. Arterial blood gas shows pH 7.28, PaCO₂ 58 mmHg, HCO₃⁻
26 mEq/L, PaO₂ 52 mmHg. Which action should the nurse take first?
Options:
A. Increase oxygen to 6 L/min
B. Administer IV morphine
C. Initiate non-invasive ventilation (BiPAP) - CORRECT
D. Obtain chest X-ray
(Correct Answer: C)
Q002: A 34-year-old postpartum client on magnesium sulfate for preeclampsia develops
flushing, lethargy, and a respiratory rate of 10. Her DTRs are absent. Which medication
should the nurse prepare to administer?
Options:
A. Naloxone
B. Calcium gluconate - CORRECT
C. Potassium chloride
D. Sodium bicarbonate
(Correct Answer: B)
Q003: A 5-year-old child with asthma is admitted after an acute exacerbation. The child
receives albuterol nebulizer and systemic corticosteroids. Which finding indicates
effective airway clearance?
Options:
A. Respiratory rate 32/min
B. Peak expiratory flow 60% of personal best
C. O2 saturation 94% on room air with decreased wheezing - CORRECT
,D. Use of accessory muscles
(Correct Answer: C)
Q004: A 72-year-old female with a history of atrial fibrillation is on warfarin. Her INR is
5.8. She has no active bleeding. Which intervention is most appropriate?
Options:
A. Administer vitamin K 10 mg IV - CORRECT
B. Hold warfarin and recheck INR in 1 week
C. Begin heparin drip
D. Transfuse FFP
(Correct Answer: A)
Q005: A 28-year-old male with schizophrenia is admitted after a suicide attempt. He is
started on haloperidol. Which adverse effect should the nurse monitor for?
Options:
A. Orthostatic hypotension
B. Agranulocytosis
C. Extrapyramidal symptoms - CORRECT
D. Hyperthyroidism
(Correct Answer: C)
Q006: A 40-year-old woman with type 1 diabetes is admitted with diabetic ketoacidosis.
Her blood glucose is 450 mg/dL, pH 7.18, HCO₃⁻ 12 mEq/L. Which order is priority?
Options:
A. Start regular insulin IV drip - CORRECT
B. Administer oral hypoglycemic
C. Give 50% dextrose IV
D. Begin fluid restriction
(Correct Answer: A)
Q007: A 16-year-old is admitted with sickle cell crisis. The patient reports severe pain in
the lower back and legs. Which nursing intervention is priority?
Options:
A. Apply cold compresses to painful areas
B. Encourage ambulation
C. Administer opioid analgesics as ordered - CORRECT
D. Provide high-protein diet
(Correct Answer: C)
,Q008: A 60-year-old male with end-stage renal disease is on hemodialysis. Post-dialysis,
he complains of headache, nausea, and confusion. His BP is 90/60 mmHg. Which
complication is most likely?
Options:
A. Disequilibrium syndrome
B. Hypotension due to ultrafiltration - CORRECT
C. Hyperkalemia
D. Pulmonary embolism
(Correct Answer: B)
Q009: A 32-year-old primigravida at 39 weeks is in active labor. Fetal heart rate shows
late decelerations. Which action should the nurse take first?
Options:
A. Turn the patient onto her left side - CORRECT
B. Start oxytocin infusion
C. Prepare for immediate delivery
D. Administer terbutaline
(Correct Answer: A)
Q010: A 55-year-old male with a history of alcohol use disorder is admitted with acute
pancreatitis. His amylase is 1200 U/L. Which nursing intervention is priority?
Options:
A. Encourage oral intake
B. Insert NG tube to suction
C. Provide pain management and maintain NPO - CORRECT
D. Administer insulin drip
(Correct Answer: C)
Q011: A 70-year-old female with osteoporosis is prescribed alendronate. Which
instruction should the nurse provide?
Options:
A. Take with breakfast and orange juice
B. Take first thing in the morning with 8 oz water and remain upright for 30 minutes -
CORRECT
C. Take at bedtime with milk
D. Take with calcium supplement
(Correct Answer: B)
, Q012: A 45-year-old male with HIV has a CD4 count of 180 cells/mm³. Which precaution
is most important?
Options:
A. Contact isolation
B. Reverse isolation
C. Standard precautions with emphasis on infection prevention - CORRECT
D. Droplet isolation
(Correct Answer: C)
Q013: A 50-year-old female is admitted with acute mania. She is started on lithium.
Which lab value should be monitored closely?
Options:
A. Hemoglobin
B. Serum creatinine - CORRECT
C. Hematocrit
D. Bilirubin
(Correct Answer: B)
Q014: A 6-month-old infant is admitted with bronchiolitis. Which finding indicates
increased work of breathing?
Options:
A. Periodic breathing
B. Nasal flaring and intercostal retractions - CORRECT
C. Bradycardia
D. Hypothermia
(Correct Answer: B)
Q015: A 35-year-old female with Crohn’s disease is receiving infliximab. Which adverse
effect is most concerning?
Options:
A. Mild headache
B. Infusion reaction with hypotension - CORRECT
C. Slight flushing
D. Low-grade fever
(Correct Answer: B)
College of Nursing (U.S.) | Complete Course
Review & Verified Answers | Comprehensive
Nursing Assessment
Q001: A 68-year-old male with a history of COPD and CHF is admitted with acute
shortness of breath. His SpO₂ is 86% on 4 L nasal cannula, respiratory rate 32, and he is
using accessory muscles. Arterial blood gas shows pH 7.28, PaCO₂ 58 mmHg, HCO₃⁻
26 mEq/L, PaO₂ 52 mmHg. Which action should the nurse take first?
Options:
A. Increase oxygen to 6 L/min
B. Administer IV morphine
C. Initiate non-invasive ventilation (BiPAP) - CORRECT
D. Obtain chest X-ray
(Correct Answer: C)
Q002: A 34-year-old postpartum client on magnesium sulfate for preeclampsia develops
flushing, lethargy, and a respiratory rate of 10. Her DTRs are absent. Which medication
should the nurse prepare to administer?
Options:
A. Naloxone
B. Calcium gluconate - CORRECT
C. Potassium chloride
D. Sodium bicarbonate
(Correct Answer: B)
Q003: A 5-year-old child with asthma is admitted after an acute exacerbation. The child
receives albuterol nebulizer and systemic corticosteroids. Which finding indicates
effective airway clearance?
Options:
A. Respiratory rate 32/min
B. Peak expiratory flow 60% of personal best
C. O2 saturation 94% on room air with decreased wheezing - CORRECT
,D. Use of accessory muscles
(Correct Answer: C)
Q004: A 72-year-old female with a history of atrial fibrillation is on warfarin. Her INR is
5.8. She has no active bleeding. Which intervention is most appropriate?
Options:
A. Administer vitamin K 10 mg IV - CORRECT
B. Hold warfarin and recheck INR in 1 week
C. Begin heparin drip
D. Transfuse FFP
(Correct Answer: A)
Q005: A 28-year-old male with schizophrenia is admitted after a suicide attempt. He is
started on haloperidol. Which adverse effect should the nurse monitor for?
Options:
A. Orthostatic hypotension
B. Agranulocytosis
C. Extrapyramidal symptoms - CORRECT
D. Hyperthyroidism
(Correct Answer: C)
Q006: A 40-year-old woman with type 1 diabetes is admitted with diabetic ketoacidosis.
Her blood glucose is 450 mg/dL, pH 7.18, HCO₃⁻ 12 mEq/L. Which order is priority?
Options:
A. Start regular insulin IV drip - CORRECT
B. Administer oral hypoglycemic
C. Give 50% dextrose IV
D. Begin fluid restriction
(Correct Answer: A)
Q007: A 16-year-old is admitted with sickle cell crisis. The patient reports severe pain in
the lower back and legs. Which nursing intervention is priority?
Options:
A. Apply cold compresses to painful areas
B. Encourage ambulation
C. Administer opioid analgesics as ordered - CORRECT
D. Provide high-protein diet
(Correct Answer: C)
,Q008: A 60-year-old male with end-stage renal disease is on hemodialysis. Post-dialysis,
he complains of headache, nausea, and confusion. His BP is 90/60 mmHg. Which
complication is most likely?
Options:
A. Disequilibrium syndrome
B. Hypotension due to ultrafiltration - CORRECT
C. Hyperkalemia
D. Pulmonary embolism
(Correct Answer: B)
Q009: A 32-year-old primigravida at 39 weeks is in active labor. Fetal heart rate shows
late decelerations. Which action should the nurse take first?
Options:
A. Turn the patient onto her left side - CORRECT
B. Start oxytocin infusion
C. Prepare for immediate delivery
D. Administer terbutaline
(Correct Answer: A)
Q010: A 55-year-old male with a history of alcohol use disorder is admitted with acute
pancreatitis. His amylase is 1200 U/L. Which nursing intervention is priority?
Options:
A. Encourage oral intake
B. Insert NG tube to suction
C. Provide pain management and maintain NPO - CORRECT
D. Administer insulin drip
(Correct Answer: C)
Q011: A 70-year-old female with osteoporosis is prescribed alendronate. Which
instruction should the nurse provide?
Options:
A. Take with breakfast and orange juice
B. Take first thing in the morning with 8 oz water and remain upright for 30 minutes -
CORRECT
C. Take at bedtime with milk
D. Take with calcium supplement
(Correct Answer: B)
, Q012: A 45-year-old male with HIV has a CD4 count of 180 cells/mm³. Which precaution
is most important?
Options:
A. Contact isolation
B. Reverse isolation
C. Standard precautions with emphasis on infection prevention - CORRECT
D. Droplet isolation
(Correct Answer: C)
Q013: A 50-year-old female is admitted with acute mania. She is started on lithium.
Which lab value should be monitored closely?
Options:
A. Hemoglobin
B. Serum creatinine - CORRECT
C. Hematocrit
D. Bilirubin
(Correct Answer: B)
Q014: A 6-month-old infant is admitted with bronchiolitis. Which finding indicates
increased work of breathing?
Options:
A. Periodic breathing
B. Nasal flaring and intercostal retractions - CORRECT
C. Bradycardia
D. Hypothermia
(Correct Answer: B)
Q015: A 35-year-old female with Crohn’s disease is receiving infliximab. Which adverse
effect is most concerning?
Options:
A. Mild headache
B. Infusion reaction with hypotension - CORRECT
C. Slight flushing
D. Low-grade fever
(Correct Answer: B)
