NSG 4100 Exam 3 Questions and
Answers with Rationales Top Rated
Latest Version 2026
Question 1:
What is the most appropriate nursing action for a patient with a
suspected stroke?
A) Position the patient in a lateral position
B) Perform a neurologic assessment
C) Administer oxygen
D) Encourage the patient to drink fluids
Answer: B) Perform a neurologic assessment
Rationale: A thorough neurologic assessment is critical in suspected
stroke cases to determine the extent of deficits and guide immediate
interventions.
Question 2:
In caring for a patient with a history of heart failure, what sign would
indicate worsening cardiac function?
A) Weight loss
B) Decreased heart rate
C) Increased peripheral edema
D) Improved exercise tolerance
Answer: C) Increased peripheral edema
,Rationale: Increased peripheral edema is a sign of fluid retention and
worsening heart failure, indicating that the heart is not effectively
pumping blood.
Question 3:
For a patient receiving insulin therapy, which condition would require
immediate intervention by the nurse?
A) Blood glucose level of 150 mg/dL
B) Dizziness and tremors
C) Mild headache
D) Stable vital signs
Answer: B) Dizziness and tremors
Rationale: Dizziness and tremors can be indicative of hypoglycemia,
which requires prompt intervention, such as administering glucose.
Question 4:
A patient with chronic kidney disease (CKD) is being discharged. Which
dietary recommendation should the nurse emphasize?
A) Increase protein intake
B) Limit potassium intake
C) Consume high-fiber foods
D) Avoid all carbohydrates
Answer: B) Limit potassium intake
Rationale: Patients with CKD often have difficulty excreting potassium,
making it essential to limit potassium intake to prevent hyperkalemia.
,Question 5:
What is the most important nursing action for a patient experiencing
acute pain after surgery?
A) Encourage ambulation
B) Administer prescribed pain medications
C) Provide cold packs to the site
D) Limit fluid intake
Answer: B) Administer prescribed pain medications
Rationale: Administering pain medications as prescribed is critical to
managing acute pain effectively and improving the patient’s comfort and
recovery.
Question 6:
Which of the following assessments should a nurse perform on a patient
with acute pancreatitis?
A) Assess for signs of renal failure
B) Monitor daily weights
C) Evaluate abdominal pain and tenderness
D) Check for signs of hyperglycemia
Answer: C) Evaluate abdominal pain and tenderness
Rationale: Assessing abdominal pain and tenderness is crucial in
patients with acute pancreatitis to monitor the severity and response to
treatment.
, Question 7:
What should the nurse prioritize when planning care for a patient with
coronary artery disease (CAD)?
A) Encourage calorie-rich snacks
B) Promote a low-cholesterol diet
C) Recommend bed rest at all times
D) Discourage any form of exercise
Answer: B) Promote a low-cholesterol diet
Rationale: A low-cholesterol diet is vital in managing CAD to help
reduce the risk of further atherosclerosis and cardiac events.
Question 8:
When taking care of a patient using anticoagulants, which laboratory test
is essential to monitor?
A) CBC (Complete Blood Count)
B) INR (International Normalized Ratio)
C) BUN (Blood Urea Nitrogen)
D) Serum glucose
Answer: B) INR (International Normalized Ratio)
Rationale: Monitoring the INR is crucial for patients on anticoagulants,
especially warfarin, to manage dosing and prevent complications like
bleeding.
Question 9:
Answers with Rationales Top Rated
Latest Version 2026
Question 1:
What is the most appropriate nursing action for a patient with a
suspected stroke?
A) Position the patient in a lateral position
B) Perform a neurologic assessment
C) Administer oxygen
D) Encourage the patient to drink fluids
Answer: B) Perform a neurologic assessment
Rationale: A thorough neurologic assessment is critical in suspected
stroke cases to determine the extent of deficits and guide immediate
interventions.
Question 2:
In caring for a patient with a history of heart failure, what sign would
indicate worsening cardiac function?
A) Weight loss
B) Decreased heart rate
C) Increased peripheral edema
D) Improved exercise tolerance
Answer: C) Increased peripheral edema
,Rationale: Increased peripheral edema is a sign of fluid retention and
worsening heart failure, indicating that the heart is not effectively
pumping blood.
Question 3:
For a patient receiving insulin therapy, which condition would require
immediate intervention by the nurse?
A) Blood glucose level of 150 mg/dL
B) Dizziness and tremors
C) Mild headache
D) Stable vital signs
Answer: B) Dizziness and tremors
Rationale: Dizziness and tremors can be indicative of hypoglycemia,
which requires prompt intervention, such as administering glucose.
Question 4:
A patient with chronic kidney disease (CKD) is being discharged. Which
dietary recommendation should the nurse emphasize?
A) Increase protein intake
B) Limit potassium intake
C) Consume high-fiber foods
D) Avoid all carbohydrates
Answer: B) Limit potassium intake
Rationale: Patients with CKD often have difficulty excreting potassium,
making it essential to limit potassium intake to prevent hyperkalemia.
,Question 5:
What is the most important nursing action for a patient experiencing
acute pain after surgery?
A) Encourage ambulation
B) Administer prescribed pain medications
C) Provide cold packs to the site
D) Limit fluid intake
Answer: B) Administer prescribed pain medications
Rationale: Administering pain medications as prescribed is critical to
managing acute pain effectively and improving the patient’s comfort and
recovery.
Question 6:
Which of the following assessments should a nurse perform on a patient
with acute pancreatitis?
A) Assess for signs of renal failure
B) Monitor daily weights
C) Evaluate abdominal pain and tenderness
D) Check for signs of hyperglycemia
Answer: C) Evaluate abdominal pain and tenderness
Rationale: Assessing abdominal pain and tenderness is crucial in
patients with acute pancreatitis to monitor the severity and response to
treatment.
, Question 7:
What should the nurse prioritize when planning care for a patient with
coronary artery disease (CAD)?
A) Encourage calorie-rich snacks
B) Promote a low-cholesterol diet
C) Recommend bed rest at all times
D) Discourage any form of exercise
Answer: B) Promote a low-cholesterol diet
Rationale: A low-cholesterol diet is vital in managing CAD to help
reduce the risk of further atherosclerosis and cardiac events.
Question 8:
When taking care of a patient using anticoagulants, which laboratory test
is essential to monitor?
A) CBC (Complete Blood Count)
B) INR (International Normalized Ratio)
C) BUN (Blood Urea Nitrogen)
D) Serum glucose
Answer: B) INR (International Normalized Ratio)
Rationale: Monitoring the INR is crucial for patients on anticoagulants,
especially warfarin, to manage dosing and prevent complications like
bleeding.
Question 9:
