NSG 3130 Exam 4 Review Questions and 100% Correct Answers
Latest 2026-Galen
While performing an assessment, the nurse hears crackles in the patient’s lung fields. The nurse also
learns that the patient is sleeping on three pillows to help with the difficulty breathing during the night.
Which condition will the nurse most likely observe written in the patient’s medical record?
A. Atrial fibrillation
B. Myocardial ischemia
C. Left-sided heart failure
D. Right-sided heart failure
A patient’s heart rate increased from 94 to 164 beats/min. What will the nurse expect?
A. Increase in diastolic filling time
B. Decrease in hemoglobin level
C. Decrease in cardiac output
D. Increase in stroke volume
The nurse is careful to monitor a patient’s cardiac output. Which goal is the nurse trying to achieve?
A. To determine peripheral extremity circulation
B. To determine oxygenation requirements
C. To determine cardiac dysrhythmias
D. To determine ventilation status
A nurse is caring for a group of patients. Which patient should the nurse see first?
A. A patient with hypercapnia wearing an oxygen mask
B. A patient with a chest tube ambulating with the chest tube unclamped
C. A patient with thick secretions being tracheal suctioned first and then orally
D. A patient with a new tracheostomy and tracheostomy obturator at bedside
A patient has inadequate stroke volume related to decreased preload. Which treatment does the nurse
prepare to administer?
A. Diuretics
B. Vasodilators
C. Chest physiotherapy
D. Intravenous (IV) fluids
A nurse is preparing to suction a patient. The pulse is 65 and pulse oximetry is 94%. Which finding will
cause the nurse to stop suctioning?
A. Pulse 75
B. Pulse 80
C. Oxygen saturation 91%
D. Oxygen saturation 88%
The patient has right-sided heart failure. Which finding will the nurse expect when performing an
assessment?
NSG 3130 Exam 4
, A. Peripheral edema
B. Basilar crackles
C. Chest pain
D. Cyanosis
The nurse is caring for a patient with respiratory problems. Which assessment finding indicates a late
sign of hypoxia?
A. Elevated blood pressure
B. Increased pulse rate
C. Restlessness
D. Cyanosis
A nurse is preparing a patient for nasotracheal suctioning. In which order will the nurse perform the
steps, beginning with the first step?
1. Insert catheter.
2. Apply suction and remove.
3. Have patient deep breathe.
4. Encourage patient to cough.
5. Attach catheter to suction system.
6. Rinse catheter and connecting tubing.
A. 1, 2, 3, 4, 5, 6
B. 4, 5, 1, 2, 3, 6
C. 5, 3, 1, 2, 4, 6
D. 3, 1, 2, 5, 4, 6
A nurse is caring for a patient who has poor tissue perfusion as the result of hypertension. When the
patient asks what to eat for breakfast, which meal should the nurse suggest?
A. A cup of nonfat yogurt with granola and a handful of dried apricots
B. Whole wheat toast with butter and a side of bacon
C. A bowl of cereal with whole milk and a banana
D. Omelet with sausage, cheese, and onions
A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) who is receiving 2
L/min of oxygen. Which oxygen delivery device is most appropriate for the nurse to administer the
oxygen?
A. Nasal cannula
B. Simple face mask
C. Non-rebreather mask
D. Partial non-rebreather mask
The nurse needs to closely monitor the oxygen status of an older-adult patient undergoing anesthesia
because of which age-related change?
A. Thinner heart valves cause lipid accumulation and fibrosis.
B. Diminished respiratory muscle strength may cause poor chest expansion.
C. Alterations in mental status prevent patients’ awareness of ineffective breathing.
NSG 3130 Exam 4
Latest 2026-Galen
While performing an assessment, the nurse hears crackles in the patient’s lung fields. The nurse also
learns that the patient is sleeping on three pillows to help with the difficulty breathing during the night.
Which condition will the nurse most likely observe written in the patient’s medical record?
A. Atrial fibrillation
B. Myocardial ischemia
C. Left-sided heart failure
D. Right-sided heart failure
A patient’s heart rate increased from 94 to 164 beats/min. What will the nurse expect?
A. Increase in diastolic filling time
B. Decrease in hemoglobin level
C. Decrease in cardiac output
D. Increase in stroke volume
The nurse is careful to monitor a patient’s cardiac output. Which goal is the nurse trying to achieve?
A. To determine peripheral extremity circulation
B. To determine oxygenation requirements
C. To determine cardiac dysrhythmias
D. To determine ventilation status
A nurse is caring for a group of patients. Which patient should the nurse see first?
A. A patient with hypercapnia wearing an oxygen mask
B. A patient with a chest tube ambulating with the chest tube unclamped
C. A patient with thick secretions being tracheal suctioned first and then orally
D. A patient with a new tracheostomy and tracheostomy obturator at bedside
A patient has inadequate stroke volume related to decreased preload. Which treatment does the nurse
prepare to administer?
A. Diuretics
B. Vasodilators
C. Chest physiotherapy
D. Intravenous (IV) fluids
A nurse is preparing to suction a patient. The pulse is 65 and pulse oximetry is 94%. Which finding will
cause the nurse to stop suctioning?
A. Pulse 75
B. Pulse 80
C. Oxygen saturation 91%
D. Oxygen saturation 88%
The patient has right-sided heart failure. Which finding will the nurse expect when performing an
assessment?
NSG 3130 Exam 4
, A. Peripheral edema
B. Basilar crackles
C. Chest pain
D. Cyanosis
The nurse is caring for a patient with respiratory problems. Which assessment finding indicates a late
sign of hypoxia?
A. Elevated blood pressure
B. Increased pulse rate
C. Restlessness
D. Cyanosis
A nurse is preparing a patient for nasotracheal suctioning. In which order will the nurse perform the
steps, beginning with the first step?
1. Insert catheter.
2. Apply suction and remove.
3. Have patient deep breathe.
4. Encourage patient to cough.
5. Attach catheter to suction system.
6. Rinse catheter and connecting tubing.
A. 1, 2, 3, 4, 5, 6
B. 4, 5, 1, 2, 3, 6
C. 5, 3, 1, 2, 4, 6
D. 3, 1, 2, 5, 4, 6
A nurse is caring for a patient who has poor tissue perfusion as the result of hypertension. When the
patient asks what to eat for breakfast, which meal should the nurse suggest?
A. A cup of nonfat yogurt with granola and a handful of dried apricots
B. Whole wheat toast with butter and a side of bacon
C. A bowl of cereal with whole milk and a banana
D. Omelet with sausage, cheese, and onions
A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) who is receiving 2
L/min of oxygen. Which oxygen delivery device is most appropriate for the nurse to administer the
oxygen?
A. Nasal cannula
B. Simple face mask
C. Non-rebreather mask
D. Partial non-rebreather mask
The nurse needs to closely monitor the oxygen status of an older-adult patient undergoing anesthesia
because of which age-related change?
A. Thinner heart valves cause lipid accumulation and fibrosis.
B. Diminished respiratory muscle strength may cause poor chest expansion.
C. Alterations in mental status prevent patients’ awareness of ineffective breathing.
NSG 3130 Exam 4
