NSG 3130 Exam 4 Fundamental Concepts and Skills for
Nursing Practice II 2026-2027 Latest Practice Test with 130
Questions and Correct Answers/ NSG 3130 Exam 4
The nurse is caring for a patient with severe COPD who is becoming increasingly
confused and disoriented. What is the priority action of the nurse?
A. Administer a mild sedative and reorient the patient as needed.
B. Increase the patient's oxygen until the pulse oximetry is greater than 98%.
C. Obtain an arterial blood gas to check for carbon dioxide retention.
D. Lower the head of the patient's bed and insert a nasal airway.
C
The nurse is caring for a patient who has been prescribed warfarin (Coumadin)
therapy after being diagnosed with atrial fibrillation. The patient asks the nurse
what could happen if the prescription doesn't get filled. What is the nurse's best
response?
A. "You could go into respiratory failure."
B. "You could develop heart failure."
C. "You could have a stroke."
D. "Your kidneys could fail."
C
The preceptor is working with a new nurse to provide care for a patient with a
chest tube to relieve a pneumothorax. Which action by the new nurse indicates
need for additional teaching about chest tube care?
A. The patient is encouraged to use his incentive spirometer at least 10 times every
hour.
B. The patient's bed is placed in the semi-Fowler's position to facilitate lung
reexpansion.
C. The suction is discontinued when the patient is ambulated to the bathroom.
D. The collection device is emptied at the end of the shift and output recorded in
the chart.
D
1
,The nurse is caring for a postoperative patient who has just been diagnosed with a
deep vein thrombosis (DVT) in the right leg. Which focused assessment question
has the highest priority for this patient?
A. "Do you have any chest pain or shortness of breath?"
B. "When did you first notice the swelling and redness in your leg?"
C. "Do you have a headache or any dizziness?"
D. "Do you have any cramping or muscle spasms in your leg?"
A
The nurse identifies which patient who would benefit from postural drainage?
A. A patient with a heart murmur and jugular venous distention.
B. A patient with right-sided heart failure and pitting edema.
C. A patient with asthma and audible wheezing.
D. A patient with chronic bronchitis and congested cough.
D
The nurse is caring for a patient who has a history of congestive heart failure with
generalized pitting edema. Which laboratory results will the nurse expect to find in
the patient's chart?
A. Hematocrit 32%
B. Prothrombin time 8.8 seconds
C. Platelet count 450,000/mm3
D. Glycosylated hemoglobin 12%
A
The nurse is caring for a patient with high cholesterol who has been prescribed
atorvastatin (Lipitor). Which laboratory result indicates that the patient has been
taking the medication as ordered and following the physician's dietary
recommendations?
A. High-density lipoproteins (HDL) 56 mg/dL
B. Low-density lipoproteins (LDL) 155 mg/dL
C. Total cholesterol level 185 mg/dL
D. Serum triglyceride level 325 mg/dL
C
The nurse is caring for a patient who has presented to the ER with chest pain.
Which diagnostic test will best indicate if there is significant blockage of important
2
, blood vessels that provide oxygen to the heart muscle?
A. Echocardiogram
B. Electrocardiogram
C. Cardiac catheterization
D. Chest x-ray
C
The nurse hears a loud murmur when listening to the patient's heart. Which
diagnostic test will best display the condition of the valves and structures within
the patient's heart that could be causing the murmur?
A. Chest x-ray
B. Echocardiogram
C. Cardiac catheterization
D. Electrocardiogram
B
The nurse is caring for a patient who will be returning to the nursing unit following
a cardiac catheterization via the right femoral artery. Which assessment is the
highest priority for the nurse to perform when the patient arrives on the unit?
A. Checking pulse oximetry and listening to the patient's lung sounds
B. Checking the patient's right pedal pulse and warmth of the right leg
C. Estimating the patient's jugular venous pressure
D. Checking bilateral radial pulses to check for a pulse deficit
B
The home care nurse is caring for a patient who has severe COPD and home
oxygen therapy. The patient tells the nurse that she feels much better after
increasing the oxygen flowmeter from 2 L to 5 L/min. The patient's pulse oximetry
is 98%. What is the priority action of the nurse?
A. Reduce the oxygen flow rate until the patient's pulse oximetry value is more
than 88%.
B. Inform the patient's physician and obtain an order for oxygen at 5 L/min.
C. Document the intervention and findings in the patient's medical record.
D. Listen to the patient's lung fields and reinforce pursed-lip breathing techniques.
A
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Nursing Practice II 2026-2027 Latest Practice Test with 130
Questions and Correct Answers/ NSG 3130 Exam 4
The nurse is caring for a patient with severe COPD who is becoming increasingly
confused and disoriented. What is the priority action of the nurse?
A. Administer a mild sedative and reorient the patient as needed.
B. Increase the patient's oxygen until the pulse oximetry is greater than 98%.
C. Obtain an arterial blood gas to check for carbon dioxide retention.
D. Lower the head of the patient's bed and insert a nasal airway.
C
The nurse is caring for a patient who has been prescribed warfarin (Coumadin)
therapy after being diagnosed with atrial fibrillation. The patient asks the nurse
what could happen if the prescription doesn't get filled. What is the nurse's best
response?
A. "You could go into respiratory failure."
B. "You could develop heart failure."
C. "You could have a stroke."
D. "Your kidneys could fail."
C
The preceptor is working with a new nurse to provide care for a patient with a
chest tube to relieve a pneumothorax. Which action by the new nurse indicates
need for additional teaching about chest tube care?
A. The patient is encouraged to use his incentive spirometer at least 10 times every
hour.
B. The patient's bed is placed in the semi-Fowler's position to facilitate lung
reexpansion.
C. The suction is discontinued when the patient is ambulated to the bathroom.
D. The collection device is emptied at the end of the shift and output recorded in
the chart.
D
1
,The nurse is caring for a postoperative patient who has just been diagnosed with a
deep vein thrombosis (DVT) in the right leg. Which focused assessment question
has the highest priority for this patient?
A. "Do you have any chest pain or shortness of breath?"
B. "When did you first notice the swelling and redness in your leg?"
C. "Do you have a headache or any dizziness?"
D. "Do you have any cramping or muscle spasms in your leg?"
A
The nurse identifies which patient who would benefit from postural drainage?
A. A patient with a heart murmur and jugular venous distention.
B. A patient with right-sided heart failure and pitting edema.
C. A patient with asthma and audible wheezing.
D. A patient with chronic bronchitis and congested cough.
D
The nurse is caring for a patient who has a history of congestive heart failure with
generalized pitting edema. Which laboratory results will the nurse expect to find in
the patient's chart?
A. Hematocrit 32%
B. Prothrombin time 8.8 seconds
C. Platelet count 450,000/mm3
D. Glycosylated hemoglobin 12%
A
The nurse is caring for a patient with high cholesterol who has been prescribed
atorvastatin (Lipitor). Which laboratory result indicates that the patient has been
taking the medication as ordered and following the physician's dietary
recommendations?
A. High-density lipoproteins (HDL) 56 mg/dL
B. Low-density lipoproteins (LDL) 155 mg/dL
C. Total cholesterol level 185 mg/dL
D. Serum triglyceride level 325 mg/dL
C
The nurse is caring for a patient who has presented to the ER with chest pain.
Which diagnostic test will best indicate if there is significant blockage of important
2
, blood vessels that provide oxygen to the heart muscle?
A. Echocardiogram
B. Electrocardiogram
C. Cardiac catheterization
D. Chest x-ray
C
The nurse hears a loud murmur when listening to the patient's heart. Which
diagnostic test will best display the condition of the valves and structures within
the patient's heart that could be causing the murmur?
A. Chest x-ray
B. Echocardiogram
C. Cardiac catheterization
D. Electrocardiogram
B
The nurse is caring for a patient who will be returning to the nursing unit following
a cardiac catheterization via the right femoral artery. Which assessment is the
highest priority for the nurse to perform when the patient arrives on the unit?
A. Checking pulse oximetry and listening to the patient's lung sounds
B. Checking the patient's right pedal pulse and warmth of the right leg
C. Estimating the patient's jugular venous pressure
D. Checking bilateral radial pulses to check for a pulse deficit
B
The home care nurse is caring for a patient who has severe COPD and home
oxygen therapy. The patient tells the nurse that she feels much better after
increasing the oxygen flowmeter from 2 L to 5 L/min. The patient's pulse oximetry
is 98%. What is the priority action of the nurse?
A. Reduce the oxygen flow rate until the patient's pulse oximetry value is more
than 88%.
B. Inform the patient's physician and obtain an order for oxygen at 5 L/min.
C. Document the intervention and findings in the patient's medical record.
D. Listen to the patient's lung fields and reinforce pursed-lip breathing techniques.
A
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