NSG 3850 EXAM 3 LATEST 2026 UPDATE 100
QUESTIONS AND DETAILED VERIFIED ANSWERS
FROM ACTUAL EXAMS TEST GRADE A+
1.
A nurse is assessing a client with heart failure. Which finding indicates worsening
condition?
A. Weight loss of 1 lb/day
B. Clear lung sounds
C. Increased peripheral edema
D. Decreased heart rate
Answer: C. Increased peripheral edema
Rationale: Fluid retention leads to edema and signals worsening heart failure.
2.
A client with COPD is receiving oxygen. What is the priority nursing action?
A. Administer high-flow oxygen
B. Monitor respiratory rate
C. Keep oxygen saturation at 100%
D. Limit fluid intake
Answer: B. Monitor respiratory rate
Rationale: COPD patients rely on hypoxic drive; respiratory status must be closely
monitored.
3.
,Which lab value requires immediate intervention?
A. Sodium 140 mEq/L
B. Potassium 6.2 mEq/L
C. Hemoglobin 13 g/dL
D. Platelets 250,000
Answer: B. Potassium 6.2 mEq/L
Rationale: Hyperkalemia can cause life-threatening cardiac dysrhythmias.
4.
A nurse is caring for a postoperative client. Which finding suggests infection?
A. Temperature 98.6°F
B. Redness and warmth at incision
C. Clear drainage
D. Decreased pain
Answer: B. Redness and warmth at incision
Rationale: Local inflammation signs indicate infection.
5.
Which position improves oxygenation in a dyspneic client?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Sims
Answer: C. High Fowler’s
Rationale: Maximizes lung expansion and improves breathing.
6.
,A client with diabetes has blood glucose of 55 mg/dL. What is the priority action?
A. Administer insulin
B. Give 15 g carbohydrate
C. Start IV fluids
D. Call provider
Answer: B. Give 15 g carbohydrate
Rationale: Immediate treatment for hypoglycemia is rapid glucose intake.
7.
Which sign indicates hypovolemic shock?
A. Bradycardia
B. Warm skin
C. Hypotension
D. Bounding pulse
Answer: C. Hypotension
Rationale: Loss of volume leads to decreased blood pressure.
8.
A client receiving morphine develops respiratory depression. What is the
antidote?
A. Flumazenil
B. Naloxone
C. Atropine
D. Epinephrine
Answer: B. Naloxone
Rationale: Naloxone reverses opioid effects.
9.
, Which electrolyte imbalance causes muscle weakness and arrhythmias?
A. Hypercalcemia
B. Hypokalemia
C. Hypernatremia
D. Hypophosphatemia
Answer: B. Hypokalemia
Rationale: Low potassium affects muscle and cardiac function.
10.
A nurse is caring for a client with sepsis. What is the priority intervention?
A. Antibiotics
B. Pain control
C. Nutrition
D. Mobility
Answer: A. Antibiotics
Rationale: Early antibiotic administration reduces mortality.
11.
Which symptom is expected in hyperglycemia?
A. Sweating
B. Confusion
C. Polyuria
D. Tremors
Answer: C. Polyuria
Rationale: High glucose causes osmotic diuresis.
12.
QUESTIONS AND DETAILED VERIFIED ANSWERS
FROM ACTUAL EXAMS TEST GRADE A+
1.
A nurse is assessing a client with heart failure. Which finding indicates worsening
condition?
A. Weight loss of 1 lb/day
B. Clear lung sounds
C. Increased peripheral edema
D. Decreased heart rate
Answer: C. Increased peripheral edema
Rationale: Fluid retention leads to edema and signals worsening heart failure.
2.
A client with COPD is receiving oxygen. What is the priority nursing action?
A. Administer high-flow oxygen
B. Monitor respiratory rate
C. Keep oxygen saturation at 100%
D. Limit fluid intake
Answer: B. Monitor respiratory rate
Rationale: COPD patients rely on hypoxic drive; respiratory status must be closely
monitored.
3.
,Which lab value requires immediate intervention?
A. Sodium 140 mEq/L
B. Potassium 6.2 mEq/L
C. Hemoglobin 13 g/dL
D. Platelets 250,000
Answer: B. Potassium 6.2 mEq/L
Rationale: Hyperkalemia can cause life-threatening cardiac dysrhythmias.
4.
A nurse is caring for a postoperative client. Which finding suggests infection?
A. Temperature 98.6°F
B. Redness and warmth at incision
C. Clear drainage
D. Decreased pain
Answer: B. Redness and warmth at incision
Rationale: Local inflammation signs indicate infection.
5.
Which position improves oxygenation in a dyspneic client?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Sims
Answer: C. High Fowler’s
Rationale: Maximizes lung expansion and improves breathing.
6.
,A client with diabetes has blood glucose of 55 mg/dL. What is the priority action?
A. Administer insulin
B. Give 15 g carbohydrate
C. Start IV fluids
D. Call provider
Answer: B. Give 15 g carbohydrate
Rationale: Immediate treatment for hypoglycemia is rapid glucose intake.
7.
Which sign indicates hypovolemic shock?
A. Bradycardia
B. Warm skin
C. Hypotension
D. Bounding pulse
Answer: C. Hypotension
Rationale: Loss of volume leads to decreased blood pressure.
8.
A client receiving morphine develops respiratory depression. What is the
antidote?
A. Flumazenil
B. Naloxone
C. Atropine
D. Epinephrine
Answer: B. Naloxone
Rationale: Naloxone reverses opioid effects.
9.
, Which electrolyte imbalance causes muscle weakness and arrhythmias?
A. Hypercalcemia
B. Hypokalemia
C. Hypernatremia
D. Hypophosphatemia
Answer: B. Hypokalemia
Rationale: Low potassium affects muscle and cardiac function.
10.
A nurse is caring for a client with sepsis. What is the priority intervention?
A. Antibiotics
B. Pain control
C. Nutrition
D. Mobility
Answer: A. Antibiotics
Rationale: Early antibiotic administration reduces mortality.
11.
Which symptom is expected in hyperglycemia?
A. Sweating
B. Confusion
C. Polyuria
D. Tremors
Answer: C. Polyuria
Rationale: High glucose causes osmotic diuresis.
12.
