NSG 3130 Exam 4 Fundamental Concepts and Skills for
Nursing Practice II: (Latest 2026/2027 ) 60 Questions &
Answers with Detailed Rationales | Grade A
PREPARED FOR:
NSG 3130 Fundamental Concepts and Skills for Nursing Practice II - Exam 4
DOCUMENT INCLUDES:
● Practice exam questions
● Correct answers
● Detailed rationales
● Key topics covered
TOPICS COVERED:
● Advanced Wound Care & Ostomy Care
● Perioperative Nursing (Pre/Intra/Postoperative Care)
● IV Therapy & Central Lines
● Advanced Medication Administration
● Respiratory Interventions (Oxygen Therapy, Suctioning, Chest Tubes)
● Cardiac Monitoring & Interventions
● Gastrointestinal Interventions (NG Tubes, Enteral Feeding)
● Urinary Interventions (Catheterization, Bladder Irrigation)
● Immobility & Complications (DVT, Pressure Injuries)
● End-of-Life Care
PURPOSE:
This comprehensive practice test is designed to help NSG 3130 students master
advanced nursing concepts and skills, develop clinical reasoning, and confidently
prepare for Exam 4.
SECTION 1: Advanced Wound Care & Ostomy Care
,Question 1
A nurse is assessing a pressure injury on a patient's sacrum. The wound bed is
completely covered with thick, black, leathery tissue, and the true depth cannot be
visualized. How should the nurse stage this pressure injury?
A. Stage 1
B. Stage 2
C. Stage 3
D. Unstageable
Correct Answer: D
Rationale: An unstageable pressure injury is defined as full-thickness skin and tissue
loss in which the extent of tissue damage within the ulcer cannot be confirmed because
it is obscured by slough or eschar. In this case, the thick, black eschar completely
covers the wound base, preventing accurate staging until the necrotic tissue is
removed. Stage 1 (option A) involves intact skin with non-blanchable erythema. Stage 2
(option B) is partial-thickness loss. Stage 3 (option C) is full-thickness with visible
subcutaneous fat, which cannot be confirmed here due to the eschar.
Question 2
A patient with a new colostomy asks the nurse how often the ostomy appliance pouch
should be emptied. The nurse correctly responds:
A. Only when the pouch is completely full
B. When the pouch is one-third to one-half full
C. Once every 24 hours regardless of output
D. Every time the patient urinates
Correct Answer: B
,Rationale: Ostomy pouches should be emptied when they are one-third to one-half full to
prevent the weight of the effluent from pulling the appliance away from the skin, which
could cause leakage and skin breakdown. Waiting until the pouch is completely full
(option A) increases the risk of dislodgement and spillage. Emptying on a rigid 24-hour
schedule (option C) is not practical because output varies. Option D is irrelevant to
colostomy function.
Question 3
During a wound dressing change, the nurse notes that the wound bed has increased
granulation tissue, there is no purulent drainage, and the edges are contracting. Which
finding requires immediate intervention?
A. Presence of granulation tissue
B. Wound edge contraction
C. Purulent drainage with a foul odor
D. Pink, moist wound bed
Correct Answer: C
Rationale: Purulent drainage with a foul odor indicates wound infection and requires
immediate intervention, including wound culture, physician notification, and possible
antibiotic therapy. Granulation tissue (option A), wound edge contraction (option B), and
a pink, moist wound bed (option D) are all normal, expected signs of wound healing and
do not require intervention.
Question 4
A patient with a stage 4 pressure injury is receiving enzymatic debridement. The nurse
understands that the primary purpose of debridement is to:
A. Prevent the formation of granulation tissue
B. Remove necrotic tissue and promote wound healing
, C. Dry the wound bed to promote scab formation
D. Eliminate the need for dressing changes
Correct Answer: B
Rationale: Debridement is the process of removing necrotic, devitalized tissue from a
wound bed to promote healing and prevent infection. Necrotic tissue impedes wound
healing by providing a medium for bacterial growth and preventing the formation of
healthy granulation tissue. Option A is incorrect because granulation tissue is desirable.
Option C is incorrect because moist wound healing is preferred over dry scabs. Option D
is incorrect because debridement does not eliminate the need for ongoing wound care.
Question 5
A nurse is teaching a patient with a new ileostomy about dietary modifications. Which
statement by the patient indicates understanding of the teaching?
A. "I should eat large meals three times a day to slow output."
B. "I need to chew my food thoroughly and eat small, frequent meals."
C. "I can eat popcorn and raw celery without any restrictions."
D. "I should avoid drinking any fluids to reduce stoma output."
Correct Answer: B
Rationale: Patients with an ileostomy should eat small, frequent meals and chew food
thoroughly to prevent blockage, especially with high-fiber foods. Large meals (option A)
can increase output. High-fiber, difficult-to-digest foods like popcorn and raw celery
(option C) should be introduced cautiously to avoid obstruction. Adequate fluid intake
(option D) is essential to prevent dehydration because ileostomy output is liquid and
continuous.
Question 6
Nursing Practice II: (Latest 2026/2027 ) 60 Questions &
Answers with Detailed Rationales | Grade A
PREPARED FOR:
NSG 3130 Fundamental Concepts and Skills for Nursing Practice II - Exam 4
DOCUMENT INCLUDES:
● Practice exam questions
● Correct answers
● Detailed rationales
● Key topics covered
TOPICS COVERED:
● Advanced Wound Care & Ostomy Care
● Perioperative Nursing (Pre/Intra/Postoperative Care)
● IV Therapy & Central Lines
● Advanced Medication Administration
● Respiratory Interventions (Oxygen Therapy, Suctioning, Chest Tubes)
● Cardiac Monitoring & Interventions
● Gastrointestinal Interventions (NG Tubes, Enteral Feeding)
● Urinary Interventions (Catheterization, Bladder Irrigation)
● Immobility & Complications (DVT, Pressure Injuries)
● End-of-Life Care
PURPOSE:
This comprehensive practice test is designed to help NSG 3130 students master
advanced nursing concepts and skills, develop clinical reasoning, and confidently
prepare for Exam 4.
SECTION 1: Advanced Wound Care & Ostomy Care
,Question 1
A nurse is assessing a pressure injury on a patient's sacrum. The wound bed is
completely covered with thick, black, leathery tissue, and the true depth cannot be
visualized. How should the nurse stage this pressure injury?
A. Stage 1
B. Stage 2
C. Stage 3
D. Unstageable
Correct Answer: D
Rationale: An unstageable pressure injury is defined as full-thickness skin and tissue
loss in which the extent of tissue damage within the ulcer cannot be confirmed because
it is obscured by slough or eschar. In this case, the thick, black eschar completely
covers the wound base, preventing accurate staging until the necrotic tissue is
removed. Stage 1 (option A) involves intact skin with non-blanchable erythema. Stage 2
(option B) is partial-thickness loss. Stage 3 (option C) is full-thickness with visible
subcutaneous fat, which cannot be confirmed here due to the eschar.
Question 2
A patient with a new colostomy asks the nurse how often the ostomy appliance pouch
should be emptied. The nurse correctly responds:
A. Only when the pouch is completely full
B. When the pouch is one-third to one-half full
C. Once every 24 hours regardless of output
D. Every time the patient urinates
Correct Answer: B
,Rationale: Ostomy pouches should be emptied when they are one-third to one-half full to
prevent the weight of the effluent from pulling the appliance away from the skin, which
could cause leakage and skin breakdown. Waiting until the pouch is completely full
(option A) increases the risk of dislodgement and spillage. Emptying on a rigid 24-hour
schedule (option C) is not practical because output varies. Option D is irrelevant to
colostomy function.
Question 3
During a wound dressing change, the nurse notes that the wound bed has increased
granulation tissue, there is no purulent drainage, and the edges are contracting. Which
finding requires immediate intervention?
A. Presence of granulation tissue
B. Wound edge contraction
C. Purulent drainage with a foul odor
D. Pink, moist wound bed
Correct Answer: C
Rationale: Purulent drainage with a foul odor indicates wound infection and requires
immediate intervention, including wound culture, physician notification, and possible
antibiotic therapy. Granulation tissue (option A), wound edge contraction (option B), and
a pink, moist wound bed (option D) are all normal, expected signs of wound healing and
do not require intervention.
Question 4
A patient with a stage 4 pressure injury is receiving enzymatic debridement. The nurse
understands that the primary purpose of debridement is to:
A. Prevent the formation of granulation tissue
B. Remove necrotic tissue and promote wound healing
, C. Dry the wound bed to promote scab formation
D. Eliminate the need for dressing changes
Correct Answer: B
Rationale: Debridement is the process of removing necrotic, devitalized tissue from a
wound bed to promote healing and prevent infection. Necrotic tissue impedes wound
healing by providing a medium for bacterial growth and preventing the formation of
healthy granulation tissue. Option A is incorrect because granulation tissue is desirable.
Option C is incorrect because moist wound healing is preferred over dry scabs. Option D
is incorrect because debridement does not eliminate the need for ongoing wound care.
Question 5
A nurse is teaching a patient with a new ileostomy about dietary modifications. Which
statement by the patient indicates understanding of the teaching?
A. "I should eat large meals three times a day to slow output."
B. "I need to chew my food thoroughly and eat small, frequent meals."
C. "I can eat popcorn and raw celery without any restrictions."
D. "I should avoid drinking any fluids to reduce stoma output."
Correct Answer: B
Rationale: Patients with an ileostomy should eat small, frequent meals and chew food
thoroughly to prevent blockage, especially with high-fiber foods. Large meals (option A)
can increase output. High-fiber, difficult-to-digest foods like popcorn and raw celery
(option C) should be introduced cautiously to avoid obstruction. Adequate fluid intake
(option D) is essential to prevent dehydration because ileostomy output is liquid and
continuous.
Question 6
