NSG 3130 Fundamental Concepts and Skills for
Nursing Practice II (NSG 3130), 2026–2027 –
Complete Exam Questions and Answers with
Detailed Rationales
Introduction
This document contains a comprehensive set of exam-style
questions and detailed answer rationales for NSG 3130:
Fundamental Concepts and Skills for Nursing Practice II. It
focuses on cardiovascular and respiratory nursing concepts,
including COPD, heart failure, cardiac catheterization, oxygen
therapy, chest tubes, tracheostomy care, pulmonary embolism,
and nursing priorities, making it an excellent resource for
exam preparation. The material is organized in a question-
and-answer format with explanations that reinforce clinical
reasoning and nursing interventions.
Exam Questions and Answers
16.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.Cardiac catheterization
c.Echocardiogram
d.Electrocardiogram--- correct precise answer --- c.
Echocardiogram
Echocardiograms allow for ultrasound visualization of the
structures of the heart along with function of the heart valves
and cardiac musculature.
17.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 the patient's right pedal pulse and warmth of the
right leg
b.Checking pulse oximetry and listening to the patient's lung
sounds
c.Checking bilateral radial pulses to check for a pulse deficit
d.Estimating the patient's jugular venous pressure--- correct
precise answer --- a. Checking the patient's right pedal pulse
and warmth of the right leg
Cardiac catheterization includes the insertion of a large IV
needle into the patient's right femoral or brachial artery to
view the left side of the heart and inserted into the
, antecubital or femoral vein to view structures on the right
side
of the heart. In this case, occlusion of the femoral artery may
develop after the procedure leading to faint or absent pedal
pulses and loss of warmth to the right leg. The nurse should
check the patient's right pedal pulses and leg warmth to
ensure that the femoral artery has not become occluded. The
other assessments may be performed once the patient's right
leg is found to be warm with strong pulses.
18.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 tech-niques.--- correct precise answer --- a. Reduce
the oxygen flow rate until the patient's pulse oximetry value
is more than 88%.
COPD causes impaired gas exchange, leading to decreased
oxygen levels and higher circulating levels of carbon dioxide.
Nursing Practice II (NSG 3130), 2026–2027 –
Complete Exam Questions and Answers with
Detailed Rationales
Introduction
This document contains a comprehensive set of exam-style
questions and detailed answer rationales for NSG 3130:
Fundamental Concepts and Skills for Nursing Practice II. It
focuses on cardiovascular and respiratory nursing concepts,
including COPD, heart failure, cardiac catheterization, oxygen
therapy, chest tubes, tracheostomy care, pulmonary embolism,
and nursing priorities, making it an excellent resource for
exam preparation. The material is organized in a question-
and-answer format with explanations that reinforce clinical
reasoning and nursing interventions.
Exam Questions and Answers
16.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.Cardiac catheterization
c.Echocardiogram
d.Electrocardiogram--- correct precise answer --- c.
Echocardiogram
Echocardiograms allow for ultrasound visualization of the
structures of the heart along with function of the heart valves
and cardiac musculature.
17.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 the patient's right pedal pulse and warmth of the
right leg
b.Checking pulse oximetry and listening to the patient's lung
sounds
c.Checking bilateral radial pulses to check for a pulse deficit
d.Estimating the patient's jugular venous pressure--- correct
precise answer --- a. Checking the patient's right pedal pulse
and warmth of the right leg
Cardiac catheterization includes the insertion of a large IV
needle into the patient's right femoral or brachial artery to
view the left side of the heart and inserted into the
, antecubital or femoral vein to view structures on the right
side
of the heart. In this case, occlusion of the femoral artery may
develop after the procedure leading to faint or absent pedal
pulses and loss of warmth to the right leg. The nurse should
check the patient's right pedal pulses and leg warmth to
ensure that the femoral artery has not become occluded. The
other assessments may be performed once the patient's right
leg is found to be warm with strong pulses.
18.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 tech-niques.--- correct precise answer --- a. Reduce
the oxygen flow rate until the patient's pulse oximetry value
is more than 88%.
COPD causes impaired gas exchange, leading to decreased
oxygen levels and higher circulating levels of carbon dioxide.
