NSG 3130 Exam 2 V3 | NSG 3130
Fundamental Concepts & Skills for
Nursing Practice II | Actual Q&A with
Rationale (NSG3130 Exam 2) | Galen
College of Nursing
1. When performing nasopharyngeal suctioning for a client, what is the maximum duration
for each suction pass?
A. 5 seconds
B. 10 to 15 seconds
C. 20 to 25 seconds
D. 30 seconds
Answer: B
Rationale: Suctioning for longer than 15 seconds can lead to severe hypoxia and vagal
stimulation. The nurse must allow the patient to rest between passes to re-oxygenate
properly. Monitoring the patient’s heart rate and oxygen saturation during the procedure is
a critical safety intervention.
2. A nurse is caring for a patient with a potassium level of 2.8 mEq/L. Which clinical
manifestation should the nurse prioritize?
A. Hyperactive bowel sounds
,B. Hypertension
C. Increased muscle strength
D. Cardiac dysrhythmias
Answer: D
Rationale: Hypokalemia significantly affects cardiac electrical conduction, potentially
leading to life-threatening arrhythmias. The nurse must implement continuous cardiac
monitoring for any patient with significant potassium imbalances. Low potassium also
typically causes muscle weakness rather than increased strength.
3. Which score on the Braden Scale would indicate that a patient is at a ‘high risk’ for
developing a pressure injury?
A. 23
B. 12
C. 19
D. 16
Answer: B
Rationale: The Braden Scale scores range from 6 to 23, where a lower score indicates a
higher risk. A score of 12 is generally categorized as high risk, necessitating immediate
preventative interventions. Scores between 15 and 18 typically indicate mild risk in the
clinical setting.
, 4. A patient is scheduled for an elective surgery. Who is legally responsible for obtaining the
informed consent?
A. The charge nurse
B. The surgical technician
C. The surgeon
D. The primary care nurse
Answer: C
Rationale: The surgeon or provider performing the procedure is responsible for explaining
the risks, benefits, and alternatives to the patient. The nurse’s role is primarily to witness
the patient’s signature and verify that the patient understands the information provided. If
the patient has questions about the procedure itself, the nurse must contact the surgeon to
return and clarify.
5. During tracheostomy care, which action by the nurse maintains sterile technique?
A. Cleaning the inner cannula with tap water
B. Opening sterile supplies using the inner surface of the kit as a sterile field
C. Using a clean towel to dry the stoma area
D. Wiping the outer cannula with a reusable cloth
Answer: B
Fundamental Concepts & Skills for
Nursing Practice II | Actual Q&A with
Rationale (NSG3130 Exam 2) | Galen
College of Nursing
1. When performing nasopharyngeal suctioning for a client, what is the maximum duration
for each suction pass?
A. 5 seconds
B. 10 to 15 seconds
C. 20 to 25 seconds
D. 30 seconds
Answer: B
Rationale: Suctioning for longer than 15 seconds can lead to severe hypoxia and vagal
stimulation. The nurse must allow the patient to rest between passes to re-oxygenate
properly. Monitoring the patient’s heart rate and oxygen saturation during the procedure is
a critical safety intervention.
2. A nurse is caring for a patient with a potassium level of 2.8 mEq/L. Which clinical
manifestation should the nurse prioritize?
A. Hyperactive bowel sounds
,B. Hypertension
C. Increased muscle strength
D. Cardiac dysrhythmias
Answer: D
Rationale: Hypokalemia significantly affects cardiac electrical conduction, potentially
leading to life-threatening arrhythmias. The nurse must implement continuous cardiac
monitoring for any patient with significant potassium imbalances. Low potassium also
typically causes muscle weakness rather than increased strength.
3. Which score on the Braden Scale would indicate that a patient is at a ‘high risk’ for
developing a pressure injury?
A. 23
B. 12
C. 19
D. 16
Answer: B
Rationale: The Braden Scale scores range from 6 to 23, where a lower score indicates a
higher risk. A score of 12 is generally categorized as high risk, necessitating immediate
preventative interventions. Scores between 15 and 18 typically indicate mild risk in the
clinical setting.
, 4. A patient is scheduled for an elective surgery. Who is legally responsible for obtaining the
informed consent?
A. The charge nurse
B. The surgical technician
C. The surgeon
D. The primary care nurse
Answer: C
Rationale: The surgeon or provider performing the procedure is responsible for explaining
the risks, benefits, and alternatives to the patient. The nurse’s role is primarily to witness
the patient’s signature and verify that the patient understands the information provided. If
the patient has questions about the procedure itself, the nurse must contact the surgeon to
return and clarify.
5. During tracheostomy care, which action by the nurse maintains sterile technique?
A. Cleaning the inner cannula with tap water
B. Opening sterile supplies using the inner surface of the kit as a sterile field
C. Using a clean towel to dry the stoma area
D. Wiping the outer cannula with a reusable cloth
Answer: B
