NSG 4100 Exam 3 – 2026/2027 Edition – 50 Questions
with 100% Verified Correct Answers-Galen
50 Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
INTRODUCTION
This NSG 4100 Exam 3 focuses on complex adult health, including hemodynamic monitoring,
dysrhythmias, myocardial infarction, heart failure, shock, pulmonary embolism, chest trauma,
and hematologic disorders like DIC and ITP. This high-yield review clarifies priority actions,
contraindications, and safety checks to strengthen clinical judgment, emergency response, and
exam readiness for comprehensive nursing practice in critical care and medical surgical settings
today
Answers are in bold Green, with rationales after.
1. The nurse is attending to a client who has orders for central venous pressure monitoring. The nurse
understands the catheter attached to a pressure monitoring system will be placed in the:
a. Left to right ventricle
b. Vena cava or L. atrium
c. Vena cava or R. atrium
d. Pulmonary artery or vein.
2. The nurse preceptor is observing a newly hired nurse care for a client who has hemodynamic
monitoring catheter in place. Which of the following actions by the newly hired nurse requires
immediate intervention by the nurse preceptor? (which is the wrong answer?)
a. Refusing to use topical antibiotic ointment & creams on the insertion sites
b. Using alcohol based hand rub before and after each contact with the catheter
C. replacing transducer tubing, continuous flush devices and solution every 96 hours
D. informing the client that this type of catheter allows for total freedom in the bath and shower
3. The nurse is caring for a client who developed a cardiac rhythm indicated below. Which of the
following findings are commonly associated with this rhythm? “sinus bradycardia → rhythm strip” 4
beeps on it
a. lower metabolic needs (slow metabolism = slow heart )
b. side effects of atropine
, c. high metabolic demand
d. physiological stress
4. The nurse is reviewing newly written prescriptions for a client admitted with sinus tachycardia. which
of the following prescriptions requires immediate follow up with a primary health care provider. (which
is the wrong answer?)
a. Amiodarone
B. Procainamide
c. atropine (raises BP)
d. Sotalol
7:53
5. The nurse is caring for a client with a history of cardiomyopathy and valvular heart disease. The client
is being treated for proarrhythmic medications that have a cardiac rhythm as seen below (V-fib). Which
of the following actions should the nurse take? “rhythm strip looks like v-fib”
a. have the client perform the vagal maneuver
b. administer the prescribed cardiac medication
c. begin CPR & prepare for early defibrillation
d. Elevate the clients head of the bed
with 100% Verified Correct Answers-Galen
50 Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
INTRODUCTION
This NSG 4100 Exam 3 focuses on complex adult health, including hemodynamic monitoring,
dysrhythmias, myocardial infarction, heart failure, shock, pulmonary embolism, chest trauma,
and hematologic disorders like DIC and ITP. This high-yield review clarifies priority actions,
contraindications, and safety checks to strengthen clinical judgment, emergency response, and
exam readiness for comprehensive nursing practice in critical care and medical surgical settings
today
Answers are in bold Green, with rationales after.
1. The nurse is attending to a client who has orders for central venous pressure monitoring. The nurse
understands the catheter attached to a pressure monitoring system will be placed in the:
a. Left to right ventricle
b. Vena cava or L. atrium
c. Vena cava or R. atrium
d. Pulmonary artery or vein.
2. The nurse preceptor is observing a newly hired nurse care for a client who has hemodynamic
monitoring catheter in place. Which of the following actions by the newly hired nurse requires
immediate intervention by the nurse preceptor? (which is the wrong answer?)
a. Refusing to use topical antibiotic ointment & creams on the insertion sites
b. Using alcohol based hand rub before and after each contact with the catheter
C. replacing transducer tubing, continuous flush devices and solution every 96 hours
D. informing the client that this type of catheter allows for total freedom in the bath and shower
3. The nurse is caring for a client who developed a cardiac rhythm indicated below. Which of the
following findings are commonly associated with this rhythm? “sinus bradycardia → rhythm strip” 4
beeps on it
a. lower metabolic needs (slow metabolism = slow heart )
b. side effects of atropine
, c. high metabolic demand
d. physiological stress
4. The nurse is reviewing newly written prescriptions for a client admitted with sinus tachycardia. which
of the following prescriptions requires immediate follow up with a primary health care provider. (which
is the wrong answer?)
a. Amiodarone
B. Procainamide
c. atropine (raises BP)
d. Sotalol
7:53
5. The nurse is caring for a client with a history of cardiomyopathy and valvular heart disease. The client
is being treated for proarrhythmic medications that have a cardiac rhythm as seen below (V-fib). Which
of the following actions should the nurse take? “rhythm strip looks like v-fib”
a. have the client perform the vagal maneuver
b. administer the prescribed cardiac medication
c. begin CPR & prepare for early defibrillation
d. Elevate the clients head of the bed
