,Galen NSG 3100 Exam 4 | Fundamental Concepts &
Skills for Nursing I (2026) Actual Q&A PDF
1. A client with severe vomiting has a serum sodium level of 118 mEq/L. Which
assessment is the priority?
A) Auscultating bowel sounds
B) Monitoring cardiac rhythm
C) Evaluating deep tendon reflexes
D) Checking pupillary response
Correct Answer: Checking pupillary response
Rationale: The question specifically asks priority for severe hyponatremia.
Actually, severe hyponatremia priority is neurological status (cerebral edema).
Pupillary response is a neuro check, but the sample blueprint answer was
"Neurological" not pupillary specifically. I need to align with the given answer
letter B. However I can make the question: "Which assessment is the priority?"
Options: A) Heart rate, B) Neurological status, C) Urine output, D) Skin turgor.
Then correct is B. But the sequence at Q1 is B. So I'll design Q1 with correct
answer B. I'll craft:
1. A client's serum sodium is 118 mEq/L. Which nursing assessment is the
priority?
A) Auscultate lung sounds
B) Assess level of consciousness
C) Monitor urinary output
D) Check skin turgor
,Correct Answer: B. Assess level of consciousness. That fits.
I'll do that.
2. Sequence letter is D. So I'll design question 2 with correct answer D. "A client
with chronic heart failure is prescribed furosemide. The nurse understands the
therapeutic effect is: A) Decreased heart rate, B) Increased blood pressure, C)
Weight loss, D) Increased urine output." Correct D. But keep variety.
Better to align with topics. I'll ensure fluid/electrolyte questions etc.
I'll now generate all questions in order with correct answers matching the
predetermined letters, covering the topics.
I'll do it systematically.1. A client's serum sodium is 118 mEq/L. Which nursing
assessment is the priority?
A) Auscultate lung sounds
B) Assess level of consciousness
C) Monitor urinary output
D) Check skin turgor
Correct Answer: Assess level of consciousness
Rationale: Severe hyponatremia causes cerebral edema. Neurological status,
particularly level of consciousness, is the priority assessment. Altered mental
status can progress to seizures and coma. Airway and breathing are always first,
, but in this scenario neurological assessment takes precedence over other
systems.
2. A client with heart failure is prescribed furosemide. The nurse evaluates the
medication as effective when which outcome is observed?
A) Heart rate decreases to 60 bpm
B) Blood pressure increases by 10 mm Hg
C) Weight decreases by 1 kg overnight
D) Urine output increases to 200 mL over 2 hours
Correct Answer: Urine output increases to 200 mL over 2 hours
Rationale: Furosemide is a loop diuretic; its therapeutic effect is increased urine
output (diuresis). Weight loss may follow, but the direct indicator is output.
Heart rate and blood pressure changes are not primary therapeutic goals.
3. The nurse is assessing a client with a potassium level of 2.9 mEq/L. Which
finding is expected?
A) Peaked T waves on ECG
B) Hypotension and bradycardia
C) Muscle weakness and hyporeflexia
D) Tetany and Chvostek's sign
Correct Answer: Muscle weakness and hyporeflexia
Skills for Nursing I (2026) Actual Q&A PDF
1. A client with severe vomiting has a serum sodium level of 118 mEq/L. Which
assessment is the priority?
A) Auscultating bowel sounds
B) Monitoring cardiac rhythm
C) Evaluating deep tendon reflexes
D) Checking pupillary response
Correct Answer: Checking pupillary response
Rationale: The question specifically asks priority for severe hyponatremia.
Actually, severe hyponatremia priority is neurological status (cerebral edema).
Pupillary response is a neuro check, but the sample blueprint answer was
"Neurological" not pupillary specifically. I need to align with the given answer
letter B. However I can make the question: "Which assessment is the priority?"
Options: A) Heart rate, B) Neurological status, C) Urine output, D) Skin turgor.
Then correct is B. But the sequence at Q1 is B. So I'll design Q1 with correct
answer B. I'll craft:
1. A client's serum sodium is 118 mEq/L. Which nursing assessment is the
priority?
A) Auscultate lung sounds
B) Assess level of consciousness
C) Monitor urinary output
D) Check skin turgor
,Correct Answer: B. Assess level of consciousness. That fits.
I'll do that.
2. Sequence letter is D. So I'll design question 2 with correct answer D. "A client
with chronic heart failure is prescribed furosemide. The nurse understands the
therapeutic effect is: A) Decreased heart rate, B) Increased blood pressure, C)
Weight loss, D) Increased urine output." Correct D. But keep variety.
Better to align with topics. I'll ensure fluid/electrolyte questions etc.
I'll now generate all questions in order with correct answers matching the
predetermined letters, covering the topics.
I'll do it systematically.1. A client's serum sodium is 118 mEq/L. Which nursing
assessment is the priority?
A) Auscultate lung sounds
B) Assess level of consciousness
C) Monitor urinary output
D) Check skin turgor
Correct Answer: Assess level of consciousness
Rationale: Severe hyponatremia causes cerebral edema. Neurological status,
particularly level of consciousness, is the priority assessment. Altered mental
status can progress to seizures and coma. Airway and breathing are always first,
, but in this scenario neurological assessment takes precedence over other
systems.
2. A client with heart failure is prescribed furosemide. The nurse evaluates the
medication as effective when which outcome is observed?
A) Heart rate decreases to 60 bpm
B) Blood pressure increases by 10 mm Hg
C) Weight decreases by 1 kg overnight
D) Urine output increases to 200 mL over 2 hours
Correct Answer: Urine output increases to 200 mL over 2 hours
Rationale: Furosemide is a loop diuretic; its therapeutic effect is increased urine
output (diuresis). Weight loss may follow, but the direct indicator is output.
Heart rate and blood pressure changes are not primary therapeutic goals.
3. The nurse is assessing a client with a potassium level of 2.9 mEq/L. Which
finding is expected?
A) Peaked T waves on ECG
B) Hypotension and bradycardia
C) Muscle weakness and hyporeflexia
D) Tetany and Chvostek's sign
Correct Answer: Muscle weakness and hyporeflexia
