NSG 3130 | 2026/2027
OBJECTIVE ASSESSMENT - EXAM
NSG 3130 Exam 4
Fundamental Concepts and Skills
for Nursing Practice II
2026/2027 Latest Practice Test with Correct Answers
NSG 3130 Exam 4 2026/2027
A+ Verified 2026/2027 Edition Passing 75%
Correct Answers Official Standard Certification Level
EXAM SCOPE
- Medication administration, dosage calculation, and high-alert safety
- Infection control, sterile technique, and pressure injury prevention
- Fluid-electrolyte balance, nutrition support, and elimination care
- Oxygenation, respiratory interventions, and cardiovascular monitoring
- Patient education, documentation, legal-ethical practice, perioperative care
COVER PAGE - 1
, SECTIONS COVERED
1. Section 1: Medication Administration, Safety, and Dosage Calculations (20%)
2. Section 2: Infection Control, Asepsis, Wound Care, and Skin Integrity (20%)
3. Section 3: Fluid and Electrolyte Balance, Nutrition, and Elimination (20%)
4. Section 4: Oxygenation, Respiratory Care, and Cardiovascular Support (20%)
5. Section 5: Patient Education, Documentation, Legal and Ethical Practice, and Perioperative Care (20%)
Section 1: Medication Administration, Safety, and Dosage Calculations Weight: 20%
Question 1
A nurse is preparing to administer 0.25 mg of digoxin to an adult patient. The available vial is labeled 0.5 mg/2 mL. After calculating the required
volume, the nurse draws up the dose. Which action should the nurse take next before administering the medication?
A. Administer the medication immediately to avoid delay in therapeutic effect
B. Have a second nurse independently verify the calculated dose and drawn volume
C. Dilute the entire vial contents with normal saline before administration
D. Document the dose as given and then perform the independent double-check
Correct Answer: B
Rationale:
High-alert medications such as digoxin require independent double-checks of the dose calculation and prepared volume before administration. Immediate administration
without verification increases error risk. Diluting the entire vial is unnecessary, and documentation should occur after the verification and administration steps.
Question 2
A pediatric patient weighing 22 kg is ordered acetaminophen 15 mg/kg every 6 hours. The oral suspension is supplied as 160 mg/5 mL. The nurse
calculates the single dose volume. Which volume should the nurse prepare for one dose?
A. 5.0 mL of the suspension for the ordered dose
B. 10.3 mL of the suspension for the ordered dose
C. 15.0 mL of the suspension for the ordered dose
D. 2.5 mL of the suspension for the ordered dose
Correct Answer: B
Rationale:
Dose equals 22 kg x 15 mg/kg = 330 mg. Volume = (330 mg / 160 mg) x 5 mL = 10.3 mL. The other volumes do not match the calculated dose and would result in under-
or overdosing.
Question 3
A nurse is teaching a newly diagnosed diabetic patient about self-administration of insulin. The patient asks why air is injected into the vial before
withdrawing the dose. Which explanation is most accurate?
A. Injecting air prevents contamination of the insulin by environmental microbes
B. Injecting air equalizes pressure and allows the correct dose to be withdrawn easily
C. Injecting air activates the insulin molecules for better absorption
D. Injecting air is required only for intermediate-acting insulin preparations
Correct Answer: B
Rationale:
Injecting air into the vial prevents vacuum formation and facilitates accurate withdrawal of the prescribed volume. It is not primarily for sterility, molecular activation, or
limited to specific insulin types.
Question 4
A patient is ordered morphine sulfate 4 mg IV push. The available concentration is 10 mg/mL. The nurse plans to administer the dose over 4 to 5
minutes. Which rate of administration is most appropriate?
A. Administer the entire 0.4 mL dose in less than 30 seconds for rapid relief
B. Administer 0.4 mL slowly over 4 to 5 minutes while monitoring respiratory status
C. Dilute the dose to 10 mL and infuse it over 30 minutes via secondary line
D. Give the dose intramuscularly instead to avoid intravenous complications
Correct Answer: B
Rationale:
IV morphine must be given slowly (typically 4-5 minutes) to reduce risk of respiratory depression and hypotension. Rapid push, prolonged dilution infusion, or route change
without an order are inappropriate.
NSG 3130 Exam 4 Fundamentals 2026/2027 Page 2
, Question 5
A nurse is preparing to administer a medication via a nasogastric tube. The medication is available only as an enteric-coated tablet. What is the most
appropriate nursing action?
A. Crush the enteric-coated tablet thoroughly and mix with 30 mL of water
B. Request an alternative formulation that is suitable for tube administration
C. Dissolve the intact tablet in warm water and instill it through the tube
D. Administer the tablet orally and clamp the nasogastric tube for 2 hours
Correct Answer: B
Rationale:
Enteric-coated tablets must not be crushed because the coating protects the drug from gastric acid or protects the stomach from the drug. An alternative liquid or
crushable form should be obtained. Dissolving the intact tablet or giving it orally against the tube order is incorrect.
Question 6
A nurse calculates a heparin infusion rate. The order is 18 units/kg/hr for a 70 kg patient. The concentration is 25,000 units in 250 mL. Which infusion
rate in mL/hr should the nurse set?
A. 8.4 mL/hr for the ordered heparin infusion
B. 12.6 mL/hr for the ordered heparin infusion
C. 18.0 mL/hr for the ordered heparin infusion
D. 25.0 mL/hr for the ordered heparin infusion
Correct Answer: B
Rationale:
Dose = 70 kg x 18 units/kg/hr = 1260 units/hr. Concentration = 25,000 units / 250 mL = 100 units/mL. Rate = = 12.6 mL/hr. Other rates produce incorrect
dosing.
Question 7
A patient receiving continuous IV fluids develops redness, swelling, and pain at the insertion site. The nurse suspects infiltration. Which immediate
action is the priority?
A. Increase the infusion rate to flush the irritant from the vein
B. Stop the infusion, remove the catheter, and elevate the extremity
C. Apply a warm compress and continue the infusion at a slower rate
D. Aspirate residual fluid from the catheter and restart the same site
Correct Answer: B
Rationale:
When infiltration is suspected, the infusion must be stopped and the catheter removed to prevent further tissue injury. Elevation reduces edema. Continuing or flushing the
line would worsen the infiltration.
Question 8
A nurse is administering an intramuscular injection of 2 mL of an antibiotic into the vastus lateralis of an adult. Which needle length and gauge
combination is most appropriate?
A. 1/2-inch 27-gauge needle for minimal tissue trauma
B. 1- to 1.5-inch 22- to 25-gauge needle for adequate muscle penetration
C. 3-inch 18-gauge needle to ensure deep intramuscular delivery
D. 5/8-inch 25-gauge needle suitable for subcutaneous tissue only
Correct Answer: B
Rationale:
Adult IM injections into the vastus lateralis typically require a 1- to 1.5-inch needle of 22-25 gauge to reach muscle. Shorter needles risk subcutaneous deposition; longer
or larger-gauge needles are unnecessarily traumatic for this site and volume.
Question 9
A nurse is reviewing a medication order that reads 'metoprolol 50 mg PO BID.' The patient's apical pulse is 52 beats per minute. Which action should
the nurse take first?
A. Administer the dose as ordered because the pulse is within normal limits
B. Hold the dose and notify the provider of the heart rate before administration
C. Give half the ordered dose and recheck the pulse in 30 minutes
D. Administer the dose with a glass of grapefruit juice to enhance absorption
Correct Answer: B
Rationale:
Beta-blockers are commonly held when the apical pulse is below 60 beats per minute unless otherwise ordered. The nurse must contact the provider rather than
independently adjust the dose or administer with interacting substances.
NSG 3130 Exam 4 Fundamentals 2026/2027 Page 3
OBJECTIVE ASSESSMENT - EXAM
NSG 3130 Exam 4
Fundamental Concepts and Skills
for Nursing Practice II
2026/2027 Latest Practice Test with Correct Answers
NSG 3130 Exam 4 2026/2027
A+ Verified 2026/2027 Edition Passing 75%
Correct Answers Official Standard Certification Level
EXAM SCOPE
- Medication administration, dosage calculation, and high-alert safety
- Infection control, sterile technique, and pressure injury prevention
- Fluid-electrolyte balance, nutrition support, and elimination care
- Oxygenation, respiratory interventions, and cardiovascular monitoring
- Patient education, documentation, legal-ethical practice, perioperative care
COVER PAGE - 1
, SECTIONS COVERED
1. Section 1: Medication Administration, Safety, and Dosage Calculations (20%)
2. Section 2: Infection Control, Asepsis, Wound Care, and Skin Integrity (20%)
3. Section 3: Fluid and Electrolyte Balance, Nutrition, and Elimination (20%)
4. Section 4: Oxygenation, Respiratory Care, and Cardiovascular Support (20%)
5. Section 5: Patient Education, Documentation, Legal and Ethical Practice, and Perioperative Care (20%)
Section 1: Medication Administration, Safety, and Dosage Calculations Weight: 20%
Question 1
A nurse is preparing to administer 0.25 mg of digoxin to an adult patient. The available vial is labeled 0.5 mg/2 mL. After calculating the required
volume, the nurse draws up the dose. Which action should the nurse take next before administering the medication?
A. Administer the medication immediately to avoid delay in therapeutic effect
B. Have a second nurse independently verify the calculated dose and drawn volume
C. Dilute the entire vial contents with normal saline before administration
D. Document the dose as given and then perform the independent double-check
Correct Answer: B
Rationale:
High-alert medications such as digoxin require independent double-checks of the dose calculation and prepared volume before administration. Immediate administration
without verification increases error risk. Diluting the entire vial is unnecessary, and documentation should occur after the verification and administration steps.
Question 2
A pediatric patient weighing 22 kg is ordered acetaminophen 15 mg/kg every 6 hours. The oral suspension is supplied as 160 mg/5 mL. The nurse
calculates the single dose volume. Which volume should the nurse prepare for one dose?
A. 5.0 mL of the suspension for the ordered dose
B. 10.3 mL of the suspension for the ordered dose
C. 15.0 mL of the suspension for the ordered dose
D. 2.5 mL of the suspension for the ordered dose
Correct Answer: B
Rationale:
Dose equals 22 kg x 15 mg/kg = 330 mg. Volume = (330 mg / 160 mg) x 5 mL = 10.3 mL. The other volumes do not match the calculated dose and would result in under-
or overdosing.
Question 3
A nurse is teaching a newly diagnosed diabetic patient about self-administration of insulin. The patient asks why air is injected into the vial before
withdrawing the dose. Which explanation is most accurate?
A. Injecting air prevents contamination of the insulin by environmental microbes
B. Injecting air equalizes pressure and allows the correct dose to be withdrawn easily
C. Injecting air activates the insulin molecules for better absorption
D. Injecting air is required only for intermediate-acting insulin preparations
Correct Answer: B
Rationale:
Injecting air into the vial prevents vacuum formation and facilitates accurate withdrawal of the prescribed volume. It is not primarily for sterility, molecular activation, or
limited to specific insulin types.
Question 4
A patient is ordered morphine sulfate 4 mg IV push. The available concentration is 10 mg/mL. The nurse plans to administer the dose over 4 to 5
minutes. Which rate of administration is most appropriate?
A. Administer the entire 0.4 mL dose in less than 30 seconds for rapid relief
B. Administer 0.4 mL slowly over 4 to 5 minutes while monitoring respiratory status
C. Dilute the dose to 10 mL and infuse it over 30 minutes via secondary line
D. Give the dose intramuscularly instead to avoid intravenous complications
Correct Answer: B
Rationale:
IV morphine must be given slowly (typically 4-5 minutes) to reduce risk of respiratory depression and hypotension. Rapid push, prolonged dilution infusion, or route change
without an order are inappropriate.
NSG 3130 Exam 4 Fundamentals 2026/2027 Page 2
, Question 5
A nurse is preparing to administer a medication via a nasogastric tube. The medication is available only as an enteric-coated tablet. What is the most
appropriate nursing action?
A. Crush the enteric-coated tablet thoroughly and mix with 30 mL of water
B. Request an alternative formulation that is suitable for tube administration
C. Dissolve the intact tablet in warm water and instill it through the tube
D. Administer the tablet orally and clamp the nasogastric tube for 2 hours
Correct Answer: B
Rationale:
Enteric-coated tablets must not be crushed because the coating protects the drug from gastric acid or protects the stomach from the drug. An alternative liquid or
crushable form should be obtained. Dissolving the intact tablet or giving it orally against the tube order is incorrect.
Question 6
A nurse calculates a heparin infusion rate. The order is 18 units/kg/hr for a 70 kg patient. The concentration is 25,000 units in 250 mL. Which infusion
rate in mL/hr should the nurse set?
A. 8.4 mL/hr for the ordered heparin infusion
B. 12.6 mL/hr for the ordered heparin infusion
C. 18.0 mL/hr for the ordered heparin infusion
D. 25.0 mL/hr for the ordered heparin infusion
Correct Answer: B
Rationale:
Dose = 70 kg x 18 units/kg/hr = 1260 units/hr. Concentration = 25,000 units / 250 mL = 100 units/mL. Rate = = 12.6 mL/hr. Other rates produce incorrect
dosing.
Question 7
A patient receiving continuous IV fluids develops redness, swelling, and pain at the insertion site. The nurse suspects infiltration. Which immediate
action is the priority?
A. Increase the infusion rate to flush the irritant from the vein
B. Stop the infusion, remove the catheter, and elevate the extremity
C. Apply a warm compress and continue the infusion at a slower rate
D. Aspirate residual fluid from the catheter and restart the same site
Correct Answer: B
Rationale:
When infiltration is suspected, the infusion must be stopped and the catheter removed to prevent further tissue injury. Elevation reduces edema. Continuing or flushing the
line would worsen the infiltration.
Question 8
A nurse is administering an intramuscular injection of 2 mL of an antibiotic into the vastus lateralis of an adult. Which needle length and gauge
combination is most appropriate?
A. 1/2-inch 27-gauge needle for minimal tissue trauma
B. 1- to 1.5-inch 22- to 25-gauge needle for adequate muscle penetration
C. 3-inch 18-gauge needle to ensure deep intramuscular delivery
D. 5/8-inch 25-gauge needle suitable for subcutaneous tissue only
Correct Answer: B
Rationale:
Adult IM injections into the vastus lateralis typically require a 1- to 1.5-inch needle of 22-25 gauge to reach muscle. Shorter needles risk subcutaneous deposition; longer
or larger-gauge needles are unnecessarily traumatic for this site and volume.
Question 9
A nurse is reviewing a medication order that reads 'metoprolol 50 mg PO BID.' The patient's apical pulse is 52 beats per minute. Which action should
the nurse take first?
A. Administer the dose as ordered because the pulse is within normal limits
B. Hold the dose and notify the provider of the heart rate before administration
C. Give half the ordered dose and recheck the pulse in 30 minutes
D. Administer the dose with a glass of grapefruit juice to enhance absorption
Correct Answer: B
Rationale:
Beta-blockers are commonly held when the apical pulse is below 60 beats per minute unless otherwise ordered. The nurse must contact the provider rather than
independently adjust the dose or administer with interacting substances.
NSG 3130 Exam 4 Fundamentals 2026/2027 Page 3
