NSG 3130 Exam 4 2026/2027
OBJECTIVE ASSESSMENT - EXAM
NSG 3130 Exam 4 Fundamental Concepts and
Skills for Nursing Practice II 2026/2027 Latest
Practice Test with 130 Questions and Correct
Answers / NSG 3130 Exam 4 2026/2027
A+ Verified Edition: 2026/2027 Passing Score: 75%
COVER PAGE - 1
,SECTIONS COVERED
Section 1: Patient Safety & Infection Control
Section 2: Vital Signs & Physical Assessment
Section 3: Medication Administration & Pharmacology
Section 4: Patient Hygiene, Mobility & Comfort
Section 5: Professional Nursing Practice & Communication
Introduction
This examination assesses undergraduate nursing knowledge in patient safety, physical
assessment, medication administration, patient hygiene and mobility, and professional nursing
practice. Each question presents a realistic clinical scenario requiring application and analysis of
fundamental nursing concepts. All questions are multiple choice with four options and one correct
answer.
Section 1: Patient Safety & Infection Control
Q1
Q1. A 68-year-old patient admitted for pneumonia is receiving oxygen via nasal cannula at 2 L/min.
The nurse notices the patient trying to get out of bed unassisted to use the restroom. What is the
priority nursing action?
A. Remind the patient to call for assistance before getting up
B. Raise all side rails and apply a restraint vest
C. Lower the bed and place the call light within reach
D. Increase the oxygen flow to 4 L/min
Correct Answer: A
Rationale: Reminding the patient to call for help is the priority to prevent falls while preserving autonomy.
Raising all side rails is a restraint and requires an order.
Q2
Q2. A nurse is preparing to administer a medication to a patient with a known latex allergy. The
nurse notices the medication syringe has a latex rubber plunger. What should the nurse do first?
A. Obtain a latex-free syringe from the supply room
B. Administer the medication quickly to minimize exposure
C. Ask the patient if they mind using the latex syringe
D. Cover the plunger with gauze before use
Correct Answer: A
Rationale: Using a latex-free syringe eliminates exposure risk entirely. Asking the patient to accept risk or
attempting to cover the plunger is unsafe.
, Q3
Q3. During morning rounds, the nurse discovers an unconscious patient on the floor next to the
bed. The bed alarm was not activated. What is the immediate priority action?
A. Assess the patient for injuries and vital signs
B. Fill out an incident report immediately
C. Call the physician before touching the patient
D. Reposition the patient back into bed alone
Correct Answer: A
Rationale: Patient safety requires assessing injuries and stability before any other action. Incident reports and
calls come after the patient is stabilized.
Q4
Q4. A postoperative patient has a peripheral IV line that was started 96 hours ago. The insertion
site shows erythema, warmth, and tenderness. What is the nurse's most appropriate action?
A. Discontinue the IV and restart at a new site
B. Apply a warm compress and continue the infusion
C. Increase the infusion rate to flush the catheter
D. Document the finding and notify the physician in two hours
Correct Answer: A
Rationale: Erythema, warmth, and tenderness indicate phlebitis, requiring discontinuation and restart.
Delaying action increases infection risk.
Q5
Q5. A nurse is caring for a patient with suspected tuberculosis. Which personal protective
equipment is required before entering the room?
A. N95 respirator mask
B. Standard surgical mask
C. Face shield only
D. Gloves and gown only
Correct Answer: A
Rationale: Tuberculosis requires an N95 respirator because it is airborne. Standard surgical masks do not
provide adequate filtration.
Q6
Q6. A nurse is administering heparin subcutaneously to a patient. The patient asks why the nurse is
not aspirating the syringe. What is the best response?
A. Aspiration is not recommended for subcutaneous heparin to prevent tissue damage
B. Aspiration is not needed because heparin is a low-risk medication
C. The needle is too small to aspirate effectively
D. Aspiration was performed before you noticed
Correct Answer: A
Rationale: Aspiration with subcutaneous heparin is contraindicated due to risk of hematoma and tissue
trauma. Evidence-based practice supports non-aspiration.
, Q7
Q7. A pediatric patient is scheduled for a tonsillectomy. The nurse reviews the chart and notes the
patient received aspirin at home for a fever yesterday. What is the priority nursing action?
A. Notify the surgeon immediately about the aspirin use
B. Administer vitamin K as an antidote
C. Proceed with preoperative preparation as usual
D. Document the finding and give acetaminophen instead
Correct Answer: A
Rationale: Aspirin increases bleeding risk during tonsillectomy; the surgeon must be notified to assess
postponement. Vitamin K is not an aspirin antidote.
Q8
Q8. A nurse is transferring a patient from a stretcher to a bed using a sliding board. The patient
weighs 220 lbs and is unable to assist. How many additional staff members should the nurse
request?
A. Two additional staff members
B. One additional staff member
C. No additional staff needed with a sliding board
D. Four additional staff members
Correct Answer: A
Rationale: Safe patient handling for a dependent patient over 200 lbs requires at least two additional staff plus
the primary nurse, per lifting policy.
Q9
Q9. A patient with a history of falls is prescribed a sedative at bedtime. The nurse notes the bed is
in the high position. What is the most appropriate safety action?
A. Lower the bed to the lowest position and lock the wheels
B. Raise the side rails on both sides of the bed
C. Place the bed in the Trendelenburg position
D. Remove the call light to prevent entanglement
Correct Answer: A
Rationale: Lowering the bed and locking wheels reduces fall height and bed movement. Side rails raised on
both sides can be considered a restraint.
OBJECTIVE ASSESSMENT - EXAM
NSG 3130 Exam 4 Fundamental Concepts and
Skills for Nursing Practice II 2026/2027 Latest
Practice Test with 130 Questions and Correct
Answers / NSG 3130 Exam 4 2026/2027
A+ Verified Edition: 2026/2027 Passing Score: 75%
COVER PAGE - 1
,SECTIONS COVERED
Section 1: Patient Safety & Infection Control
Section 2: Vital Signs & Physical Assessment
Section 3: Medication Administration & Pharmacology
Section 4: Patient Hygiene, Mobility & Comfort
Section 5: Professional Nursing Practice & Communication
Introduction
This examination assesses undergraduate nursing knowledge in patient safety, physical
assessment, medication administration, patient hygiene and mobility, and professional nursing
practice. Each question presents a realistic clinical scenario requiring application and analysis of
fundamental nursing concepts. All questions are multiple choice with four options and one correct
answer.
Section 1: Patient Safety & Infection Control
Q1
Q1. A 68-year-old patient admitted for pneumonia is receiving oxygen via nasal cannula at 2 L/min.
The nurse notices the patient trying to get out of bed unassisted to use the restroom. What is the
priority nursing action?
A. Remind the patient to call for assistance before getting up
B. Raise all side rails and apply a restraint vest
C. Lower the bed and place the call light within reach
D. Increase the oxygen flow to 4 L/min
Correct Answer: A
Rationale: Reminding the patient to call for help is the priority to prevent falls while preserving autonomy.
Raising all side rails is a restraint and requires an order.
Q2
Q2. A nurse is preparing to administer a medication to a patient with a known latex allergy. The
nurse notices the medication syringe has a latex rubber plunger. What should the nurse do first?
A. Obtain a latex-free syringe from the supply room
B. Administer the medication quickly to minimize exposure
C. Ask the patient if they mind using the latex syringe
D. Cover the plunger with gauze before use
Correct Answer: A
Rationale: Using a latex-free syringe eliminates exposure risk entirely. Asking the patient to accept risk or
attempting to cover the plunger is unsafe.
, Q3
Q3. During morning rounds, the nurse discovers an unconscious patient on the floor next to the
bed. The bed alarm was not activated. What is the immediate priority action?
A. Assess the patient for injuries and vital signs
B. Fill out an incident report immediately
C. Call the physician before touching the patient
D. Reposition the patient back into bed alone
Correct Answer: A
Rationale: Patient safety requires assessing injuries and stability before any other action. Incident reports and
calls come after the patient is stabilized.
Q4
Q4. A postoperative patient has a peripheral IV line that was started 96 hours ago. The insertion
site shows erythema, warmth, and tenderness. What is the nurse's most appropriate action?
A. Discontinue the IV and restart at a new site
B. Apply a warm compress and continue the infusion
C. Increase the infusion rate to flush the catheter
D. Document the finding and notify the physician in two hours
Correct Answer: A
Rationale: Erythema, warmth, and tenderness indicate phlebitis, requiring discontinuation and restart.
Delaying action increases infection risk.
Q5
Q5. A nurse is caring for a patient with suspected tuberculosis. Which personal protective
equipment is required before entering the room?
A. N95 respirator mask
B. Standard surgical mask
C. Face shield only
D. Gloves and gown only
Correct Answer: A
Rationale: Tuberculosis requires an N95 respirator because it is airborne. Standard surgical masks do not
provide adequate filtration.
Q6
Q6. A nurse is administering heparin subcutaneously to a patient. The patient asks why the nurse is
not aspirating the syringe. What is the best response?
A. Aspiration is not recommended for subcutaneous heparin to prevent tissue damage
B. Aspiration is not needed because heparin is a low-risk medication
C. The needle is too small to aspirate effectively
D. Aspiration was performed before you noticed
Correct Answer: A
Rationale: Aspiration with subcutaneous heparin is contraindicated due to risk of hematoma and tissue
trauma. Evidence-based practice supports non-aspiration.
, Q7
Q7. A pediatric patient is scheduled for a tonsillectomy. The nurse reviews the chart and notes the
patient received aspirin at home for a fever yesterday. What is the priority nursing action?
A. Notify the surgeon immediately about the aspirin use
B. Administer vitamin K as an antidote
C. Proceed with preoperative preparation as usual
D. Document the finding and give acetaminophen instead
Correct Answer: A
Rationale: Aspirin increases bleeding risk during tonsillectomy; the surgeon must be notified to assess
postponement. Vitamin K is not an aspirin antidote.
Q8
Q8. A nurse is transferring a patient from a stretcher to a bed using a sliding board. The patient
weighs 220 lbs and is unable to assist. How many additional staff members should the nurse
request?
A. Two additional staff members
B. One additional staff member
C. No additional staff needed with a sliding board
D. Four additional staff members
Correct Answer: A
Rationale: Safe patient handling for a dependent patient over 200 lbs requires at least two additional staff plus
the primary nurse, per lifting policy.
Q9
Q9. A patient with a history of falls is prescribed a sedative at bedtime. The nurse notes the bed is
in the high position. What is the most appropriate safety action?
A. Lower the bed to the lowest position and lock the wheels
B. Raise the side rails on both sides of the bed
C. Place the bed in the Trendelenburg position
D. Remove the call light to prevent entanglement
Correct Answer: A
Rationale: Lowering the bed and locking wheels reduces fall height and bed movement. Side rails raised on
both sides can be considered a restraint.
