1|Page
NSG 3180 EXAM 1 NEWEST 2026 ACTUAL EXAM TEST BANK|
NSG 3180 COMMUNICATION AND TEAMWORK EXAM 1 REVIEW
WITH EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
1. A nurse is assessing a client who suddenly develops shortness of
breath, restlessness, and an oxygen saturation of 86% on room air. The
client is using accessory muscles and has difficulty speaking in complete
sentences. Which action should the nurse take first?
A. Encourage the client to increase oral fluid intake
B. Assess airway and breathing, apply prescribed oxygen, and
immediately escalate the client's respiratory deterioration
C. Document the findings and reassess after the next scheduled vital
signs
D. Ask the client to ambulate to determine whether the symptoms
improve
Answer: B
Rationale: Airway and breathing are immediate priorities. Severe
hypoxemia and increased work of breathing require rapid intervention
and reassessment.
,2|Page
2. A client reports sudden crushing chest pressure that radiates to the
left arm and is accompanied by diaphoresis and nausea. Which nursing
action is the priority?
A. Reassure the client that anxiety is probably causing the symptoms
B. Encourage the client to walk slowly to improve circulation
C. Perform an immediate focused cardiovascular assessment and
activate the appropriate response for suspected acute coronary
syndrome
D. Offer the client a large glass of water
Answer: C
Rationale: Sudden pressure-like chest pain with radiation, diaphoresis,
and nausea is concerning for acute coronary syndrome and requires
immediate evaluation.
3. A postoperative client becomes increasingly restless and confused.
The respiratory rate is 30/min, heart rate is 118/min, and oxygen
saturation has decreased from 97% to 88%. Which interpretation is
most appropriate?
A. The findings indicate expected postoperative fatigue
B. The client is demonstrating adequate recovery
C. The findings suggest impaired oxygenation and possible acute clinical
deterioration
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D. The client most likely needs additional sleep
Answer: C
Rationale: Restlessness and confusion can be early signs of hypoxemia.
The increased respiratory and heart rates further support concern for
deterioration.
4. A client with a suspected infection has a temperature of 39.4°C
(102.9°F), heart rate of 126/min, respiratory rate of 32/min, and blood
pressure of 82/48 mm Hg. Which condition should the nurse suspect?
A. Uncomplicated fever
B. Possible sepsis with impaired tissue perfusion
C. Mild dehydration without systemic complications
D. Stable infection that requires routine monitoring only
Answer: B
Rationale: Fever accompanied by tachycardia, tachypnea, and
significant hypotension is concerning for sepsis and possible septic
shock.
5. A nurse is preparing to administer medication to a client. Which
action best demonstrates safe medication administration?
, 4|Page
A. Verify the medication using the client's room number
B. Administer the medication because another nurse already prepared
it
C. Verify the client's identity, allergies, medication, dose, route, timing,
and relevant assessment findings before administration
D. Ask the client's roommate to confirm the medication
Answer: C
Rationale: Multiple verification steps help prevent medication errors
involving the wrong client, medication, dose, route, or timing.
6. A client receiving an opioid analgesic becomes difficult to arouse and
has a respiratory rate of 7/min. Which action should the nurse take
immediately?
A. Allow the client to sleep because sedation is an expected medication
effect
B. Assess airway and breathing, provide appropriate support, and follow
the protocol for suspected opioid-induced respiratory depression
C. Administer the next scheduled dose to maintain pain control
D. Encourage the client to drink fluids
Answer: B
NSG 3180 EXAM 1 NEWEST 2026 ACTUAL EXAM TEST BANK|
NSG 3180 COMMUNICATION AND TEAMWORK EXAM 1 REVIEW
WITH EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
1. A nurse is assessing a client who suddenly develops shortness of
breath, restlessness, and an oxygen saturation of 86% on room air. The
client is using accessory muscles and has difficulty speaking in complete
sentences. Which action should the nurse take first?
A. Encourage the client to increase oral fluid intake
B. Assess airway and breathing, apply prescribed oxygen, and
immediately escalate the client's respiratory deterioration
C. Document the findings and reassess after the next scheduled vital
signs
D. Ask the client to ambulate to determine whether the symptoms
improve
Answer: B
Rationale: Airway and breathing are immediate priorities. Severe
hypoxemia and increased work of breathing require rapid intervention
and reassessment.
,2|Page
2. A client reports sudden crushing chest pressure that radiates to the
left arm and is accompanied by diaphoresis and nausea. Which nursing
action is the priority?
A. Reassure the client that anxiety is probably causing the symptoms
B. Encourage the client to walk slowly to improve circulation
C. Perform an immediate focused cardiovascular assessment and
activate the appropriate response for suspected acute coronary
syndrome
D. Offer the client a large glass of water
Answer: C
Rationale: Sudden pressure-like chest pain with radiation, diaphoresis,
and nausea is concerning for acute coronary syndrome and requires
immediate evaluation.
3. A postoperative client becomes increasingly restless and confused.
The respiratory rate is 30/min, heart rate is 118/min, and oxygen
saturation has decreased from 97% to 88%. Which interpretation is
most appropriate?
A. The findings indicate expected postoperative fatigue
B. The client is demonstrating adequate recovery
C. The findings suggest impaired oxygenation and possible acute clinical
deterioration
,3|Page
D. The client most likely needs additional sleep
Answer: C
Rationale: Restlessness and confusion can be early signs of hypoxemia.
The increased respiratory and heart rates further support concern for
deterioration.
4. A client with a suspected infection has a temperature of 39.4°C
(102.9°F), heart rate of 126/min, respiratory rate of 32/min, and blood
pressure of 82/48 mm Hg. Which condition should the nurse suspect?
A. Uncomplicated fever
B. Possible sepsis with impaired tissue perfusion
C. Mild dehydration without systemic complications
D. Stable infection that requires routine monitoring only
Answer: B
Rationale: Fever accompanied by tachycardia, tachypnea, and
significant hypotension is concerning for sepsis and possible septic
shock.
5. A nurse is preparing to administer medication to a client. Which
action best demonstrates safe medication administration?
, 4|Page
A. Verify the medication using the client's room number
B. Administer the medication because another nurse already prepared
it
C. Verify the client's identity, allergies, medication, dose, route, timing,
and relevant assessment findings before administration
D. Ask the client's roommate to confirm the medication
Answer: C
Rationale: Multiple verification steps help prevent medication errors
involving the wrong client, medication, dose, route, or timing.
6. A client receiving an opioid analgesic becomes difficult to arouse and
has a respiratory rate of 7/min. Which action should the nurse take
immediately?
A. Allow the client to sleep because sedation is an expected medication
effect
B. Assess airway and breathing, provide appropriate support, and follow
the protocol for suspected opioid-induced respiratory depression
C. Administer the next scheduled dose to maintain pain control
D. Encourage the client to drink fluids
Answer: B
