NSG 4100 EXAM 1 2026 150 Q
&A
,1. A nurse is assessing a client who has just been admi ed. Which finding requires the nurse’s
immediate a en on?
A. Mild anxiety
B. Respiratory rate of 8/min
C. Blood pressure of 138/84 mmHg
D. Temperature of 37.2°C (99°F)
Correct Answer: B. Respiratory rate of 8/min
Ra onale: A respiratory rate of 8/min indicates significant respiratory depression and can
compromise oxygena on and ven la on. Airway and breathing problems take priority
according to the ABC framework. The other findings are not immediately life-threatening.
I can produce the complete Ques ons 1–150 in this exact format.
Produce the complete Ques ons 1–150 in this exact format
Below is a 150-ques on original NSG 4100 Exam 1 prac ce set. These are study ques ons, not
actual or leaked exam ques ons, and are designed around common upper-level nursing Exam 1
topics: assessment, clinical judgment, priori za on, safety, pharmacology fundamentals,
fluids/electrolytes, infec on control, documenta on, communica on, and pa ent-centered
care.
NSG 4100 Exam 1 — Prac ce Ques ons 1–150
1. A nurse is assessing a newly admi ed client. Which finding requires immediate
interven on?
A. Temperature of 37.2°C (99°F)
B. Respiratory rate of 8/min
C. Blood pressure of 138/84 mmHg
D. Mild anxiety
Correct Answer: B. Respiratory rate of 8/min
Ra onale: A respiratory rate of 8/min indicates hypoven la on and possible respiratory
depression. Airway and breathing take priority because inadequate ven la on can rapidly lead
to hypoxemia and cardiopulmonary deteriora on.
2. Which assessment should the nurse perform first when receiving a client from the
emergency department?
,A. Complete medica on reconcilia on
B. Assess airway and breathing
C. Obtain a detailed dietary history
D. Determine the client's usual sleep pa ern
Correct Answer: B. Assess airway and breathing
Ra onale: The primary assessment follows the ABC approach: airway, breathing, and
circula on. Immediate threats to life must be iden fied before comple ng secondary
assessments.
3. Which finding is most consistent with hypovolemia?
A. Bounding pulse
B. Distended neck veins
C. Orthosta c hypotension
D. Peripheral edema
Correct Answer: C. Orthosta c hypotension
Ra onale: Decreased circula ng volume can cause reduced venous return and orthosta c
hypotension. Tachycardia, weak pulses, dry mucous membranes, and decreased urine output
may also occur.
4. A client reports sudden chest pressure radia ng to the le arm. What should the nurse do
first?
A. Ask the client to rate the pain
B. Document the complaint
C. Obtain a complete dietary history
D. Encourage ambula on
Correct Answer: A. Ask the client to rate the pain
Ra onale: Sudden chest pressure may indicate acute coronary syndrome. The nurse should
immediately assess the symptom, including severity and characteris cs, while ini a ng
appropriate emergency protocols.
5. Which assessment finding indicates adequate peripheral ssue perfusion?
, A. Capillary refill greater than 4 seconds
B. Cool, pale extremi es
C. Warm skin with palpable peripheral pulses
D. Cyano c nail beds
Correct Answer: C. Warm skin with palpable peripheral pulses
Ra onale: Warm skin and palpable pulses generally indicate adequate peripheral circula on.
Delayed capillary refill, pallor, coolness, and cyanosis suggest impaired perfusion.
6. Which client should the nurse assess first?
A. Client repor ng chronic back pain rated 5/10
B. Client with oxygen satura on of 88% and increasing dyspnea
C. Client reques ng assistance with bathing
D. Client awai ng discharge instruc ons
Correct Answer: B. Client with oxygen satura on of 88% and increasing dyspnea
Ra onale: Hypoxemia and worsening dyspnea represent an immediate threat to life. Respiratory
problems take priority over pain, hygiene, and discharge needs.
7. Which statement best demonstrates therapeu c communica on?
A. “You shouldn't worry about that.”
B. “Everything will be fine.”
C. “Tell me more about what concerns you.”
D. “I know exactly how you feel.”
Correct Answer: C. “Tell me more about what concerns you.”
Ra onale: Open-ended statements encourage the client to express concerns and provide
addi onal informa on. False reassurance, minimizing feelings, and claiming to know exactly
how another person feels are nontherapeu c.
8. A client becomes angry while discussing the treatment plan. What is the nurse's best
response?
A. “You need to calm down.”
B. “There is no reason to be angry.”
&A
,1. A nurse is assessing a client who has just been admi ed. Which finding requires the nurse’s
immediate a en on?
A. Mild anxiety
B. Respiratory rate of 8/min
C. Blood pressure of 138/84 mmHg
D. Temperature of 37.2°C (99°F)
Correct Answer: B. Respiratory rate of 8/min
Ra onale: A respiratory rate of 8/min indicates significant respiratory depression and can
compromise oxygena on and ven la on. Airway and breathing problems take priority
according to the ABC framework. The other findings are not immediately life-threatening.
I can produce the complete Ques ons 1–150 in this exact format.
Produce the complete Ques ons 1–150 in this exact format
Below is a 150-ques on original NSG 4100 Exam 1 prac ce set. These are study ques ons, not
actual or leaked exam ques ons, and are designed around common upper-level nursing Exam 1
topics: assessment, clinical judgment, priori za on, safety, pharmacology fundamentals,
fluids/electrolytes, infec on control, documenta on, communica on, and pa ent-centered
care.
NSG 4100 Exam 1 — Prac ce Ques ons 1–150
1. A nurse is assessing a newly admi ed client. Which finding requires immediate
interven on?
A. Temperature of 37.2°C (99°F)
B. Respiratory rate of 8/min
C. Blood pressure of 138/84 mmHg
D. Mild anxiety
Correct Answer: B. Respiratory rate of 8/min
Ra onale: A respiratory rate of 8/min indicates hypoven la on and possible respiratory
depression. Airway and breathing take priority because inadequate ven la on can rapidly lead
to hypoxemia and cardiopulmonary deteriora on.
2. Which assessment should the nurse perform first when receiving a client from the
emergency department?
,A. Complete medica on reconcilia on
B. Assess airway and breathing
C. Obtain a detailed dietary history
D. Determine the client's usual sleep pa ern
Correct Answer: B. Assess airway and breathing
Ra onale: The primary assessment follows the ABC approach: airway, breathing, and
circula on. Immediate threats to life must be iden fied before comple ng secondary
assessments.
3. Which finding is most consistent with hypovolemia?
A. Bounding pulse
B. Distended neck veins
C. Orthosta c hypotension
D. Peripheral edema
Correct Answer: C. Orthosta c hypotension
Ra onale: Decreased circula ng volume can cause reduced venous return and orthosta c
hypotension. Tachycardia, weak pulses, dry mucous membranes, and decreased urine output
may also occur.
4. A client reports sudden chest pressure radia ng to the le arm. What should the nurse do
first?
A. Ask the client to rate the pain
B. Document the complaint
C. Obtain a complete dietary history
D. Encourage ambula on
Correct Answer: A. Ask the client to rate the pain
Ra onale: Sudden chest pressure may indicate acute coronary syndrome. The nurse should
immediately assess the symptom, including severity and characteris cs, while ini a ng
appropriate emergency protocols.
5. Which assessment finding indicates adequate peripheral ssue perfusion?
, A. Capillary refill greater than 4 seconds
B. Cool, pale extremi es
C. Warm skin with palpable peripheral pulses
D. Cyano c nail beds
Correct Answer: C. Warm skin with palpable peripheral pulses
Ra onale: Warm skin and palpable pulses generally indicate adequate peripheral circula on.
Delayed capillary refill, pallor, coolness, and cyanosis suggest impaired perfusion.
6. Which client should the nurse assess first?
A. Client repor ng chronic back pain rated 5/10
B. Client with oxygen satura on of 88% and increasing dyspnea
C. Client reques ng assistance with bathing
D. Client awai ng discharge instruc ons
Correct Answer: B. Client with oxygen satura on of 88% and increasing dyspnea
Ra onale: Hypoxemia and worsening dyspnea represent an immediate threat to life. Respiratory
problems take priority over pain, hygiene, and discharge needs.
7. Which statement best demonstrates therapeu c communica on?
A. “You shouldn't worry about that.”
B. “Everything will be fine.”
C. “Tell me more about what concerns you.”
D. “I know exactly how you feel.”
Correct Answer: C. “Tell me more about what concerns you.”
Ra onale: Open-ended statements encourage the client to express concerns and provide
addi onal informa on. False reassurance, minimizing feelings, and claiming to know exactly
how another person feels are nontherapeu c.
8. A client becomes angry while discussing the treatment plan. What is the nurse's best
response?
A. “You need to calm down.”
B. “There is no reason to be angry.”
