NSG 3100 EXAM 4 ACTUAL 2026/2027 COMPREHENSIVE TEST BANK
AND HIGH YIELD PRACTICE QUESTIONS ACCURATE EXAM
COMPLETE REAL QUESTIONS AND CORRECT DETAILED
SOLUTIONS WITH RATIONALES (100% CORRECT VERIFIED
ANSWERS) CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ |JUST RELEASED NSG 3100 EXAM 4
|INSTANT PDF ACCESS
1. Margaret Holloway, a 68-year-old woman, is admitted to the
telemetry unit with New York Heart Association Class III heart
failure. She reports increasing dyspnea on exertion, three-pillow
orthopnea, and weight gain of 4.5 kg over the past week. Her vital
signs are BP 148/88 mmHg, HR 96 bpm, RR 24 breaths/min, and
SpO₂ 91% on room air. Bilateral crackles are auscultated at the lung
bases, and 2+ pitting edema is noted in both lower extremities. Her
daily medications include furosemide 40 mg PO daily, lisinopril 20
mg PO daily, and carvedilol 12.5 mg PO BID. The nurse reviews her
morning laboratory results and notes a serum potassium level of 3.0
mEq/L. What is the priority nursing action?
A. Administer the scheduled furosemide and encourage intake of
potassium-rich foods such as bananas and oranges to correct the
deficit
B. Hold the furosemide dose and notify the provider immediately
about the hypokalemia before administering any further cardiac
medications
,C. Administer the furosemide as scheduled and obtain a stat
electrocardiogram to assess for U waves or T-wave flattening related
to hypokalemia
D. Request an order for intravenous potassium replacement prior to
giving the scheduled furosemide dose this morning (CORRECT
ANSWER)
Rationale: Furosemide is a loop diuretic that causes significant
potassium wasting, and administering it to a patient who is already
hypokalemic (K+ 3.0 mEq/L) increases the risk of life-threatening
cardiac dysrhythmias. The nurse should request potassium
replacement before giving the diuretic to prevent further depletion of
serum potassium. Dietary potassium sources alone will not correct a
level this low quickly enough for a patient on a potassium-wasting
diuretic.
2. Robert Chen, a 58-year-old man, arrives in the emergency
department complaining of substernal chest pressure that began 45
minutes ago while he was mowing the lawn. The pain radiates to his
left jaw and arm and is rated 8/10 in intensity. His vital signs are BP
162/98 mmHg, HR 108 bpm, RR 22 breaths/min, and SpO₂ 95% on
2 L nasal cannula. A 12-lead ECG reveals ST-segment elevation in
leads II, III, and aVF. Troponin I is drawn and results are pending.
The provider orders aspirin 325 mg chewable, nitroglycerin 0.4 mg
SL, and prepares for emergent cardiac catheterization. Which action
should the nurse take first?
,A. Administer the nitroglycerin sublingually immediately, then give
the chewable aspirin while preparing for the cardiac catheterization
lab
B. Give the chewable aspirin first, confirm the blood pressure
remains adequate, and then administer nitroglycerin while arranging
for percutaneous coronary intervention (CORRECT ANSWER)
C. Withhold both medications until the troponin results return to
confirm myocardial infarction
D. Administer both medications simultaneously and transfer the
patient immediately to the catheterization lab
Rationale: Aspirin should be administered immediately upon
suspicion of MI to reduce platelet aggregation and mortality.
Nitroglycerin should be given after confirming adequate blood
pressure, as it can cause hypotension. Aspirin is the priority
medication in acute MI.
3. A patient with heart failure is prescribed digoxin. Which finding
indicates a therapeutic effect of the medication?
A. Heart rate of 110 bpm
B. Decreased shortness of breath (CORRECT ANSWER)
C. Increased jugular venous distention
D. Presence of an S3 heart sound
, Rationale: A therapeutic effect of digoxin is increased cardiac
contractility, leading to improved cardiac output and decreased
symptoms of heart failure like shortness of breath. Options A, C, and
D indicate worsening heart failure or toxicity.
4. The nurse is assessing a patient with pericarditis. What
characteristic finding should the nurse anticipate?
A. Pain that is relieved by leaning forward (CORRECT ANSWER)
B. Pain that worsens with sitting up
C. A friction rub heard best at the apex
D. Pain that is pleuritic and relieved by lying flat
Rationale: Pericarditis pain is typically sharp and pleuritic, often
relieved by leaning forward and worsened by lying supine. A
pericardial friction rub is best heard at the left lower sternal border.
5. A patient with a history of angina is prescribed sublingual
nitroglycerin. The nurse instructs the patient to take the medication
at the onset of chest pain. If pain is not relieved after the first tablet,
the patient should:
A. Take one more tablet in 15 minutes
AND HIGH YIELD PRACTICE QUESTIONS ACCURATE EXAM
COMPLETE REAL QUESTIONS AND CORRECT DETAILED
SOLUTIONS WITH RATIONALES (100% CORRECT VERIFIED
ANSWERS) CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ |JUST RELEASED NSG 3100 EXAM 4
|INSTANT PDF ACCESS
1. Margaret Holloway, a 68-year-old woman, is admitted to the
telemetry unit with New York Heart Association Class III heart
failure. She reports increasing dyspnea on exertion, three-pillow
orthopnea, and weight gain of 4.5 kg over the past week. Her vital
signs are BP 148/88 mmHg, HR 96 bpm, RR 24 breaths/min, and
SpO₂ 91% on room air. Bilateral crackles are auscultated at the lung
bases, and 2+ pitting edema is noted in both lower extremities. Her
daily medications include furosemide 40 mg PO daily, lisinopril 20
mg PO daily, and carvedilol 12.5 mg PO BID. The nurse reviews her
morning laboratory results and notes a serum potassium level of 3.0
mEq/L. What is the priority nursing action?
A. Administer the scheduled furosemide and encourage intake of
potassium-rich foods such as bananas and oranges to correct the
deficit
B. Hold the furosemide dose and notify the provider immediately
about the hypokalemia before administering any further cardiac
medications
,C. Administer the furosemide as scheduled and obtain a stat
electrocardiogram to assess for U waves or T-wave flattening related
to hypokalemia
D. Request an order for intravenous potassium replacement prior to
giving the scheduled furosemide dose this morning (CORRECT
ANSWER)
Rationale: Furosemide is a loop diuretic that causes significant
potassium wasting, and administering it to a patient who is already
hypokalemic (K+ 3.0 mEq/L) increases the risk of life-threatening
cardiac dysrhythmias. The nurse should request potassium
replacement before giving the diuretic to prevent further depletion of
serum potassium. Dietary potassium sources alone will not correct a
level this low quickly enough for a patient on a potassium-wasting
diuretic.
2. Robert Chen, a 58-year-old man, arrives in the emergency
department complaining of substernal chest pressure that began 45
minutes ago while he was mowing the lawn. The pain radiates to his
left jaw and arm and is rated 8/10 in intensity. His vital signs are BP
162/98 mmHg, HR 108 bpm, RR 22 breaths/min, and SpO₂ 95% on
2 L nasal cannula. A 12-lead ECG reveals ST-segment elevation in
leads II, III, and aVF. Troponin I is drawn and results are pending.
The provider orders aspirin 325 mg chewable, nitroglycerin 0.4 mg
SL, and prepares for emergent cardiac catheterization. Which action
should the nurse take first?
,A. Administer the nitroglycerin sublingually immediately, then give
the chewable aspirin while preparing for the cardiac catheterization
lab
B. Give the chewable aspirin first, confirm the blood pressure
remains adequate, and then administer nitroglycerin while arranging
for percutaneous coronary intervention (CORRECT ANSWER)
C. Withhold both medications until the troponin results return to
confirm myocardial infarction
D. Administer both medications simultaneously and transfer the
patient immediately to the catheterization lab
Rationale: Aspirin should be administered immediately upon
suspicion of MI to reduce platelet aggregation and mortality.
Nitroglycerin should be given after confirming adequate blood
pressure, as it can cause hypotension. Aspirin is the priority
medication in acute MI.
3. A patient with heart failure is prescribed digoxin. Which finding
indicates a therapeutic effect of the medication?
A. Heart rate of 110 bpm
B. Decreased shortness of breath (CORRECT ANSWER)
C. Increased jugular venous distention
D. Presence of an S3 heart sound
, Rationale: A therapeutic effect of digoxin is increased cardiac
contractility, leading to improved cardiac output and decreased
symptoms of heart failure like shortness of breath. Options A, C, and
D indicate worsening heart failure or toxicity.
4. The nurse is assessing a patient with pericarditis. What
characteristic finding should the nurse anticipate?
A. Pain that is relieved by leaning forward (CORRECT ANSWER)
B. Pain that worsens with sitting up
C. A friction rub heard best at the apex
D. Pain that is pleuritic and relieved by lying flat
Rationale: Pericarditis pain is typically sharp and pleuritic, often
relieved by leaning forward and worsened by lying supine. A
pericardial friction rub is best heard at the left lower sternal border.
5. A patient with a history of angina is prescribed sublingual
nitroglycerin. The nurse instructs the patient to take the medication
at the onset of chest pain. If pain is not relieved after the first tablet,
the patient should:
A. Take one more tablet in 15 minutes
