NSG 3130 Exam 4 – Nursing Concepts & Clinical
Judgment – Galen College of Nursing
NSG 3130 Exam 4 – Nursing Concepts & Clinical
Judgment – Galen College of Nursing
NSG 3130 Exam 4 – Nursing Concepts & Clinical
Judgment – Galen College of Nursing
Exam Coverage – 10 Most Tested Areas
1. Heart Failure (Left-Sided vs. Right-Sided)
2. COPD and Oxygen Therapy
3. Chest Tubes and Tracheostomy Care
4. Cardiac Catheterization and Post-Procedure Complications
, 5. Digoxin and Diuretic Monitoring
6. Perioperative Nursing and Surgical Safety
7. Grief, End-of-Life, and Palliative Care
8. Medication Safety and High-Alert Medications
9. Acid-Base Balance and Arterial Blood Gases
10. Fluid and Electrolyte Imbalances
NSG 3130 Exam 4 – Nursing Concepts & Clinical
Judgment – Galen College of Nursing
200 Multiple-Choice Questions with Answers and
Rationales
1. A nurse is assessing a client diagnosed with left-sided heart failure and
expects to find which of the following clinical manifestations during the
physical examination?
,A. Jugular venous distention and peripheral edema
B. Crackles in the lung bases and orthopnea
C. Hepatomegaly and ascites
D. Bradycardia and hypertension
Answer: B
Rationale: Left-sided heart failure causes blood to back up into the pulmonary
circulation, leading to pulmonary congestion. Crackles, orthopnea, and dyspnea
are classic signs. Jugular venous distention, peripheral edema, hepatomegaly,
and ascites are signs of right-sided heart failure 1 .
2. A client with right-sided heart failure is most at risk for developing which of
the following serious complications related to systemic venous congestion?
A. Pulmonary edema
B. Paroxysmal nocturnal dyspnea
, C. Dependent edema and hepatomegaly
D. Orthopnea and crackles
Answer: C
Rationale: Right-sided heart failure causes systemic venous congestion, leading
to dependent edema, jugular venous distention, and hepatomegaly. Pulmonary
edema, orthopnea, and paroxysmal nocturnal dyspnea are associated with left-
sided failure 1 .
3. A nurse is caring for a client taking digoxin and notes a serum potassium
level of 3.2 mEq/L. Which action should the nurse take first?
A. Administer the digoxin as prescribed
B. Hold the digoxin and notify the healthcare provider
C. Encourage the client to eat potassium-rich foods
D. Document the finding and continue monitoring
Judgment – Galen College of Nursing
NSG 3130 Exam 4 – Nursing Concepts & Clinical
Judgment – Galen College of Nursing
NSG 3130 Exam 4 – Nursing Concepts & Clinical
Judgment – Galen College of Nursing
Exam Coverage – 10 Most Tested Areas
1. Heart Failure (Left-Sided vs. Right-Sided)
2. COPD and Oxygen Therapy
3. Chest Tubes and Tracheostomy Care
4. Cardiac Catheterization and Post-Procedure Complications
, 5. Digoxin and Diuretic Monitoring
6. Perioperative Nursing and Surgical Safety
7. Grief, End-of-Life, and Palliative Care
8. Medication Safety and High-Alert Medications
9. Acid-Base Balance and Arterial Blood Gases
10. Fluid and Electrolyte Imbalances
NSG 3130 Exam 4 – Nursing Concepts & Clinical
Judgment – Galen College of Nursing
200 Multiple-Choice Questions with Answers and
Rationales
1. A nurse is assessing a client diagnosed with left-sided heart failure and
expects to find which of the following clinical manifestations during the
physical examination?
,A. Jugular venous distention and peripheral edema
B. Crackles in the lung bases and orthopnea
C. Hepatomegaly and ascites
D. Bradycardia and hypertension
Answer: B
Rationale: Left-sided heart failure causes blood to back up into the pulmonary
circulation, leading to pulmonary congestion. Crackles, orthopnea, and dyspnea
are classic signs. Jugular venous distention, peripheral edema, hepatomegaly,
and ascites are signs of right-sided heart failure 1 .
2. A client with right-sided heart failure is most at risk for developing which of
the following serious complications related to systemic venous congestion?
A. Pulmonary edema
B. Paroxysmal nocturnal dyspnea
, C. Dependent edema and hepatomegaly
D. Orthopnea and crackles
Answer: C
Rationale: Right-sided heart failure causes systemic venous congestion, leading
to dependent edema, jugular venous distention, and hepatomegaly. Pulmonary
edema, orthopnea, and paroxysmal nocturnal dyspnea are associated with left-
sided failure 1 .
3. A nurse is caring for a client taking digoxin and notes a serum potassium
level of 3.2 mEq/L. Which action should the nurse take first?
A. Administer the digoxin as prescribed
B. Hold the digoxin and notify the healthcare provider
C. Encourage the client to eat potassium-rich foods
D. Document the finding and continue monitoring
