NSG 122 Exam 3 V2 | NSG 122 Nursing
Fundamental Concepts | Herzing | 2026 Q&A with
Rationale (Herzing NSG122 Exam 3 2026)
1. A nurse is caring for a client who has been immobile for three days. Which of the following
findings should the nurse identify as a complication of immobility?
A. Increased cardiac output
B. Decreased serum calcium
C. Contractures of the extremities
D. Increased bowel motility
Correct Answer: C
Explanation: Immobility leads to the shortening of muscle fibers, resulting in joint
contractures such as foot drop. When muscles are not used, they atrophy and joints become
stiff due to a lack of movement. The nurse must implement range-of-motion exercises to
mitigate these physiological changes.
2. A nurse is assessing a client’s skin and finds a partial-thickness loss of dermis presenting as
a shallow open ulcer with a red-pink wound bed. How should the nurse stage this pressure
injury?
A. Stage 2
B. Stage 1
,C. Stage 3
D. Stage 4
Correct Answer: A
Explanation: A Stage 2 pressure injury involves partial-thickness loss of the dermis and
may also present as an intact or open/ruptured serum-filled blister. Stage 1 is
characterized by non-blanchable erythema of intact skin, while Stage 3 involves full-
thickness tissue loss. Accurate staging is essential for determining the appropriate wound
care protocol and dressing selection.
3. Which of the following lab values should the nurse prioritize when evaluating a client’s
nutritional status for wound healing?
A. Serum sodium
B. Blood urea nitrogen
C. White blood cell count
D. Serum albumin
Correct Answer: D
Explanation: Serum albumin is a key indicator of chronic protein status, which is vital for
tissue repair and wound healing. Low albumin levels are associated with delayed wound
healing and increased risk for pressure injuries. The nurse should also monitor prealbumin
for a more current reflection of the client’s nutritional intake.
, 4. A nurse is preparing to administer an enteral feeding via a nasogastric (NG) tube. What is
the most reliable method to confirm tube placement before starting the feeding?
A. Radiographic (X-ray) confirmation
B. Checking the pH of gastric aspirate
C. Auscultating for an air bolus
D. Observing the client for coughing
Correct Answer: A
Explanation: Radiographic verification is the gold standard for confirming the initial
placement of a nasogastric tube. Auscultation is no longer considered a reliable method
because air can be heard even if the tube is in the respiratory tract. The nurse should
always verify placement to prevent life-threatening complications like aspiration
pneumonia.
5. A client is 24 hours postoperative following abdominal surgery. The nurse notes the client
has not voided since the catheter was removed 8 hours ago. What is the nurse’s priority
action?
A. Encourage increased fluid intake
B. Reinsert the indwelling catheter
C. Perform a bladder scan
D. Notify the surgeon immediately
Fundamental Concepts | Herzing | 2026 Q&A with
Rationale (Herzing NSG122 Exam 3 2026)
1. A nurse is caring for a client who has been immobile for three days. Which of the following
findings should the nurse identify as a complication of immobility?
A. Increased cardiac output
B. Decreased serum calcium
C. Contractures of the extremities
D. Increased bowel motility
Correct Answer: C
Explanation: Immobility leads to the shortening of muscle fibers, resulting in joint
contractures such as foot drop. When muscles are not used, they atrophy and joints become
stiff due to a lack of movement. The nurse must implement range-of-motion exercises to
mitigate these physiological changes.
2. A nurse is assessing a client’s skin and finds a partial-thickness loss of dermis presenting as
a shallow open ulcer with a red-pink wound bed. How should the nurse stage this pressure
injury?
A. Stage 2
B. Stage 1
,C. Stage 3
D. Stage 4
Correct Answer: A
Explanation: A Stage 2 pressure injury involves partial-thickness loss of the dermis and
may also present as an intact or open/ruptured serum-filled blister. Stage 1 is
characterized by non-blanchable erythema of intact skin, while Stage 3 involves full-
thickness tissue loss. Accurate staging is essential for determining the appropriate wound
care protocol and dressing selection.
3. Which of the following lab values should the nurse prioritize when evaluating a client’s
nutritional status for wound healing?
A. Serum sodium
B. Blood urea nitrogen
C. White blood cell count
D. Serum albumin
Correct Answer: D
Explanation: Serum albumin is a key indicator of chronic protein status, which is vital for
tissue repair and wound healing. Low albumin levels are associated with delayed wound
healing and increased risk for pressure injuries. The nurse should also monitor prealbumin
for a more current reflection of the client’s nutritional intake.
, 4. A nurse is preparing to administer an enteral feeding via a nasogastric (NG) tube. What is
the most reliable method to confirm tube placement before starting the feeding?
A. Radiographic (X-ray) confirmation
B. Checking the pH of gastric aspirate
C. Auscultating for an air bolus
D. Observing the client for coughing
Correct Answer: A
Explanation: Radiographic verification is the gold standard for confirming the initial
placement of a nasogastric tube. Auscultation is no longer considered a reliable method
because air can be heard even if the tube is in the respiratory tract. The nurse should
always verify placement to prevent life-threatening complications like aspiration
pneumonia.
5. A client is 24 hours postoperative following abdominal surgery. The nurse notes the client
has not voided since the catheter was removed 8 hours ago. What is the nurse’s priority
action?
A. Encourage increased fluid intake
B. Reinsert the indwelling catheter
C. Perform a bladder scan
D. Notify the surgeon immediately
