NSG 3130 FINAL EXAM– 120 NURSING CORRECT AND VERIFIED QUESTIONS
WITH ANSWERS (2026-2027 UPDATE)ALREADY GRADED A+
1.
A patient reports shortness of breath while lying flat and must sit upright to
breathe.
Which medical term best describes this finding?
A) Dyspnea
B) Orthopnea
C) Tachypnea
D) Apnea
Answer: B – Orthopnea refers to difficulty breathing while lying flat.
2.
The nurse prepares to assess a patient’s radial pulse.
Which action ensures the most accurate measurement?
A) Use the thumb to palpate the artery
B) Palpate with two fingertips for 30–60 seconds
C) Apply firm pressure until pulse disappears
D) Count for 15 seconds and multiply by 4 always
Answer: B – Two fingertips for a full minute is most accurate, especially if
irregular.
3.
The nurse is caring for a client with low blood pressure and dizziness.
What is the priority nursing intervention?
A) Encourage ambulation
B) Place the client in Trendelenburg position
C) Instruct the client to lie supine with legs elevated
D) Restrict fluid intake
Answer: C – Elevating legs improves venous return and stabilizes blood pressure.
4.
Which step of the nursing process involves comparing actual outcomes with
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expected goals?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
Answer: D – Evaluation is where outcomes are compared to goals.
5.
A client asks the nurse about confidentiality of medical records.
Which law ensures privacy and protection of health information?
A) OSHA
B) HIPAA
C) ANA Code of Ethics
D) FDA Regulations
Answer: B – HIPAA protects patient health information.
6.
A nurse documents “BP 148/94 mmHg, HR 96 bpm.”
What is the best interpretation of these findings?
A) Normal vital signs
B) Hypertension stage 1 with normal heart rate
C) Hypotension with bradycardia
D) Prehypertension with tachycardia
Answer: B – Systolic >140 and diastolic >90 = stage 1 hypertension.
7.
During a medication pass, the nurse checks the patient’s name band and asks
them to state their full name.
Which safety principle is the nurse applying?
A) Right route
B) Right documentation
C) Two patient identifiers
D) High-alert verification
Answer: C – Using two identifiers prevents errors.
8.
Which of the following is an example of objective data in nursing assessment?
A) Patient reports pain level of 8/10
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B) Patient says “I feel dizzy”
C) Patient’s skin is pale and cool to touch
D) Patient complains of nausea
Answer: C – Objective data are observable and measurable signs.
9.
The nurse notices a student documenting care before actually providing it.
Which principle of documentation is being violated?
A) Accuracy
B) Timeliness
C) Factual recording
D) Confidentiality
Answer: B – Documentation must be timely and after care is provided.
10.
A nurse receives a patient from surgery who is drowsy but arousable.
Which vital sign would be the priority to monitor first?
A) Blood pressure
B) Respiratory rate
C) Temperature
D) Pain level
Answer: B – Airway and breathing always come before circulation.
11.
When delegating tasks to unlicensed assistive personnel (UAP), the nurse must:
A) Transfer accountability for patient outcomes
B) Ensure the task is within the UAP’s training and scope
C) Allow UAP to independently assess patients
D) Avoid follow-up once delegation is complete
Answer: B – Delegation requires assigning only tasks within their scope.
12.
Which nursing diagnosis is most appropriate for a client with COPD experiencing
dyspnea?
A) Risk for injury
B) Impaired gas exchange
C) Activity intolerance
D) Ineffective coping