1
NSG 4100 EXAM 3 REAL TEST QUESTIONS
AND ANSWERS-2026 LATEST VERSION
Practice Examination – VERSION B
Level: BSN / RN
Style: NCLEX-style, application & clinical judgment
Total Questions: 100
Format: Multiple Choice
Content: Adult Health, Critical Care, Med-Surg, Prioritization
Question 1
A patient with COPD has an ABG showing pH 7.36, PaCO₂ 52
mm Hg, HCO₃⁻ 30 mEq/L. How should the nurse interpret this?
A. Uncompensated respiratory acidosis
B. Partially compensated respiratory acidosis
C. Fully compensated respiratory acidosis
D. Metabolic alkalosis
Correct Answer: C
Rationale:
• C is correct: Normal pH with elevated PaCO₂ and HCO₃⁻
indicates full compensation.
,2
• A & B: pH would be abnormal.
• D: Does not match CO₂ findings.
Question 2
Which assessment finding is an early sign of hypoxia?
A. Cyanosis
B. Bradycardia
C. Restlessness
D. Hypotension
Correct Answer: C
Rationale:
• C is correct: Restlessness and anxiety are early hypoxia
signs.
• A, B, D: Late findings.
Question 3
A patient with heart failure gains 2.5 kg (5.5 lb) in 3 days. What
is the nurse’s priority action?
A. Document the finding
B. Restrict sodium intake
,3
C. Notify the provider
D. Encourage ambulation
Correct Answer: C
Rationale:
• C is correct: Rapid weight gain suggests fluid overload
requiring provider intervention.
Question 4
Which medication should be held if a patient’s apical pulse is 52
bpm?
A. Furosemide
B. Digoxin
C. Lisinopril
D. Aspirin
Correct Answer: B
Rationale:
• B is correct: Digoxin can cause bradycardia; hold and notify
provider.
Question 5
Which patient finding most strongly suggests septic shock?
, 4
A. Fever and chills
B. Tachycardia and hypotension
C. Elevated WBC
D. Warm skin only
Correct Answer: B
Rationale:
• B is correct: Shock includes hypotension and poor
perfusion.
Question 6
A patient with acute pancreatitis should initially be placed on
which order?
A. Clear liquids
B. Low-fat diet
C. NPO
D. High-protein diet
Correct Answer: C
Rationale:
• C is correct: Pancreatic rest is essential.
Question 7
NSG 4100 EXAM 3 REAL TEST QUESTIONS
AND ANSWERS-2026 LATEST VERSION
Practice Examination – VERSION B
Level: BSN / RN
Style: NCLEX-style, application & clinical judgment
Total Questions: 100
Format: Multiple Choice
Content: Adult Health, Critical Care, Med-Surg, Prioritization
Question 1
A patient with COPD has an ABG showing pH 7.36, PaCO₂ 52
mm Hg, HCO₃⁻ 30 mEq/L. How should the nurse interpret this?
A. Uncompensated respiratory acidosis
B. Partially compensated respiratory acidosis
C. Fully compensated respiratory acidosis
D. Metabolic alkalosis
Correct Answer: C
Rationale:
• C is correct: Normal pH with elevated PaCO₂ and HCO₃⁻
indicates full compensation.
,2
• A & B: pH would be abnormal.
• D: Does not match CO₂ findings.
Question 2
Which assessment finding is an early sign of hypoxia?
A. Cyanosis
B. Bradycardia
C. Restlessness
D. Hypotension
Correct Answer: C
Rationale:
• C is correct: Restlessness and anxiety are early hypoxia
signs.
• A, B, D: Late findings.
Question 3
A patient with heart failure gains 2.5 kg (5.5 lb) in 3 days. What
is the nurse’s priority action?
A. Document the finding
B. Restrict sodium intake
,3
C. Notify the provider
D. Encourage ambulation
Correct Answer: C
Rationale:
• C is correct: Rapid weight gain suggests fluid overload
requiring provider intervention.
Question 4
Which medication should be held if a patient’s apical pulse is 52
bpm?
A. Furosemide
B. Digoxin
C. Lisinopril
D. Aspirin
Correct Answer: B
Rationale:
• B is correct: Digoxin can cause bradycardia; hold and notify
provider.
Question 5
Which patient finding most strongly suggests septic shock?
, 4
A. Fever and chills
B. Tachycardia and hypotension
C. Elevated WBC
D. Warm skin only
Correct Answer: B
Rationale:
• B is correct: Shock includes hypotension and poor
perfusion.
Question 6
A patient with acute pancreatitis should initially be placed on
which order?
A. Clear liquids
B. Low-fat diet
C. NPO
D. High-protein diet
Correct Answer: C
Rationale:
• C is correct: Pancreatic rest is essential.
Question 7
