NSG 3130 Exam 4 (2026 Update) Fundamental Concepts & Skills
for Nursing Practice II Review| Complete Questions and Correct
Detailed Answers- Galen/ Exam 4 NSG3130 Already Graded
A+|Latest 2026 Version!!!
The nurse is caring for a patient who will be returning to the nursing
unit following a cardiac catheterization via the right femoral artery.
Which assessment is the highest priority for the nurse to perform
when the patient arrives on the unit?
a. Checking the patient's right pedal pulse and warmth of the right leg
b. Checking pulse oximetry and listening to the patient's lung sounds
c. Checking bilateral radial pulses to check for a pulse deficit
d. Estimating the patient's jugular venous pressure
a. Checking the patient's right pedal pulse and warmth of the right leg
Cardiac catheterization includes the insertion of a large IV needle into
the patient's right femoral or brachial artery to view the left side of the
heart and inserted into the antecubital or femoral vein to view
structures on the right side of the heart. In this case, occlusion of the
femoral artery may develop after the procedure leading to faint or
absent pedal pulses and loss of warmth to the right leg. The nurse
should check the patient's right pedal pulses and leg warmth to ensure
that the femoral artery has not become occluded. The other
assessments may be performed once the patient's right leg is found to
be warm with strong pulses.
The home care nurse is caring for a patient who has severe COPD and
home oxygen therapy. The patient tells the nurse that she feels much
better after increasing the oxygen flowmeter from 2 L to 5 L/min. The
patient's pulse oximetry is 98%. What is the priority action of the
nurse?
a. Reduce the oxygen flow rate until the patient's pulse oximetry value
is more than 88%.
pg. 1
,b. Inform the patient's physician and obtain an order for oxygen at 5
L/min.
c. Document the intervention and findings in the patient's medical
record.
d. Listen to the patient's lung fields and reinforce pursed-lip breathing
techniques.
a. Reduce the oxygen flow rate until the patient's pulse oximetry value
is more than 88%.
COPD causes impaired gas exchange, leading to decreased oxygen
levels and higher circulating levels of carbon dioxide. For COPD
patients the PCP often orders oxygen to be titrated to keep the oxygen
saturation above 88%. Oxygen saturation may decrease during
exercise, sleep, or deterioration of the respiratory status. For the
patient with COPD, use low-flow oxygen delivery only (2 L/min)
unless a higher level of oxygen administration is indicated by low
oxygen saturation levels. High-flow oxygen may lead to respiratory
suppression caused by loss of the patient's drive to breathe. For COPD
patients the PCP often orders oxygen to be titrated to keep the oxygen
saturation above 88%. Therefore, the nurse should reduce the oxygen
flow rate until the patient's pulse oximetry is more than 88% and
educate the patient about oxygen therapy for COPD.
The nurse is caring for a patient with advanced COPD who reports
feeling short of breath. The nurse notes that the patient's lung sounds
are diminished bilaterally and the patient's pulse oximetry is 91% on 2
L/min oxygen via nasal cannula. What actions will the nurse take to
make the patient more comfortable?
(Select all that apply.)
a. Increase the patient's oxygen to 4 L/min via nasal cannula.
b. Suction the patient's airway using sterile technique.
c. Maintain eye contact and provide calm reassurance.
d. Turn the patient onto the side for postural drainage.
pg. 2
,e. Administer the ordered nebulized bronchodilator.
f. Elevate the head of the patient's bed to fully upright.
c. Maintain eye contact and provide calm reassurance.
e. Administer the ordered nebulized bronchodilator.
f. Elevate the head of the patient's bed to fully upright.
Patients who are acutely short of breath due to advanced COPD will
benefit from nebulized bronchodilator medication to open the
airways. Elevating the head of the bed will prevent pressure on the
diaphragm from the abdominal contents. A caring demeanor with eye
contact will help the patient remain calm until the medication begins
to work and the shortness of breath is eased. Patients with COPD
should be kept on low-flow oxygen to maintain pulse oximetry of
more than 88%.
The nurse is performing a respiratory assessment on a patient. Which
assessment findings indicate to the nurse that the patient has a history
of long-standing chronic respiratory disease?
(Select all that apply.)
a. All the patient's fingernails are noticeably clubbed.
b. The patient needs to sleep on at least four to five pillows at night.
c. The patient's chest has equal antero-posterior and transverse
diameters.
d. The patient's lower legs have large areas of brownish spotted
discoloration. e. The patient reports puffiness of both feet when
standing for long periods.
f. The patient's forced vital capacity test result is 3.8 L of air.
a. All the patient's fingernails are noticeably clubbed.
b. The patient needs to sleep on at least four to five pillows at night.
c. The patient's chest has equal antero-posterior and transverse
diameters.
pg. 3
, Clubbing of fingernails, the need to sleep in an upright position, and a
barrel chest are all indicative of long-standing chronic respiratory
disease like COPD. Brownish spotted discoloration is indicative of
venous insufficiency. Edema can be seen in renal and heart failure.
Forced vital capacity of almost 4 L is found in patients with good
respiratory function.
The nurse notes the following findings when assessing a patient with
COPD. Which require prompt nursing intervention?
(Select all that apply.)
a. The patient is unable to speak without gasping.
b. The patient's sputum has turned from yellow to greenish-brown.
c. The patient has dyspnea and wheezes heard in all lung fields.
d. The patient's forced vital capacity has increased from 2.8 to 3.4 L.
e. The patient has become confused and mildly disoriented.
a. The patient is unable to speak without gasping.
b. The patient's sputum has turned from yellow to greenish-brown.
c. The patient has dyspnea and wheezes heard in all lung fields.
e. The patient has become confused and mildly disoriented.
A patient who is unable to speak without gasping is indicative of poor
airflow through the airways, which must be addressed promptly.
Greenish-brown sputum may indicate pneumonia requiring antibiotic
treatment. Dyspnea and wheezes are indicative of an acute asthma
attack. Confusion and disorientation in a patient with COPD may
indicate retention of carbon dioxide. Increased forced vital capacity is
a positive sign.
The nurse is working with a nursing assistant to care for a patient with
a new tracheostomy. Which tasks may the nurse delegate to the
assistant?
(Select all that apply.)
pg. 4
for Nursing Practice II Review| Complete Questions and Correct
Detailed Answers- Galen/ Exam 4 NSG3130 Already Graded
A+|Latest 2026 Version!!!
The nurse is caring for a patient who will be returning to the nursing
unit following a cardiac catheterization via the right femoral artery.
Which assessment is the highest priority for the nurse to perform
when the patient arrives on the unit?
a. Checking the patient's right pedal pulse and warmth of the right leg
b. Checking pulse oximetry and listening to the patient's lung sounds
c. Checking bilateral radial pulses to check for a pulse deficit
d. Estimating the patient's jugular venous pressure
a. Checking the patient's right pedal pulse and warmth of the right leg
Cardiac catheterization includes the insertion of a large IV needle into
the patient's right femoral or brachial artery to view the left side of the
heart and inserted into the antecubital or femoral vein to view
structures on the right side of the heart. In this case, occlusion of the
femoral artery may develop after the procedure leading to faint or
absent pedal pulses and loss of warmth to the right leg. The nurse
should check the patient's right pedal pulses and leg warmth to ensure
that the femoral artery has not become occluded. The other
assessments may be performed once the patient's right leg is found to
be warm with strong pulses.
The home care nurse is caring for a patient who has severe COPD and
home oxygen therapy. The patient tells the nurse that she feels much
better after increasing the oxygen flowmeter from 2 L to 5 L/min. The
patient's pulse oximetry is 98%. What is the priority action of the
nurse?
a. Reduce the oxygen flow rate until the patient's pulse oximetry value
is more than 88%.
pg. 1
,b. Inform the patient's physician and obtain an order for oxygen at 5
L/min.
c. Document the intervention and findings in the patient's medical
record.
d. Listen to the patient's lung fields and reinforce pursed-lip breathing
techniques.
a. Reduce the oxygen flow rate until the patient's pulse oximetry value
is more than 88%.
COPD causes impaired gas exchange, leading to decreased oxygen
levels and higher circulating levels of carbon dioxide. For COPD
patients the PCP often orders oxygen to be titrated to keep the oxygen
saturation above 88%. Oxygen saturation may decrease during
exercise, sleep, or deterioration of the respiratory status. For the
patient with COPD, use low-flow oxygen delivery only (2 L/min)
unless a higher level of oxygen administration is indicated by low
oxygen saturation levels. High-flow oxygen may lead to respiratory
suppression caused by loss of the patient's drive to breathe. For COPD
patients the PCP often orders oxygen to be titrated to keep the oxygen
saturation above 88%. Therefore, the nurse should reduce the oxygen
flow rate until the patient's pulse oximetry is more than 88% and
educate the patient about oxygen therapy for COPD.
The nurse is caring for a patient with advanced COPD who reports
feeling short of breath. The nurse notes that the patient's lung sounds
are diminished bilaterally and the patient's pulse oximetry is 91% on 2
L/min oxygen via nasal cannula. What actions will the nurse take to
make the patient more comfortable?
(Select all that apply.)
a. Increase the patient's oxygen to 4 L/min via nasal cannula.
b. Suction the patient's airway using sterile technique.
c. Maintain eye contact and provide calm reassurance.
d. Turn the patient onto the side for postural drainage.
pg. 2
,e. Administer the ordered nebulized bronchodilator.
f. Elevate the head of the patient's bed to fully upright.
c. Maintain eye contact and provide calm reassurance.
e. Administer the ordered nebulized bronchodilator.
f. Elevate the head of the patient's bed to fully upright.
Patients who are acutely short of breath due to advanced COPD will
benefit from nebulized bronchodilator medication to open the
airways. Elevating the head of the bed will prevent pressure on the
diaphragm from the abdominal contents. A caring demeanor with eye
contact will help the patient remain calm until the medication begins
to work and the shortness of breath is eased. Patients with COPD
should be kept on low-flow oxygen to maintain pulse oximetry of
more than 88%.
The nurse is performing a respiratory assessment on a patient. Which
assessment findings indicate to the nurse that the patient has a history
of long-standing chronic respiratory disease?
(Select all that apply.)
a. All the patient's fingernails are noticeably clubbed.
b. The patient needs to sleep on at least four to five pillows at night.
c. The patient's chest has equal antero-posterior and transverse
diameters.
d. The patient's lower legs have large areas of brownish spotted
discoloration. e. The patient reports puffiness of both feet when
standing for long periods.
f. The patient's forced vital capacity test result is 3.8 L of air.
a. All the patient's fingernails are noticeably clubbed.
b. The patient needs to sleep on at least four to five pillows at night.
c. The patient's chest has equal antero-posterior and transverse
diameters.
pg. 3
, Clubbing of fingernails, the need to sleep in an upright position, and a
barrel chest are all indicative of long-standing chronic respiratory
disease like COPD. Brownish spotted discoloration is indicative of
venous insufficiency. Edema can be seen in renal and heart failure.
Forced vital capacity of almost 4 L is found in patients with good
respiratory function.
The nurse notes the following findings when assessing a patient with
COPD. Which require prompt nursing intervention?
(Select all that apply.)
a. The patient is unable to speak without gasping.
b. The patient's sputum has turned from yellow to greenish-brown.
c. The patient has dyspnea and wheezes heard in all lung fields.
d. The patient's forced vital capacity has increased from 2.8 to 3.4 L.
e. The patient has become confused and mildly disoriented.
a. The patient is unable to speak without gasping.
b. The patient's sputum has turned from yellow to greenish-brown.
c. The patient has dyspnea and wheezes heard in all lung fields.
e. The patient has become confused and mildly disoriented.
A patient who is unable to speak without gasping is indicative of poor
airflow through the airways, which must be addressed promptly.
Greenish-brown sputum may indicate pneumonia requiring antibiotic
treatment. Dyspnea and wheezes are indicative of an acute asthma
attack. Confusion and disorientation in a patient with COPD may
indicate retention of carbon dioxide. Increased forced vital capacity is
a positive sign.
The nurse is working with a nursing assistant to care for a patient with
a new tracheostomy. Which tasks may the nurse delegate to the
assistant?
(Select all that apply.)
pg. 4
