NSG 3130 EXAM 4 (GALEN) NEWEST 2026 ACTUAL
EXAM| NSG3130 FUNDAMENTAL CONCEPTS & SKILLS
FOR NURSING PRACTICE II EXAM 4 REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERES (VERIFIED ANSWERS) ALREADY
GRADED A+ (BRAND NEW!!)
1. A patient with hypertension asks about breakfast food
options. Which selection by the patient indicates
understanding of dietary teaching?
A) Sausage and cheese omelet with white toast
B) Whole wheat cereal with skim milk and a banana
C) Bacon, eggs, and home fries
D) Pancakes with butter and syrup
Correct Answer: B
Rationale: The DASH diet (Dietary Approaches to Stop
Hypertension) recommends foods rich in calcium, magnesium,
and potassium while limiting sodium, saturated fats, and
cholesterol. Whole wheat cereala, skim milk, and banana align
1
,with these guidelines. The other options are high in saturated
fats and sodium .
2. A patient with heart failure has crackles in the lung fields
and reports difficulty breathing when lying flat. Which nursing
intervention is most appropriate to improve oxygenation?
A) Encourage the patient to ambulate in the hallway
B) Place the patient on 2 liters of oxygen via nasal cannula
C) Elevate the head of the bed and support with three pillows
D) Instruct the patient to deep breathe and cough every hour
Correct Answer: C
Rationale: Orthopnea (difficulty breathing when lying flat) is a
classic symptom of left-sided heart failure due to fluid
accumulation in the lungs. Elevating the head of the bed (semi-
Fowler's to high-Fowler's) uses gravity to reduce pulmonary
congestion and improve breathing .
2
,3. A patient had a femoral cardiac catheterization 4 hours ago.
Which assessment should the nurse prioritize?
A) Auscultating breath sounds
B) Checking blood glucose level
C) Performing neurovascular checks of the affected extremity
D) Monitoring intake and output
Correct Answer: C
Rationale: After femoral cardiac catheterization, the patient is
at risk for bleeding, hematoma formation, and arterial
occlusion. Neurovascular checks (pulses, capillary refill, color,
temperature, sensation, and movement) of the affected
extremity are essential to detect complications early .
4. Which patient statement indicates a need for further
teaching about modifiable risk factors for coronary heart
disease?
A) "My wife's sedentary lifestyle is a modifiable risk factor."
B) "Diabetes is a modifiable risk factor."
3
, C) "Obesity is a modifiable risk factor."
D) "My wife's age is a modifiable risk factor."
Correct Answer: D
Rationale: Age is a non-modifiable risk factor for coronary heart
disease. Modifiable risk factors include sedentary lifestyle,
diabetes, obesity, hypertension, hyperlipidemia, and smoking.
Patients must understand which factors they can change
through lifestyle modifications .
5. The patient has experienced a myocardial infarction
resulting in damage to the left ventricle. Which complication
should the nurse monitor for?
A) Peripheral edema
B) Jugular neck vein distention
C) Liver enlargement
D) Pulmonary congestion
Correct Answer: D
4
EXAM| NSG3130 FUNDAMENTAL CONCEPTS & SKILLS
FOR NURSING PRACTICE II EXAM 4 REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERES (VERIFIED ANSWERS) ALREADY
GRADED A+ (BRAND NEW!!)
1. A patient with hypertension asks about breakfast food
options. Which selection by the patient indicates
understanding of dietary teaching?
A) Sausage and cheese omelet with white toast
B) Whole wheat cereal with skim milk and a banana
C) Bacon, eggs, and home fries
D) Pancakes with butter and syrup
Correct Answer: B
Rationale: The DASH diet (Dietary Approaches to Stop
Hypertension) recommends foods rich in calcium, magnesium,
and potassium while limiting sodium, saturated fats, and
cholesterol. Whole wheat cereala, skim milk, and banana align
1
,with these guidelines. The other options are high in saturated
fats and sodium .
2. A patient with heart failure has crackles in the lung fields
and reports difficulty breathing when lying flat. Which nursing
intervention is most appropriate to improve oxygenation?
A) Encourage the patient to ambulate in the hallway
B) Place the patient on 2 liters of oxygen via nasal cannula
C) Elevate the head of the bed and support with three pillows
D) Instruct the patient to deep breathe and cough every hour
Correct Answer: C
Rationale: Orthopnea (difficulty breathing when lying flat) is a
classic symptom of left-sided heart failure due to fluid
accumulation in the lungs. Elevating the head of the bed (semi-
Fowler's to high-Fowler's) uses gravity to reduce pulmonary
congestion and improve breathing .
2
,3. A patient had a femoral cardiac catheterization 4 hours ago.
Which assessment should the nurse prioritize?
A) Auscultating breath sounds
B) Checking blood glucose level
C) Performing neurovascular checks of the affected extremity
D) Monitoring intake and output
Correct Answer: C
Rationale: After femoral cardiac catheterization, the patient is
at risk for bleeding, hematoma formation, and arterial
occlusion. Neurovascular checks (pulses, capillary refill, color,
temperature, sensation, and movement) of the affected
extremity are essential to detect complications early .
4. Which patient statement indicates a need for further
teaching about modifiable risk factors for coronary heart
disease?
A) "My wife's sedentary lifestyle is a modifiable risk factor."
B) "Diabetes is a modifiable risk factor."
3
, C) "Obesity is a modifiable risk factor."
D) "My wife's age is a modifiable risk factor."
Correct Answer: D
Rationale: Age is a non-modifiable risk factor for coronary heart
disease. Modifiable risk factors include sedentary lifestyle,
diabetes, obesity, hypertension, hyperlipidemia, and smoking.
Patients must understand which factors they can change
through lifestyle modifications .
5. The patient has experienced a myocardial infarction
resulting in damage to the left ventricle. Which complication
should the nurse monitor for?
A) Peripheral edema
B) Jugular neck vein distention
C) Liver enlargement
D) Pulmonary congestion
Correct Answer: D
4
