,Galen NSG 4100 Exam 3 | Nursing Practice – Adult
Health III (2026) Actual Q&A PDF
1. A client is admitted with central venous pressure monitoring. The nurse
understands the catheter tip is positioned in the:
A) Pulmonary artery
B) Vena cava or right atrium
C) Left ventricle
D) Aorta
Correct Answer: Vena cava or right atrium
Rationale: Central venous pressure (CVP) catheters are placed in the vena cava
or right atrium to measure right-sided cardiac filling pressures. Pulmonary
artery catheters are used for PAWP. Left-sided placement is not standard for
CVP.
2. The nurse is caring for a client with symptomatic sinus bradycardia at 38 bpm,
blood pressure 86/48 mm Hg, and dizziness. After notifying the provider, the
nurse's priority is to:
A) Administer atropine 0.5 mg IV push
B) Obtain a 12-lead ECG
C) Prepare for transcutaneous pacing
D) Place the client in Trendelenburg position
Correct Answer: Prepare for transcutaneous pacing
,Rationale: Symptomatic bradycardia with hypotension and signs of poor
perfusion requires immediate pacing to increase heart rate and cardiac output.
Atropine may be given but pacing is the definitive emergency intervention when
the patient is unstable.
3. The nurse preceptor observes a new nurse caring for a client with a
hemodynamic monitoring catheter. Which action by the new nurse requires
immediate intervention?
A) Using alcohol-based hand rub before and after catheter contact
B) Changing the transducer tubing and flush solution every 96 hours
C) Informing the client that the catheter allows complete freedom in the shower
D) Avoiding antibiotic ointment at the insertion site
Correct Answer: Informing the client that the catheter allows complete freedom
in the shower
Rationale: Hemodynamic monitoring catheters must be kept dry; the client
cannot shower freely. The site and system need protection from moisture to
prevent infection. The other actions are correct and align with current
guidelines.
4. A client with an implantable cardioverter-defibrillator (ICD) is being
discharged. Which statement by the client indicates a need for further teaching?
A) "I will avoid heavy lifting for a few weeks."
B) "My family should learn CPR."
C) "I should use my cell phone on the opposite side of the ICD."
D) "If I feel a single shock, I need to call 911 immediately."
, Correct Answer: "If I feel a single shock, I need to call 911 immediately."
Rationale: A single shock usually indicates the ICD successfully terminated an
arrhythmia. The client should call the provider but not necessarily 911 unless
multiple shocks or symptoms occur. Emergency care is needed for multiple
shocks or if feeling unwell.
5. The nurse is teaching a client with COPD about oxygen delivery. Which device
delivers the most precise oxygen concentration?
A) Nasal cannula
B) Simple face mask
C) Venturi mask
D) Partial rebreather mask
Correct Answer: Venturi mask
Rationale: Venturi masks use specific adapters to mix air with oxygen, providing
a fixed FiO₂. This precision is crucial for clients with COPD to avoid suppressing
the hypoxic drive. Nasal cannula and simple masks deliver variable
concentrations.
6. A client with acute respiratory distress syndrome (ARDS) is on mechanical
ventilation. The nurse should monitor which parameter closely to detect
worsening compliance?
A) Tidal volume
B) Peak inspiratory pressure
Health III (2026) Actual Q&A PDF
1. A client is admitted with central venous pressure monitoring. The nurse
understands the catheter tip is positioned in the:
A) Pulmonary artery
B) Vena cava or right atrium
C) Left ventricle
D) Aorta
Correct Answer: Vena cava or right atrium
Rationale: Central venous pressure (CVP) catheters are placed in the vena cava
or right atrium to measure right-sided cardiac filling pressures. Pulmonary
artery catheters are used for PAWP. Left-sided placement is not standard for
CVP.
2. The nurse is caring for a client with symptomatic sinus bradycardia at 38 bpm,
blood pressure 86/48 mm Hg, and dizziness. After notifying the provider, the
nurse's priority is to:
A) Administer atropine 0.5 mg IV push
B) Obtain a 12-lead ECG
C) Prepare for transcutaneous pacing
D) Place the client in Trendelenburg position
Correct Answer: Prepare for transcutaneous pacing
,Rationale: Symptomatic bradycardia with hypotension and signs of poor
perfusion requires immediate pacing to increase heart rate and cardiac output.
Atropine may be given but pacing is the definitive emergency intervention when
the patient is unstable.
3. The nurse preceptor observes a new nurse caring for a client with a
hemodynamic monitoring catheter. Which action by the new nurse requires
immediate intervention?
A) Using alcohol-based hand rub before and after catheter contact
B) Changing the transducer tubing and flush solution every 96 hours
C) Informing the client that the catheter allows complete freedom in the shower
D) Avoiding antibiotic ointment at the insertion site
Correct Answer: Informing the client that the catheter allows complete freedom
in the shower
Rationale: Hemodynamic monitoring catheters must be kept dry; the client
cannot shower freely. The site and system need protection from moisture to
prevent infection. The other actions are correct and align with current
guidelines.
4. A client with an implantable cardioverter-defibrillator (ICD) is being
discharged. Which statement by the client indicates a need for further teaching?
A) "I will avoid heavy lifting for a few weeks."
B) "My family should learn CPR."
C) "I should use my cell phone on the opposite side of the ICD."
D) "If I feel a single shock, I need to call 911 immediately."
, Correct Answer: "If I feel a single shock, I need to call 911 immediately."
Rationale: A single shock usually indicates the ICD successfully terminated an
arrhythmia. The client should call the provider but not necessarily 911 unless
multiple shocks or symptoms occur. Emergency care is needed for multiple
shocks or if feeling unwell.
5. The nurse is teaching a client with COPD about oxygen delivery. Which device
delivers the most precise oxygen concentration?
A) Nasal cannula
B) Simple face mask
C) Venturi mask
D) Partial rebreather mask
Correct Answer: Venturi mask
Rationale: Venturi masks use specific adapters to mix air with oxygen, providing
a fixed FiO₂. This precision is crucial for clients with COPD to avoid suppressing
the hypoxic drive. Nasal cannula and simple masks deliver variable
concentrations.
6. A client with acute respiratory distress syndrome (ARDS) is on mechanical
ventilation. The nurse should monitor which parameter closely to detect
worsening compliance?
A) Tidal volume
B) Peak inspiratory pressure
