NSG 4100 Exam 3 (New 2026/ 2027
Update) ADULT HEALTH Questions &
Answers {Grade A} 100% Correct (Verified
Solutions)- GALEN
The nurse is caring for a 68 y/o pt whom she suspects has digoxin toxicity. In addition
to physical assessment, the nurse should collect what assessment datum?
a. skin turgor
b. potassium level
c. WBC
d. peripheral pulses - Correct answer B
The triage nurse in the ED is performing a rapid assessment of a man w/ c/o severe
CP and SOB. The pt is diaphoretic, pale, and weak. When the pt collapses, what should
the nurse do first?
a. check for a carotid pulse
b. apply supplemental oxygen
c. give two full breaths
d. gently shake and shout, "Are you Ok?" - Correct answer D
,A pt presents to the ED c/o increasing SOB. The nurse assessing the pt notes a hx of
left-sided HF. The pt is agitated and occasionally coughing up pink-tinged, foamy
sputum. The nurse should recognize the s/s of what health problems?
a. right-sided HF
b. acute pulmonary edema
c. pneumonia
d. cardiogenic shock - Correct answer B
A pt admitted to the medical unity w HF is exhibiting s/s of pulmonary edema. The
nurse is aware that positioning will promote circulation. How should the nurse best
position the pt?
a. in a high fowlers position
b. on the left side-lying position
c. in a flat, supine position
d. trendelenburg position - Correct answer A
,The Nurs has entered a pt's room and found the pt unresponsive and not breathing.
What is the nurses next appropriate action?
a. palpate carotid pulse
b. illuminate pt's call light
c. begin performing chest compressions
d. activate the Emergency Response System (ERS) - Correct answer D
The nurse overseeing care in the ICU reviews the shift report on 4 pt's. The nurse
recognizes which pt to be at greatest risk for the development of cariogenic shock?
a. the pt admitted w/ acute renal failure
b. the pt admitted following an MI
c. the pt admitted w/ malignant HTN
d. the pt admitted following a stroke - Correct answer B
When assessing the pt w/ pericardial effusion, the nurse will assess for pulsus
paradoxus. Pulsus paradoxus is characterized by what assessment finding?
a. a diastolic BP that is lower during exhalation
b. a diastolic BP that is higher during inhalation
, c. a systolic BP that is higher during exhalation
d. a systolic BP that is lower during inhalation - Correct answer D
The cardiac monitor alarm alerts the critical care nurse that the pt is showing no
cardiac rhythm on the monitor. The nurses rapid assessment suggests cardiac arrest.
In providing cardiac resuscitation documentation, how will the nurse describe this
initial absence of cardiac rhythm?
a. pulseless electrical activity (PEA)
b. ventricular fibrillation
c. ventricular tachycardia
d. asystole - Correct answer D
A pt with HF has met with his PCP and begun tx with an angiotensin-converting
enzyme (ACE) inhibitor. When the pt beigins tx, the nurse should prioritize what
assessment?
a. BP
b. LOC
c. assessment for nausea
Update) ADULT HEALTH Questions &
Answers {Grade A} 100% Correct (Verified
Solutions)- GALEN
The nurse is caring for a 68 y/o pt whom she suspects has digoxin toxicity. In addition
to physical assessment, the nurse should collect what assessment datum?
a. skin turgor
b. potassium level
c. WBC
d. peripheral pulses - Correct answer B
The triage nurse in the ED is performing a rapid assessment of a man w/ c/o severe
CP and SOB. The pt is diaphoretic, pale, and weak. When the pt collapses, what should
the nurse do first?
a. check for a carotid pulse
b. apply supplemental oxygen
c. give two full breaths
d. gently shake and shout, "Are you Ok?" - Correct answer D
,A pt presents to the ED c/o increasing SOB. The nurse assessing the pt notes a hx of
left-sided HF. The pt is agitated and occasionally coughing up pink-tinged, foamy
sputum. The nurse should recognize the s/s of what health problems?
a. right-sided HF
b. acute pulmonary edema
c. pneumonia
d. cardiogenic shock - Correct answer B
A pt admitted to the medical unity w HF is exhibiting s/s of pulmonary edema. The
nurse is aware that positioning will promote circulation. How should the nurse best
position the pt?
a. in a high fowlers position
b. on the left side-lying position
c. in a flat, supine position
d. trendelenburg position - Correct answer A
,The Nurs has entered a pt's room and found the pt unresponsive and not breathing.
What is the nurses next appropriate action?
a. palpate carotid pulse
b. illuminate pt's call light
c. begin performing chest compressions
d. activate the Emergency Response System (ERS) - Correct answer D
The nurse overseeing care in the ICU reviews the shift report on 4 pt's. The nurse
recognizes which pt to be at greatest risk for the development of cariogenic shock?
a. the pt admitted w/ acute renal failure
b. the pt admitted following an MI
c. the pt admitted w/ malignant HTN
d. the pt admitted following a stroke - Correct answer B
When assessing the pt w/ pericardial effusion, the nurse will assess for pulsus
paradoxus. Pulsus paradoxus is characterized by what assessment finding?
a. a diastolic BP that is lower during exhalation
b. a diastolic BP that is higher during inhalation
, c. a systolic BP that is higher during exhalation
d. a systolic BP that is lower during inhalation - Correct answer D
The cardiac monitor alarm alerts the critical care nurse that the pt is showing no
cardiac rhythm on the monitor. The nurses rapid assessment suggests cardiac arrest.
In providing cardiac resuscitation documentation, how will the nurse describe this
initial absence of cardiac rhythm?
a. pulseless electrical activity (PEA)
b. ventricular fibrillation
c. ventricular tachycardia
d. asystole - Correct answer D
A pt with HF has met with his PCP and begun tx with an angiotensin-converting
enzyme (ACE) inhibitor. When the pt beigins tx, the nurse should prioritize what
assessment?
a. BP
b. LOC
c. assessment for nausea
