NSG 101 Fundamentals of Nursing Exam 2 Q&A bundle, I have created a
brand-new, comprehensive 60-question practice exam for you.
Questions 1–60
Question 1
1. A nurse is caring for a client with a tracheostomy. Which action is
correct when performing tracheostomy suctioning?
A) Apply continuous suction while inserting the catheter.
B) Insert the catheter without suction, then apply intermittent suction
during withdrawal.
C) Suction for 20–30 seconds per pass to ensure clearance.
D) Hyperoxygenate the client only after suctioning is complete.
Answer
Answer B:
Rationale
Inserting without suction prevents mucosal trauma; intermittent suction
,during withdrawal (≤15 sec) is safe. ---
Question 2
2. A client on a continuous IV infusion of 0.9% normal saline develops
crackles in the lung bases, jugular vein distention, and edema. What is the
priority nursing action?
A) Slow the IV rate and place the client in High-Fowler’s position.
B) Slow the IV rate and notify the provider of fluid overload.
C) Increase the IV rate to flush the lungs.
D) Administer a loop diuretic immediately without notifying the provider.
Answer
Answer B:
Rationale
These are signs of fluid volume excess. Slow the infusion and notify the
provider for further orders (e.g., diuretics). ---
Question 3
3. A nurse is preparing to administer an IM injection in the ventrogluteal
site. Which landmark is correct for locating this site?
A) The acromion process and the axilla.
B) The greater trochanter, the iliac crest, and the anterior superior iliac
spine.
,C) The posterior iliac spine and the gluteal fold.
D) The sternum and the xiphoid process.
Answer
Answer B:
Rationale
The ventrogluteal site is a triangle bordered by the iliac crest, greater
trochanter, and anterior superior iliac spine; it avoids major nerves. ---
Question 4
4. A nurse is caring for a client 24 hours post-operative abdominal surgery.
The client has not passed flatus and reports abdominal distention. What is
the most likely cause?
A) Wound dehiscence.
B) Paralytic ileus due to anesthesia/manipulation of the bowel.
C) Bowel obstruction from a foreign body.
D) Peritonitis.
Answer
Answer B:
Rationale
Paralytic ileus is a temporary cessation of peristalsis post-abdominal surgery;
, auscultate for absent bowel sounds. ---
Question 5
5. A client with heart failure is on a 2-gram sodium diet. Which breakfast
selection indicates the client understands the diet?
A) Scrambled eggs with bacon and toast.
B) Oatmeal with fresh blueberries and a banana.
C) Canned vegetable juice with a bagel.
D) Ham and cheese omelet.
Answer
Answer B:
Rationale
Oatmeal and fresh fruit are naturally low in sodium; processed meats,
canned juices, and cheeses are high in sodium. ---
Question 6
6. The nurse is preparing to administer potassium chloride (KCl) IV push.
What is the nurse's best action?
A) Administer the KCl IV push slowly over 2 minutes.
B) Hold the medication and notify the provider; KCl IV push is
contraindicated.
C) Dilute the KCl in 100 mL of normal saline and infuse over 30 minutes.
brand-new, comprehensive 60-question practice exam for you.
Questions 1–60
Question 1
1. A nurse is caring for a client with a tracheostomy. Which action is
correct when performing tracheostomy suctioning?
A) Apply continuous suction while inserting the catheter.
B) Insert the catheter without suction, then apply intermittent suction
during withdrawal.
C) Suction for 20–30 seconds per pass to ensure clearance.
D) Hyperoxygenate the client only after suctioning is complete.
Answer
Answer B:
Rationale
Inserting without suction prevents mucosal trauma; intermittent suction
,during withdrawal (≤15 sec) is safe. ---
Question 2
2. A client on a continuous IV infusion of 0.9% normal saline develops
crackles in the lung bases, jugular vein distention, and edema. What is the
priority nursing action?
A) Slow the IV rate and place the client in High-Fowler’s position.
B) Slow the IV rate and notify the provider of fluid overload.
C) Increase the IV rate to flush the lungs.
D) Administer a loop diuretic immediately without notifying the provider.
Answer
Answer B:
Rationale
These are signs of fluid volume excess. Slow the infusion and notify the
provider for further orders (e.g., diuretics). ---
Question 3
3. A nurse is preparing to administer an IM injection in the ventrogluteal
site. Which landmark is correct for locating this site?
A) The acromion process and the axilla.
B) The greater trochanter, the iliac crest, and the anterior superior iliac
spine.
,C) The posterior iliac spine and the gluteal fold.
D) The sternum and the xiphoid process.
Answer
Answer B:
Rationale
The ventrogluteal site is a triangle bordered by the iliac crest, greater
trochanter, and anterior superior iliac spine; it avoids major nerves. ---
Question 4
4. A nurse is caring for a client 24 hours post-operative abdominal surgery.
The client has not passed flatus and reports abdominal distention. What is
the most likely cause?
A) Wound dehiscence.
B) Paralytic ileus due to anesthesia/manipulation of the bowel.
C) Bowel obstruction from a foreign body.
D) Peritonitis.
Answer
Answer B:
Rationale
Paralytic ileus is a temporary cessation of peristalsis post-abdominal surgery;
, auscultate for absent bowel sounds. ---
Question 5
5. A client with heart failure is on a 2-gram sodium diet. Which breakfast
selection indicates the client understands the diet?
A) Scrambled eggs with bacon and toast.
B) Oatmeal with fresh blueberries and a banana.
C) Canned vegetable juice with a bagel.
D) Ham and cheese omelet.
Answer
Answer B:
Rationale
Oatmeal and fresh fruit are naturally low in sodium; processed meats,
canned juices, and cheeses are high in sodium. ---
Question 6
6. The nurse is preparing to administer potassium chloride (KCl) IV push.
What is the nurse's best action?
A) Administer the KCl IV push slowly over 2 minutes.
B) Hold the medication and notify the provider; KCl IV push is
contraindicated.
C) Dilute the KCl in 100 mL of normal saline and infuse over 30 minutes.
