NURSING FUNDAMENTALS II
NSG 3130 Exam 4 Fundamental Concepts
and Skills for Nursing Practice II A+
2026/2027 Latest Practice Test with Questions
and Correct Answers | NSG 3130 Exam 4
Oxygenation • Circulation • Clinical Judgment — Official Exam-Aligned Practice Assessment
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
■ 1. Oxygenation and Respiratory Assessment
■ 2. Oxygen Therapy and Airway Management
■ 3. Circulation and Tissue Perfusion
■ 4. Cardiac Function and Monitoring
■ 5. Clinical Judgment and Integrated Cardiopulmonary Care
STUVIAACTUALEXAM
Aligned to NSG 3130 Exam 4 (Oxygenation & Circulation) competencies • Original Practice Content
, SECTION: OXYGENATION AND RESPIRATORY ASSESSMENT
Q1. A nurse assesses a postoperative patient and notes a respiratory rate of 10 breaths/min, shallow breathing, and oxygen
saturation of 89% on room air. The priority nursing action is to:
A. Document the findings and reassess in one hour
B. Administer a sedative to promote rest
C. Place the patient in a flat supine position
D. Encourage the patient to take deep breaths and apply supplemental oxygen as ordered
Correct Answer: D
Rationale: Hypoventilation and low SpO2 require immediate intervention to improve alveolar ventilation and oxygenation. Raising the head of the
bed, coaching deep breathing, and applying ordered oxygen address the immediate threat.
Q2. A patient with chronic obstructive pulmonary disease (COPD) has a baseline SpO2 of 88–90%. The nurse recognizes that the
most appropriate oxygen saturation goal for this patient is usually:
A. 95–100%
B. 80–85%
C. 88–92%
D. 100% at all times
Correct Answer: C
Rationale: Patients with chronic hypercapnia often rely on hypoxic drive. Target SpO2 of approximately 88–92% balances adequate oxygenation
with avoidance of suppressing respiratory drive.
Q3. During auscultation the nurse hears high-pitched, musical sounds on expiration over the lung fields. These sounds are most
consistent with:
A. Crackles
B. Wheezes
C. Pleural friction rub
D. Stridor
Correct Answer: B
Rationale: Wheezes are continuous, high-pitched musical sounds typically heard on expiration and associated with narrowed airways, as in
asthma or COPD exacerbations.
Q4. A nurse is teaching a patient about the purpose of incentive spirometry after abdominal surgery. The teaching has been
effective when the patient states that the device helps to:
A. Expand the lungs and prevent atelectasis
B. Strengthen the abdominal muscles only
C. Measure peak expiratory flow
D. Deliver aerosolized medication
Correct Answer: A
Rationale: Incentive spirometry encourages sustained maximal inspiration, promoting alveolar expansion and reducing the risk of postoperative
atelectasis.
Q5. Clubbing of the fingers in a patient with long-standing respiratory disease is most closely associated with:
A. Chronic hypoxemia
B. Acute pneumonia
C. Dehydration
D. Hypertension
Correct Answer: A
Rationale: Digital clubbing develops over time in response to chronic hypoxemia and is a classic finding in advanced COPD, interstitial lung
disease, and certain cardiac conditions.
NSG 3130 Exam 4 2026/2027 | Page 2
NSG 3130 Exam 4 Fundamental Concepts
and Skills for Nursing Practice II A+
2026/2027 Latest Practice Test with Questions
and Correct Answers | NSG 3130 Exam 4
Oxygenation • Circulation • Clinical Judgment — Official Exam-Aligned Practice Assessment
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
■ 1. Oxygenation and Respiratory Assessment
■ 2. Oxygen Therapy and Airway Management
■ 3. Circulation and Tissue Perfusion
■ 4. Cardiac Function and Monitoring
■ 5. Clinical Judgment and Integrated Cardiopulmonary Care
STUVIAACTUALEXAM
Aligned to NSG 3130 Exam 4 (Oxygenation & Circulation) competencies • Original Practice Content
, SECTION: OXYGENATION AND RESPIRATORY ASSESSMENT
Q1. A nurse assesses a postoperative patient and notes a respiratory rate of 10 breaths/min, shallow breathing, and oxygen
saturation of 89% on room air. The priority nursing action is to:
A. Document the findings and reassess in one hour
B. Administer a sedative to promote rest
C. Place the patient in a flat supine position
D. Encourage the patient to take deep breaths and apply supplemental oxygen as ordered
Correct Answer: D
Rationale: Hypoventilation and low SpO2 require immediate intervention to improve alveolar ventilation and oxygenation. Raising the head of the
bed, coaching deep breathing, and applying ordered oxygen address the immediate threat.
Q2. A patient with chronic obstructive pulmonary disease (COPD) has a baseline SpO2 of 88–90%. The nurse recognizes that the
most appropriate oxygen saturation goal for this patient is usually:
A. 95–100%
B. 80–85%
C. 88–92%
D. 100% at all times
Correct Answer: C
Rationale: Patients with chronic hypercapnia often rely on hypoxic drive. Target SpO2 of approximately 88–92% balances adequate oxygenation
with avoidance of suppressing respiratory drive.
Q3. During auscultation the nurse hears high-pitched, musical sounds on expiration over the lung fields. These sounds are most
consistent with:
A. Crackles
B. Wheezes
C. Pleural friction rub
D. Stridor
Correct Answer: B
Rationale: Wheezes are continuous, high-pitched musical sounds typically heard on expiration and associated with narrowed airways, as in
asthma or COPD exacerbations.
Q4. A nurse is teaching a patient about the purpose of incentive spirometry after abdominal surgery. The teaching has been
effective when the patient states that the device helps to:
A. Expand the lungs and prevent atelectasis
B. Strengthen the abdominal muscles only
C. Measure peak expiratory flow
D. Deliver aerosolized medication
Correct Answer: A
Rationale: Incentive spirometry encourages sustained maximal inspiration, promoting alveolar expansion and reducing the risk of postoperative
atelectasis.
Q5. Clubbing of the fingers in a patient with long-standing respiratory disease is most closely associated with:
A. Chronic hypoxemia
B. Acute pneumonia
C. Dehydration
D. Hypertension
Correct Answer: A
Rationale: Digital clubbing develops over time in response to chronic hypoxemia and is a classic finding in advanced COPD, interstitial lung
disease, and certain cardiac conditions.
NSG 3130 Exam 4 2026/2027 | Page 2
