NURSING FUNDAMENTALS
NSG 3130 Exam 4 Fundamental Concepts and Skills for Nursing Practice II 2026/2027 Latest Practice
Test with Questions and Correct Answers | NSG 3130 Exam 4
A+
Complete Blueprint Coverage
A+ 5 100%
QUESTIONS VERIFIED CORE DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
1. Skin Integrity and Wound Care
2. Mobility, Immobility, and Safe Patient Handling
3. Nutrition, Elimination, and Comfort Measures
4. Medication Administration and Patient Safety
5. Infection Prevention, Isolation, and Clinical Judgment
STUVIAACTUALEXAM
, 1. Skin Integrity and Wound Care
Q1
A nurse is assessing a stage 2 pressure injury on a patient’s sacrum. The wound bed is pink, moist, and shallow without slough or necrotic tissue.
Which dressing type is most appropriate for this wound at this time?
A. Wet-to-dry gauze packing changed three times daily to aggressively debride the bed.
B. A moisture-retentive dressing such as a hydrocolloid or foam that maintains a moist environment and protects the wound.
C. A dry sterile gauze dressing left in place for seven days without assessment.
D. An occlusive transparent film alone over actively draining, heavily exudative tissue.
Correct Answer: B
Rationale:
Stage 2 injuries with clean, viable tissue heal best in a moist protected environment. Hydrocolloid or foam dressings support granulation while minimizing trauma on removal.
Q2
While performing a skin assessment the nurse notes non-blanchable erythema over a bony prominence that does not resolve when pressure is
relieved. How should this finding be documented?
A. Stage 1 pressure injury.
B. Deep-tissue pressure injury with intact skin and purple discoloration.
C. Stage 3 pressure injury with full-thickness tissue loss.
D. Unstageable pressure injury covered by eschar.
Correct Answer: A
Rationale:
Non-blanchable erythema of intact skin over a pressure point defines a stage 1 pressure injury. Deeper tissue injury, full-thickness loss, or obscured wounds carry different
classifications.
Q3
A patient with a large abdominal surgical wound is receiving negative-pressure wound therapy (NPWT). During the dressing change the nurse
observes that the foam is saturated and the seal has been lost for several hours. What is the priority action?
A. Increase the suction pressure to maximum and leave the saturated foam in place.
B. Cover the existing foam with an additional transparent film and continue therapy unchanged.
C. Remove the dressing, cleanse the wound according to protocol, apply a new NPWT dressing with an intact seal, and notify the provider if ordered
parameters cannot be restored.
D. Discontinue NPWT permanently and pack the wound with dry gauze only.
Correct Answer: C
Rationale:
A broken seal and saturated foam interrupt therapy and increase infection risk. The dressing must be replaced with a properly sealed system to restore therapeutic negative
pressure.
Q4
A nurse is teaching a patient how to prevent friction and shear while moving up in bed. Which instruction is most effective?
A. “Push yourself up with your heels while sliding your back along the mattress.”
B. “Raise the head of the bed fully before scooting upward.”
C. “Pull on the side rails forcefully to reposition yourself.”
D. “Use a draw sheet or lift device and have assistance so your skin is not dragged across the sheets.”
Correct Answer: D
Rationale:
Friction and shear are reduced by lifting rather than dragging the patient. Proper use of draw sheets or mechanical aids protects the skin during repositioning.
Q5
A wound culture is ordered for a chronic pressure injury that shows increased drainage, odor, and surrounding erythema. When is the optimal time to
obtain the culture specimen?
A. After thorough cleansing of the wound bed and removal of surface debris, using an appropriate technique such as Levine or punch biopsy as ordered.
B. Before any cleansing so that the greatest number of surface organisms is captured.
C. From the intact surrounding skin rather than the wound bed.
D. Only from the dressing that has been in place for 48 hours.
Correct Answer: A
Rationale:
Surface contaminants can produce false-positive results. Cleansing the wound before culture improves the likelihood of identifying true pathogens within the tissue.
NSG 3130 Exam 4 Fundamental Concepts and Skills for Nursing Practice II 2026/2027 Latest Practice
Test with Questions and Correct Answers | NSG 3130 Exam 4
A+
Complete Blueprint Coverage
A+ 5 100%
QUESTIONS VERIFIED CORE DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
1. Skin Integrity and Wound Care
2. Mobility, Immobility, and Safe Patient Handling
3. Nutrition, Elimination, and Comfort Measures
4. Medication Administration and Patient Safety
5. Infection Prevention, Isolation, and Clinical Judgment
STUVIAACTUALEXAM
, 1. Skin Integrity and Wound Care
Q1
A nurse is assessing a stage 2 pressure injury on a patient’s sacrum. The wound bed is pink, moist, and shallow without slough or necrotic tissue.
Which dressing type is most appropriate for this wound at this time?
A. Wet-to-dry gauze packing changed three times daily to aggressively debride the bed.
B. A moisture-retentive dressing such as a hydrocolloid or foam that maintains a moist environment and protects the wound.
C. A dry sterile gauze dressing left in place for seven days without assessment.
D. An occlusive transparent film alone over actively draining, heavily exudative tissue.
Correct Answer: B
Rationale:
Stage 2 injuries with clean, viable tissue heal best in a moist protected environment. Hydrocolloid or foam dressings support granulation while minimizing trauma on removal.
Q2
While performing a skin assessment the nurse notes non-blanchable erythema over a bony prominence that does not resolve when pressure is
relieved. How should this finding be documented?
A. Stage 1 pressure injury.
B. Deep-tissue pressure injury with intact skin and purple discoloration.
C. Stage 3 pressure injury with full-thickness tissue loss.
D. Unstageable pressure injury covered by eschar.
Correct Answer: A
Rationale:
Non-blanchable erythema of intact skin over a pressure point defines a stage 1 pressure injury. Deeper tissue injury, full-thickness loss, or obscured wounds carry different
classifications.
Q3
A patient with a large abdominal surgical wound is receiving negative-pressure wound therapy (NPWT). During the dressing change the nurse
observes that the foam is saturated and the seal has been lost for several hours. What is the priority action?
A. Increase the suction pressure to maximum and leave the saturated foam in place.
B. Cover the existing foam with an additional transparent film and continue therapy unchanged.
C. Remove the dressing, cleanse the wound according to protocol, apply a new NPWT dressing with an intact seal, and notify the provider if ordered
parameters cannot be restored.
D. Discontinue NPWT permanently and pack the wound with dry gauze only.
Correct Answer: C
Rationale:
A broken seal and saturated foam interrupt therapy and increase infection risk. The dressing must be replaced with a properly sealed system to restore therapeutic negative
pressure.
Q4
A nurse is teaching a patient how to prevent friction and shear while moving up in bed. Which instruction is most effective?
A. “Push yourself up with your heels while sliding your back along the mattress.”
B. “Raise the head of the bed fully before scooting upward.”
C. “Pull on the side rails forcefully to reposition yourself.”
D. “Use a draw sheet or lift device and have assistance so your skin is not dragged across the sheets.”
Correct Answer: D
Rationale:
Friction and shear are reduced by lifting rather than dragging the patient. Proper use of draw sheets or mechanical aids protects the skin during repositioning.
Q5
A wound culture is ordered for a chronic pressure injury that shows increased drainage, odor, and surrounding erythema. When is the optimal time to
obtain the culture specimen?
A. After thorough cleansing of the wound bed and removal of surface debris, using an appropriate technique such as Levine or punch biopsy as ordered.
B. Before any cleansing so that the greatest number of surface organisms is captured.
C. From the intact surrounding skin rather than the wound bed.
D. Only from the dressing that has been in place for 48 hours.
Correct Answer: A
Rationale:
Surface contaminants can produce false-positive results. Cleansing the wound before culture improves the likelihood of identifying true pathogens within the tissue.
