1
NSG 3130 EXAM FUNDAMENTAL CONCEPTS & SKILLS
FOR NURSING PRACTICE II EXAM PREP | VERIFIED
Q&A – GALEN COLLEGE OF NURSING
1.
A nurse is caring for an adult patient who has been hospitalized following several
days of vomiting and diarrhea. During the assessment, the nurse notes dry mucous
membranes, poor skin turgor, decreased urine output, generalized weakness, and a
blood pressure of 94/58 mm Hg. The patient reports dizziness when moving from a
lying to a standing position. Which nursing intervention should the nurse prioritize
based on these assessment findings?
A. Restrict the patient's oral fluid intake
B. Assess the patient's hydration status and initiate prescribed fluid replacement
C. Encourage the patient to ambulate independently
D. Administer a prescribed diuretic
Answer: B
2.
A patient who has been prescribed supplemental oxygen through a nasal cannula
tells the nurse that the oxygen tubing is irritating the skin behind both ears. The
nurse observes redness and early skin breakdown in the affected areas. Which
intervention is most appropriate for preventing further tissue injury while
maintaining the prescribed oxygen therapy?
A. Remove the oxygen permanently
B. Apply padding beneath the tubing and assess the skin frequently
C. Tighten the tubing firmly against the patient's ears
D. Apply alcohol to the irritated areas every two hours
Answer: B
3.
A nurse is preparing to administer several medications to an older adult patient
who has difficulty swallowing tablets. Before administering the medications, the
,2
nurse reviews each medication and determines that one extended-release tablet
should not be crushed. Which action should the nurse take?
A. Crush the tablet and mix it with applesauce
B. Dissolve the tablet in warm water
C. Verify an alternative formulation with the pharmacist or prescriber
D. Omit the medication without notifying anyone
Answer: C
4.
A patient who has been confined to bed for several days is at increased risk for
complications related to immobility. The nurse develops a plan of care that
includes repositioning, range-of-motion exercises, adequate nutrition, hydration,
and progressive mobility. Which complication is the nurse primarily attempting to
prevent by implementing these interventions?
A. Pressure injury and venous stasis complications
B. Increased visual acuity
C. Hyperthyroidism
D. Increased bone density
Answer: A
5.
A nurse is assisting a weak patient from the bed to a chair. The patient is unable to
bear weight independently and has a history of dizziness when standing. Which
action demonstrates appropriate nursing technique when transferring this patient?
A. Pull the patient upward by the arms
B. Use a gait belt and obtain assistance as indicated
C. Ask the patient to stand without assistance
D. Place the chair several feet away from the bed
Answer: B
6.
,3
A patient with impaired mobility has been identified as being at risk for pressure
injuries. The nurse assesses the patient's sacral area and discovers persistent
redness that does not blanch when pressure is applied. Which finding should the
nurse recognize as requiring immediate preventive intervention?
A. Intact skin with normal pigmentation
B. Nonblanchable erythema over a pressure area
C. Mild generalized dryness of the skin
D. Temporary redness that disappears after repositioning
Answer: B
7.
A nurse is caring for a patient who has difficulty maintaining balance while
walking. The provider has ordered ambulation with assistance. Before helping the
patient stand, which nursing action is most appropriate?
A. Ensure the patient's footwear is secure and nonskid
B. Encourage the patient to walk barefoot
C. Remove the patient's assistive device
D. Ask the patient to move quickly to prevent fatigue
Answer: A
8.
A patient recovering from abdominal surgery reports incisional discomfort when
coughing and deep breathing. The nurse wants to encourage effective coughing
while minimizing discomfort and protecting the surgical incision. Which
intervention is most appropriate?
A. Tell the patient to avoid coughing
B. Teach the patient to splint the incision with a pillow
C. Place the patient flat and restrict breathing exercises
D. Encourage shallow breathing only
Answer: B
9.
, 4
A postoperative patient has been instructed to use an incentive spirometer
regularly. The patient asks why this device is necessary when the patient does not
currently feel short of breath. Which explanation is most appropriate?
A. It prevents all postoperative pain
B. It promotes lung expansion and helps prevent atelectasis
C. It eliminates the need for ambulation
D. It increases blood glucose levels
Answer: B
10.
A nurse is caring for a patient who has an indwelling urinary catheter. During the
assessment, the nurse notices that the drainage bag is resting on the floor and that
the tubing is kinked beneath the patient's leg. Which intervention should the nurse
perform first?
A. Disconnect the tubing and irrigate the catheter
B. Place the drainage bag below bladder level and remove the tubing obstruction
C. Clamp the catheter for four hours
D. Empty the drainage bag and place it on the patient's bed
Answer: B
11.
A patient reports burning and urgency with urination and has developed a low-
grade fever. The nurse recognizes that these findings may indicate a urinary tract
infection. Which additional assessment finding would be most important to report?
A. Increased appetite
B. Flank pain and fever
C. Clear urine without odor
D. Increased fluid intake
Answer: B
12.
NSG 3130 EXAM FUNDAMENTAL CONCEPTS & SKILLS
FOR NURSING PRACTICE II EXAM PREP | VERIFIED
Q&A – GALEN COLLEGE OF NURSING
1.
A nurse is caring for an adult patient who has been hospitalized following several
days of vomiting and diarrhea. During the assessment, the nurse notes dry mucous
membranes, poor skin turgor, decreased urine output, generalized weakness, and a
blood pressure of 94/58 mm Hg. The patient reports dizziness when moving from a
lying to a standing position. Which nursing intervention should the nurse prioritize
based on these assessment findings?
A. Restrict the patient's oral fluid intake
B. Assess the patient's hydration status and initiate prescribed fluid replacement
C. Encourage the patient to ambulate independently
D. Administer a prescribed diuretic
Answer: B
2.
A patient who has been prescribed supplemental oxygen through a nasal cannula
tells the nurse that the oxygen tubing is irritating the skin behind both ears. The
nurse observes redness and early skin breakdown in the affected areas. Which
intervention is most appropriate for preventing further tissue injury while
maintaining the prescribed oxygen therapy?
A. Remove the oxygen permanently
B. Apply padding beneath the tubing and assess the skin frequently
C. Tighten the tubing firmly against the patient's ears
D. Apply alcohol to the irritated areas every two hours
Answer: B
3.
A nurse is preparing to administer several medications to an older adult patient
who has difficulty swallowing tablets. Before administering the medications, the
,2
nurse reviews each medication and determines that one extended-release tablet
should not be crushed. Which action should the nurse take?
A. Crush the tablet and mix it with applesauce
B. Dissolve the tablet in warm water
C. Verify an alternative formulation with the pharmacist or prescriber
D. Omit the medication without notifying anyone
Answer: C
4.
A patient who has been confined to bed for several days is at increased risk for
complications related to immobility. The nurse develops a plan of care that
includes repositioning, range-of-motion exercises, adequate nutrition, hydration,
and progressive mobility. Which complication is the nurse primarily attempting to
prevent by implementing these interventions?
A. Pressure injury and venous stasis complications
B. Increased visual acuity
C. Hyperthyroidism
D. Increased bone density
Answer: A
5.
A nurse is assisting a weak patient from the bed to a chair. The patient is unable to
bear weight independently and has a history of dizziness when standing. Which
action demonstrates appropriate nursing technique when transferring this patient?
A. Pull the patient upward by the arms
B. Use a gait belt and obtain assistance as indicated
C. Ask the patient to stand without assistance
D. Place the chair several feet away from the bed
Answer: B
6.
,3
A patient with impaired mobility has been identified as being at risk for pressure
injuries. The nurse assesses the patient's sacral area and discovers persistent
redness that does not blanch when pressure is applied. Which finding should the
nurse recognize as requiring immediate preventive intervention?
A. Intact skin with normal pigmentation
B. Nonblanchable erythema over a pressure area
C. Mild generalized dryness of the skin
D. Temporary redness that disappears after repositioning
Answer: B
7.
A nurse is caring for a patient who has difficulty maintaining balance while
walking. The provider has ordered ambulation with assistance. Before helping the
patient stand, which nursing action is most appropriate?
A. Ensure the patient's footwear is secure and nonskid
B. Encourage the patient to walk barefoot
C. Remove the patient's assistive device
D. Ask the patient to move quickly to prevent fatigue
Answer: A
8.
A patient recovering from abdominal surgery reports incisional discomfort when
coughing and deep breathing. The nurse wants to encourage effective coughing
while minimizing discomfort and protecting the surgical incision. Which
intervention is most appropriate?
A. Tell the patient to avoid coughing
B. Teach the patient to splint the incision with a pillow
C. Place the patient flat and restrict breathing exercises
D. Encourage shallow breathing only
Answer: B
9.
, 4
A postoperative patient has been instructed to use an incentive spirometer
regularly. The patient asks why this device is necessary when the patient does not
currently feel short of breath. Which explanation is most appropriate?
A. It prevents all postoperative pain
B. It promotes lung expansion and helps prevent atelectasis
C. It eliminates the need for ambulation
D. It increases blood glucose levels
Answer: B
10.
A nurse is caring for a patient who has an indwelling urinary catheter. During the
assessment, the nurse notices that the drainage bag is resting on the floor and that
the tubing is kinked beneath the patient's leg. Which intervention should the nurse
perform first?
A. Disconnect the tubing and irrigate the catheter
B. Place the drainage bag below bladder level and remove the tubing obstruction
C. Clamp the catheter for four hours
D. Empty the drainage bag and place it on the patient's bed
Answer: B
11.
A patient reports burning and urgency with urination and has developed a low-
grade fever. The nurse recognizes that these findings may indicate a urinary tract
infection. Which additional assessment finding would be most important to report?
A. Increased appetite
B. Flank pain and fever
C. Clear urine without odor
D. Increased fluid intake
Answer: B
12.
