NURSING EXAM PREP
NSG 3130 EXAM 2
FUNDAMENTAL II
2026/2027 ACTUAL EXAM TEST BANK
WITH REAL EXAM QUESTIONS AND
100% CORRECT VERIFIED ANSWERS
(GUARANTEED PASS!!)
Aligned to NSG 3130 Fundamental IIA+
Objectives • Intermediate Nursing Course5Level
QUESTIONS SECTIONS 100%
VERIFIED COMPLETE RATIONALES
CATEGORIES
SECTION 1 — Nursing Process, Assessment & Vital Signs
SECTION 2 — Medication Administration & Safety
SECTION 3 — Infection Control, Isolation & Wound Care
SECTION 4 — Mobility, Immobility & Fall Prevention
SECTION 5 — Oxygenation, Elimination & Documentation
STUVIAACTUALEXAM
, SECTION 1: Nursing Process, Assessment & Vital Signs
Q1. A nurse is preparing to assess a newly admitted client. The client appears anxious and reports mild chest discomfort. Before
proceeding with a full physical examination, the nurse prioritizes which action within the assessment phase of the nursing
process?
A. Writing a formal nursing diagnosis before collecting any data
B. Gathering relevant subjective and objective data while ensuring the client’s immediate safety and comfort
C. Implementing a pain-management intervention without assessment
D. Evaluating the effectiveness of a previous nurse’s plan
Correct Answer: B
Rationale: Assessment is the systematic collection of data. When a client reports chest discomfort, the nurse first obtains focused data and
addresses safety. Diagnosis, implementation, and evaluation occur after sufficient assessment data are available.
Q2. While measuring vital signs, a nurse obtains a radial pulse of 52 beats per minute in an adult client who is awake and
asymptomatic. The nurse’s next best action is to:
A. Document the finding and continue without further assessment
B. Assess the apical pulse for a full minute and note any irregularities
C. Immediately administer atropine as a standing order
D. Encourage the client to exercise to raise the heart rate
Correct Answer: B
Rationale: A heart rate below 60 requires verification with an apical pulse counted for a full minute to detect irregularities or true bradycardia.
Documentation alone is insufficient; medication and exercise are not first-line responses without further assessment.
Q3. A client’s oral temperature is 35.8 °C (96.4 °F). The client has been drinking ice water. The nurse’s most appropriate action is
to:
A. Apply warming blankets immediately without rechecking
B. Record the temperature as accurate hypothermia
C. Wait 15–30 minutes and recheck the temperature using an appropriate route
D. Switch to a rectal temperature without explanation
Correct Answer: C
Rationale: Recent ingestion of cold liquids falsely lowers oral temperature readings. Waiting and rechecking ensures accuracy. Immediate
treatment or invasive measurement without verification is premature.
Q4. A nurse is assessing a client’s blood pressure and obtains a reading of 88/54 mm Hg. The client reports feeling light-headed
when sitting up. Which nursing action takes priority?
A. Keep the client in a safe position, recheck the blood pressure, and notify the provider of the symptomatic hypotension
B. Encourage the client to ambulate to improve circulation
C. Document the reading and reassess in four hours
D. Administer a routine antihypertensive medication
Correct Answer: A
Rationale: Symptomatic hypotension requires immediate safety measures, verification, and provider notification. Ambulation increases fall risk;
delayed reassessment and antihypertensive administration are inappropriate.
Q5. During a pain assessment, a client rates pain as 7/10 and describes it as sharp and localized to the surgical incision. The
nurse recognizes that this description primarily reflects which component of a comprehensive pain assessment?
A. Only the client’s cultural background
B. Quality and intensity of the pain experience
C. The nurse’s observation of nonverbal cues alone
D. The expected timeline for complete resolution
Correct Answer: B
Rationale: A numeric rating provides intensity; descriptors such as “sharp” and location provide quality and distribution. Cultural factors and
nonverbal cues are complementary but do not replace the client’s self-report of quality and intensity.
Q6. A nurse is reviewing the steps of the nursing process with a student. The student correctly identifies that formulation of a
nursing diagnosis occurs after which step?
A. Documentation of the final discharge summary
B. Implementation of nursing interventions
C. Evaluation of goal achievement
D. Comprehensive assessment and data analysis
Correct Answer: D
Rationale: Nursing diagnosis is derived from assessment data. Implementation and evaluation follow planning; discharge documentation occurs
at the end of the care episode.
STUVIAACTUALEXAM • Page 2
NSG 3130 EXAM 2
FUNDAMENTAL II
2026/2027 ACTUAL EXAM TEST BANK
WITH REAL EXAM QUESTIONS AND
100% CORRECT VERIFIED ANSWERS
(GUARANTEED PASS!!)
Aligned to NSG 3130 Fundamental IIA+
Objectives • Intermediate Nursing Course5Level
QUESTIONS SECTIONS 100%
VERIFIED COMPLETE RATIONALES
CATEGORIES
SECTION 1 — Nursing Process, Assessment & Vital Signs
SECTION 2 — Medication Administration & Safety
SECTION 3 — Infection Control, Isolation & Wound Care
SECTION 4 — Mobility, Immobility & Fall Prevention
SECTION 5 — Oxygenation, Elimination & Documentation
STUVIAACTUALEXAM
, SECTION 1: Nursing Process, Assessment & Vital Signs
Q1. A nurse is preparing to assess a newly admitted client. The client appears anxious and reports mild chest discomfort. Before
proceeding with a full physical examination, the nurse prioritizes which action within the assessment phase of the nursing
process?
A. Writing a formal nursing diagnosis before collecting any data
B. Gathering relevant subjective and objective data while ensuring the client’s immediate safety and comfort
C. Implementing a pain-management intervention without assessment
D. Evaluating the effectiveness of a previous nurse’s plan
Correct Answer: B
Rationale: Assessment is the systematic collection of data. When a client reports chest discomfort, the nurse first obtains focused data and
addresses safety. Diagnosis, implementation, and evaluation occur after sufficient assessment data are available.
Q2. While measuring vital signs, a nurse obtains a radial pulse of 52 beats per minute in an adult client who is awake and
asymptomatic. The nurse’s next best action is to:
A. Document the finding and continue without further assessment
B. Assess the apical pulse for a full minute and note any irregularities
C. Immediately administer atropine as a standing order
D. Encourage the client to exercise to raise the heart rate
Correct Answer: B
Rationale: A heart rate below 60 requires verification with an apical pulse counted for a full minute to detect irregularities or true bradycardia.
Documentation alone is insufficient; medication and exercise are not first-line responses without further assessment.
Q3. A client’s oral temperature is 35.8 °C (96.4 °F). The client has been drinking ice water. The nurse’s most appropriate action is
to:
A. Apply warming blankets immediately without rechecking
B. Record the temperature as accurate hypothermia
C. Wait 15–30 minutes and recheck the temperature using an appropriate route
D. Switch to a rectal temperature without explanation
Correct Answer: C
Rationale: Recent ingestion of cold liquids falsely lowers oral temperature readings. Waiting and rechecking ensures accuracy. Immediate
treatment or invasive measurement without verification is premature.
Q4. A nurse is assessing a client’s blood pressure and obtains a reading of 88/54 mm Hg. The client reports feeling light-headed
when sitting up. Which nursing action takes priority?
A. Keep the client in a safe position, recheck the blood pressure, and notify the provider of the symptomatic hypotension
B. Encourage the client to ambulate to improve circulation
C. Document the reading and reassess in four hours
D. Administer a routine antihypertensive medication
Correct Answer: A
Rationale: Symptomatic hypotension requires immediate safety measures, verification, and provider notification. Ambulation increases fall risk;
delayed reassessment and antihypertensive administration are inappropriate.
Q5. During a pain assessment, a client rates pain as 7/10 and describes it as sharp and localized to the surgical incision. The
nurse recognizes that this description primarily reflects which component of a comprehensive pain assessment?
A. Only the client’s cultural background
B. Quality and intensity of the pain experience
C. The nurse’s observation of nonverbal cues alone
D. The expected timeline for complete resolution
Correct Answer: B
Rationale: A numeric rating provides intensity; descriptors such as “sharp” and location provide quality and distribution. Cultural factors and
nonverbal cues are complementary but do not replace the client’s self-report of quality and intensity.
Q6. A nurse is reviewing the steps of the nursing process with a student. The student correctly identifies that formulation of a
nursing diagnosis occurs after which step?
A. Documentation of the final discharge summary
B. Implementation of nursing interventions
C. Evaluation of goal achievement
D. Comprehensive assessment and data analysis
Correct Answer: D
Rationale: Nursing diagnosis is derived from assessment data. Implementation and evaluation follow planning; discharge documentation occurs
at the end of the care episode.
STUVIAACTUALEXAM • Page 2
