1
NSG 3130 EXAM /ACTUAL NSG 3130 EXAM 3 TEST BANK ACTUAL
2026/2027 PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE
ACCURATE EXAM REAL QUESTIONS AND CORRECT DETAILED ANSWERS
WITH WELL ELABORATED SOLUTIONS
1. A 68-year-old client with a history of chronic obstructive pulmonary disease is
admitted with increasing dyspnea, a respiratory rate of 30/min, oxygen saturation
of 86% on room air, and use of accessory muscles. The client is anxious and states,
“I cannot catch my breath.” Which nursing action should the nurse take first?
A. Encourage the client to drink warm fluids
B. Place the client in a high-Fowler position and initiate the prescribed oxygen
therapy
C. Obtain a complete dietary history
D. Encourage the client to ambulate in the hallway
Answer: B
2. A postoperative client suddenly becomes restless and reports difficulty
breathing. The nurse observes tachypnea, nasal flaring, and an oxygen saturation
of 84%. The client has an oxygen prescription but is currently receiving no oxygen.
Which intervention has the highest priority?
A. Administer the prescribed oxygen and immediately reassess respiratory status
B. Ask the client about the quality of the pain
C. Document the findings and reassess in 30 minutes
D. Encourage oral fluids to thin respiratory secretions
Answer: A
3. A nurse is preparing to administer oxygen to a client who requires a precise
oxygen concentration because of chronic respiratory disease. Which oxygen-
delivery device is most appropriate when a controlled and predictable
concentration is required?
A. Simple face mask
B. Nonrebreather mask
,2
C. Venturi mask
D. Nasal cannula
Answer: C
4. A client receiving oxygen through a nasal cannula reports dryness and irritation
inside the nose. The oxygen is prescribed at a low flow rate. Which nursing
intervention is most appropriate?
A. Remove the oxygen until the irritation disappears
B. Increase the oxygen flow rate
C. Replace the nasal cannula with a nonrebreather mask
D. Provide appropriate humidification and assess the nasal passages
Answer: D
5. A client with severe hypoxemia is receiving oxygen through a nonrebreather
mask. During assessment, the nurse notices that the reservoir bag repeatedly
collapses almost completely during inspiration. Which action should the nurse
take?
A. Remove the mask permanently
B. Increase the oxygen flow as prescribed so the reservoir remains adequately
inflated
C. Encourage the client to breathe more slowly
D. Change the device to room air
Answer: B
6. A nurse is preparing to suction a client with an artificial airway. Before
beginning the procedure, which nursing action is most important for reducing the
risk of hypoxemia during suctioning?
A. Provide appropriate preoxygenation according to the client's condition and
protocol
B. Instill routine saline into the airway
C. Suction continuously for 30 seconds
D. Position the client completely flat
, 3
Answer: A
7. A client with a tracheostomy has audible gurgling, increased respiratory effort,
and visible secretions around the airway. The oxygen saturation has decreased
from 96% to 89%. Which intervention should the nurse prioritize?
A. Offer the client oral fluids
B. Encourage coughing without further assessment
C. Assess the airway and perform suctioning as indicated
D. Place the client in a supine position
Answer: C
8. During tracheostomy suctioning, a client develops marked coughing,
bradycardia, and oxygen desaturation. What should the nurse do first?
A. Continue suctioning until all secretions are removed
B. Increase the suction pressure
C. Instill additional saline
D. Stop suctioning, provide oxygen, and reassess the client
Answer: D
9. A nurse is caring for a client with thick respiratory secretions who has difficulty
clearing the airway independently. Which intervention is most appropriate for
promoting secretion clearance when not contraindicated?
A. Restrict all fluids
B. Encourage adequate hydration and coughing techniques as appropriate
C. Keep the client completely immobile
D. Suppress all coughing
Answer: B
10. A client with pneumonia has coarse crackles and difficulty mobilizing
secretions. The nurse is planning respiratory interventions. Which position
generally promotes lung expansion and facilitates breathing most effectively?
NSG 3130 EXAM /ACTUAL NSG 3130 EXAM 3 TEST BANK ACTUAL
2026/2027 PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE
ACCURATE EXAM REAL QUESTIONS AND CORRECT DETAILED ANSWERS
WITH WELL ELABORATED SOLUTIONS
1. A 68-year-old client with a history of chronic obstructive pulmonary disease is
admitted with increasing dyspnea, a respiratory rate of 30/min, oxygen saturation
of 86% on room air, and use of accessory muscles. The client is anxious and states,
“I cannot catch my breath.” Which nursing action should the nurse take first?
A. Encourage the client to drink warm fluids
B. Place the client in a high-Fowler position and initiate the prescribed oxygen
therapy
C. Obtain a complete dietary history
D. Encourage the client to ambulate in the hallway
Answer: B
2. A postoperative client suddenly becomes restless and reports difficulty
breathing. The nurse observes tachypnea, nasal flaring, and an oxygen saturation
of 84%. The client has an oxygen prescription but is currently receiving no oxygen.
Which intervention has the highest priority?
A. Administer the prescribed oxygen and immediately reassess respiratory status
B. Ask the client about the quality of the pain
C. Document the findings and reassess in 30 minutes
D. Encourage oral fluids to thin respiratory secretions
Answer: A
3. A nurse is preparing to administer oxygen to a client who requires a precise
oxygen concentration because of chronic respiratory disease. Which oxygen-
delivery device is most appropriate when a controlled and predictable
concentration is required?
A. Simple face mask
B. Nonrebreather mask
,2
C. Venturi mask
D. Nasal cannula
Answer: C
4. A client receiving oxygen through a nasal cannula reports dryness and irritation
inside the nose. The oxygen is prescribed at a low flow rate. Which nursing
intervention is most appropriate?
A. Remove the oxygen until the irritation disappears
B. Increase the oxygen flow rate
C. Replace the nasal cannula with a nonrebreather mask
D. Provide appropriate humidification and assess the nasal passages
Answer: D
5. A client with severe hypoxemia is receiving oxygen through a nonrebreather
mask. During assessment, the nurse notices that the reservoir bag repeatedly
collapses almost completely during inspiration. Which action should the nurse
take?
A. Remove the mask permanently
B. Increase the oxygen flow as prescribed so the reservoir remains adequately
inflated
C. Encourage the client to breathe more slowly
D. Change the device to room air
Answer: B
6. A nurse is preparing to suction a client with an artificial airway. Before
beginning the procedure, which nursing action is most important for reducing the
risk of hypoxemia during suctioning?
A. Provide appropriate preoxygenation according to the client's condition and
protocol
B. Instill routine saline into the airway
C. Suction continuously for 30 seconds
D. Position the client completely flat
, 3
Answer: A
7. A client with a tracheostomy has audible gurgling, increased respiratory effort,
and visible secretions around the airway. The oxygen saturation has decreased
from 96% to 89%. Which intervention should the nurse prioritize?
A. Offer the client oral fluids
B. Encourage coughing without further assessment
C. Assess the airway and perform suctioning as indicated
D. Place the client in a supine position
Answer: C
8. During tracheostomy suctioning, a client develops marked coughing,
bradycardia, and oxygen desaturation. What should the nurse do first?
A. Continue suctioning until all secretions are removed
B. Increase the suction pressure
C. Instill additional saline
D. Stop suctioning, provide oxygen, and reassess the client
Answer: D
9. A nurse is caring for a client with thick respiratory secretions who has difficulty
clearing the airway independently. Which intervention is most appropriate for
promoting secretion clearance when not contraindicated?
A. Restrict all fluids
B. Encourage adequate hydration and coughing techniques as appropriate
C. Keep the client completely immobile
D. Suppress all coughing
Answer: B
10. A client with pneumonia has coarse crackles and difficulty mobilizing
secretions. The nurse is planning respiratory interventions. Which position
generally promotes lung expansion and facilitates breathing most effectively?
