NSG 3130 Exam 4 Fundamental
Concepts Skills Nursing II
2026/2027 Practice Questions
and Answers | Comprehensive
Study Guide with Detailed
Rationales Guaranteed Pass
(GRADED A+)
Question 1
A nurse is preparing to administer an oral medication to a client.
Which action is most important before giving the medication?
A. Ask the client whether the medication tastes good
B. Verify the medication against the medication administration
record
C. Place the medication at the bedside
D. Ask another client to identify the medication
Answer: B. Verify the medication against the medication
administration record
The nurse should compare the medication with the medication
administration record and follow medication-safety checks
before administration.
,Question 2
Which finding should the nurse recognize as an early indication
of hypoxia?
A. Cyanosis
B. Bradycardia
C. Restlessness
D. Severe hypotension
Answer: C. Restlessness
Restlessness, anxiety, and changes in behavior can occur early
with inadequate oxygenation. Cyanosis is generally a later
finding.
Question 3
A nurse is assisting a client who has limited mobility. Which
intervention helps prevent pressure injury?
A. Massage reddened areas vigorously
B. Reposition the client regularly
C. Keep the head of the bed elevated continuously
D. Avoid assessing the client's skin
Answer: B. Reposition the client regularly
Regular repositioning reduces prolonged pressure and promotes
tissue perfusion, helping prevent pressure injuries.
,Question 4
Which nursing intervention is appropriate when caring for a
client at risk for falls?
A. Keep the bed in the highest position
B. Place frequently used items within reach
C. Keep the room completely dark
D. Encourage the client to walk without assistance
Answer: B. Place frequently used items within reach
Keeping personal items and the call light within reach reduces
unnecessary stretching and unassisted movement.
Question 5
A client reports pain rated 8/10. Which nursing action should
occur first?
A. Document that the client is uncomfortable
B. Assess the characteristics of the pain
C. Tell the client to wait until the next medication time
D. Ignore the report because pain is subjective
Answer: B. Assess the characteristics of the pain
Pain assessment should include location, intensity, quality,
onset, duration, and aggravating or relieving factors before
interventions are selected.
, Question 6
Which position is generally appropriate for a client experiencing
difficulty breathing?
A. Supine
B. High-Fowler's
C. Prone
D. Trendelenburg
_Answer: B. High-Fowler's
High-Fowler's positioning promotes lung expansion and can
decrease the work of breathing.
Question 7
The nurse is teaching a client about using an incentive
spirometer. Which instruction is correct?
A. Exhale forcefully into the device
B. Inhale slowly and deeply through the mouthpiece
C. Use the device only when experiencing severe dyspnea
D. Breathe rapidly through the mouthpiece
_Answer: B. Inhale slowly and deeply through the
mouthpiece
The incentive spirometer is used to encourage slow, sustained
deep inspiration and help prevent atelectasis.
Concepts Skills Nursing II
2026/2027 Practice Questions
and Answers | Comprehensive
Study Guide with Detailed
Rationales Guaranteed Pass
(GRADED A+)
Question 1
A nurse is preparing to administer an oral medication to a client.
Which action is most important before giving the medication?
A. Ask the client whether the medication tastes good
B. Verify the medication against the medication administration
record
C. Place the medication at the bedside
D. Ask another client to identify the medication
Answer: B. Verify the medication against the medication
administration record
The nurse should compare the medication with the medication
administration record and follow medication-safety checks
before administration.
,Question 2
Which finding should the nurse recognize as an early indication
of hypoxia?
A. Cyanosis
B. Bradycardia
C. Restlessness
D. Severe hypotension
Answer: C. Restlessness
Restlessness, anxiety, and changes in behavior can occur early
with inadequate oxygenation. Cyanosis is generally a later
finding.
Question 3
A nurse is assisting a client who has limited mobility. Which
intervention helps prevent pressure injury?
A. Massage reddened areas vigorously
B. Reposition the client regularly
C. Keep the head of the bed elevated continuously
D. Avoid assessing the client's skin
Answer: B. Reposition the client regularly
Regular repositioning reduces prolonged pressure and promotes
tissue perfusion, helping prevent pressure injuries.
,Question 4
Which nursing intervention is appropriate when caring for a
client at risk for falls?
A. Keep the bed in the highest position
B. Place frequently used items within reach
C. Keep the room completely dark
D. Encourage the client to walk without assistance
Answer: B. Place frequently used items within reach
Keeping personal items and the call light within reach reduces
unnecessary stretching and unassisted movement.
Question 5
A client reports pain rated 8/10. Which nursing action should
occur first?
A. Document that the client is uncomfortable
B. Assess the characteristics of the pain
C. Tell the client to wait until the next medication time
D. Ignore the report because pain is subjective
Answer: B. Assess the characteristics of the pain
Pain assessment should include location, intensity, quality,
onset, duration, and aggravating or relieving factors before
interventions are selected.
, Question 6
Which position is generally appropriate for a client experiencing
difficulty breathing?
A. Supine
B. High-Fowler's
C. Prone
D. Trendelenburg
_Answer: B. High-Fowler's
High-Fowler's positioning promotes lung expansion and can
decrease the work of breathing.
Question 7
The nurse is teaching a client about using an incentive
spirometer. Which instruction is correct?
A. Exhale forcefully into the device
B. Inhale slowly and deeply through the mouthpiece
C. Use the device only when experiencing severe dyspnea
D. Breathe rapidly through the mouthpiece
_Answer: B. Inhale slowly and deeply through the
mouthpiece
The incentive spirometer is used to encourage slow, sustained
deep inspiration and help prevent atelectasis.
