NSG 3130 EXAM 3 QUESTIONS AND ANSWERS COMPREHENSIVE UP… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NSG 3130 Exam 3 Questions
and Answers
Comprehensive Updated
2026/2027 (Rationales)
Verified Answers Exam Ready With Rationales 95 QUESTIONS
DOCUMENT OVERVIEW
This comprehensive study guide provides 95 updated exam questions with their correct
answers and detailed rationales for NSG 3130. It covers essential nursing care principles,
making it ideal for students preparing for exams, reviewing course material, or seeking to
solidify their understanding of patient care. This resource directly aligns with studying for
certification and reinforces key concepts through explained answers.
TOPICS
Loss, Grief, and End-of-Life Care Q1–Q16
Stress and Anxiety Management Q17–Q47
Pain Management Q48–Q58
Complementary and Alternative Therapies Q59–Q95
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 95
A client is on complete bed rest and complains of back pain from lying "in the bed all the
time." What is a nursing intervention that uses a nonpharmacologic method to ease the
discomfort? (Select all that apply.)
1. Administering a dose of morphine for pain
2. Assisting the client to a bedside chair
3. Giving the client a back massage
4. Instructing the client that the health care provider will see him tomorrow night
5. Using music that contains no words
6. Instructing the client in guided imagery
RESPONSE
3. Giving the client a back massage
5. Using music that contains no words
6. Instructing the client in guided imagery
RATIONALE
Nonpharmacologic pain management focuses on sensory stimulation and distraction. Back
massage, music therapy, and guided imagery engage sensory pathways to reduce pain perception
and promote relaxation, directly addressing the client's discomfort without medication. Morphine
is a pharmacologic intervention, and chair assistance or future provider visits are not direct pain
relief methods.
Q2 QUESTION 2 OF 95
A patient recently got pregnant and tells the nurse, "I don't understand, I have been on oral
contraceptive pills for years." The nurse reviews medical history with the patient and
realizes that what herbal substance could be to blame for the unintended pregnancy?
A. Milk Thistle
B. Echinacea
C. Ginseng
D. Valerian
RESPONSE
A. Milk Thistle
Page 2
, RATIONALE
Certain herbal supplements can interfere with the efficacy of oral contraceptives by inducing
hepatic enzymes. Milk thistle is known to affect cytochrome P450 enzymes, potentially leading to
decreased levels of hormonal contraceptives and unintended pregnancy. Other herbs listed
generally do not exhibit this specific drug-metabolizing enzyme interaction.
Q3 QUESTION 3 OF 95
A patient with a terminal illness tells the nurse, "I have lived a long life. I am ready to go."
What is the nurse's best response?
a. Offer the patient a back rub
b. Sit quietly by the patient's bedside
c. Tell the family about the patient's statement
d. Discuss with the patient how dying is part of the life cycle
RESPONSE
b. Sit quietly by the patient's bedside
RATIONALE
Presence and active listening are fundamental to providing comfort and support to a patient
expressing existential concerns. Sitting quietly allows the patient to lead the conversation or
simply feel accompanied without pressure. This non-verbal communication validates their feelings
and offers a sense of peace.
Q4 QUESTION 4 OF 95
A mother whose young daughter has died of leukemia is crying and is unable to talk about
her feelings. Which is the best response by the nurse?
a. "Everyone will remember her because she was so cute. She was one of our favorites."
b. "As hard as this is, it is probably for the best because she was in a lot of pain."
c. "She put up the good fight but now she is out of pain and in heaven."
d. "It must be hard to deal with such a precious loss."
RESPONSE
d. "It must be hard to deal with such a precious loss."
Page 3
, RATIONALE
This response acknowledges the mother's grief and validates her feelings without imposing
personal beliefs or platitudes. It focuses on empathetic listening and validating the profound
nature of her loss, which is crucial in supporting a grieving parent. This approach aligns with
principles of therapeutic communication in palliative and end-of-life care.
Q5 QUESTION 5 OF 95
he nurse is preparing to care for a dying client, and several family members are at the client's
bedside. Which therapeutic technique should the nurse use when communicating with the
family?
Select all that apply.
a. Discourage reminiscing.
b. Make the decisions for the family.
c. Encourage expression of feelings, concerns, and fears.
d. Explain everything that is happening to all family members.
e. Touch and hold the client's or family member's hand if appropriate.
f. Be honest and let the client and family know they will not be abandoned by the nurse.
RESPONSE
c. Encourage expression of feelings, concerns, and fears.
e. Touch and hold the client's or family member's hand if appropriate.
f. Be honest and let the client and family know they will not be abandoned by the nurse.
RATIONALE
Therapeutic communication during end-of-life care prioritizes emotional validation and presence.
Encouraging the expression of feelings, offering appropriate physical comfort, and providing
honest reassurance of continued support are key interventions. These actions foster a supportive
environment, addressing the family's immediate psychological and emotional needs.
Q6 QUESTION 6 OF 95
A client is close to death and the family asks how the nurse will know when their father has
died. What is the best response the nurse can state to the family?
a. Your loved one will quit breathing and the machine will alarm.
b. Your father's blood pressure will drop.
c. Your father will quit breathing, his heart will quit pumping and he will have no blood
pressure when I take it.
d. It should be shortly as his blood pressure has already dropped. I am just waiting for him to
stop breathing.
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NSG 3130 Exam 3 Questions
and Answers
Comprehensive Updated
2026/2027 (Rationales)
Verified Answers Exam Ready With Rationales 95 QUESTIONS
DOCUMENT OVERVIEW
This comprehensive study guide provides 95 updated exam questions with their correct
answers and detailed rationales for NSG 3130. It covers essential nursing care principles,
making it ideal for students preparing for exams, reviewing course material, or seeking to
solidify their understanding of patient care. This resource directly aligns with studying for
certification and reinforces key concepts through explained answers.
TOPICS
Loss, Grief, and End-of-Life Care Q1–Q16
Stress and Anxiety Management Q17–Q47
Pain Management Q48–Q58
Complementary and Alternative Therapies Q59–Q95
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 95
A client is on complete bed rest and complains of back pain from lying "in the bed all the
time." What is a nursing intervention that uses a nonpharmacologic method to ease the
discomfort? (Select all that apply.)
1. Administering a dose of morphine for pain
2. Assisting the client to a bedside chair
3. Giving the client a back massage
4. Instructing the client that the health care provider will see him tomorrow night
5. Using music that contains no words
6. Instructing the client in guided imagery
RESPONSE
3. Giving the client a back massage
5. Using music that contains no words
6. Instructing the client in guided imagery
RATIONALE
Nonpharmacologic pain management focuses on sensory stimulation and distraction. Back
massage, music therapy, and guided imagery engage sensory pathways to reduce pain perception
and promote relaxation, directly addressing the client's discomfort without medication. Morphine
is a pharmacologic intervention, and chair assistance or future provider visits are not direct pain
relief methods.
Q2 QUESTION 2 OF 95
A patient recently got pregnant and tells the nurse, "I don't understand, I have been on oral
contraceptive pills for years." The nurse reviews medical history with the patient and
realizes that what herbal substance could be to blame for the unintended pregnancy?
A. Milk Thistle
B. Echinacea
C. Ginseng
D. Valerian
RESPONSE
A. Milk Thistle
Page 2
, RATIONALE
Certain herbal supplements can interfere with the efficacy of oral contraceptives by inducing
hepatic enzymes. Milk thistle is known to affect cytochrome P450 enzymes, potentially leading to
decreased levels of hormonal contraceptives and unintended pregnancy. Other herbs listed
generally do not exhibit this specific drug-metabolizing enzyme interaction.
Q3 QUESTION 3 OF 95
A patient with a terminal illness tells the nurse, "I have lived a long life. I am ready to go."
What is the nurse's best response?
a. Offer the patient a back rub
b. Sit quietly by the patient's bedside
c. Tell the family about the patient's statement
d. Discuss with the patient how dying is part of the life cycle
RESPONSE
b. Sit quietly by the patient's bedside
RATIONALE
Presence and active listening are fundamental to providing comfort and support to a patient
expressing existential concerns. Sitting quietly allows the patient to lead the conversation or
simply feel accompanied without pressure. This non-verbal communication validates their feelings
and offers a sense of peace.
Q4 QUESTION 4 OF 95
A mother whose young daughter has died of leukemia is crying and is unable to talk about
her feelings. Which is the best response by the nurse?
a. "Everyone will remember her because she was so cute. She was one of our favorites."
b. "As hard as this is, it is probably for the best because she was in a lot of pain."
c. "She put up the good fight but now she is out of pain and in heaven."
d. "It must be hard to deal with such a precious loss."
RESPONSE
d. "It must be hard to deal with such a precious loss."
Page 3
, RATIONALE
This response acknowledges the mother's grief and validates her feelings without imposing
personal beliefs or platitudes. It focuses on empathetic listening and validating the profound
nature of her loss, which is crucial in supporting a grieving parent. This approach aligns with
principles of therapeutic communication in palliative and end-of-life care.
Q5 QUESTION 5 OF 95
he nurse is preparing to care for a dying client, and several family members are at the client's
bedside. Which therapeutic technique should the nurse use when communicating with the
family?
Select all that apply.
a. Discourage reminiscing.
b. Make the decisions for the family.
c. Encourage expression of feelings, concerns, and fears.
d. Explain everything that is happening to all family members.
e. Touch and hold the client's or family member's hand if appropriate.
f. Be honest and let the client and family know they will not be abandoned by the nurse.
RESPONSE
c. Encourage expression of feelings, concerns, and fears.
e. Touch and hold the client's or family member's hand if appropriate.
f. Be honest and let the client and family know they will not be abandoned by the nurse.
RATIONALE
Therapeutic communication during end-of-life care prioritizes emotional validation and presence.
Encouraging the expression of feelings, offering appropriate physical comfort, and providing
honest reassurance of continued support are key interventions. These actions foster a supportive
environment, addressing the family's immediate psychological and emotional needs.
Q6 QUESTION 6 OF 95
A client is close to death and the family asks how the nurse will know when their father has
died. What is the best response the nurse can state to the family?
a. Your loved one will quit breathing and the machine will alarm.
b. Your father's blood pressure will drop.
c. Your father will quit breathing, his heart will quit pumping and he will have no blood
pressure when I take it.
d. It should be shortly as his blood pressure has already dropped. I am just waiting for him to
stop breathing.
Page 4
