EXAM 3 PRACTICE EXAM
NSG 3130
Fundamentals II
150-Question Exam 3 Practice Exam
NCLEX-style practice emphasizing oxygenation, fluids and electrolytes, medication and IV safety,
pain, perioperative care, wound care, and clinical priorities.
150 A-D 150
Practice Questions Multiple Choice Explained Answers
PassPoint Pro • Original study and revision material • Clean print-ready format
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,PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
How to use this practice exam
This set contains 150 original multiple-choice questions for NSG 3130. Questions emphasize application, prioritization, safety,
and nursing judgment rather than simple memorization.
Answer format: answer and rationale immediately after each question. For best results, answer each item before reviewing the
rationale and keep a list of concepts that need focused review.
Scoring suggestion: 90%+ strong readiness; 80-89% targeted review; below 80% return to the study guide and repeat missed
concepts.
1. A client has calcium 7.1 mg/dL with tingling and muscle spasms. Which interpretation or nursing priority is most
appropriate?
A. implement seizure precautions and monitor for tetany
B. Promote vigorous ambulation before correcting the imbalance
C. Encourage unrestricted free-water intake without further assessment
D. Document the findings as expected and reassess tomorrow
Answer: A
Explanation: Hypocalcemia increases neuromuscular excitability. The safest response is the one that addresses the client's immediate
physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either delay the priority
action, introduce avoidable risk, or do not directly correct the problem described.
2. The nurse reviews an arterial blood gas: pH 7.48, PaCO2 40 mm Hg, HCO3 31 mEq/L. How should the nurse interpret
the result?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory acidosis
D. respiratory alkalosis
Answer: B
Explanation: The pH is alkalotic and bicarbonate is elevated, indicating a primary metabolic process. The safest response is the one that
addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other
options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
3. The nurse reviews an arterial blood gas: pH 7.30, PaCO2 52 mm Hg, HCO3 24 mEq/L. How should the nurse interpret
the result?
A. respiratory acidosis
B. metabolic acidosis
C. metabolic alkalosis
D. respiratory alkalosis
Answer: A
Explanation: The pH is acidotic and PaCO2 is elevated, indicating a primary respiratory problem without metabolic compensation. The
safest response is the one that addresses the client's immediate physiologic or safety need while staying within nursing scope and
evidence-based practice. The other options either delay the priority action, introduce avoidable risk, or do not directly correct the problem
described.
Original practice material for study and self-assessment Page 2
,PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
4. A drain is connected to closed suction. Which action should the nurse take?
A. Delay intervention until the next scheduled dressing change
B. Apply dry gauze directly to exposed organs
C. Massage reddened bony prominences vigorously
D. Maintain compression of the collection device and measure output using aseptic technique
Answer: D
Explanation: Closed suction requires negative pressure to remove fluid effectively. The safest response is the one that addresses the
client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either
delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
5. A client has dry mucous membranes, tachycardia, concentrated urine, and orthostatic hypotension. Which
interpretation or nursing priority is most appropriate?
A. Document the findings as expected and reassess tomorrow
B. Encourage unrestricted free-water intake without further assessment
C. Promote vigorous ambulation before correcting the imbalance
D. fluid volume deficit
Answer: D
Explanation: These findings indicate reduced circulating volume and dehydration. The safest response is the one that addresses the
client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either
delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
6. A postoperative client is using a PCA pump. Which nursing action is best?
A. Ask a family member to choose the pain score
B. Only the client should activate the dose button unless a specifically approved protocol states otherwise
C. Withhold treatment until objective signs of pain appear
D. Delay reassessment until the next scheduled vital-sign check
Answer: B
Explanation: PCA-by-proxy can cause oversedation because the proxy may dose a sleeping client. The safest response is the one that
addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other
options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
7. The nurse observes sudden dyspnea and chest pain during central-line manipulation. Which action is most
appropriate?
A. Increase the infusion rate to overcome the problem
B. Clamp the line, place the client on the left side with head down if not contraindicated, give oxygen, and call for emergency help
C. Silence the pump alarm and continue the infusion without assessment
D. Massage the IV site vigorously
Answer: B
Explanation: The findings may indicate air embolism, which requires immediate action to prevent air from entering pulmonary circulation.
The safest response is the one that addresses the client's immediate physiologic or safety need while staying within nursing scope and
evidence-based practice. The other options either delay the priority action, introduce avoidable risk, or do not directly correct the problem
described.
Original practice material for study and self-assessment Page 3
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8. Which intervention or device is most appropriate for a client with a tracheostomy requiring suctioning?
A. remove oxygen whenever the client is eating
B. simple face mask at 2 L/min
C. apply petroleum jelly around oxygen equipment
D. preoxygenate as indicated, use sterile technique, and limit each suction pass
Answer: D
Explanation: Suctioning can cause hypoxemia and mucosal trauma, so passes should be brief and sterile. The safest response is the one
that addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other
options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
9. A client has potassium 6.3 mEq/L with peaked T waves. Which interpretation or nursing priority is most
appropriate?
A. treat hyperkalemia urgently and maintain continuous cardiac monitoring
B. Encourage unrestricted free-water intake without further assessment
C. Promote vigorous ambulation before correcting the imbalance
D. Document the findings as expected and reassess tomorrow
Answer: A
Explanation: Hyperkalemia with ECG changes can lead to lethal dysrhythmias. The safest response is the one that addresses the client's
immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either delay the
priority action, introduce avoidable risk, or do not directly correct the problem described.
10. A client with chronic pain requests medication before physical therapy. Which nursing action is best?
A. Ask a family member to choose the pain score
B. Delay reassessment until the next scheduled vital-sign check
C. Withhold treatment until objective signs of pain appear
D. Administer the prescribed analgesic early enough to maximize function during therapy
Answer: D
Explanation: Preemptive timing can improve participation and mobility. The safest response is the one that addresses the client's
immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either delay the
priority action, introduce avoidable risk, or do not directly correct the problem described.
11. A wound has increasing erythema, warmth, purulent drainage, and pain. Which action should the nurse take?
A. Massage reddened bony prominences vigorously
B. Apply dry gauze directly to exposed organs
C. Delay intervention until the next scheduled dressing change
D. Assess for infection and notify the provider
Answer: D
Explanation: These are local signs of wound infection and may require culture or antimicrobial treatment. The safest response is the one
that addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other
options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
Original practice material for study and self-assessment Page 4
NSG 3130
Fundamentals II
150-Question Exam 3 Practice Exam
NCLEX-style practice emphasizing oxygenation, fluids and electrolytes, medication and IV safety,
pain, perioperative care, wound care, and clinical priorities.
150 A-D 150
Practice Questions Multiple Choice Explained Answers
PassPoint Pro • Original study and revision material • Clean print-ready format
Page 1 of 39
,PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
How to use this practice exam
This set contains 150 original multiple-choice questions for NSG 3130. Questions emphasize application, prioritization, safety,
and nursing judgment rather than simple memorization.
Answer format: answer and rationale immediately after each question. For best results, answer each item before reviewing the
rationale and keep a list of concepts that need focused review.
Scoring suggestion: 90%+ strong readiness; 80-89% targeted review; below 80% return to the study guide and repeat missed
concepts.
1. A client has calcium 7.1 mg/dL with tingling and muscle spasms. Which interpretation or nursing priority is most
appropriate?
A. implement seizure precautions and monitor for tetany
B. Promote vigorous ambulation before correcting the imbalance
C. Encourage unrestricted free-water intake without further assessment
D. Document the findings as expected and reassess tomorrow
Answer: A
Explanation: Hypocalcemia increases neuromuscular excitability. The safest response is the one that addresses the client's immediate
physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either delay the priority
action, introduce avoidable risk, or do not directly correct the problem described.
2. The nurse reviews an arterial blood gas: pH 7.48, PaCO2 40 mm Hg, HCO3 31 mEq/L. How should the nurse interpret
the result?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory acidosis
D. respiratory alkalosis
Answer: B
Explanation: The pH is alkalotic and bicarbonate is elevated, indicating a primary metabolic process. The safest response is the one that
addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other
options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
3. The nurse reviews an arterial blood gas: pH 7.30, PaCO2 52 mm Hg, HCO3 24 mEq/L. How should the nurse interpret
the result?
A. respiratory acidosis
B. metabolic acidosis
C. metabolic alkalosis
D. respiratory alkalosis
Answer: A
Explanation: The pH is acidotic and PaCO2 is elevated, indicating a primary respiratory problem without metabolic compensation. The
safest response is the one that addresses the client's immediate physiologic or safety need while staying within nursing scope and
evidence-based practice. The other options either delay the priority action, introduce avoidable risk, or do not directly correct the problem
described.
Original practice material for study and self-assessment Page 2
,PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
4. A drain is connected to closed suction. Which action should the nurse take?
A. Delay intervention until the next scheduled dressing change
B. Apply dry gauze directly to exposed organs
C. Massage reddened bony prominences vigorously
D. Maintain compression of the collection device and measure output using aseptic technique
Answer: D
Explanation: Closed suction requires negative pressure to remove fluid effectively. The safest response is the one that addresses the
client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either
delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
5. A client has dry mucous membranes, tachycardia, concentrated urine, and orthostatic hypotension. Which
interpretation or nursing priority is most appropriate?
A. Document the findings as expected and reassess tomorrow
B. Encourage unrestricted free-water intake without further assessment
C. Promote vigorous ambulation before correcting the imbalance
D. fluid volume deficit
Answer: D
Explanation: These findings indicate reduced circulating volume and dehydration. The safest response is the one that addresses the
client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either
delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
6. A postoperative client is using a PCA pump. Which nursing action is best?
A. Ask a family member to choose the pain score
B. Only the client should activate the dose button unless a specifically approved protocol states otherwise
C. Withhold treatment until objective signs of pain appear
D. Delay reassessment until the next scheduled vital-sign check
Answer: B
Explanation: PCA-by-proxy can cause oversedation because the proxy may dose a sleeping client. The safest response is the one that
addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other
options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
7. The nurse observes sudden dyspnea and chest pain during central-line manipulation. Which action is most
appropriate?
A. Increase the infusion rate to overcome the problem
B. Clamp the line, place the client on the left side with head down if not contraindicated, give oxygen, and call for emergency help
C. Silence the pump alarm and continue the infusion without assessment
D. Massage the IV site vigorously
Answer: B
Explanation: The findings may indicate air embolism, which requires immediate action to prevent air from entering pulmonary circulation.
The safest response is the one that addresses the client's immediate physiologic or safety need while staying within nursing scope and
evidence-based practice. The other options either delay the priority action, introduce avoidable risk, or do not directly correct the problem
described.
Original practice material for study and self-assessment Page 3
, PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
8. Which intervention or device is most appropriate for a client with a tracheostomy requiring suctioning?
A. remove oxygen whenever the client is eating
B. simple face mask at 2 L/min
C. apply petroleum jelly around oxygen equipment
D. preoxygenate as indicated, use sterile technique, and limit each suction pass
Answer: D
Explanation: Suctioning can cause hypoxemia and mucosal trauma, so passes should be brief and sterile. The safest response is the one
that addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other
options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
9. A client has potassium 6.3 mEq/L with peaked T waves. Which interpretation or nursing priority is most
appropriate?
A. treat hyperkalemia urgently and maintain continuous cardiac monitoring
B. Encourage unrestricted free-water intake without further assessment
C. Promote vigorous ambulation before correcting the imbalance
D. Document the findings as expected and reassess tomorrow
Answer: A
Explanation: Hyperkalemia with ECG changes can lead to lethal dysrhythmias. The safest response is the one that addresses the client's
immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either delay the
priority action, introduce avoidable risk, or do not directly correct the problem described.
10. A client with chronic pain requests medication before physical therapy. Which nursing action is best?
A. Ask a family member to choose the pain score
B. Delay reassessment until the next scheduled vital-sign check
C. Withhold treatment until objective signs of pain appear
D. Administer the prescribed analgesic early enough to maximize function during therapy
Answer: D
Explanation: Preemptive timing can improve participation and mobility. The safest response is the one that addresses the client's
immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either delay the
priority action, introduce avoidable risk, or do not directly correct the problem described.
11. A wound has increasing erythema, warmth, purulent drainage, and pain. Which action should the nurse take?
A. Massage reddened bony prominences vigorously
B. Apply dry gauze directly to exposed organs
C. Delay intervention until the next scheduled dressing change
D. Assess for infection and notify the provider
Answer: D
Explanation: These are local signs of wound infection and may require culture or antimicrobial treatment. The safest response is the one
that addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other
options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
Original practice material for study and self-assessment Page 4
