EXAM 4 PRACTICE EXAM
NSG 3130
Fundamentals II
125-Question Exam 4 Practice Exam
Application-based nursing review with patient scenarios, safety decisions, tissue perfusion,
oxygenation, clinical judgment, and priority interventions.
125 A-D 125
Practice Questions Multiple Choice Explained Answers
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,PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
How to use this practice exam
This set contains 125 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 transfusion client develops chills, flank pain, and shortness of breath. What is the nurse's priority action?
A. Ask the unlicensed assistive personnel to continue monitoring the client
B. Stop the transfusion and keep the IV line open with normal saline using new tubing
C. Complete routine documentation before intervening
D. Reassess the client in 30 minutes
Answer: B
Explanation: A suspected transfusion reaction requires immediate cessation of the blood product while preserving IV access. 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. Which intervention or device is most appropriate for a client with thick secretions and an ineffective cough?
A. simple face mask at 2 L/min
B. humidification, hydration if allowed, coughing/deep breathing, and suction as indicated
C. apply petroleum jelly around oxygen equipment
D. remove oxygen whenever the client is eating
Answer: B
Explanation: These measures help mobilize secretions and maintain airway patency. 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 teaches incentive spirometry. Which step of the nursing process is the nurse performing?
A. implementation
B. planning
C. assessment
D. diagnosis
Answer: A
Explanation: This action belongs to implementation because nurses carry out the planned nursing interventions during this step. 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
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4. A clean surgical wound is being irrigated. Which action should the nurse take?
A. Delay intervention until the next scheduled dressing change
B. Irrigate from the least contaminated area toward the more contaminated area
C. Massage reddened bony prominences vigorously
D. Apply dry gauze directly to exposed organs
Answer: B
Explanation: Cleaning from clean to less clean reduces transfer of microorganisms into the wound. 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. During assessment, a postoperative client has a new temperature of 39.2 C (102.6 F), heart rate 122/min, and
confusion. Which nursing action is most appropriate?
A. Encourage the client to ambulate independently
B. Assess for infection or sepsis and escalate care
C. Repeat the assessment at the end of the shift only
D. Document the value as expected and take no action
Answer: B
Explanation: Fever, tachycardia, and altered mentation can indicate systemic infection. 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 client has dependent edema, crackles, weight gain, and jugular venous distention. Which interpretation or nursing
priority is most appropriate?
A. fluid volume excess
B. Document the findings as expected and reassess tomorrow
C. Promote vigorous ambulation before correcting the imbalance
D. Encourage unrestricted free-water intake without further assessment
Answer: A
Explanation: These findings reflect excess intravascular/interstitial fluid and pulmonary congestion. 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. Which intervention or device is most appropriate for a client with COPD who requires a precise low oxygen
concentration?
A. Venturi mask
B. simple face mask at 2 L/min
C. apply petroleum jelly around oxygen equipment
D. remove oxygen whenever the client is eating
Answer: A
Explanation: A Venturi mask delivers a predictable, precise oxygen concentration. 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 COPD who requires a precise low oxygen
concentration?
A. Venturi mask
B. apply petroleum jelly around oxygen equipment
C. simple face mask at 2 L/min
D. remove oxygen whenever the client is eating
Answer: A
Explanation: A Venturi mask delivers a predictable, precise oxygen concentration. 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. Which intervention or device is most appropriate for a client using an incentive spirometer?
A. simple face mask at 2 L/min
B. apply petroleum jelly around oxygen equipment
C. remove oxygen whenever the client is eating
D. inhale slowly and deeply, hold the breath briefly, then exhale normally
Answer: D
Explanation: Slow sustained inspiration promotes alveolar expansion and helps prevent atelectasis. 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 postoperative incision suddenly separates and abdominal organs protrude. Which action should the nurse take?
A. Apply dry gauze directly to exposed organs
B. Delay intervention until the next scheduled dressing change
C. Massage reddened bony prominences vigorously
D. Cover the area with sterile saline-moistened dressings, keep the client in bed with knees slightly flexed, and notify the surgeon
immediately
Answer: D
Explanation: This is evisceration; the exposed organs must be protected from drying and further injury while emergency surgical help is
obtained. 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. Which intervention or device is most appropriate for a stable client requiring low-flow supplemental oxygen while
eating and talking?
A. remove oxygen whenever the client is eating
B. apply petroleum jelly around oxygen equipment
C. simple face mask at 2 L/min
D. nasal cannula
Answer: D
Explanation: A nasal cannula is comfortable and allows eating and conversation at low oxygen flows. 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
125-Question Exam 4 Practice Exam
Application-based nursing review with patient scenarios, safety decisions, tissue perfusion,
oxygenation, clinical judgment, and priority interventions.
125 A-D 125
Practice Questions Multiple Choice Explained Answers
PassPoint Pro • Original study and revision material • Clean print-ready format
Page 1 of 33
,PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
How to use this practice exam
This set contains 125 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 transfusion client develops chills, flank pain, and shortness of breath. What is the nurse's priority action?
A. Ask the unlicensed assistive personnel to continue monitoring the client
B. Stop the transfusion and keep the IV line open with normal saline using new tubing
C. Complete routine documentation before intervening
D. Reassess the client in 30 minutes
Answer: B
Explanation: A suspected transfusion reaction requires immediate cessation of the blood product while preserving IV access. 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. Which intervention or device is most appropriate for a client with thick secretions and an ineffective cough?
A. simple face mask at 2 L/min
B. humidification, hydration if allowed, coughing/deep breathing, and suction as indicated
C. apply petroleum jelly around oxygen equipment
D. remove oxygen whenever the client is eating
Answer: B
Explanation: These measures help mobilize secretions and maintain airway patency. 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 teaches incentive spirometry. Which step of the nursing process is the nurse performing?
A. implementation
B. planning
C. assessment
D. diagnosis
Answer: A
Explanation: This action belongs to implementation because nurses carry out the planned nursing interventions during this step. 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 clean surgical wound is being irrigated. Which action should the nurse take?
A. Delay intervention until the next scheduled dressing change
B. Irrigate from the least contaminated area toward the more contaminated area
C. Massage reddened bony prominences vigorously
D. Apply dry gauze directly to exposed organs
Answer: B
Explanation: Cleaning from clean to less clean reduces transfer of microorganisms into the wound. 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. During assessment, a postoperative client has a new temperature of 39.2 C (102.6 F), heart rate 122/min, and
confusion. Which nursing action is most appropriate?
A. Encourage the client to ambulate independently
B. Assess for infection or sepsis and escalate care
C. Repeat the assessment at the end of the shift only
D. Document the value as expected and take no action
Answer: B
Explanation: Fever, tachycardia, and altered mentation can indicate systemic infection. 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 client has dependent edema, crackles, weight gain, and jugular venous distention. Which interpretation or nursing
priority is most appropriate?
A. fluid volume excess
B. Document the findings as expected and reassess tomorrow
C. Promote vigorous ambulation before correcting the imbalance
D. Encourage unrestricted free-water intake without further assessment
Answer: A
Explanation: These findings reflect excess intravascular/interstitial fluid and pulmonary congestion. 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. Which intervention or device is most appropriate for a client with COPD who requires a precise low oxygen
concentration?
A. Venturi mask
B. simple face mask at 2 L/min
C. apply petroleum jelly around oxygen equipment
D. remove oxygen whenever the client is eating
Answer: A
Explanation: A Venturi mask delivers a predictable, precise oxygen concentration. 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 COPD who requires a precise low oxygen
concentration?
A. Venturi mask
B. apply petroleum jelly around oxygen equipment
C. simple face mask at 2 L/min
D. remove oxygen whenever the client is eating
Answer: A
Explanation: A Venturi mask delivers a predictable, precise oxygen concentration. 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. Which intervention or device is most appropriate for a client using an incentive spirometer?
A. simple face mask at 2 L/min
B. apply petroleum jelly around oxygen equipment
C. remove oxygen whenever the client is eating
D. inhale slowly and deeply, hold the breath briefly, then exhale normally
Answer: D
Explanation: Slow sustained inspiration promotes alveolar expansion and helps prevent atelectasis. 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 postoperative incision suddenly separates and abdominal organs protrude. Which action should the nurse take?
A. Apply dry gauze directly to exposed organs
B. Delay intervention until the next scheduled dressing change
C. Massage reddened bony prominences vigorously
D. Cover the area with sterile saline-moistened dressings, keep the client in bed with knees slightly flexed, and notify the surgeon
immediately
Answer: D
Explanation: This is evisceration; the exposed organs must be protected from drying and further injury while emergency surgical help is
obtained. 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. Which intervention or device is most appropriate for a stable client requiring low-flow supplemental oxygen while
eating and talking?
A. remove oxygen whenever the client is eating
B. apply petroleum jelly around oxygen equipment
C. simple face mask at 2 L/min
D. nasal cannula
Answer: D
Explanation: A nasal cannula is comfortable and allows eating and conversation at low oxygen flows. 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
