FINAL COMPREHENSIVE PRACTICE EXAM
NSG 3130
Fundamentals II
200-Question Final Practice Exam
Comprehensive mixed-topic review integrating assessment, clinical judgment, prioritization, safety,
fundamentals, oxygenation, medications, and patient-centered care.
200 A-D 200
Practice Questions Multiple Choice Explained Answers
PassPoint Pro • Original study and revision material • Clean print-ready format
Page 1 of 47
,PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
How to use this practice exam
This set contains 200 original multiple-choice questions for NSG 3130. Questions emphasize application, prioritization, safety,
and nursing judgment rather than simple memorization.
Answer format: questions first, followed by a complete answer key with rationales. 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 nurse is caring for a client with Clostridioides difficile diarrhea. Which infection-control measure is most
appropriate?
A. contact precautions only without respiratory protection
B. protective environment with positive pressure
C. contact precautions plus soap-and-water hand hygiene
D. standard precautions only
2. A client reports neuropathic burning pain in both feet. Which nursing action is best?
A. Withhold treatment until objective signs of pain appear
B. Assess quality, location, triggers, function, and response to prior therapies
C. Delay reassessment until the next scheduled vital-sign check
D. Ask a family member to choose the pain score
3. Which nursing intervention is most appropriate for a client prescribed a sodium-restricted diet for fluid retention?
A. teach the client to read labels for sodium content and limit processed foods
B. Ignore food labels if the client avoids adding table salt
C. Place the client flat during meals
D. Use thin liquids for all clients with swallowing difficulty
4. Which intervention or device is most appropriate for a stable client requiring low-flow supplemental oxygen while
eating and talking?
A. simple face mask at 2 L/min
B. nasal cannula
C. remove oxygen whenever the client is eating
D. apply petroleum jelly around oxygen equipment
5. A client receives IV opioid medication. 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. Reassess pain, sedation, respiratory rate, and oxygenation within an appropriate short interval
6. A client receives IV opioid medication. Which nursing action is best?
A. Ask a family member to choose the pain score
B. Reassess pain, sedation, respiratory rate, and oxygenation within an appropriate short interval
C. Delay reassessment until the next scheduled vital-sign check
D. Withhold treatment until objective signs of pain appear
Original practice material for study and self-assessment Page 2
,PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
7. The nurse selects interventions to reduce fall risk. Which step of the nursing process is the nurse performing?
A. diagnosis
B. assessment
C. planning
D. implementation
8. The nurse rechecks pain 30 minutes after analgesic administration. Which step of the nursing process is the nurse
performing?
A. diagnosis
B. planning
C. assessment
D. evaluation
9. A postoperative client has new stridor and increasing work of breathing. What is the nurse's priority action?
A. Reassess the client in 30 minutes
B. Assess airway and call for immediate assistance
C. Complete routine documentation before intervening
D. Ask the unlicensed assistive personnel to continue monitoring the client
10. The nurse reviews an arterial blood gas: pH 7.50, PaCO2 30 mm Hg, HCO3 24 mEq/L. How should the nurse
interpret the result?
A. metabolic acidosis
B. respiratory alkalosis
C. respiratory acidosis
D. metabolic alkalosis
11. Which intervention or device is most appropriate for a stable client requiring low-flow supplemental oxygen while
eating and talking?
A. simple face mask at 2 L/min
B. apply petroleum jelly around oxygen equipment
C. nasal cannula
D. remove oxygen whenever the client is eating
12. A nurse is planning care that includes influenza vaccination. This intervention is an example of which level of
prevention?
A. primary prevention
B. restorative prevention
C. tertiary prevention
D. secondary prevention
13. Which statement or intervention is correct for a client with an ostomy?
A. The stoma should normally be moist and pink to red
B. Keep drainage tubing looped above the bladder
C. Use routine antibiotics to prevent all catheter infections
D. Expect a healthy stoma to be dry and pale
Original practice material for study and self-assessment Page 3
, PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
14. The nurse reviews an arterial blood gas: pH 7.28, PaCO2 40 mm Hg, HCO3 18 mEq/L. How should the nurse
interpret the result?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory alkalosis
D. respiratory acidosis
15. The nurse observes IV pump alarm for occlusion. Which action is most appropriate?
A. Assess the tubing for kinks and the insertion site for complications before restarting
B. Massage the IV site vigorously
C. Silence the pump alarm and continue the infusion without assessment
D. Increase the infusion rate to overcome the problem
16. The client states that the pill looks different from usual. What should the nurse do?
A. Pause administration and verify the medication and order before giving it
B. Administer the medication because it is already on the MAR
C. Skip identification if the nurse recognizes the client
D. Ask the client to decide whether the medication is correct
17. A client has potassium 2.8 mEq/L with muscle weakness. Which interpretation or nursing priority is most
appropriate?
A. Encourage unrestricted free-water intake without further assessment
B. Document the findings as expected and reassess tomorrow
C. cardiac monitoring and potassium replacement as prescribed
D. Promote vigorous ambulation before correcting the imbalance
18. A nurse is planning care that includes influenza vaccination. This intervention is an example of which level of
prevention?
A. primary prevention
B. restorative prevention
C. tertiary prevention
D. secondary prevention
19. Which statement or intervention is correct for an indwelling urinary catheter?
A. Use routine antibiotics to prevent all catheter infections
B. Keep the drainage bag below bladder level and maintain a closed system
C. Expect a healthy stoma to be dry and pale
D. Keep drainage tubing looped above the bladder
20. A postoperative client is using a PCA pump. Which nursing action is best?
A. Withhold treatment until objective signs of pain appear
B. Ask a family member to choose the pain score
C. Delay reassessment until the next scheduled vital-sign check
D. Only the client should activate the dose button unless a specifically approved protocol states otherwise
Original practice material for study and self-assessment Page 4
NSG 3130
Fundamentals II
200-Question Final Practice Exam
Comprehensive mixed-topic review integrating assessment, clinical judgment, prioritization, safety,
fundamentals, oxygenation, medications, and patient-centered care.
200 A-D 200
Practice Questions Multiple Choice Explained Answers
PassPoint Pro • Original study and revision material • Clean print-ready format
Page 1 of 47
,PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
How to use this practice exam
This set contains 200 original multiple-choice questions for NSG 3130. Questions emphasize application, prioritization, safety,
and nursing judgment rather than simple memorization.
Answer format: questions first, followed by a complete answer key with rationales. 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 nurse is caring for a client with Clostridioides difficile diarrhea. Which infection-control measure is most
appropriate?
A. contact precautions only without respiratory protection
B. protective environment with positive pressure
C. contact precautions plus soap-and-water hand hygiene
D. standard precautions only
2. A client reports neuropathic burning pain in both feet. Which nursing action is best?
A. Withhold treatment until objective signs of pain appear
B. Assess quality, location, triggers, function, and response to prior therapies
C. Delay reassessment until the next scheduled vital-sign check
D. Ask a family member to choose the pain score
3. Which nursing intervention is most appropriate for a client prescribed a sodium-restricted diet for fluid retention?
A. teach the client to read labels for sodium content and limit processed foods
B. Ignore food labels if the client avoids adding table salt
C. Place the client flat during meals
D. Use thin liquids for all clients with swallowing difficulty
4. Which intervention or device is most appropriate for a stable client requiring low-flow supplemental oxygen while
eating and talking?
A. simple face mask at 2 L/min
B. nasal cannula
C. remove oxygen whenever the client is eating
D. apply petroleum jelly around oxygen equipment
5. A client receives IV opioid medication. 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. Reassess pain, sedation, respiratory rate, and oxygenation within an appropriate short interval
6. A client receives IV opioid medication. Which nursing action is best?
A. Ask a family member to choose the pain score
B. Reassess pain, sedation, respiratory rate, and oxygenation within an appropriate short interval
C. Delay reassessment until the next scheduled vital-sign check
D. Withhold treatment until objective signs of pain appear
Original practice material for study and self-assessment Page 2
,PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
7. The nurse selects interventions to reduce fall risk. Which step of the nursing process is the nurse performing?
A. diagnosis
B. assessment
C. planning
D. implementation
8. The nurse rechecks pain 30 minutes after analgesic administration. Which step of the nursing process is the nurse
performing?
A. diagnosis
B. planning
C. assessment
D. evaluation
9. A postoperative client has new stridor and increasing work of breathing. What is the nurse's priority action?
A. Reassess the client in 30 minutes
B. Assess airway and call for immediate assistance
C. Complete routine documentation before intervening
D. Ask the unlicensed assistive personnel to continue monitoring the client
10. The nurse reviews an arterial blood gas: pH 7.50, PaCO2 30 mm Hg, HCO3 24 mEq/L. How should the nurse
interpret the result?
A. metabolic acidosis
B. respiratory alkalosis
C. respiratory acidosis
D. metabolic alkalosis
11. Which intervention or device is most appropriate for a stable client requiring low-flow supplemental oxygen while
eating and talking?
A. simple face mask at 2 L/min
B. apply petroleum jelly around oxygen equipment
C. nasal cannula
D. remove oxygen whenever the client is eating
12. A nurse is planning care that includes influenza vaccination. This intervention is an example of which level of
prevention?
A. primary prevention
B. restorative prevention
C. tertiary prevention
D. secondary prevention
13. Which statement or intervention is correct for a client with an ostomy?
A. The stoma should normally be moist and pink to red
B. Keep drainage tubing looped above the bladder
C. Use routine antibiotics to prevent all catheter infections
D. Expect a healthy stoma to be dry and pale
Original practice material for study and self-assessment Page 3
, PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
14. The nurse reviews an arterial blood gas: pH 7.28, PaCO2 40 mm Hg, HCO3 18 mEq/L. How should the nurse
interpret the result?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory alkalosis
D. respiratory acidosis
15. The nurse observes IV pump alarm for occlusion. Which action is most appropriate?
A. Assess the tubing for kinks and the insertion site for complications before restarting
B. Massage the IV site vigorously
C. Silence the pump alarm and continue the infusion without assessment
D. Increase the infusion rate to overcome the problem
16. The client states that the pill looks different from usual. What should the nurse do?
A. Pause administration and verify the medication and order before giving it
B. Administer the medication because it is already on the MAR
C. Skip identification if the nurse recognizes the client
D. Ask the client to decide whether the medication is correct
17. A client has potassium 2.8 mEq/L with muscle weakness. Which interpretation or nursing priority is most
appropriate?
A. Encourage unrestricted free-water intake without further assessment
B. Document the findings as expected and reassess tomorrow
C. cardiac monitoring and potassium replacement as prescribed
D. Promote vigorous ambulation before correcting the imbalance
18. A nurse is planning care that includes influenza vaccination. This intervention is an example of which level of
prevention?
A. primary prevention
B. restorative prevention
C. tertiary prevention
D. secondary prevention
19. Which statement or intervention is correct for an indwelling urinary catheter?
A. Use routine antibiotics to prevent all catheter infections
B. Keep the drainage bag below bladder level and maintain a closed system
C. Expect a healthy stoma to be dry and pale
D. Keep drainage tubing looped above the bladder
20. A postoperative client is using a PCA pump. Which nursing action is best?
A. Withhold treatment until objective signs of pain appear
B. Ask a family member to choose the pain score
C. Delay reassessment until the next scheduled vital-sign check
D. Only the client should activate the dose button unless a specifically approved protocol states otherwise
Original practice material for study and self-assessment Page 4
