NSG 3130 FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
EXAM 2 (2025/2026)
Verified Questions & Answers | Comprehensive Nursing Assessment | Latest Edition
Overview
This 2025/2026 validated resource contains comprehensive NSG 3130 Exam 2
questions with verified answers, directly aligned with current nursing curriculum
standards for Fundamental Concepts & Skills for Nursing Practice II. Essential for nursing
students preparing for mid-course assessment and demonstrating progressive competency in
nursing fundamentals and clinical skills application.
Key Features
✓ 60-Question Comprehensive Exam matching course assessment format
✓ Intermediate Clinical Skill Applications with safety protocols
✓ Patient Care Scenarios with clinical judgment focus
✓ Updated 2025/2026 nursing practice standards
✓ Health Assessment Integration with diagnostic reasoning
Content Domains
• Health Assessment & Physical Examination (14 Questions)
• Infection Control & Aseptic Technique (12 Questions)
• Vital Signs & Diagnostic Testing (11 Questions)
• Basic Medication Administration (10 Questions)
• Patient Education & Health Promotion (8 Questions)
• Nutrition & Elimination (5 Questions)
Answer Format
Verified correct answers in bold green with:
• Assessment finding interpretations
• Infection control protocol justifications
• Clinical judgment pathway rationales
• Patient education strategy evaluations
Critical Updates 2025/2026
NEW - Enhanced infection control standards
UPDATED - Health assessment documentation requirements
REVISED - Patient education and health literacy protocols
MODIFIED - Medication safety verification processes
HEALTH ASSESSMENT & PHYSICAL EXAMINATION (Questions 1–14)
1. When assessing lung sounds, the nurse identifies crackles in the bilateral
lower lobes. This finding most likely indicates:
a) Pneumothorax
b) Atelectasis
, c) Pulmonary edema or fluid accumulation
d) Bronchospasm
c) Pulmonary edema or fluid accumulation
Rationale: Crackles (rales) are discontinuous sounds caused by opening of alveoli; bilateral
lower-lobe crackles suggest fluid overload or heart failure per 2025 assessment guidelines.
2. The correct sequence for abdominal assessment is:
a) Auscultation, inspection, percussion, palpation
b) Inspection, auscultation, percussion, palpation
c) Palpation, percussion, auscultation, inspection
d) Percussion, palpation, inspection, auscultation
b) Inspection, auscultation, percussion, palpation
Rationale: Palpation can alter bowel sounds; inspect first, then auscultate to avoid false
results.
3. A patient presents with jugular venous distension (JVD) at 45° elevation. This
finding suggests:
a) Hypovolemia
b) Right-sided heart failure or fluid overload
c) Left ventricular failure
d) Pulmonary embolism
b) Right-sided heart failure or fluid overload
Rationale: JVD >3 cm above sternal angle indicates elevated central venous pressure;
correlate with other signs of heart failure.
4. When testing cranial nerve II (optic), the nurse should evaluate:
a) Pupil reaction to light and visual acuity
b) Extraocular movements
c) Facial symmetry
d) Hearing acuity
a) Pupil reaction to light and visual acuity
Rationale: CN II is sensory for vision; use Snellen chart and pupillary light reflex.
5. The nurse notes a bounding radial pulse with a full amplitude. This is
documented as:
a) 0 – absent
b) 1+ – weak
c) 2+ – normal
d) 3+ – increased/bounding
d) 3+ – increased/bounding
Rationale: 0–4 scale: 3+ indicates increased cardiac output or hypertension; monitor for
hypertension or hyperdynamic states.
6. A patient has a barrel chest appearance. This is commonly associated with:
a) Asthma
b) Pneumonia
c) Chronic obstructive pulmonary disease (COPD)
d) Pleural effusion
c) Chronic obstructive pulmonary disease (COPD)
Rationale: Increased anteroposterior diameter from air trapping; assess for decreased
breath sounds and hyperresonance.
7. During percussion of the abdomen, the nurse notes tympany throughout.
This is considered:
EXAM 2 (2025/2026)
Verified Questions & Answers | Comprehensive Nursing Assessment | Latest Edition
Overview
This 2025/2026 validated resource contains comprehensive NSG 3130 Exam 2
questions with verified answers, directly aligned with current nursing curriculum
standards for Fundamental Concepts & Skills for Nursing Practice II. Essential for nursing
students preparing for mid-course assessment and demonstrating progressive competency in
nursing fundamentals and clinical skills application.
Key Features
✓ 60-Question Comprehensive Exam matching course assessment format
✓ Intermediate Clinical Skill Applications with safety protocols
✓ Patient Care Scenarios with clinical judgment focus
✓ Updated 2025/2026 nursing practice standards
✓ Health Assessment Integration with diagnostic reasoning
Content Domains
• Health Assessment & Physical Examination (14 Questions)
• Infection Control & Aseptic Technique (12 Questions)
• Vital Signs & Diagnostic Testing (11 Questions)
• Basic Medication Administration (10 Questions)
• Patient Education & Health Promotion (8 Questions)
• Nutrition & Elimination (5 Questions)
Answer Format
Verified correct answers in bold green with:
• Assessment finding interpretations
• Infection control protocol justifications
• Clinical judgment pathway rationales
• Patient education strategy evaluations
Critical Updates 2025/2026
NEW - Enhanced infection control standards
UPDATED - Health assessment documentation requirements
REVISED - Patient education and health literacy protocols
MODIFIED - Medication safety verification processes
HEALTH ASSESSMENT & PHYSICAL EXAMINATION (Questions 1–14)
1. When assessing lung sounds, the nurse identifies crackles in the bilateral
lower lobes. This finding most likely indicates:
a) Pneumothorax
b) Atelectasis
, c) Pulmonary edema or fluid accumulation
d) Bronchospasm
c) Pulmonary edema or fluid accumulation
Rationale: Crackles (rales) are discontinuous sounds caused by opening of alveoli; bilateral
lower-lobe crackles suggest fluid overload or heart failure per 2025 assessment guidelines.
2. The correct sequence for abdominal assessment is:
a) Auscultation, inspection, percussion, palpation
b) Inspection, auscultation, percussion, palpation
c) Palpation, percussion, auscultation, inspection
d) Percussion, palpation, inspection, auscultation
b) Inspection, auscultation, percussion, palpation
Rationale: Palpation can alter bowel sounds; inspect first, then auscultate to avoid false
results.
3. A patient presents with jugular venous distension (JVD) at 45° elevation. This
finding suggests:
a) Hypovolemia
b) Right-sided heart failure or fluid overload
c) Left ventricular failure
d) Pulmonary embolism
b) Right-sided heart failure or fluid overload
Rationale: JVD >3 cm above sternal angle indicates elevated central venous pressure;
correlate with other signs of heart failure.
4. When testing cranial nerve II (optic), the nurse should evaluate:
a) Pupil reaction to light and visual acuity
b) Extraocular movements
c) Facial symmetry
d) Hearing acuity
a) Pupil reaction to light and visual acuity
Rationale: CN II is sensory for vision; use Snellen chart and pupillary light reflex.
5. The nurse notes a bounding radial pulse with a full amplitude. This is
documented as:
a) 0 – absent
b) 1+ – weak
c) 2+ – normal
d) 3+ – increased/bounding
d) 3+ – increased/bounding
Rationale: 0–4 scale: 3+ indicates increased cardiac output or hypertension; monitor for
hypertension or hyperdynamic states.
6. A patient has a barrel chest appearance. This is commonly associated with:
a) Asthma
b) Pneumonia
c) Chronic obstructive pulmonary disease (COPD)
d) Pleural effusion
c) Chronic obstructive pulmonary disease (COPD)
Rationale: Increased anteroposterior diameter from air trapping; assess for decreased
breath sounds and hyperresonance.
7. During percussion of the abdomen, the nurse notes tympany throughout.
This is considered:
