NURSING 3130
EXAMINATION 2
2026/2027 Academic Cycle
50 Multiple-Choice Questions
100% Correct Answers | Verified | Graded A+
Core Domains:
Pharmacology • Patient Assessment • Nursing Interventions
Evidence-Based Practice • Clinical Decision-Making
Nursing Education Focus | Exam-Aligned Format
NURSING 3130 – Exam 2
Introduction
This NURSING 3130 Exam 2 document for the 2026/2027 academic cycle reflects the
official nursing curriculum requirements for this course level. The examination evaluates
comprehensive understanding of core nursing concepts, clinical reasoning skills, and
evidence-based practice applications essential for continued progression in the nursing
,program. Each question has been developed to assess critical thinking, patient safety
principles, and sound clinical judgment across the domains of pharmacology, patient
assessment, nursing interventions, evidence-based practice, and clinical decision-making.
All correct answers are presented in bold green formatting, followed by clearly defined,
clinically focused rationales that reinforce evidence-based nursing principles, patient safety,
and sound clinical judgment.
Section I: Pharmacology (Questions 1-10)
Question 1
A nurse is preparing to administer lisinopril to a patient with hypertension. Which of the
following assessments should the nurse perform FIRST before administration?
A. Blood pressure
B. Heart rate
C. Respiratory rate
D. Temperature
Correct Answer: A
Rationale: Lisinopril is an ACE inhibitor used to treat hypertension. The nurse should assess blood
pressure first to establish a baseline and ensure the medication is indicated. While heart rate is
important, blood pressure is the primary parameter for antihypertensive therapy. This reflects
evidence-based practice in medication safety and therapeutic effectiveness.
Question 2
A patient receiving digoxin presents with nausea, vomiting, and visual disturbances. The
nurse should recognize these as signs of:
A. Therapeutic effect
B. Digoxin toxicity
NURSING 3130 – Exam 2
C. Electrolyte imbalance
D. Expected side effects
Correct Answer: B
Rationale: Nausea, vomiting, and visual disturbances (such as seeing yellow halos) are classic
manifestations of digoxin toxicity. The therapeutic range for digoxin is 0.5-2.0 ng/mL. The nurse
should hold the medication and notify the provider immediately. Early recognition prevents life-
threatening cardiac arrhythmias associated with toxicity.
Question 3
Which laboratory value requires immediate notification of the healthcare provider before
administering furosemide?
A. Sodium 138 mEq/L
B. Potassium 3.0 mEq/L
C. Glucose 110 mg/dL
D. Creatinine 1.0 mg/dL
Correct Answer: B
Rationale: Furosemide is a loop diuretic that causes significant potassium loss through renal
excretion. A potassium level of 3.0 mEq/L indicates hypokalemia, which increases the risk of
, cardiac arrhythmias. The nurse should notify the provider before administration, as potassium
supplementation may be required. Normal potassium range is 3.5-5.0 mEq/L.
Question 4
A nurse is teaching a patient about newly prescribed metformin. Which statement by the
patient indicates a need for further teaching?
A. I should take this medication with meals
B. I need to have my kidney function tested regularly
C. I can stop taking this when my blood sugar normalizes
D. I should report unusual muscle pain to my doctor
Correct Answer: C
Rationale: Metformin is a first-line medication for Type 2 diabetes that requires consistent use for
therapeutic effect. Patients should NOT stop taking metformin when blood sugar normalizes, as
this indicates the medication is working effectively. The other statements demonstrate correct
understanding: taking with meals reduces GI side effects, kidney function monitoring is essential,
and
NURSING 3130 – Exam 2
muscle pain may indicate lactic acidosis.
Question 5
Before administering IV morphine sulfate 4 mg to a postoperative patient, the nurse assesses
respirations at 10 breaths/minute. Which action should the nurse take?
A. Administer the medication as prescribed
B. Administer half the dose
C. Hold the medication and notify the provider
D. Wait 30 minutes and reassess
Correct Answer: C
Rationale: A respiratory rate below 12 breaths/minute in a patient receiving opioids indicates
potential respiratory depression, a life-threatening adverse effect. The nurse must hold the
medication and notify the provider immediately. This demonstrates critical thinking and patient
safety principles in opioid administration.
Question 6
A patient with deep vein thrombosis is prescribed warfarin. The nurse should instruct the
patient to maintain consistent intake of foods containing:
A. Vitamin A
B. Vitamin K
C. Vitamin C
D. Vitamin D
Correct Answer: B
Rationale: Warfarin works by inhibiting vitamin K-dependent clotting factors. Sudden increases in
vitamin K intake (found in leafy green vegetables) can decrease warfarin effectiveness, while
decreases can increase bleeding risk. Patients should maintain consistent dietary vitamin K intake
rather than restricting it completely. Regular INR monitoring is essential.
Question 7
Which assessment finding indicates a therapeutic effect of prednisone in a patient with acute
asthma exacerbation?
A. Decreased white blood cell count
EXAMINATION 2
2026/2027 Academic Cycle
50 Multiple-Choice Questions
100% Correct Answers | Verified | Graded A+
Core Domains:
Pharmacology • Patient Assessment • Nursing Interventions
Evidence-Based Practice • Clinical Decision-Making
Nursing Education Focus | Exam-Aligned Format
NURSING 3130 – Exam 2
Introduction
This NURSING 3130 Exam 2 document for the 2026/2027 academic cycle reflects the
official nursing curriculum requirements for this course level. The examination evaluates
comprehensive understanding of core nursing concepts, clinical reasoning skills, and
evidence-based practice applications essential for continued progression in the nursing
,program. Each question has been developed to assess critical thinking, patient safety
principles, and sound clinical judgment across the domains of pharmacology, patient
assessment, nursing interventions, evidence-based practice, and clinical decision-making.
All correct answers are presented in bold green formatting, followed by clearly defined,
clinically focused rationales that reinforce evidence-based nursing principles, patient safety,
and sound clinical judgment.
Section I: Pharmacology (Questions 1-10)
Question 1
A nurse is preparing to administer lisinopril to a patient with hypertension. Which of the
following assessments should the nurse perform FIRST before administration?
A. Blood pressure
B. Heart rate
C. Respiratory rate
D. Temperature
Correct Answer: A
Rationale: Lisinopril is an ACE inhibitor used to treat hypertension. The nurse should assess blood
pressure first to establish a baseline and ensure the medication is indicated. While heart rate is
important, blood pressure is the primary parameter for antihypertensive therapy. This reflects
evidence-based practice in medication safety and therapeutic effectiveness.
Question 2
A patient receiving digoxin presents with nausea, vomiting, and visual disturbances. The
nurse should recognize these as signs of:
A. Therapeutic effect
B. Digoxin toxicity
NURSING 3130 – Exam 2
C. Electrolyte imbalance
D. Expected side effects
Correct Answer: B
Rationale: Nausea, vomiting, and visual disturbances (such as seeing yellow halos) are classic
manifestations of digoxin toxicity. The therapeutic range for digoxin is 0.5-2.0 ng/mL. The nurse
should hold the medication and notify the provider immediately. Early recognition prevents life-
threatening cardiac arrhythmias associated with toxicity.
Question 3
Which laboratory value requires immediate notification of the healthcare provider before
administering furosemide?
A. Sodium 138 mEq/L
B. Potassium 3.0 mEq/L
C. Glucose 110 mg/dL
D. Creatinine 1.0 mg/dL
Correct Answer: B
Rationale: Furosemide is a loop diuretic that causes significant potassium loss through renal
excretion. A potassium level of 3.0 mEq/L indicates hypokalemia, which increases the risk of
, cardiac arrhythmias. The nurse should notify the provider before administration, as potassium
supplementation may be required. Normal potassium range is 3.5-5.0 mEq/L.
Question 4
A nurse is teaching a patient about newly prescribed metformin. Which statement by the
patient indicates a need for further teaching?
A. I should take this medication with meals
B. I need to have my kidney function tested regularly
C. I can stop taking this when my blood sugar normalizes
D. I should report unusual muscle pain to my doctor
Correct Answer: C
Rationale: Metformin is a first-line medication for Type 2 diabetes that requires consistent use for
therapeutic effect. Patients should NOT stop taking metformin when blood sugar normalizes, as
this indicates the medication is working effectively. The other statements demonstrate correct
understanding: taking with meals reduces GI side effects, kidney function monitoring is essential,
and
NURSING 3130 – Exam 2
muscle pain may indicate lactic acidosis.
Question 5
Before administering IV morphine sulfate 4 mg to a postoperative patient, the nurse assesses
respirations at 10 breaths/minute. Which action should the nurse take?
A. Administer the medication as prescribed
B. Administer half the dose
C. Hold the medication and notify the provider
D. Wait 30 minutes and reassess
Correct Answer: C
Rationale: A respiratory rate below 12 breaths/minute in a patient receiving opioids indicates
potential respiratory depression, a life-threatening adverse effect. The nurse must hold the
medication and notify the provider immediately. This demonstrates critical thinking and patient
safety principles in opioid administration.
Question 6
A patient with deep vein thrombosis is prescribed warfarin. The nurse should instruct the
patient to maintain consistent intake of foods containing:
A. Vitamin A
B. Vitamin K
C. Vitamin C
D. Vitamin D
Correct Answer: B
Rationale: Warfarin works by inhibiting vitamin K-dependent clotting factors. Sudden increases in
vitamin K intake (found in leafy green vegetables) can decrease warfarin effectiveness, while
decreases can increase bleeding risk. Patients should maintain consistent dietary vitamin K intake
rather than restricting it completely. Regular INR monitoring is essential.
Question 7
Which assessment finding indicates a therapeutic effect of prednisone in a patient with acute
asthma exacerbation?
A. Decreased white blood cell count
