NSG 3130 EXAM 4 PREP
NSG 3130 EXAM 4 PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
The nurse is caring for a patient with a chest tube who was transported to
radiology for testing. When the patient returns to the nursing unit, the transporter
shows the nurse the patient's chest tube collection device, which was badly
damaged after being caught in the elevator door. What is the priority action of the
nurse?
a. Clamp the chest tube until the collection device is replaced.
b. Cover the insertion site with a new occlusive dressing.
c. Ensure that there is gentle bubbling in the water seal chamber.
d. Check the patient's lung sounds and pulse oximetry.
a. Clamp the chest tube until the collection device is replaced.
The broken collection device may no longer be used to collect chest tube drainage.
Clamping the chest tube until the collection device is replaced will prevent air from
entering the lung space until the new collection device is attached.
The nurse is caring for a patient who is hospitalized for pneumonia. Which nursing
diagnosis has the highest priority?
a. Activity intolerance r/t generalized weakness and hypoxemia
b. Impaired nutritional intake r/t poor appetite and increased metabolic needs
c. Impaired airway clearance r/t thick secretions in trachea and bronchi
d. Lack of knowledge r/t use of nebulizer and inhaled bronchodilators
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, NSG 3130 EXAM 4 PREP
c. Impaired airway clearance r/t thick secretions in trachea and bronchi.
Airway maintenance and patency is the highest priority for all patients, especially
patients with respiratory disorders. Oxygenation is the most important human
need. The other diagnoses can apply once the patient's airway is kept patent.
The nurse is caring for a patient who developed a pulmonary embolism after
surgery. Which goal statement is the highest priority for the nurse to include in
the patient's care plan for the diagnosis impaired gas exchange r/t impaired
pulmonary blood flow from embolus?
a. The patient will maintain pulse oximetry values of at least 95% on room air.
b. The patient will verbalize understanding of ordered anticoagulants.
c. The patient will report chest pain of no greater than 3 on a 1 to 10 scale.
d. The patient will ambulate 50 feet in hallway without shortness of breath.
a. The patient will maintain pulse oximetry values of at least 95% on room air.
Oxygenation is the most important human need, so adequate oxygenation of
tissues as evidenced by pulse oximetry values of at least 95% on room air is the
highest priority goal. The other goals may be addressed once the oxygenation goal
has been met.
The nurse is caring for a patient with severe COPD who is becoming increasingly
confused and disoriented. What is the priority action of the nurse?
a. Obtain an arterial blood gas to check for carbon dioxide retention.
b. Increase the patient's oxygen until the pulse oximetry is greater than 98%.
c. Lower the head of the patient's bed and insert a nasal airway.
d. Administer a mild sedative and reorient the patient as needed.
2|Page
, NSG 3130 EXAM 4 PREP
a. Obtain an arterial blood gas to check for carbon dioxide retention.
Alteration of lung tissue may decrease delivery of oxygen to the alveoli, impede
transfer of oxygen from alveoli to the bloodstream, and hinder expulsion of carbon
dioxide. COPD causes impaired gas exchange, leading to decreased oxygen levels
and higher circulating levels of carbon dioxide (i.e., respiratory acidosis). Confusion
and disorientation in a patient with severe COPD may likely be due to carbon
dioxide retention. An arterial blood gas should be drawn to determine if this is the
case. COPD patients should be kept on low oxygen flow rates whenever possible to
avoid impeding the drive to breathe. Lowering the head of the bed will increase
the difficulty of breathing as the abdominal contents press on the diaphragm. A
sedative will cause respiratory depression and should be avoided.
The nurse is caring for a patient who has been prescribed warfarin (Coumadin)
therapy after being diagnosed with atrial fibrillation. The patient asks the nurse
what could happen if the prescription doesn't get filled. What is the nurse's best
response?
a. "You could have a stroke."
b. "Your kidneys could fail."
c. "You could develop heart failure."
d. "You could go into respiratory failure."
a. "You could have a stroke."
A major complication of chronic atrial fibrillation is formation of blood clots within
the atria due to sluggish blood flow. Anticoagulation therapy is common to
prevent blood clot formation that could travel to the brain, causing a stroke.
The nurse finds the patient in cardiopulmonary arrest with no pulse or
respirations. Which oxygen delivery device will the nurse use for this patient?
3|Page
, NSG 3130 EXAM 4 PREP
a. Non-rebreather mask
b. Bag-valve-mask unit
c. Continuous positive airway pressure (CPAP)
d. High-flow nasal cannula
b. Bag-valve-mask unit
The priority of the nurse is to ventilate the patient manually using a bag-valve-
mask (BVM) unit. This allows air to be forced into the patient's lungs when there
are no spontaneous respirations. The non-rebreather mask and nasal cannula
require the patient to breathe on his or her own. CPAP is used for patients who are
awake, oriented, and in respiratory failure.
The nurse is caring for a patient who is slow to awaken following general
anesthesia. The patient is breathing spontaneously but is minimally responsive
and having difficulty maintaining a patent airway. Which intervention is the most
appropriate for the patient to improve oxygenation?
a. Insert an oral airway.
b. Lower the head of the bed.
c. Turn the patient's head to the side.
d. Monitor the patient's pulse oximetry.
a. Insert an oral airway.
An oral (oropharyngeal) airway will prevent the patient's tongue from falling back
and occluding the airway. Lowering the head of the bed will only increase airway
occlusion and risk of aspiration. Turning the patient's head to the side will not
clear the back of the patient's tongue from the airway. Monitoring the patient's
pulse oximetry will not improve oxygenation or clear the airway.
4|Page
NSG 3130 EXAM 4 PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
The nurse is caring for a patient with a chest tube who was transported to
radiology for testing. When the patient returns to the nursing unit, the transporter
shows the nurse the patient's chest tube collection device, which was badly
damaged after being caught in the elevator door. What is the priority action of the
nurse?
a. Clamp the chest tube until the collection device is replaced.
b. Cover the insertion site with a new occlusive dressing.
c. Ensure that there is gentle bubbling in the water seal chamber.
d. Check the patient's lung sounds and pulse oximetry.
a. Clamp the chest tube until the collection device is replaced.
The broken collection device may no longer be used to collect chest tube drainage.
Clamping the chest tube until the collection device is replaced will prevent air from
entering the lung space until the new collection device is attached.
The nurse is caring for a patient who is hospitalized for pneumonia. Which nursing
diagnosis has the highest priority?
a. Activity intolerance r/t generalized weakness and hypoxemia
b. Impaired nutritional intake r/t poor appetite and increased metabolic needs
c. Impaired airway clearance r/t thick secretions in trachea and bronchi
d. Lack of knowledge r/t use of nebulizer and inhaled bronchodilators
1|Page
, NSG 3130 EXAM 4 PREP
c. Impaired airway clearance r/t thick secretions in trachea and bronchi.
Airway maintenance and patency is the highest priority for all patients, especially
patients with respiratory disorders. Oxygenation is the most important human
need. The other diagnoses can apply once the patient's airway is kept patent.
The nurse is caring for a patient who developed a pulmonary embolism after
surgery. Which goal statement is the highest priority for the nurse to include in
the patient's care plan for the diagnosis impaired gas exchange r/t impaired
pulmonary blood flow from embolus?
a. The patient will maintain pulse oximetry values of at least 95% on room air.
b. The patient will verbalize understanding of ordered anticoagulants.
c. The patient will report chest pain of no greater than 3 on a 1 to 10 scale.
d. The patient will ambulate 50 feet in hallway without shortness of breath.
a. The patient will maintain pulse oximetry values of at least 95% on room air.
Oxygenation is the most important human need, so adequate oxygenation of
tissues as evidenced by pulse oximetry values of at least 95% on room air is the
highest priority goal. The other goals may be addressed once the oxygenation goal
has been met.
The nurse is caring for a patient with severe COPD who is becoming increasingly
confused and disoriented. What is the priority action of the nurse?
a. Obtain an arterial blood gas to check for carbon dioxide retention.
b. Increase the patient's oxygen until the pulse oximetry is greater than 98%.
c. Lower the head of the patient's bed and insert a nasal airway.
d. Administer a mild sedative and reorient the patient as needed.
2|Page
, NSG 3130 EXAM 4 PREP
a. Obtain an arterial blood gas to check for carbon dioxide retention.
Alteration of lung tissue may decrease delivery of oxygen to the alveoli, impede
transfer of oxygen from alveoli to the bloodstream, and hinder expulsion of carbon
dioxide. COPD causes impaired gas exchange, leading to decreased oxygen levels
and higher circulating levels of carbon dioxide (i.e., respiratory acidosis). Confusion
and disorientation in a patient with severe COPD may likely be due to carbon
dioxide retention. An arterial blood gas should be drawn to determine if this is the
case. COPD patients should be kept on low oxygen flow rates whenever possible to
avoid impeding the drive to breathe. Lowering the head of the bed will increase
the difficulty of breathing as the abdominal contents press on the diaphragm. A
sedative will cause respiratory depression and should be avoided.
The nurse is caring for a patient who has been prescribed warfarin (Coumadin)
therapy after being diagnosed with atrial fibrillation. The patient asks the nurse
what could happen if the prescription doesn't get filled. What is the nurse's best
response?
a. "You could have a stroke."
b. "Your kidneys could fail."
c. "You could develop heart failure."
d. "You could go into respiratory failure."
a. "You could have a stroke."
A major complication of chronic atrial fibrillation is formation of blood clots within
the atria due to sluggish blood flow. Anticoagulation therapy is common to
prevent blood clot formation that could travel to the brain, causing a stroke.
The nurse finds the patient in cardiopulmonary arrest with no pulse or
respirations. Which oxygen delivery device will the nurse use for this patient?
3|Page
, NSG 3130 EXAM 4 PREP
a. Non-rebreather mask
b. Bag-valve-mask unit
c. Continuous positive airway pressure (CPAP)
d. High-flow nasal cannula
b. Bag-valve-mask unit
The priority of the nurse is to ventilate the patient manually using a bag-valve-
mask (BVM) unit. This allows air to be forced into the patient's lungs when there
are no spontaneous respirations. The non-rebreather mask and nasal cannula
require the patient to breathe on his or her own. CPAP is used for patients who are
awake, oriented, and in respiratory failure.
The nurse is caring for a patient who is slow to awaken following general
anesthesia. The patient is breathing spontaneously but is minimally responsive
and having difficulty maintaining a patent airway. Which intervention is the most
appropriate for the patient to improve oxygenation?
a. Insert an oral airway.
b. Lower the head of the bed.
c. Turn the patient's head to the side.
d. Monitor the patient's pulse oximetry.
a. Insert an oral airway.
An oral (oropharyngeal) airway will prevent the patient's tongue from falling back
and occluding the airway. Lowering the head of the bed will only increase airway
occlusion and risk of aspiration. Turning the patient's head to the side will not
clear the back of the patient's tongue from the airway. Monitoring the patient's
pulse oximetry will not improve oxygenation or clear the airway.
4|Page
