NSG 3160 Exam 4 | Questions and Answers Latest
Updated (Graded A+) - Galen College of Nursing
Exam 4
While performing an assessment, the nurse hears crackles in the patient’s lung fields.
The nurse also learns that the patient is sleeping on three pillows to help with the
difficulty breathing during the night. Which condition will the nurse most likely observe
written in the patient’s medical record?
A. Atrial fibrillation
B. Myocardial ischemia
C. Left-sided heart failure(The left ventricle of the heart no longer pumps
enough blood around the body, his causes shortness of breath, trouble
breathing or coughing)
D. Right-sided heart failure
A patient’s heart rate increased from 94 to 164 beats/min. What will the nurse expect?
A. Increase in diastolic filling time
B. Decrease in hemoglobin level
C. Decrease in cardiac output (Your brain signals your heart to beat faster by
sending messages to your heart's electrical system, which controls the timing of
your heartbeat)
D. Increase in stroke volume (oxygen demand-performance wise.)
The nurse is careful to monitor a patient’s cardiac output. Which goal is the nurse trying
to achieve?
A. To determine peripheral extremity circulation (narrowed arteries reduce blood
flow to the arms or legs.)
B. To determine oxygenation requirements
C. To determine cardiac dysrhythmias
D. To determine ventilation status
A nurse is caring for a group of patients. Which patient should the nurse see first?
A. A patient with hypercapnia wearing an oxygen mask (excessive carbon dioxide
in the bloodstream, typically caused by inadequate respiration.)
B. A patient with a chest tube ambulating with the chest tube unclamped
C. A patient with thick secretions being tracheal suctioned first and then orally
D. A patient with a new tracheostomy and tracheostomy obturator at bedside
A patient has inadequate stroke volume related to decreased preload. Which treatment
does the nurse prepare to administer?
A. Diuretics
B. Vasodilators
C. Chest physiotherapy
D. Intravenous (IV) fluids (administering intravenous fluids or diuretics effects the
, preload by altering volume status)
A nurse is preparing to suction a patient. The pulse is 65 and pulse oximetry is 94%.
Which finding will cause the nurse to stop suctioning?
A. Pulse 75
B. Pulse 80
C. Oxygen saturation 91%
D. Oxygen saturation 88%
The patient has right-sided heart failure. Which finding will the nurse expect when
performing an assessment?
A. Peripheral edema (The main sign of right-sided heart failure is fluid buildup. This
buildup leads to swelling (edema))
B. Basilar crackles
C. Chest pain
D. Cyanosis
The nurse is caring for a patient with respiratory problems. Which assessment finding
indicates a late sign of hypoxia?
A. Elevated blood pressure
B. Increased pulse rate
C. Restlessness
D. Cyanosis(bluish discoloration of the skin resulting from poor circulation or
inadequate oxygenation)
A nurse is preparing a patient for nasotracheal suctioning. In which order will the nurse
perform the steps, beginning with the first step?
• Attach catheter to suction system.
• Have patient deep breathe.
• Insert catheter.
• Apply suction and remove.
• Encourage patient to cough.
• Rinse catheter and connecting tubing.
A. 1, 2, 3, 4, 5, 6
B. 4, 5, 1, 2, 3, 6
C. 5, 3, 1, 2, 4, 6
D. 3, 1, 2, 5, 4, 6
A nurse is caring for a patient who has poor tissue perfusion as the result of
hypertension. When the patient asks what to eat for breakfast, which meal should the
nurse suggest?
A. A cup of nonfat yogurt with granola and a handful of dried apricots
B. Whole wheat toast with butter and a side of bacon
Updated (Graded A+) - Galen College of Nursing
Exam 4
While performing an assessment, the nurse hears crackles in the patient’s lung fields.
The nurse also learns that the patient is sleeping on three pillows to help with the
difficulty breathing during the night. Which condition will the nurse most likely observe
written in the patient’s medical record?
A. Atrial fibrillation
B. Myocardial ischemia
C. Left-sided heart failure(The left ventricle of the heart no longer pumps
enough blood around the body, his causes shortness of breath, trouble
breathing or coughing)
D. Right-sided heart failure
A patient’s heart rate increased from 94 to 164 beats/min. What will the nurse expect?
A. Increase in diastolic filling time
B. Decrease in hemoglobin level
C. Decrease in cardiac output (Your brain signals your heart to beat faster by
sending messages to your heart's electrical system, which controls the timing of
your heartbeat)
D. Increase in stroke volume (oxygen demand-performance wise.)
The nurse is careful to monitor a patient’s cardiac output. Which goal is the nurse trying
to achieve?
A. To determine peripheral extremity circulation (narrowed arteries reduce blood
flow to the arms or legs.)
B. To determine oxygenation requirements
C. To determine cardiac dysrhythmias
D. To determine ventilation status
A nurse is caring for a group of patients. Which patient should the nurse see first?
A. A patient with hypercapnia wearing an oxygen mask (excessive carbon dioxide
in the bloodstream, typically caused by inadequate respiration.)
B. A patient with a chest tube ambulating with the chest tube unclamped
C. A patient with thick secretions being tracheal suctioned first and then orally
D. A patient with a new tracheostomy and tracheostomy obturator at bedside
A patient has inadequate stroke volume related to decreased preload. Which treatment
does the nurse prepare to administer?
A. Diuretics
B. Vasodilators
C. Chest physiotherapy
D. Intravenous (IV) fluids (administering intravenous fluids or diuretics effects the
, preload by altering volume status)
A nurse is preparing to suction a patient. The pulse is 65 and pulse oximetry is 94%.
Which finding will cause the nurse to stop suctioning?
A. Pulse 75
B. Pulse 80
C. Oxygen saturation 91%
D. Oxygen saturation 88%
The patient has right-sided heart failure. Which finding will the nurse expect when
performing an assessment?
A. Peripheral edema (The main sign of right-sided heart failure is fluid buildup. This
buildup leads to swelling (edema))
B. Basilar crackles
C. Chest pain
D. Cyanosis
The nurse is caring for a patient with respiratory problems. Which assessment finding
indicates a late sign of hypoxia?
A. Elevated blood pressure
B. Increased pulse rate
C. Restlessness
D. Cyanosis(bluish discoloration of the skin resulting from poor circulation or
inadequate oxygenation)
A nurse is preparing a patient for nasotracheal suctioning. In which order will the nurse
perform the steps, beginning with the first step?
• Attach catheter to suction system.
• Have patient deep breathe.
• Insert catheter.
• Apply suction and remove.
• Encourage patient to cough.
• Rinse catheter and connecting tubing.
A. 1, 2, 3, 4, 5, 6
B. 4, 5, 1, 2, 3, 6
C. 5, 3, 1, 2, 4, 6
D. 3, 1, 2, 5, 4, 6
A nurse is caring for a patient who has poor tissue perfusion as the result of
hypertension. When the patient asks what to eat for breakfast, which meal should the
nurse suggest?
A. A cup of nonfat yogurt with granola and a handful of dried apricots
B. Whole wheat toast with butter and a side of bacon
