Practice Nursing Exam Bundle (15 Questions)
Section A: NSG3100 (8 Questions)
1. A client with acute shortness of breath has a pulse oximeter showing SpO₂ 86% on
room air. What is the nurse’s priority action?
Answer: Initiate supplemental oxygen immediately and assess airway/breathing
(recheck SpO₂ and respiratory effort).
2. The nurse is caring for a client with type 1 diabetes. Which assessment finding would
support hypoglycemia?
Answer: Diaphoresis, shakiness/tremors, tachycardia, and altered/irritable behavior
(low blood glucose).
3. A client is ordered IV fluids. The nurse notices the IV site is red, warm, and painful.
What is the best next nursing action?
Answer: Stop the IV infusion, assess the site, notify the provider, and prepare to
restart via a new site per protocol.
4. Which patient finding indicates ineffective airway clearance?
Answer: Inability to clear secretions evidenced by diminished breath
sounds/rhonchi and ineffective cough.
5. A client with a new diagnosis of pneumonia asks what to expect. Which response by the
nurse is most appropriate?
Answer: “You’ll likely receive antibiotics and supportive care, and you should feel
symptoms improve as treatment works.”
6. The nurse is performing wound care and notes the wound bed has increasing slough and
the drainage has become foul-smelling. What does this most strongly suggest?
Answer: Wound infection or worsening infection/poor wound healing.
7. A client is receiving anticoagulant therapy. Which instruction should the nurse include
to reduce complications?
Answer: Avoid NSAIDs and report signs of bleeding/bruising immediately; follow
safety precautions to prevent injury.
8. The nurse is teaching postoperative care. What is the best priority teaching point to
prevent complications like atelectasis?
Answer: Use incentive spirometry regularly and perform deep breathing/coughing
exercises.
Section B: Mental Health Nursing (7 Questions)
9. A client with schizophrenia hears voices that command them to harm others. What is the
nurse’s best immediate response?
Answer: Maintain safety; do not argue with the voices—assess risk and encourage
the client to follow the safety plan (and notify/seek urgent help as required).
10. A client with major depressive disorder says, “Nothing will ever get better.” Which
nursing response is most therapeutic?
Section A: NSG3100 (8 Questions)
1. A client with acute shortness of breath has a pulse oximeter showing SpO₂ 86% on
room air. What is the nurse’s priority action?
Answer: Initiate supplemental oxygen immediately and assess airway/breathing
(recheck SpO₂ and respiratory effort).
2. The nurse is caring for a client with type 1 diabetes. Which assessment finding would
support hypoglycemia?
Answer: Diaphoresis, shakiness/tremors, tachycardia, and altered/irritable behavior
(low blood glucose).
3. A client is ordered IV fluids. The nurse notices the IV site is red, warm, and painful.
What is the best next nursing action?
Answer: Stop the IV infusion, assess the site, notify the provider, and prepare to
restart via a new site per protocol.
4. Which patient finding indicates ineffective airway clearance?
Answer: Inability to clear secretions evidenced by diminished breath
sounds/rhonchi and ineffective cough.
5. A client with a new diagnosis of pneumonia asks what to expect. Which response by the
nurse is most appropriate?
Answer: “You’ll likely receive antibiotics and supportive care, and you should feel
symptoms improve as treatment works.”
6. The nurse is performing wound care and notes the wound bed has increasing slough and
the drainage has become foul-smelling. What does this most strongly suggest?
Answer: Wound infection or worsening infection/poor wound healing.
7. A client is receiving anticoagulant therapy. Which instruction should the nurse include
to reduce complications?
Answer: Avoid NSAIDs and report signs of bleeding/bruising immediately; follow
safety precautions to prevent injury.
8. The nurse is teaching postoperative care. What is the best priority teaching point to
prevent complications like atelectasis?
Answer: Use incentive spirometry regularly and perform deep breathing/coughing
exercises.
Section B: Mental Health Nursing (7 Questions)
9. A client with schizophrenia hears voices that command them to harm others. What is the
nurse’s best immediate response?
Answer: Maintain safety; do not argue with the voices—assess risk and encourage
the client to follow the safety plan (and notify/seek urgent help as required).
10. A client with major depressive disorder says, “Nothing will ever get better.” Which
nursing response is most therapeutic?
