Section A: NSG3100 (8 Questions)
1. A client with asthma has wheezing and uses accessory muscles. SpO₂ is 92% on room
air. What is the priority action?
Answer: Assess respiratory status closely and prepare to administer ordered
bronchodilator/oxygen support.
2. A client with type 1 diabetes is confused and sweaty. What does this suggest?
Answer: Hypoglycemia.
3. A client reports burning when saline flushes the IV. The site looks slightly puffy. What
should the nurse do?
Answer: Stop the flush, assess for infiltration/extravasation, notify provider as indicated,
and restart if needed.
4. Which assessment best indicates risk for aspiration?
Answer: Coughing/choking with meals, gurgling voice, decreased gag reflex, or poor
swallowing.
5. A patient with pneumonia has fever and productive cough. Which nursing action best
supports recovery?
Answer: Promote hydration, monitor oxygen status, and encourage coughing/deep
breathing to clear secretions.
6. During dressing change, the nurse observes wound edges separating and increasing
drainage. What does this most strongly suggest?
Answer: Wound dehiscence or impaired healing.
7. A client on anticoagulants has new bruising and blood in urine. What is the best nursing
action?
Answer: Treat as urgent—stop/hold if ordered, assess bleeding, and notify provider
immediately.
8. A post-op client has shallow respirations and low incentive spirometry volumes. What is
the priority intervention?
Answer: Encourage deep breathing/incentive spirometry frequently and assess
pain/medication needs to improve ventilation.
Section B: Mental Health Nursing (7 Questions)
9. A client with schizophrenia responds to internal stimuli and isn’t engaging. What is the
best nursing approach?
Answer: Use calm, structured communication and focus on the client’s ability to
participate; assess safety.
10. A client with major depressive disorder tells you they have stopped eating. What is the
most appropriate priority?
Answer: Assess for suicide risk/depression severity and ensure basic needs
(nutrition/hydration) and medical notification.