Nursing Exam Bundle (15 Questions) — With Answer Key
Section A: NSG3100 (8 Questions)
1. A client has SpO₂ 88% on room air and is drowsy. What is the nurse’s priority?
Answer: Assess airway/breathing immediately and apply supplemental oxygen; ensure
ventilation support as needed.
2. The nurse suspects hyperglycemia in a type 1 diabetic client. Which finding supports
this?
Answer: Increased thirst/urination, fatigue, possible blurred vision, and elevated blood
glucose.
3. During IV therapy, the nurse finds swelling and coolness at the IV site. What is the best
next action?
Answer: Stop the IV, assess circulation and pain, elevate/coordinate care per protocol,
and restart elsewhere.
4. Which finding indicates impaired gas exchange?
Answer: Dyspnea with abnormal ABGs or cyanosis/increasing oxygen requirements.
5. A client with COPD exacerbation asks why oxygen is being monitored closely. What is
the best response?
Answer: “Too much oxygen can worsen CO₂ retention; your oxygen levels are being
titrated safely.”
6. A client’s wound shows increased redness, warmth, and purulent drainage. What does
this most strongly suggest?
Answer: Local wound infection.
7. A client taking warfarin is scheduled for a procedure. What is the most appropriate
nursing action?
Answer: Confirm INR/bleeding risk per protocol and follow provider orders regarding
holding/adjusting warfarin.
8. Post-op day 1: the client refuses incentive spirometry. What is the best nursing response?
Answer: Educate on atelectasis risk and provide support/encouragement to complete deep
breathing exercises.
Section B: Mental Health Nursing (7 Questions)
9. A client with schizophrenia is becoming increasingly paranoid and threatening staff.
What is the nurse’s immediate priority?
Answer: Ensure safety—maintain distance, use calm tone, assess for risk, and notify the
team/security as required.
10. A client with major depressive disorder says, “I feel like a burden.” Which response is
most therapeutic?
Answer: “You matter a lot here. Let’s talk about what makes you feel like that today.”
11. A client with bipolar disorder is talking rapidly, appears energized, and is sleeping only a
few hours. What is this most likely?
Answer: Manic or hypomanic behavior.
Section A: NSG3100 (8 Questions)
1. A client has SpO₂ 88% on room air and is drowsy. What is the nurse’s priority?
Answer: Assess airway/breathing immediately and apply supplemental oxygen; ensure
ventilation support as needed.
2. The nurse suspects hyperglycemia in a type 1 diabetic client. Which finding supports
this?
Answer: Increased thirst/urination, fatigue, possible blurred vision, and elevated blood
glucose.
3. During IV therapy, the nurse finds swelling and coolness at the IV site. What is the best
next action?
Answer: Stop the IV, assess circulation and pain, elevate/coordinate care per protocol,
and restart elsewhere.
4. Which finding indicates impaired gas exchange?
Answer: Dyspnea with abnormal ABGs or cyanosis/increasing oxygen requirements.
5. A client with COPD exacerbation asks why oxygen is being monitored closely. What is
the best response?
Answer: “Too much oxygen can worsen CO₂ retention; your oxygen levels are being
titrated safely.”
6. A client’s wound shows increased redness, warmth, and purulent drainage. What does
this most strongly suggest?
Answer: Local wound infection.
7. A client taking warfarin is scheduled for a procedure. What is the most appropriate
nursing action?
Answer: Confirm INR/bleeding risk per protocol and follow provider orders regarding
holding/adjusting warfarin.
8. Post-op day 1: the client refuses incentive spirometry. What is the best nursing response?
Answer: Educate on atelectasis risk and provide support/encouragement to complete deep
breathing exercises.
Section B: Mental Health Nursing (7 Questions)
9. A client with schizophrenia is becoming increasingly paranoid and threatening staff.
What is the nurse’s immediate priority?
Answer: Ensure safety—maintain distance, use calm tone, assess for risk, and notify the
team/security as required.
10. A client with major depressive disorder says, “I feel like a burden.” Which response is
most therapeutic?
Answer: “You matter a lot here. Let’s talk about what makes you feel like that today.”
11. A client with bipolar disorder is talking rapidly, appears energized, and is sleeping only a
few hours. What is this most likely?
Answer: Manic or hypomanic behavior.
