NSG 3130 EXAM 2 (GALEN) NEWEST 2026 ACTUAL
EXAM| NSG3130 FUNDAMENTAL CONCEPTS & SKILLS
FOR NURSING PRACTICE II EXAM 2 REVIEW WITH 300
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERES (VERIFIED ANSWERS) ALREADY GRADED
A+ (BRAND NEW!!)
Q1: A nurse is assessing a client who has chronic obstructive
pulmonary disease (COPD). Which finding is most indicative
of early hypoxemia?
A) Cyanosis of the nail beds
B) Restlessness and confusion
C) Bradycardia
D) Bradypnea
Answer: B
Rationale: Early signs of hypoxemia include restlessness,
confusion, anxiety, and tachypnea. Cyanosis, bradycardia, and
bradypnea are late signs.
Q2: A client is receiving a blood transfusion and develops
chills, fever, and lower back pain. Which complication is most
1
,likely?
A) Febrile non-hemolytic reaction
B) Acute hemolytic reaction
C) Circulatory overload
D) Allergic reaction
Answer: B
Rationale: Chills, fever, and lower back pain are classic signs of
an acute hemolytic transfusion reaction. Stop the transfusion
immediately.
Q3: Which of the following is the priority nursing action when
a client’s indwelling urinary catheter is not draining urine?
A) Irrigate the catheter with sterile saline
B) Check for kinks in the tubing
C) Replace the catheter immediately
D) Increase the client’s fluid intake
Answer: B
Rationale: The first step is to check for mechanical obstruction
(kinks, the tubing under the client). Irrigation and replacement
require further assessment.
2
,Q4: A nurse is preparing to administer a cleansing enema to
an adult client. The client should be positioned in which of the
following positions?
A) Supine with head elevated
B) Left side-lying (Sims’ position)
C) Prone
D) Right side-lying
Answer: B
Rationale: Left side-lying (Sims’ position) allows the enema
solution to flow by gravity into the sigmoid colon, improving
distribution and client comfort.
Q5: A client has a new tracheostomy. Which of the following
actions should the nurse take when providing tracheostomy
care?
A) Use sterile technique when suctioning and cleaning the inner
cannula
B) Clean the stoma with alcohol-based wipes
C) Apply a dry gauze dressing over the stoma with a slit cut to
fit around the tube
D) Suction for 20–30 seconds to ensure thorough clearance
3
, Answer: A
Rationale: Tracheostomy care requires sterile technique. Alcohol
wipes are too drying; saline is used. Suction time should be ≤10
seconds.
Q6: A nurse is caring for a client who is 2 days post-operative
abdominal surgery. The client reports feeling a “pop”
followed by drainage of serosanguineous fluid from the
incision. Which complication should the nurse suspect?
A) Evisceration
B) Dehiscence
C) Hematoma
D) Seroma
Answer: B
Rationale: Dehiscence is the partial or complete separation of
wound layers and may present with a “popping” sensation and
sudden drainage. Evisceration is protrusion of organs.
Q7: A client has an order for a 24-hour urine collection. The
nurse should begin the collection by:
A) Collecting the first voided specimen and saving it
4
EXAM| NSG3130 FUNDAMENTAL CONCEPTS & SKILLS
FOR NURSING PRACTICE II EXAM 2 REVIEW WITH 300
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERES (VERIFIED ANSWERS) ALREADY GRADED
A+ (BRAND NEW!!)
Q1: A nurse is assessing a client who has chronic obstructive
pulmonary disease (COPD). Which finding is most indicative
of early hypoxemia?
A) Cyanosis of the nail beds
B) Restlessness and confusion
C) Bradycardia
D) Bradypnea
Answer: B
Rationale: Early signs of hypoxemia include restlessness,
confusion, anxiety, and tachypnea. Cyanosis, bradycardia, and
bradypnea are late signs.
Q2: A client is receiving a blood transfusion and develops
chills, fever, and lower back pain. Which complication is most
1
,likely?
A) Febrile non-hemolytic reaction
B) Acute hemolytic reaction
C) Circulatory overload
D) Allergic reaction
Answer: B
Rationale: Chills, fever, and lower back pain are classic signs of
an acute hemolytic transfusion reaction. Stop the transfusion
immediately.
Q3: Which of the following is the priority nursing action when
a client’s indwelling urinary catheter is not draining urine?
A) Irrigate the catheter with sterile saline
B) Check for kinks in the tubing
C) Replace the catheter immediately
D) Increase the client’s fluid intake
Answer: B
Rationale: The first step is to check for mechanical obstruction
(kinks, the tubing under the client). Irrigation and replacement
require further assessment.
2
,Q4: A nurse is preparing to administer a cleansing enema to
an adult client. The client should be positioned in which of the
following positions?
A) Supine with head elevated
B) Left side-lying (Sims’ position)
C) Prone
D) Right side-lying
Answer: B
Rationale: Left side-lying (Sims’ position) allows the enema
solution to flow by gravity into the sigmoid colon, improving
distribution and client comfort.
Q5: A client has a new tracheostomy. Which of the following
actions should the nurse take when providing tracheostomy
care?
A) Use sterile technique when suctioning and cleaning the inner
cannula
B) Clean the stoma with alcohol-based wipes
C) Apply a dry gauze dressing over the stoma with a slit cut to
fit around the tube
D) Suction for 20–30 seconds to ensure thorough clearance
3
, Answer: A
Rationale: Tracheostomy care requires sterile technique. Alcohol
wipes are too drying; saline is used. Suction time should be ≤10
seconds.
Q6: A nurse is caring for a client who is 2 days post-operative
abdominal surgery. The client reports feeling a “pop”
followed by drainage of serosanguineous fluid from the
incision. Which complication should the nurse suspect?
A) Evisceration
B) Dehiscence
C) Hematoma
D) Seroma
Answer: B
Rationale: Dehiscence is the partial or complete separation of
wound layers and may present with a “popping” sensation and
sudden drainage. Evisceration is protrusion of organs.
Q7: A client has an order for a 24-hour urine collection. The
nurse should begin the collection by:
A) Collecting the first voided specimen and saving it
4
