NSG 3850 Exam 4 Galen College Of
Nursing Actual Exam Questions And
Answers Practice Questions with
Solutions Newest | Already Graded A+
Question 1: Pertussis Precautions
A nurse is contributing to the plan of care for a client who is being
admitted to the facility with a suspected diagnosis of pertussis. Which
of the following interventions should the nurse suggest? (Select all
that apply.)
A. Place the client in a room that has negative air pressure of at least six
exchanges per hour.
B. Wear a mask when providing care within 3 ft of the client.
C. Place a surgical mask on the client if transportation to another
department is unavoidable.
D. Use sterile gloves when handling soiled linens.
E. Wear a gown when performing care that might result in contamination
from secretions.
✅ Answer: B, C, E
Pertussis is spread by infectious droplets. Droplet precautions require a
mask within 3 feet, a surgical mask on the patient during transport, and a
gown likely if contamination from secretions is anticipated. Negative-
pressure rooms are for airborne, not droplet, precautions.
, Question 2: Transmission-Based Precautions Sorting
Sort the following infectious diseases by the type of precautions
required (Contact, Droplet, Airborne): Tuberculosis, SARS-CoV-2,
Influenza, C. difficile, MRSA.
✅ Answer:
Contact: C. difficile, MRSA
Droplet: Influenza
Airborne: Tuberculosis, COVID-19
Question 3: Fluid Volume Deficit
A nurse is assessing a client who has a history of heart failure and is
receiving furosemide. Which finding indicates the client may be
experiencing fluid volume deficit?
A. Bilateral crackles in the lung bases
B. Jugular vein distention
C. Orthostatic hypotension
D. Weight gain of 2 kg in 24 hours
✅ Answer: C. Orthostatic hypotension
Orthostatic hypotension is a classic sign of fluid volume deficit (FVD).
Crackles, JVD, and rapid weight gain are signs of fluid overload, the
opposite problem.
Question 4: Hyperkalemia Manifestations
,A client with chronic kidney disease has a serum potassium level of 6.8
mEq/L. Which clinical manifestation should the nurse anticipate?
A. Hypoactive deep tendon reflexes
B. Muscle weakness and cardiac dysrhythmias
C. Tetany and positive Chvostek’s sign
D. Bone pain and pathological fractures
✅ Answer: B. Muscle weakness and cardiac dysrhythmias
Potassium 6.8 mEq/L indicates severe hyperkalemia. This can cause muscle
weakness and life-threatening dysrhythmias such as ventricular fibrillation.
Tetany and Chvostek’s sign occur with hypocalcemia.
Question 5: ARDS Improvement
A nurse is caring for a client with acute respiratory distress syndrome
(ARDS). Which finding indicates improvement?
A. PaO₂ 55 mmHg
B. Decreased lung compliance
C. Increased PaO₂/FiO₂ ratio
D. Bilateral infiltrates on chest X-ray
✅ Answer: C. Increased PaO₂/FiO₂ ratio
An increased PaO₂/FiO₂ ratio reflects improved oxygenation and suggests
recovery in ARDS. A decreasing PaO₂/FiO₂ ratio would indicate worsening.
Question 6: Sepsis Priority Action
, A client with sepsis has a lactate level of 5 mmol/L. What is the priority
action?
A. Administer antibiotics
B. Begin fluid resuscitation
C. Administer vasopressors
D. Monitor urine output
✅ Answer: B. Begin fluid resuscitation
Elevated lactate indicates hypoperfusion; immediate fluid resuscitation is
the priority to restore tissue perfusion.
Question 7: Diabetic Ketoacidosis Electrolyte Imbalance
Which electrolyte imbalance is most likely with DKA?
A. Hypercalcemia
B. Hypokalemia after treatment
C. Hypernatremia
D. Hypophosphatemia initially
✅ Answer: B. Hypokalemia after treatment
Insulin therapy drives potassium into cells, causing hypokalemia. Although
initial potassium level may be normal or falsely elevated, it drops rapidly
with insulin administration.
Question 8: Heparin-Induced Thrombocytopenia (HIT)
A client receiving heparin develops thrombocytopenia. What should
the nurse suspect?
Nursing Actual Exam Questions And
Answers Practice Questions with
Solutions Newest | Already Graded A+
Question 1: Pertussis Precautions
A nurse is contributing to the plan of care for a client who is being
admitted to the facility with a suspected diagnosis of pertussis. Which
of the following interventions should the nurse suggest? (Select all
that apply.)
A. Place the client in a room that has negative air pressure of at least six
exchanges per hour.
B. Wear a mask when providing care within 3 ft of the client.
C. Place a surgical mask on the client if transportation to another
department is unavoidable.
D. Use sterile gloves when handling soiled linens.
E. Wear a gown when performing care that might result in contamination
from secretions.
✅ Answer: B, C, E
Pertussis is spread by infectious droplets. Droplet precautions require a
mask within 3 feet, a surgical mask on the patient during transport, and a
gown likely if contamination from secretions is anticipated. Negative-
pressure rooms are for airborne, not droplet, precautions.
, Question 2: Transmission-Based Precautions Sorting
Sort the following infectious diseases by the type of precautions
required (Contact, Droplet, Airborne): Tuberculosis, SARS-CoV-2,
Influenza, C. difficile, MRSA.
✅ Answer:
Contact: C. difficile, MRSA
Droplet: Influenza
Airborne: Tuberculosis, COVID-19
Question 3: Fluid Volume Deficit
A nurse is assessing a client who has a history of heart failure and is
receiving furosemide. Which finding indicates the client may be
experiencing fluid volume deficit?
A. Bilateral crackles in the lung bases
B. Jugular vein distention
C. Orthostatic hypotension
D. Weight gain of 2 kg in 24 hours
✅ Answer: C. Orthostatic hypotension
Orthostatic hypotension is a classic sign of fluid volume deficit (FVD).
Crackles, JVD, and rapid weight gain are signs of fluid overload, the
opposite problem.
Question 4: Hyperkalemia Manifestations
,A client with chronic kidney disease has a serum potassium level of 6.8
mEq/L. Which clinical manifestation should the nurse anticipate?
A. Hypoactive deep tendon reflexes
B. Muscle weakness and cardiac dysrhythmias
C. Tetany and positive Chvostek’s sign
D. Bone pain and pathological fractures
✅ Answer: B. Muscle weakness and cardiac dysrhythmias
Potassium 6.8 mEq/L indicates severe hyperkalemia. This can cause muscle
weakness and life-threatening dysrhythmias such as ventricular fibrillation.
Tetany and Chvostek’s sign occur with hypocalcemia.
Question 5: ARDS Improvement
A nurse is caring for a client with acute respiratory distress syndrome
(ARDS). Which finding indicates improvement?
A. PaO₂ 55 mmHg
B. Decreased lung compliance
C. Increased PaO₂/FiO₂ ratio
D. Bilateral infiltrates on chest X-ray
✅ Answer: C. Increased PaO₂/FiO₂ ratio
An increased PaO₂/FiO₂ ratio reflects improved oxygenation and suggests
recovery in ARDS. A decreasing PaO₂/FiO₂ ratio would indicate worsening.
Question 6: Sepsis Priority Action
, A client with sepsis has a lactate level of 5 mmol/L. What is the priority
action?
A. Administer antibiotics
B. Begin fluid resuscitation
C. Administer vasopressors
D. Monitor urine output
✅ Answer: B. Begin fluid resuscitation
Elevated lactate indicates hypoperfusion; immediate fluid resuscitation is
the priority to restore tissue perfusion.
Question 7: Diabetic Ketoacidosis Electrolyte Imbalance
Which electrolyte imbalance is most likely with DKA?
A. Hypercalcemia
B. Hypokalemia after treatment
C. Hypernatremia
D. Hypophosphatemia initially
✅ Answer: B. Hypokalemia after treatment
Insulin therapy drives potassium into cells, causing hypokalemia. Although
initial potassium level may be normal or falsely elevated, it drops rapidly
with insulin administration.
Question 8: Heparin-Induced Thrombocytopenia (HIT)
A client receiving heparin develops thrombocytopenia. What should
the nurse suspect?
