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NSG 4100 Exam 3 Study Guide with 300+ Practice Questions and Answers – Respiratory Disorders, Cardiac Care, Dysrhythmias & Critical Care Nursing – Walden University 2026

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This in-depth NSG 4100 Exam 3 study guide for Walden University nursing students contains more than 300 comprehensive exam-style questions with verified answers focused on advanced medical-surgical, respiratory, cardiovascular, and critical care nursing concepts. The document extensively covers thoracic surgery, chest tubes, pneumothorax, ARDS, pulmonary embolism, bronchiectasis, mechanical ventilation, airway management, laryngectomy care, lung cancer, myocardial infarction, heart failure, pacemakers, ICDs, dysrhythmias, coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI/PTCA), pulmonary edema, shock states, anticoagulation therapy, and emergency cardiac interventions. This resource is highly beneficial for BSN, ADN, accelerated nursing, RN-to-BSN, critical care, emergency nursing, and advanced medical-surgical nursing students preparing for NSG 4100 exams, HESI testing, ATI comprehensive assessments, NCLEX-RN preparation, and cardiovascular or respiratory nursing coursework. The material presents high-yield clinical scenarios, prioritization questions, SATA questions, emergency interventions, and evidence-based nursing management strategies that strengthen clinical judgment and improve examination performance. The study material is aligned with concepts discussed in major nursing and critical care references including Lewis’s Medical-Surgical Nursing, Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, Ignatavicius Medical-Surgical Nursing, AACN Critical Care Guidelines, and current American Heart Association (AHA) Advanced Cardiovascular Life Support (ACLS) recommendations. Topics such as chest drainage systems, ventilator management, cardiac dysrhythmias, defibrillation, thrombolytic therapy, pulmonary embolism management, heart failure treatment, and emergency respiratory interventions are reviewed using clinically relevant nursing applications and NCLEX-style rationale-based learning. Keywords NSG 4100, NSG4100 Exam 3, Walden University nursing, nursing exam questions, medical surgical nursing, respiratory nursing, cardiovascular nursing, critical care nursing, emergency nursing, chest tubes, pneumothorax, thoracotomy, ARDS nursing, acute respiratory distress syndrome, pulmonary embolism, bronchiectasis, airway management, ventilator management, mechanical ventilation, laryngectomy care, lung cancer nursing, pulmonary edema, myocardial infarction, MI nursing, coronary artery disease, CABG nursing, PCI nursing, PTCA nursing, dysrhythmias, ventricular tachycardia, ventricular fibrillation, atrial fibrillation, pacemaker nursing, implantable cardioverter defibrillator, ICD nursing, ACLS review, heart failure nursing, cardiogenic shock, anticoagulation therapy, heparin therapy, warfarin nursing, digoxin toxicity, thrombolytic therapy, cardiac surgery nursing, ECG interpretation, oxygen therapy, respiratory failure, cardiac arrest, CPR nursing, defibrillation, suctioning, chest drainage systems, oxygenation, respiratory assessment, NCLEX review, HESI preparation, ATI nursing exams, critical care exam prep, emergency interventions, nursing priorities, evidence based nursing, advanced nursing study guide

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NSG 4100 (AH III) Exam 3 2026
Exam Questions with 100%
Correct Answers | Latest
Update



The nurse caring for a pt w/ and endotracheal tube recognizes several

disadvantages of an endotracheal tube. What would the nurse recognize

as a disadvantage?

a. cognition is decreased

b. Daily ABGs are necessary

c. slight tracheal bleeding is anticipated

,d. the cough reflex is depressed - ANSWER ✔✔D


What would the critical care nurse recognize as a condition that may

indicate a pt's need to have a tracheotomy?

a. a pt has a respiratory rate of 10 breaths/min

b. a pt required permanent ventilation

c. a pt exhibits sx of dyspnea


d. a pt has respiratory acidosis - ANSWER ✔✔B


The nurse is caring for a pt who is scheduled to have a thoracotomy.

When planning preoperative teaching, what info should the nurse

communicate to the pt?

a. how to milk the chest tubing

b. how to splint the incision when coughing

c. how to take prophylactic antibiotics correctly


d. how to manage the need for fluid restriction - ANSWER ✔✔B


A nurse is educating a pt in anticipation of a procedure that will require a

water-sealed chest drainage system. What should the nurse tell the pt

and the family that this drainage system is used for?

a. maintaining a positive chest-wall pressure

,b. monitoring pleural fluid osmolarity

c. providing passive intrathoracic pressure


d. removing excess air and fluid - ANSWER ✔✔D


A pt is exhibiting signs of a pneumothorax following tracheostomy. The

surgeon inserts a chest tube into the anterior chest wall. What should

the nurse tell the family is the primary purpose of this chest tube?

a. to remove air from the pleural space

b. to drain copious sputum secretions

c. to monitor bleeding around the lungs


d. to assist with mechanical ventilation - ANSWER ✔✔A


A pt's plan of care specifies postural drainage. What action should the

nurse perform when providing this noninvasive therapy?

a. administer the tx w/ the pt in a high Fowler's or semi-fowlers position

b. perform the procedure immediately following the pt's meals

c. apply percussion firmly to bare skin to facilitate drainage

d. assist the pt into a position that will allow gravity to move secretions -

ANSWER ✔✔D




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3

, While assessing the pt, the nurse observes constant bubbling in the

water-seal chamber of the pt's closed chest-drinagae system. What

should the Nurs conclude?

a. the system is functioning normally

b. pt has a pneumothorax

c. system has a leak


d. chest tube is obstructed - ANSWER ✔✔C


The nurse has admitted a pt who is scheduled for a thoracic resection.

The nurse is providing preoperative teaching and is discussing several

diagnostic studies that will be required prior to surgery. Which study will

be performed to determine whether the panned resection will leave

sufficient functioning lung tissue?

a. pulmonary function studies

b. exercise tolerance tests

c. arterial blood gas values


d. chest x-ray - ANSWER ✔✔A


The nurse is discussing activity management w/ a pt who is

postoperative following thoracotomy. What instructions should the nurse

give to the pt regarding activity immediately following discharge?

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