2026 NSG 3100/Fundamentals 3100 Practice Exam 4 Expert solved Questions and Answers with Rationales.pdf

NSG 3100/Fundamentals 3100 Exam 4



2026 NSG 3100/Fundamentals 3100 Practice
Exam 4 Expert solved Questions and
Answers with Rationales
CASE 1: Rapid Deterioration (Sepsis →
Septic Shock)
A 72-year-old patient is admitted with pneumonia.

Initial data:

 Temp: 39.4°C
 HR: 110 bpm
 RR: 22/min
 BP: 118/76 mmHg
 Confused




Q1. What is the priority concern?
A. Delirium
B. Sepsis
C. Dehydration
D. Anxiety
Answer: B
Rationale: Infection + altered mental status = early sepsis.




Q2. Which finding is most concerning progression?
A. Temp 38°C
B. BP 90/50 mmHg
C. RR 18
D. Urine output 40 mL/hr
Answer: B

, NSG 3100/Fundamentals 3100 Exam 4


NEW DATA (2 hours later):

 BP: 84/48
 HR: 132
 Lactate elevated
 Skin cool/clammy




Q3. What stage is this?
A. Infection
B. Sepsis
C. Septic shock
D. SIRS only
Answer: C




Q4. First nursing action?
A. Give antibiotics later
B. Start IV fluids
C. Give diuretics
D. Restrict oxygen
Answer: B




Q5. Expected provider order? (SATA)
A. Broad-spectrum antibiotics
B. IV normal saline bolus
C. Vasopressors
D. Anticoagulants only
E. Blood cultures
Answer: A, B, C, E




🔥 CASE 2: Respiratory Failure (COPD
Exacerbation → CO2 Retention)