2026 NSG 3100 Fundamentals 3100 Practice Exam 5 Expert solved Questions and Answers with Rationales.pdf

NSG 3100/Fundamentals 3100 Exam 5



2026 NSG 3100/Fundamentals 3100 Practice
Exam 5 Expert solved Questions and
Answers with Rationales
CASE 1: Subtle Sepsis Masked as “Stable”
(Q1–6)
A 76-year-old is admitted for UTI.

Initial assessment:

 Temp: 37.8°C
 HR: 96
 BP: 122/78
 RR: 18
 Mild confusion (family says “not herself”)




Q1. What is the MOST concerning finding?
A. Temp 37.8°C
B. Mild confusion
C. BP 122/78
D. RR 18
Answer: B
Rationale: Early sepsis in older adults often presents as altered mental status before vitals
change.




Q2. What is priority action?
A. Reassess in 4 hours
B. Obtain urine culture
C. Notify provider immediately
D. Encourage fluids only
Answer: C

, NSG 3100/Fundamentals 3100 Exam 5


NEW DATA (2 hours later):

 Temp: 38.3°C
 HR: 104
 BP: 118/70
 Urine output decreasing




Q3. Interpretation?
A. Improving
B. Early sepsis progression
C. Normal aging
D. Fluid overload
Answer: B




Q4. Which findings indicate worsening? (SATA)
A. Decreasing urine output
B. Rising HR
C. Stable BP
D. Confusion increasing
E. Warm skin
Answer: A, B, D




Q5. First intervention?
A. Diuretics
B. IV fluids
C. Anticoagulants
D. Restrict fluids
Answer: B




Q6. Expected order set includes: (SATA)
A. Lactate level
B. Blood cultures