NSG 3130 Exam 4 Prep (2026–2027) | Advanced Adult Health Nursing Practice Test Questions & Study Guide Guide

NSG 3130 Exam 4 Prep -2027 | Nursing Practice Test Questions &
Answers | Complete Study Guide


Prepare for NSG 3130 Exam 4 with this comprehensive study guide featuring practice questions,
verified answers, and detailed rationales designed to reinforce key nursing concepts. This exam
prep resource covers advanced patient assessment, clinical judgment, pharmacology, priority
nursing interventions, care planning, safety considerations, and evidence-based practice
commonly assessed in NSG 3130. Structured to improve knowledge retention and test-taking
confidence, the material helps students identify strengths and target areas for improvement
before exam day. Ideal for nursing students seeking a reliable and effective resource to prepare
for and excel on NSG 3130 Exam 4.



Components of the heart - CORRECT ANSWER the pump
the electrical system
the vascular system
the blood volume

QUESTION : serum lipid levels - CORRECT ANSWER fats can clog blood vessels
and decrease blood flow. LDL should be less than 130. HDL greater than 45. total
cholesterol lower than 200.

QUESTION : Serum Electrolytes - CORRECT ANSWER can affect the conduction
of the heart

QUESTION : Hemoglobin - CORRECT ANSWER An iron-containing protein in red
blood cells that reversibly binds oxygen.

QUESTION : Creatinine kinase and troponin - CORRECT ANSWER is elevated with
cardiac cell death. usually indicates an MI

QUESTION : Preload - CORRECT ANSWER amount of blood and pressure in the
ventricle at the end of diastole. Increases due to increase of volume.

QUESTION : Afterload - CORRECT ANSWER the resistance that has to be
exceeded for the ventricle to eject the blood during systole. Increases due to HTN or
vasoconstriction.

QUESTION : cardiac output - CORRECT ANSWER heart rate x stroke volume

QUESTION : Lifespan considerations - CORRECT ANSWER -HR goes down in
older adults
-heart loses muscle tone which causes decrease of cardiac output

,-BP will trend up with age
-Irregularities in infants and children in common
-atherosclerosis is the build up of plaque in the vascular walls. more common in older
adults
-HTN typically elevates in older populations

QUESTION : African American and hispanic populations - CORRECT ANSWER are
more likely to develop chronic HTN and heart diseases

QUESTION : Geriatric concerns - CORRECT ANSWER -blood vessels are less
elastic
-impaired valves due to stiffness causing a decrease in CO
-Decreased baroreceptor response

QUESTION : Non-modifiable risk factors - CORRECT ANSWER age, race, family,
gender ethnicity

QUESTION : Modifiable risk factors - CORRECT ANSWER lifestyle, diseases, and
stress

QUESTION : metabolic syndrome - CORRECT ANSWER A syndrome marked by
the presence of usually three or more of a group of factors:
-central obesity
-increased triglycerides
-elevated cholesterol levels
-hypertension
-hyperglycemia

QUESTION : C-reactive protein - CORRECT ANSWER A nonspecific protein,
produced in the liver, that becomes elevated during episodes of acute inflammation or
infection.

QUESTION : elevated homocysteine levels - CORRECT ANSWER ndicates
presence of atherosclerosis and is a predictor of who is at risk

QUESTION : Ischemia - CORRECT ANSWER an inadequate blood supply to an
organ or part of the body, especially the heart muscles.

QUESTION : How do you know if there is not enough blood being received in the
tissue? - CORRECT ANSWER Check temp, color, appearance, cap refill, etc of
peripheral extremities

QUESTION : tissue ischemia - CORRECT ANSWER point at which tissues receive
insufficient oxygen and perfusion which can then result in gangrene or amputation

,QUESTION : Anemia - CORRECT ANSWER A condition in which the blood is
deficient in red blood cells, in hemoglobin, or in total volume.
Can be due to chronic bleeding or maybe deficient in iron or folate in the diet

QUESTION : myocaridal infarction - CORRECT ANSWER condition characterized
by dead tissue areas in the myocardium; caused by interruption of blood supply to the
area; heart attack

QUESTION : Sign of MI - CORRECT ANSWER Sudden, crushing, substernal chest
pain which often radiates to back, neck, jaw, and right shoulder

QUESTION : MONA - CORRECT ANSWER Morphine
Oxygen
Nitroglycerin
Aspirin

QUESTION : What causes MI - CORRECT ANSWER smoking, lack of exercise,
high cholesterol, and unhealthy diet, stress,

QUESTION : cardiomegaly - CORRECT ANSWER enlargement of the heart

QUESTION : heart failure - CORRECT ANSWER a chronic condition in which the
heart is unable to pump out all of the blood that it receives

QUESTION : Left sided heart failure causes - CORRECT ANSWER -HTN
-Obesity
-Previous MI
-Diabetes
-Family history
-Substance abuse
-Valvular disease
-Cardiomyopathy
-CAD

QUESTION : right sided heart failure - CORRECT ANSWER -Left ventricle failure
-pulmonary hypertension
-COPD
-ARDS

QUESTION : Left sided heart failure - CORRECT ANSWER 1. Pnea, SOB
2. Crackles
3. Oliguria
4. Frothy Sputum
5. Displaced Apical Pulse (Hypertrophy)

, QUESTION : right sided heart failure - CORRECT ANSWER 1. Jungular Vein
Distention
2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
5. Ascites
6. weight gain
7. fatigue

QUESTION : chronic heart failure clinical manifestations - CORRECT ANSWER
FACES
Fatigue
Limitation of Activities
Chest congestion/cough
Edema
Shortness of breath

QUESTION : MAKE CARDS ON STUFF IN BLUE - CORRECT ANSWER

QUESTION : venous stasis - CORRECT ANSWER a condition of slow blood flow in
the veins, usually of the legs
varicose veins
tedhose will help it

QUESTION : If patients telemetry pulse is off - CORRECT ANSWER first assess the
patient and apical pulse
check stickers

QUESTION : Atherosclerosis diet - CORRECT ANSWER low saturated fat diet,
cholesterol lowering agents given before meals
fibers

QUESTION : TED hose (compression stockings) - CORRECT ANSWER long, tight
fitting stockings that place mild static pressure on the legs to prevent blood from clotting.
Wears them due to inactivity

QUESTION : Blood thinner teaching - CORRECT ANSWER blood clots could occur
and then leads to stoke or PE

QUESTION : Fluid overload med - CORRECT ANSWER Furosemide/lasiks

QUESTION : sedentary lifestyle - CORRECT ANSWER a way of life that involves
little physical activity and sits a lot
high lipids/ cholesterol

QUESTION : DVT symptoms - CORRECT ANSWER calf pain