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NSG 3130 Review Questions and Answers | 150 Nursing Practice Questions on COPD, Heart Failure, Oxygen Therapy, Digoxin, Respiratory Disorders & Cardiac Pharmacology | NSG 3130 | Chamberlain Nursing College

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This comprehensive NSG 3130 Review Questions and Answers study guide contains approximately 150 detailed nursing practice questions with accurate answers focused on respiratory disorders, chronic obstructive pulmonary disease (COPD), oxygen therapy, tracheostomy care, heart failure, cardiac pharmacology, fluid volume imbalances, electrolyte disorders, and evidence-based nursing interventions. The document provides extensive NCLEX-style review material designed to strengthen nursing students’ understanding of cardiopulmonary assessment, respiratory management, heart failure pathophysiology, oxygenation, ventilation, and safe medication administration commonly tested in medical-surgical nursing and adult health nursing courses. This review resource thoroughly examines major respiratory nursing concepts including chronic bronchitis, emphysema, asthma, pneumonia, hypoxia, atelectasis, ventilation and gas exchange, Kussmaul respirations, arterial blood gas interpretation, oxygen delivery systems, pursed-lip breathing, tracheostomy care, suctioning techniques, and infection-related respiratory complications. Students will review nursing interventions for patients experiencing dyspnea, respiratory distress, ineffective airway clearance, and impaired oxygenation, as well as delegation principles related to oral suctioning and tracheostomy management. The guide also reinforces understanding of respiratory assessment findings including crackles, orthopnea, cyanosis, nocturnal dyspnea, and signs of acute respiratory compromise. Additionally, the document emphasizes comprehensive heart failure management and cardiovascular nursing care including left-sided and right-sided heart failure, systolic and diastolic dysfunction, preload and afterload, pulmonary edema, fluid overload, venous congestion, edema, crackles, orthopnea, nocturnal paroxysmal dyspnea, and exacerbation warning signs. Students will review diagnostic testing such as B-type natriuretic peptide (BNP), echocardiography, troponin, creatine kinase (CK), arterial blood gases, and electrocardiogram interpretation. The material also highlights evidence-based nursing interventions related to fluid volume management, positioning strategies such as High Fowler’s positioning, sequential compression devices (SCDs), compression therapy, sodium restriction, vaccination education, and prevention of venous thromboembolism. The study guide further explores cardiac pharmacology and medication safety concepts including ACE inhibitors, beta-blockers, ARBs, Digoxin, Digibind, Lasix, Spironolactone, Hydralazine, and Isordil. Questions focus on medication side effects, nursing priorities, hyperkalemia, hypokalemia, digoxin toxicity, potassium-sparing diuretics, fluid and electrolyte monitoring, orthostatic hypotension prevention, and interpretation of abnormal EKG findings such as peaked T waves. Students will also review clinical manifestations associated with medication toxicity including bradycardia, nausea, vomiting, yellow-green visual halos, and cardiac dysrhythmias. Furthermore, the document reinforces evidence-based patient education and discharge planning strategies for patients with chronic cardiopulmonary diseases. Topics include low-sodium diets, frozen meal sodium restrictions, vaccination recommendations, smoking cessation, monitoring daily weight changes, recognizing worsening heart failure symptoms, and adherence to prescribed medication regimens. Questions are structured to improve critical thinking, strengthen NCLEX-style test-taking skills, and reinforce safe nursing interventions applicable in acute care, telemetry, ICU, rehabilitation, and outpatient healthcare settings. This study guide is highly beneficial for Bachelor of Science in Nursing (BSN), Associate Degree Nursing (ADN), Licensed Practical Nursing (LPN), and pre-licensure nursing students preparing for Adult Health Nursing exams, Medical-Surgical Nursing courses, ATI testing, HESI assessments, NCLEX-RN preparation, simulation checkoffs, and clinical competency evaluations. It is especially valuable for students enrolled in cardiovascular nursing, respiratory nursing, pharmacology, critical care nursing, and pathophysiology courses who require structured and high-yield review material to improve examination performance and bedside clinical confidence. The nursing concepts included in this document are supported by evidence-based nursing standards and authoritative healthcare literature, including Lewis’s Medical-Surgical Nursing, Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, Hinkle & Cheever’s Medical-Surgical Nursing, Potter & Perry’s Fundamentals of Nursing, American Heart Association (AHA) heart failure management guidelines, American Association of Critical-Care Nurses (AACN) recommendations, National Council of State Boards of Nursing (NCSBN) standards, and Global Initiative for Chronic Obstructive Lung Disease (GOLD) COPD guidelines. Keywords NSG 3130, COPD nursing, chronic obstructive pulmonary disease, heart failure nursing, oxygen therapy nursing, respiratory disorders nursing, tracheostomy care, tracheostomy suctioning, pursed lip breathing, Kussmaul respirations, arterial blood gas interpretation, hypoxia nursing, atelectasis, ventilation and gas exchange, chronic bronchitis, emphysema nursing, asthma nursing, pneumonia nursing, fluid volume excess, fluid volume deficit, left sided heart failure, right sided heart failure, systolic dysfunction, diastolic dysfunction, pulmonary edema, orthopnea, nocturnal paroxysmal dyspnea, crackles lung sounds, BNP nursing, troponin assessment, creatine kinase CK, digoxin toxicity, Digibind nursing, ACE inhibitors, beta blockers nursing, ARB medications, spironolactone nursing, Lasix nursing, hyperkalemia nursing, hypokalemia nursing, EKG changes hyperkalemia, sodium restricted diet, sequential compression devices, SCD nursing, venous return, myocardial infarction nursing, respiratory assessment, cardiac pharmacology, cardiopulmonary nursing, medical surgical nursing, adult health nursing, ATI nursing review, HESI nursing exam, NCLEX heart failure questions, nursing study guide, clinical nursing skills, evidence based nursing, bedside nursing care, patient safety nursing, nursing exam questions

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NSG 3130 Review Questions
and Answers 2026 Exam
Questions and Answers | 100%
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A client diagnosed with chronic obstructive lung disease who is receiving

oxygen at 1.5 liters per minute via nasal cannula is complaining of

shortness of breath. What action should the nurse take? - ANSWER

✔✔Have the client breathe through pursed lips


The client is experiencing severe shortness of breath, but is not

cyanotic. What laboratory value should the nurse review in an attempt to

understand this phenomenon? - ANSWER ✔✔hemoglobin and

hematocrit

,A client has a medical condition that often results in the development of

metabolic acidosis. The nurse should observe this client for the

development of which breathing pattern as a result of this condition? -

ANSWER ✔✔Kussmauls


The nurse has just initiated oxygen by nasal cannula for a client with the

medical diagnosis of chronic obstructive pulmonary disease. What is the

nurses next action? - ANSWER ✔✔Pad the tubing where it contacts

the client's ears.

The nurse who is performing care for a client with a new tracheostomy

needs to change the ties.


What is the best method for changing these ties? - ANSWER

✔✔Have an assistant hold the tracheostomy tube in place, remove the

soiled ties, and replace the ties.

The nurse is planning the care of a client who has need for frequent

suctioning. What should the nurse delegate to the UAP? - ANSWER

✔✔Only oral suctioning


A client is experiencing atelectasis. The nurse anticipates that this client

will have an alteration in: - ANSWER ✔✔Ventilation

, A client is demonstrating signs of hypoxia. What laboratory value will

help the nurse determine the clients degree of effective gas exchange? -

ANSWER ✔✔arterial blood gas


The nurse is documenting the completion of tracheostomy suctioning

and tracheostomy care in a clients medical record. What should this

documentation include?


Standard Text: Select all that apply. - ANSWER ✔✔1) Lung sounds

before and after suctioning

2) Characteristics of suctioned sputum

3) Integrity of the skin around the stoma

4) Side on which the tracheostomy tie knot is located

5) Flow rate of oxygen

The nurse is attending to a client who was diagnosed with heart failure.

During the examination, the nurse observes that the client is dyspneic

with crackles upon auscultation. Which symptoms would manifest for a

client with excess fluid volume? - ANSWER ✔✔Hypertension


A client diagnosed with heart failure has been receiving intravenous (IV)

diuretics. Which finding would the nurse expect to assess from this client




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