2026 NSG 3100/Fundamentals 3100 Practice
Exam 3 Expert solved Questions and
Answers with Rationales
CASE 1: Postoperative Hemorrhage (Q1–5)
A 68-year-old patient is 2 hours post abdominal surgery.
Vital signs:
BP: 88/54 mmHg
HR: 128 bpm
RR: 24/min
Skin: cool, pale
Urine output: 15 mL/hr
1. What is the priority concern?
A. Infection
B. Hemorrhagic shock
C. Pain
D. Fluid overload
Answer: B
Rationale: Hypotension, tachycardia, and low urine output indicate shock.
2. First nursing action?
A. Notify provider
B. Increase IV fluids
C. Recheck vitals in 1 hour
D. Place patient in high Fowler’s
Answer: B
Rationale: Circulatory support is priority (ABCs—circulation).
3. Which findings support worsening condition? (SATA)
A. Decreasing BP
B. Warm flushed skin
C. Increasing HR
, NSG 3100/Fundamentals 3100 Exam 3
D. Decreased urine output
E. Increased LOC
Answer: A, C, D
4. What should nurse anticipate?
A. Diuretics
B. Blood transfusion
C. Insulin
D. Anticoagulants
Answer: B
5. Best position?
A. Trendelenburg
B. High Fowler’s
C. Supine with legs elevated
D. Prone
Answer: C
🔷 CASE 2: Respiratory Distress (Q6–10)
A patient with COPD is admitted with worsening dyspnea.
SpO₂: 82%
RR: 32/min
Use of accessory muscles present
6. Priority problem?
A. Anxiety
B. Impaired gas exchange
C. Fatigue
D. Infection
Answer: B
7. First intervention?
A. Oxygen therapy
B. Oral fluids