NSG 3100 EXAM 3
Fundamental Concepts & Skills for
Nursing Practice - Galen
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
, 100% Guarantee Pass.
Multiple-Choice (A–D).
Each Question Includes The Correct Answer
Expert-Verified explanation
,1. A patient is being discharged from the hospital with a new ileostomy. The patient expresses
concern about caring for the ostomy. Before hospital discharge, it is most important for the nurse
to coordinate with which member of the health care team?
a. Home care nurse
b. Wound ostomy continence nurse
c. Registered dietitian
d. Primary care provider
Correct Answer: b
Expert Rationale:
Wound, Ostomy and Continence Nurses (WOCNs) possess specialized expertise in ostomy management
including patient education, appliance fitting, skin care, and complication prevention. Ensuring the patient
has access to WOCN resources prior to discharge enhances self-care competency, reduces risk of
peristomal skin complications, and improves quality of life. Coordination with the home care nurse and
dietitian is essential but secondary until the patient demonstrates ostomy care competency. The primary
care provider oversees overall care but typically does not provide hands-on ostomy education.
---
2. The nurse is assigned the care of a patient for whom a cleansing enema has been ordered. What
information is most important for the nurse to know before administration of the enema?
a. The proper way to position the patient
b. Signs and symptoms of intolerance to the procedure
c. Vital signs before the procedure
d. History of surgery of the anus or rectum
Correct Answer: d
Expert Rationale:
A surgical history involving the anus/rectum can alter anatomy or cause strictures, fissures, or bleeding
risks that contraindicate or require modification of enema administration. This knowledge greatly influences
safety. While positioning and monitoring for intolerance are important, understanding anatomical
considerations is paramount to prevent causing injury or exacerbating existing pathology.
, ---
3. To prevent constipation in an inactive patient, which early interventions should the nurse
implement? (Select all that apply.)
a. Stool softener administration
b. Enema administration
c. Increasing the fiber in the diet
d. Increasing physical activity
e. Increasing fluid intake
Correct Answer: a, c, d, e
Expert Rationale:
Preventing constipation requires a multimodal approach. Stool softeners help ease fecal passage by
adding moisture. Fiber increases stool bulk and stimulates motility. Physical activity enhances peristalsis by
promoting intestinal smooth muscle tone. Adequate hydration softens stool and prevents impaction.
Enemas are a last resort, not for prophylaxis, and frequent enemas can cause dependence or mucosal
irritation.
---
4. While performing an abdominal assessment on an unconscious patient, the nurse notes
presence of an ostomy. The fecal output is liquid in consistency, with a pungent odor, from the
stoma that is located in the upper right quadrant of the abdomen. What type of ostomy does the
patient have?
a. Descending colostomy
b. Ureterostomy
c. Ileostomy
d. Ascending colostomy
Correct Answer: d
Expert Rationale:
An ascending colostomy is typically in the right upper quadrant and produces liquid to semi-liquid fecal
content because the stool has passed through minimal colon segments where water absorption occurs.
Fundamental Concepts & Skills for
Nursing Practice - Galen
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
, 100% Guarantee Pass.
Multiple-Choice (A–D).
Each Question Includes The Correct Answer
Expert-Verified explanation
,1. A patient is being discharged from the hospital with a new ileostomy. The patient expresses
concern about caring for the ostomy. Before hospital discharge, it is most important for the nurse
to coordinate with which member of the health care team?
a. Home care nurse
b. Wound ostomy continence nurse
c. Registered dietitian
d. Primary care provider
Correct Answer: b
Expert Rationale:
Wound, Ostomy and Continence Nurses (WOCNs) possess specialized expertise in ostomy management
including patient education, appliance fitting, skin care, and complication prevention. Ensuring the patient
has access to WOCN resources prior to discharge enhances self-care competency, reduces risk of
peristomal skin complications, and improves quality of life. Coordination with the home care nurse and
dietitian is essential but secondary until the patient demonstrates ostomy care competency. The primary
care provider oversees overall care but typically does not provide hands-on ostomy education.
---
2. The nurse is assigned the care of a patient for whom a cleansing enema has been ordered. What
information is most important for the nurse to know before administration of the enema?
a. The proper way to position the patient
b. Signs and symptoms of intolerance to the procedure
c. Vital signs before the procedure
d. History of surgery of the anus or rectum
Correct Answer: d
Expert Rationale:
A surgical history involving the anus/rectum can alter anatomy or cause strictures, fissures, or bleeding
risks that contraindicate or require modification of enema administration. This knowledge greatly influences
safety. While positioning and monitoring for intolerance are important, understanding anatomical
considerations is paramount to prevent causing injury or exacerbating existing pathology.
, ---
3. To prevent constipation in an inactive patient, which early interventions should the nurse
implement? (Select all that apply.)
a. Stool softener administration
b. Enema administration
c. Increasing the fiber in the diet
d. Increasing physical activity
e. Increasing fluid intake
Correct Answer: a, c, d, e
Expert Rationale:
Preventing constipation requires a multimodal approach. Stool softeners help ease fecal passage by
adding moisture. Fiber increases stool bulk and stimulates motility. Physical activity enhances peristalsis by
promoting intestinal smooth muscle tone. Adequate hydration softens stool and prevents impaction.
Enemas are a last resort, not for prophylaxis, and frequent enemas can cause dependence or mucosal
irritation.
---
4. While performing an abdominal assessment on an unconscious patient, the nurse notes
presence of an ostomy. The fecal output is liquid in consistency, with a pungent odor, from the
stoma that is located in the upper right quadrant of the abdomen. What type of ostomy does the
patient have?
a. Descending colostomy
b. Ureterostomy
c. Ileostomy
d. Ascending colostomy
Correct Answer: d
Expert Rationale:
An ascending colostomy is typically in the right upper quadrant and produces liquid to semi-liquid fecal
content because the stool has passed through minimal colon segments where water absorption occurs.
