NUR 254 Exam 3 (Galen College of Nursing)
EXAM COVERAGE - NUR 254 Exam 3 (Galen College of Nursing)
The NUR 254 Exam 3 at Galen College of Nursing assesses
knowledge and clinical competencies in medical-surgical nursing,
pharmacology, and patient care management. Key topics include
assessment and management of adult patients with complex
conditions, understanding pathophysiology, interpreting laboratory
and diagnostic data, and implementing evidence-based nursing
interventions. Candidates are tested on medication administration,
dosage calculations, and monitoring for therapeutic and adverse
effects, as well as safety, infection control, and patient education.
Additional areas include care planning, prioritization of nursing
actions, delegation, and interdisciplinary collaboration. The exam
emphasizes clinical reasoning, critical thinking, and application of best
,practices to ensure safe and effective patient outcomes in acute and
chronic care settings.
,1. A 78-year-old male client needs to complete a 24-hour urine
specimen. In planning his care, the nurse realizes that which measure
is most important? 1. Instruct the client to empty his bladder and save
this voiding to start the collection.
2. Instruct the client to use sterile individual containers to collect the
urine.
3. Post a sign stating "Save All Urine" in the bathroom.
4. Keep the urine specimen in the refrigerator.
Answer: 3. Rationale: Option 3 is the most important nursing measure.
This will inform the staff that the client is on a 24-hour urine collection.
Option 1 is not appropriate since the first voided specimen is to be
discarded. Option 2 is not an appropriate nursing measure since the
specimen container is clean not sterile, and one container is needed—
, not individual containers. Option 4 is inappropriate because some 24-
hour urine collections do not require refrigeration.
2. The nurse would call the primary care provider immediately for
which laboratory result?
1. Hgb = 16 g/dL for a male client
2. Hct = 22% for a female client
3. WBC = 9 × 103 /mL3
4. Platelets = 300 × 103 /mL3
Answer: 2. Rationale: Option 2 is very low and can lead to death. The
client's red blood cells participate in oxygenation. Options 1, 3, and 4
are within normal range and should not be reported to the primary
care provider.
EXAM COVERAGE - NUR 254 Exam 3 (Galen College of Nursing)
The NUR 254 Exam 3 at Galen College of Nursing assesses
knowledge and clinical competencies in medical-surgical nursing,
pharmacology, and patient care management. Key topics include
assessment and management of adult patients with complex
conditions, understanding pathophysiology, interpreting laboratory
and diagnostic data, and implementing evidence-based nursing
interventions. Candidates are tested on medication administration,
dosage calculations, and monitoring for therapeutic and adverse
effects, as well as safety, infection control, and patient education.
Additional areas include care planning, prioritization of nursing
actions, delegation, and interdisciplinary collaboration. The exam
emphasizes clinical reasoning, critical thinking, and application of best
,practices to ensure safe and effective patient outcomes in acute and
chronic care settings.
,1. A 78-year-old male client needs to complete a 24-hour urine
specimen. In planning his care, the nurse realizes that which measure
is most important? 1. Instruct the client to empty his bladder and save
this voiding to start the collection.
2. Instruct the client to use sterile individual containers to collect the
urine.
3. Post a sign stating "Save All Urine" in the bathroom.
4. Keep the urine specimen in the refrigerator.
Answer: 3. Rationale: Option 3 is the most important nursing measure.
This will inform the staff that the client is on a 24-hour urine collection.
Option 1 is not appropriate since the first voided specimen is to be
discarded. Option 2 is not an appropriate nursing measure since the
specimen container is clean not sterile, and one container is needed—
, not individual containers. Option 4 is inappropriate because some 24-
hour urine collections do not require refrigeration.
2. The nurse would call the primary care provider immediately for
which laboratory result?
1. Hgb = 16 g/dL for a male client
2. Hct = 22% for a female client
3. WBC = 9 × 103 /mL3
4. Platelets = 300 × 103 /mL3
Answer: 2. Rationale: Option 2 is very low and can lead to death. The
client's red blood cells participate in oxygenation. Options 1, 3, and 4
are within normal range and should not be reported to the primary
care provider.
