NSG 3100 Exam 3 Questions and Answers Practice
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1) 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-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. Cognitive Level:
Applying. Client Need: Physiological Integrity. Nursing
Process: Implementation. Learning Outcome: 34-3.
2) 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.
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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-
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. Cognitive Level: Understanding.
Client Need: Physiological Integrity.Nursing Process:
Implementation. Learning Outcome: 34-6.
3) The client has a urinary health problem. Which
procedure is performed using indirect visualization?
1. Intravenous pyelography (IVP)
2. Kidneys, ureter, bladder (KUB)
3. Retrograde pyelography
4. Cystoscopy - Answer-Answer: 2. Rationale: A KUB is an
x-ray of the kidneys, ureters, and bladder. This does not
require direct visualization. Option 1 is an IVP, an
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intravenous pyelogram, which requires the injection of a
contrast media. Option 3 is a retrograde pyelography,
which requires the injection of a contrast media. Option 4
is a cystoscopy, which uses a lighted instrument
(cystoscope) inserted through the urethra, resulting in
direct visualization. Cognitive Level: Remembering. Client
Need: Physiological Integrity. Nursing Process:
Assessment. Learning Outcome: 34-8
4) Which noninvasive procedure provides information
about the physiology or function of an organ?
1. Angiography
2. Computerized tomography (CT)
3. Magnetic resonance imaging (MRI)
4. Positron emission tomography (PET) - Answer-Answer:
4. Rationale: This type of nuclear scan demonstrates the
ability of tissues to absorb the chemical to indicate the
physiology and function of an organ. Option 1 is an
invasive procedure that focuses on blood flow through an
organ. Options 2 and 3 provide information about density
of tissue to help distinguish between normal and abnormal
tissue of an organ. Cognitive Level: Remembering. Client
Need: Physiological Integrity. Nursing Process:
Assessment. Learning Outcome: 34-9
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5) When assisting with a bone marrow biopsy, the nurse
should take which action?
1. Assist the client to a right side-lying position after the
procedure.
2. Observe for signs of dyspnea, pallor, and coughing.
3. Assess for bleeding and hematoma formation for
several days after the procedure.
4. Stand in front of the client and support the back of the
neck and knees. - Answer-Answer: 3. Rationale: Bone
marrow aspiration includes deep penetration into soft
tissue and large bones such as the sternum and iliac
crest. This penetration can result in bleeding. The client
should be observed for bleeding in the days following the
procedure. Option 1 is a nursing action during a liver
biopsy. Option 2 is a nursing action for a thoracentesis,
and Option 4 is a nursing action for a lumbar puncture.
Cognitive Level: Applying. Client Need: Physiological
Integrity. Nursing Process: Implementation. Learning
Outcome: 34-10
6) During an assessment, the nurse learns that the client
has a history of liver disease. Which diagnostic tests might
be indicated for this client? Select all that apply.