NSG 3100 Exam 3 PREP
NSG 3100 EXAM 3 PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY
GRADED A+||BRAND NEW VERSION!!
1) The nurse recognizes that urinary elimination changes may occur even in
healthy older adults because of which of the following?
1. The bladder distends and its capacity increases.
2. Older adults ignore the need to void.
3. Urine becomes more concentrated.
4. The amount of urine retained after voiding increases.
Answer: 4. Rationale: The capacity of the bladder may decrease with age but the
muscle is weaker and can cause urine to be retained (option 4). Older adults do
not ignore the urge to void and may have difficulty in getting to the toilet in time
(option 2). The kidney becomes less able to concentrate urine with age (option 3).
Cognitive Level: Remembering. Client Need: Physiological Integrity. Nursing
Process: Assessment. Learning Outcome: 48-2.
2) During assessment of the client with urinary incontinence, the nurse is most
likely to assess for which of the following? Select all that apply.
1. Perineal skin irritation
2. Fluid intake of less than 1,500 mL/day
3. History of antihistamine intake
4. History of frequent urinary tract infections
5. A fecal impaction
Answer: 1, 2, 4, and 5. Rationale: The perineum may become irritated by the
frequent contact with urine (option 1). Normal fluid intake is at least 1,500 mL/day
and clients often decrease their intake to try to minimize urine leakage (option 2).
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, NSG 3100 Exam 3 PREP
UTIs can contribute to incontinence (option 4). A fecal impaction can compress
the urethra, which can result in small amounts of urine leakage (option 5).
Antihistamines can cause urinary retention rather than incontinence (option 3).
Cognitive Level: Analyzing. Client Need: Physiological Integrity. Nursing Process:
Assessment. Learning Outcome: 48-4
3) Which action represents the appropriate nursing management of a client
wearing a condom catheter?
1. Ensure that the tip of the penis fits snugly against the end of the condom.
2. Check the penis for adequate circulation 30 minutes after applying.
3. Change the condom every 8 hours.
4. Tape the collecting tubing to the lower abdomen.
Answer: 2. Rationale: The penis and condom should be checked one-half hour
after application to ensure that it is not too tight. A 1-in. space should be left
between the penis and the end of the condom (option 1). The condom is changed
every 24 hours (option 3), and the tubing is taped to the leg or attached to a leg
bag (option 4). An indwelling catheter is secured to the lower abdomen or upper
thigh. Cognitive Level: Applying. Client Need: Safe, Effective Care Environment.
Nursing Process: Implementation. Learning Outcome: 48-10a.
4) The catheter slips into the vagina during a straight catheterization of a female
client. The nurse does which action?
1. Leaves the catheter in place and gets a new sterile catheter.
2. Leaves the catheter in place and asks another nurse to attempt the procedure.
3. Removes the catheter and redirects it to the urinary meatus.
4. Removes the catheter, wipes it with a sterile gauze, and redirects it to the
urinary meatus.
Answer: 1. Rationale: The catheter in the vagina is contaminated and cannot be
reused. If left in place, it may help avoid mistaking the vaginal opening for the
urinary meatus. A single failure to catheterize the meatus does not indicate that
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, NSG 3100 Exam 3 PREP
another nurse is needed although sometimes a second nurse can assist in
visualizing the meatus (option 2). Cognitive Level: Applying. Client Need: Safe,
Effective Care Environment. Nursing Process: Implementation. Learning Outcome:
48-10b.
5) Which statement indicates a need for further teaching of the home care client
with a long-term indwelling catheter?
1. "I will keep the collecting bag below the level of the bladder at all times."
2. "Intake of cranberry juice may help decrease the risk of infection."
3. "Soaking in a warm tub bath may ease the irritation associated with the
catheter."
4. "I should use clean technique when emptying the collecting bag."
Answer: 3. Rationale: Soaking in a bathtub can increase the risk of exposure to
bacteria. The bag should be below the level of the bladder to promote proper
drainage (option 1). Intake of cranberry juice creates an environment that inhibits
infection (option 2). Clean technique is appropriate for touching the exterior
portions of the system (option 4). Cognitive Level: Analyzing. Client Need: Health
Promotion and Maintenance. Nursing Process: Evaluation. Learning Outcome: 48-
7.
6) During shift report, the nurse learns that an older female client is unable to
maintain continence after she senses the urge to void and becomes incontinent
on the way to the bathroom. Which nursing diagnosis is most appropriate?
1. Stress Urinary Incontinence
2. Reflex Urinary Incontinence
3. Functional Urinary Incontinence
4. Urge Urinary Incontinence
Answer: 4. Rationale: The key phrase is "the urge to void." Option 1 occurs when
the client coughs, sneezes, or jars the body, resulting in accidental loss of urine.
Option 2 occurs with involuntary loss of urine at somewhat predictable intervals
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, NSG 3100 Exam 3 PREP
when a specific bladder volume is reached. Option 3 is involuntary loss of urine
related to impaired function. Cognitive Level: Applying. Client Need: Physiological
Integrity. Nursing Process: Diagnosis. Learning Outcome: 48-6.
7) A female client has a urinary tract infection (UTI). Which teaching points by the
nurse would be helpful to the client? Select all that apply.
1. Limit fluids to avoid the burning sensation on urination.
2. Review symptoms of UTI with the client.
3. Wipe the perineal area from back to front.
4. Wear cotton underclothes.
5. Take baths rather than showers.
Answer: 2 and 4. Rationale: Option 2 validates the diagnosis. Cotton underwear
promotes appropriate exposure to air, resulting in decreased bacterial growth
(option 4). Increased fluids decrease concentration and irritation (option 1). The
client should wipe the perineal area from front to back to prevent spread of
bacteria from the rectal area to the urethra (option 3). Showers reduce exposure
of area to bacteria (option 5). Cognitive Level: Applying. Client Need: Health
Promotion and Maintenance. Nursing Process: Implementation. Learning
Outcome: 48-7.
8) The nurse will need to assess the client's performance of clean intermittent
self-catheterization (CISC) for a client with which urinary diversion?
1. Ileal conduit
2. Kock pouch
3. Neobladder
4. Vesicostomy
Answer: 2. Rationale: The ileal conduit and vesicostomy (options 1 and 4) are
incontinent urinary diversions, and clients are required to use an external ostomy
appliance to contain the urine. Clients with a neobladder can control their voiding
4|Page
NSG 3100 EXAM 3 PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY
GRADED A+||BRAND NEW VERSION!!
1) The nurse recognizes that urinary elimination changes may occur even in
healthy older adults because of which of the following?
1. The bladder distends and its capacity increases.
2. Older adults ignore the need to void.
3. Urine becomes more concentrated.
4. The amount of urine retained after voiding increases.
Answer: 4. Rationale: The capacity of the bladder may decrease with age but the
muscle is weaker and can cause urine to be retained (option 4). Older adults do
not ignore the urge to void and may have difficulty in getting to the toilet in time
(option 2). The kidney becomes less able to concentrate urine with age (option 3).
Cognitive Level: Remembering. Client Need: Physiological Integrity. Nursing
Process: Assessment. Learning Outcome: 48-2.
2) During assessment of the client with urinary incontinence, the nurse is most
likely to assess for which of the following? Select all that apply.
1. Perineal skin irritation
2. Fluid intake of less than 1,500 mL/day
3. History of antihistamine intake
4. History of frequent urinary tract infections
5. A fecal impaction
Answer: 1, 2, 4, and 5. Rationale: The perineum may become irritated by the
frequent contact with urine (option 1). Normal fluid intake is at least 1,500 mL/day
and clients often decrease their intake to try to minimize urine leakage (option 2).
1|Page
, NSG 3100 Exam 3 PREP
UTIs can contribute to incontinence (option 4). A fecal impaction can compress
the urethra, which can result in small amounts of urine leakage (option 5).
Antihistamines can cause urinary retention rather than incontinence (option 3).
Cognitive Level: Analyzing. Client Need: Physiological Integrity. Nursing Process:
Assessment. Learning Outcome: 48-4
3) Which action represents the appropriate nursing management of a client
wearing a condom catheter?
1. Ensure that the tip of the penis fits snugly against the end of the condom.
2. Check the penis for adequate circulation 30 minutes after applying.
3. Change the condom every 8 hours.
4. Tape the collecting tubing to the lower abdomen.
Answer: 2. Rationale: The penis and condom should be checked one-half hour
after application to ensure that it is not too tight. A 1-in. space should be left
between the penis and the end of the condom (option 1). The condom is changed
every 24 hours (option 3), and the tubing is taped to the leg or attached to a leg
bag (option 4). An indwelling catheter is secured to the lower abdomen or upper
thigh. Cognitive Level: Applying. Client Need: Safe, Effective Care Environment.
Nursing Process: Implementation. Learning Outcome: 48-10a.
4) The catheter slips into the vagina during a straight catheterization of a female
client. The nurse does which action?
1. Leaves the catheter in place and gets a new sterile catheter.
2. Leaves the catheter in place and asks another nurse to attempt the procedure.
3. Removes the catheter and redirects it to the urinary meatus.
4. Removes the catheter, wipes it with a sterile gauze, and redirects it to the
urinary meatus.
Answer: 1. Rationale: The catheter in the vagina is contaminated and cannot be
reused. If left in place, it may help avoid mistaking the vaginal opening for the
urinary meatus. A single failure to catheterize the meatus does not indicate that
2|Page
, NSG 3100 Exam 3 PREP
another nurse is needed although sometimes a second nurse can assist in
visualizing the meatus (option 2). Cognitive Level: Applying. Client Need: Safe,
Effective Care Environment. Nursing Process: Implementation. Learning Outcome:
48-10b.
5) Which statement indicates a need for further teaching of the home care client
with a long-term indwelling catheter?
1. "I will keep the collecting bag below the level of the bladder at all times."
2. "Intake of cranberry juice may help decrease the risk of infection."
3. "Soaking in a warm tub bath may ease the irritation associated with the
catheter."
4. "I should use clean technique when emptying the collecting bag."
Answer: 3. Rationale: Soaking in a bathtub can increase the risk of exposure to
bacteria. The bag should be below the level of the bladder to promote proper
drainage (option 1). Intake of cranberry juice creates an environment that inhibits
infection (option 2). Clean technique is appropriate for touching the exterior
portions of the system (option 4). Cognitive Level: Analyzing. Client Need: Health
Promotion and Maintenance. Nursing Process: Evaluation. Learning Outcome: 48-
7.
6) During shift report, the nurse learns that an older female client is unable to
maintain continence after she senses the urge to void and becomes incontinent
on the way to the bathroom. Which nursing diagnosis is most appropriate?
1. Stress Urinary Incontinence
2. Reflex Urinary Incontinence
3. Functional Urinary Incontinence
4. Urge Urinary Incontinence
Answer: 4. Rationale: The key phrase is "the urge to void." Option 1 occurs when
the client coughs, sneezes, or jars the body, resulting in accidental loss of urine.
Option 2 occurs with involuntary loss of urine at somewhat predictable intervals
3|Page
, NSG 3100 Exam 3 PREP
when a specific bladder volume is reached. Option 3 is involuntary loss of urine
related to impaired function. Cognitive Level: Applying. Client Need: Physiological
Integrity. Nursing Process: Diagnosis. Learning Outcome: 48-6.
7) A female client has a urinary tract infection (UTI). Which teaching points by the
nurse would be helpful to the client? Select all that apply.
1. Limit fluids to avoid the burning sensation on urination.
2. Review symptoms of UTI with the client.
3. Wipe the perineal area from back to front.
4. Wear cotton underclothes.
5. Take baths rather than showers.
Answer: 2 and 4. Rationale: Option 2 validates the diagnosis. Cotton underwear
promotes appropriate exposure to air, resulting in decreased bacterial growth
(option 4). Increased fluids decrease concentration and irritation (option 1). The
client should wipe the perineal area from front to back to prevent spread of
bacteria from the rectal area to the urethra (option 3). Showers reduce exposure
of area to bacteria (option 5). Cognitive Level: Applying. Client Need: Health
Promotion and Maintenance. Nursing Process: Implementation. Learning
Outcome: 48-7.
8) The nurse will need to assess the client's performance of clean intermittent
self-catheterization (CISC) for a client with which urinary diversion?
1. Ileal conduit
2. Kock pouch
3. Neobladder
4. Vesicostomy
Answer: 2. Rationale: The ileal conduit and vesicostomy (options 1 and 4) are
incontinent urinary diversions, and clients are required to use an external ostomy
appliance to contain the urine. Clients with a neobladder can control their voiding
4|Page
