NUR 254 Exam 3 Galen College of
Nursing with questions and well
verified answers actual exam!! 2026
NUR 254 Exam 3 (Galen College of Nursing) - ANSWER -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 -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 -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.
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 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.
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.
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.
Nursing with questions and well
verified answers actual exam!! 2026
NUR 254 Exam 3 (Galen College of Nursing) - ANSWER -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 -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 -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.
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 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.
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.
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.
