NSG 3100 Exam 3 Questions with 100%
Correct Answers | Latest Version 2024 |
Verified
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: 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.
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. 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: 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. 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: 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
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: 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.
1. Alanine aminotransferase (ALT)
2. Myoglobin
3. Cholesterol
Correct Answers | Latest Version 2024 |
Verified
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: 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.
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. 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: 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. 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: 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
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: 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.
1. Alanine aminotransferase (ALT)
2. Myoglobin
3. Cholesterol
