NSG 3100 EXAM 3
Fundamental Concepts & Skills for
Nursing Practice - Galen
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
Multiple-Choice (A–D).
Each Question Includes The Correct Answer
Expert-Verified explanation
,1. A patient is being discharged from the hospital with a new
ileostomy. The patient expresses concern about caring for the
ostomy. Before hospital discharge, it is most important for the nurse
to coordinate with which member of the health care team?
a. Home care nurse
b. Wound ostomy continence nurse
c. Registered dietitian
d. Primary care provider
Correct Answer: b
Expert Rationale:
Wound, Ostomy and Continence Nurses (WOCNs) possess specialized
expertise in ostomy management including patient education, appliance
fitting, skin care, and complication prevention. Ensuring the patient has
access to WOCN resources prior to discharge enhances self-care
competency, reduces risk of peristomal skin complications, and improves
quality of life. Coordination with the home care nurse and dietitian is
essential but secondary until the patient demonstrates ostomy care
competency. The primary care provider oversees overall care but typically
does not provide hands-on ostomy education.
---
2. The nurse is assigned the care of a patient for whom a cleansing
enema has been ordered. What information is most important for the
nurse to know before administration of the enema?
a. The proper way to position the patient
,b. Signs and symptoms of intolerance to the procedure
c. Vital signs before the procedure
d. History of surgery of the anus or rectum
Correct Answer: d
Expert Rationale:
A surgical history involving the anus/rectum can alter anatomy or cause
strictures, fissures, or bleeding risks that contraindicate or require
modification of enema administration. This knowledge greatly influences
safety. While positioning and monitoring for intolerance are important,
understanding anatomical considerations is paramount to prevent causing
injury or exacerbating existing pathology.
---
3. To prevent constipation in an inactive patient, which early
interventions should the nurse implement? (Select all that apply.)
a. Stool softener administration
b. Enema administration
c. Increasing the fiber in the diet
d. Increasing physical activity
e. Increasing fluid intake
Correct Answer: a, c, d, e
Expert Rationale:
Preventing constipation requires a multimodal approach. Stool softeners
help ease fecal passage by adding moisture. Fiber increases stool bulk and
, stimulates motility. Physical activity enhances peristalsis by promoting
intestinal smooth muscle tone. Adequate hydration softens stool and
prevents impaction. Enemas are a last resort, not for prophylaxis, and
frequent enemas can cause dependence or mucosal irritation.
---
4. While performing an abdominal assessment on an unconscious
patient, the nurse notes presence of an ostomy. The fecal output is
liquid in consistency, with a pungent odor, from the stoma that is
located in the upper right quadrant of the abdomen. What type of
ostomy does the patient have?
a. Descending colostomy
b. Ureterostomy
c. Ileostomy
d. Ascending colostomy
Correct Answer: d
Expert Rationale:
An ascending colostomy is typically in the right upper quadrant and
produces liquid to semi-liquid fecal content because the stool has passed
through minimal colon segments where water absorption occurs. Ileostomy
output is usually in the right lower quadrant with consistently liquid stool
and more pungent due to digestive enzymes. Descending colostomies form
more solid stools and are located in the left lower quadrant. Ureterostomy
drains urine, not feces.
Fundamental Concepts & Skills for
Nursing Practice - Galen
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
Multiple-Choice (A–D).
Each Question Includes The Correct Answer
Expert-Verified explanation
,1. A patient is being discharged from the hospital with a new
ileostomy. The patient expresses concern about caring for the
ostomy. Before hospital discharge, it is most important for the nurse
to coordinate with which member of the health care team?
a. Home care nurse
b. Wound ostomy continence nurse
c. Registered dietitian
d. Primary care provider
Correct Answer: b
Expert Rationale:
Wound, Ostomy and Continence Nurses (WOCNs) possess specialized
expertise in ostomy management including patient education, appliance
fitting, skin care, and complication prevention. Ensuring the patient has
access to WOCN resources prior to discharge enhances self-care
competency, reduces risk of peristomal skin complications, and improves
quality of life. Coordination with the home care nurse and dietitian is
essential but secondary until the patient demonstrates ostomy care
competency. The primary care provider oversees overall care but typically
does not provide hands-on ostomy education.
---
2. The nurse is assigned the care of a patient for whom a cleansing
enema has been ordered. What information is most important for the
nurse to know before administration of the enema?
a. The proper way to position the patient
,b. Signs and symptoms of intolerance to the procedure
c. Vital signs before the procedure
d. History of surgery of the anus or rectum
Correct Answer: d
Expert Rationale:
A surgical history involving the anus/rectum can alter anatomy or cause
strictures, fissures, or bleeding risks that contraindicate or require
modification of enema administration. This knowledge greatly influences
safety. While positioning and monitoring for intolerance are important,
understanding anatomical considerations is paramount to prevent causing
injury or exacerbating existing pathology.
---
3. To prevent constipation in an inactive patient, which early
interventions should the nurse implement? (Select all that apply.)
a. Stool softener administration
b. Enema administration
c. Increasing the fiber in the diet
d. Increasing physical activity
e. Increasing fluid intake
Correct Answer: a, c, d, e
Expert Rationale:
Preventing constipation requires a multimodal approach. Stool softeners
help ease fecal passage by adding moisture. Fiber increases stool bulk and
, stimulates motility. Physical activity enhances peristalsis by promoting
intestinal smooth muscle tone. Adequate hydration softens stool and
prevents impaction. Enemas are a last resort, not for prophylaxis, and
frequent enemas can cause dependence or mucosal irritation.
---
4. While performing an abdominal assessment on an unconscious
patient, the nurse notes presence of an ostomy. The fecal output is
liquid in consistency, with a pungent odor, from the stoma that is
located in the upper right quadrant of the abdomen. What type of
ostomy does the patient have?
a. Descending colostomy
b. Ureterostomy
c. Ileostomy
d. Ascending colostomy
Correct Answer: d
Expert Rationale:
An ascending colostomy is typically in the right upper quadrant and
produces liquid to semi-liquid fecal content because the stool has passed
through minimal colon segments where water absorption occurs. Ileostomy
output is usually in the right lower quadrant with consistently liquid stool
and more pungent due to digestive enzymes. Descending colostomies form
more solid stools and are located in the left lower quadrant. Ureterostomy
drains urine, not feces.
