NSG3100/ NSG 3100 EXAM 3 (LATEST 2025/ 2026 UPDATE)
FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE 1 |
QUESTIONS AD VERIFIED ANSWERS | 100 OUT OF 100 | GRADED A –
GALEN.
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 -
5. 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.
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. -
5. 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 -
5. 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. 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) -
5. 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
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. -
5. 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.
1. Alanine aminotransferase (ALT)
2. Myoglobin
3. Cholesterol
4. Ammonia
5. Brain natriuretic peptide or B-type natriuretic peptide (BNP) -
6. Answer-Answer: 1 and
4. Rationale: ALT is an enzyme that contributes to protein and carbohydrate
metabolism. An increase in the enzyme indicates damage to the liver. The liver
contributes to the metabolism of protein, which results in the production of ammonia. If
the liver is damaged, the ammonia level is increased. Options 2, 3, and 5 (myoglobin,
cholesterol, and BNP) are relevant for heart disease. Cognitive Level: Applying. Client
Need: Physiological Integrity. Nursing Process: Assessment. Learning Outcome: 34-2.
7) The nurse practitioner requests a laboratory blood test to determine how well
a client has controlled her diabetes during the past 3 months. Which blood test
will provide this information?
1. Fasting blood glucose
2. Capillary blood specimen
3. Glycosylated hemoglobin
FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE 1 |
QUESTIONS AD VERIFIED ANSWERS | 100 OUT OF 100 | GRADED A –
GALEN.
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 -
5. 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.
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. -
5. 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 -
5. 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. 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) -
5. 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
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. -
5. 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.
1. Alanine aminotransferase (ALT)
2. Myoglobin
3. Cholesterol
4. Ammonia
5. Brain natriuretic peptide or B-type natriuretic peptide (BNP) -
6. Answer-Answer: 1 and
4. Rationale: ALT is an enzyme that contributes to protein and carbohydrate
metabolism. An increase in the enzyme indicates damage to the liver. The liver
contributes to the metabolism of protein, which results in the production of ammonia. If
the liver is damaged, the ammonia level is increased. Options 2, 3, and 5 (myoglobin,
cholesterol, and BNP) are relevant for heart disease. Cognitive Level: Applying. Client
Need: Physiological Integrity. Nursing Process: Assessment. Learning Outcome: 34-2.
7) The nurse practitioner requests a laboratory blood test to determine how well
a client has controlled her diabetes during the past 3 months. Which blood test
will provide this information?
1. Fasting blood glucose
2. Capillary blood specimen
3. Glycosylated hemoglobin
