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NSG 3100 EXAM 3 GALEN COLLEGE LATEST REAL EXAM 2024 WITH 300 QUESTIONS AND CORRECT VERIFIED ANSWERS ALREADY GRADED A+/ NSG 3100 EXAM 3 (FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE I)$27.99
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NSG 3100 EXAM 3 GALEN COLLEGE LATEST REAL
EXAM 2024 WITH 300 QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY GRADED A+/ NSG
3100 EXAM 3 (FUNDAMENTAL CONCEPTS & SKILLS
FOR NURSING PRACTICE I)
1) 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
4. GGT (gamma-glutamyl transferase) - ANSWER-Answer: 3. Rationale: A
glycosylated hemoglobin will indicate the glucose levels for a period of time,
which is indicated by the nurse practitioner. Options 1 and 2 will provide
information about the current blood glucose, not the past history. Option 4 is used
to assess for liver disease. Cognitive Level: Remembering. Client Need:
Physiological
Integrity. Nursing Process: Planning. Learning Outcome: 34-2
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-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
pg. 1
,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 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. Cognitive Level: Applying. Client Need: Physiological
Integrity. Nursing Process: Implementation. Learning Outcome: 34-3.
4) The client is supposed to have a fecal occult blood test done on a stool sample.
The nurse is going to use the Hemoccult test. Which of the following indicates that
the nurse is using the correct procedure? Select all that apply.
1. Mixes the reagent with the stool sample before applying to the card.
2. Collects a sample from two different areas of the stool specimen.
3. Assesses for a blue color change.
4. Asks a colleague to verify the pink color results.
5. Asks the client if he has taken vitamin C in the past
few days. - ANSWER-Answer: 2, 3, and 5. Rationale: The nurse should obtain
the stool specimen from two different areas of the stool. The nurse should observe
for a blue color change, which is indicative of a positive result. The nurse should
pg. 2
,assess for the ingestion of vitamin C by the client because it is ontraindicated for 3
days prior to taking the specimen. Option 1 is incorrect since the reagent is placed
on the specimen after it is applied to the testing card. Option 4 is incorrect because
a pink color would be considered negative and does not require verification.
Cognitive Level: Applying. Client Need: Physiological Integrity. Nursing Process:
Planning. Learning Outcome: 34-5.
5) 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. Cognitive Level: Remembering. Client Need: Physiological Integrity.
Nursing Process: Assessment. Learning Outcome: 34-9
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) - 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
pg. 3
, 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 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.
Cognitive Level: Remembering. Client Need: Physiological Integrity. Nursing
Process: Assessment. Learning Outcome: 34-8
8) 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-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
pg. 4
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