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
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
