NSG 3100 EXAM 2 FUNDAMENTALS CONCEPT & SKILL FOR
NURSING PRACTICE NEWEST EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS A NEW UPDATED VERSION LATEST 2026-
2027 FREQUENTLY TESTED QUESTIONS AND SOLUTIONS
(VERIFIED ANSWERS) ALREADY GRADED A+ |INSTANT
DOWNLOAD PDF
A nurse is preparing to administer an enteral feeding via a nasogastric tube.
Which action should the nurse take first to verify tube placement?
A) Auscultate for air insufflation over the epigastric area.
B) Measure the pH of aspirated gastric fluid.
C) Obtain an abdominal X-ray.
D) Assess the patient for coughing and choking.
Correct Answer: C
Rationale: An abdominal X-ray is the most reliable method to confirm nasogastric
tube placement before initiating feedings. While pH testing and auscultation are
used in practice, they are less definitive and can yield false results. The X-ray
provides visual confirmation that the tip is in the stomach and not the respiratory
tract, which is critical for patient safety.
A patient with a new colostomy is concerned about the odor from the pouch.
Which intervention should the nurse recommend?
A) Place an aspirin tablet inside the pouch.
,B) Use a pouch with a charcoal filter.
C) Change the pouch every 2 hours.
D) Apply petroleum jelly around the stoma.
Correct Answer: B
Rationale: Charcoal filters are designed to absorb and neutralize odor from ostomy
pouches, making them a practical and effective solution. Aspirin is not recommended
and can irritate the stoma. Frequent pouch changes are unnecessary and can
traumatize the skin. Petroleum jelly should not be used as it can prevent proper
adherence of the pouch.
A nurse is performing a sterile wound dressing change. After setting up the
sterile field, the nurse drops a sterile gauze pad onto the outer 1-inch border of
the field. What should the nurse do?
A) Use the gauze pad since it is still on the sterile field.
B) Discard the gauze pad and obtain a new one.
C) Move the gauze pad to the center of the field.
D) Cover the gauze pad with sterile gloves.
Correct Answer: B
Rationale: The outer 1-inch border of a sterile field is considered non-sterile because
it is the area most likely to come into contact with unsterile surfaces. Any item that
touches this border must be considered contaminated and discarded. Using it would
break aseptic technique and increase infection risk.
Which finding indicates that a patient is experiencing a systemic reaction to a
blood transfusion?
,A) Localized urticaria at the IV site.
B) Temperature increase of 1°F (0.6°C) above baseline.
C) Pain and redness at the infusion site.
D) Bradycardia and hypotension.
Correct Answer: B
Rationale: A febrile non-hemolytic reaction, indicated by a temperature rise of 1°F
or more, is a common systemic response to blood transfusions. Localized urticaria is
usually a mild allergic reaction, not systemic. Pain at the site suggests infiltration.
Bradycardia is not typical; tachycardia and hypotension are more common in severe
reactions.
The nurse is inserting a urinary catheter. After lubricating the catheter, the
nurse notes that the patient is grimacing and bearing down. What is the
priority action?
A) Continue insertion quickly to minimize discomfort.
B) Stop and check for resistance or obstruction.
C) Inflate the balloon immediately to secure placement.
D) Apply more lubricant and proceed slowly.
Correct Answer: B
Rationale: Grimacing and bearing down suggest pain or resistance, which could
indicate urethral spasm, stricture, or catheter misplacement. Continuing could cause
trauma. The nurse should stop, assess for obstruction, and ensure proper alignment
before attempting to advance further.
A patient on fall precautions is attempting to get out of bed unassisted. Which
intervention should the nurse implement immediately?
, A) Apply a vest restraint to keep the patient in bed.
B) Place the bed in the lowest position with all side rails up.
C) Sit the patient in a chair beside the bed.
D) Offer a bedpan to meet elimination needs.
Correct Answer: D
Rationale: Offering a bedpan addresses the most common reason patients attempt to
get up—urinary urgency. This is a least-restrictive intervention that respects dignity
and safety. Restraints require a physician order and are a last resort. Side rails up
can increase fall risk if the patient climbs over them.
The nurse is assessing a patient’s peripheral IV site. Which finding requires
immediate discontinuation of the IV?
A) Slight edema around the insertion site.
B) A palpable venous cord along the vessel.
C) Temperature of the skin is warm to the touch.
D) A blood return of 2 mL upon aspiration.
Correct Answer: B
Rationale: A palpable venous cord is a classic sign of phlebitis, which indicates vein
inflammation and requires immediate removal of the IV to prevent further damage.
Slight edema can be managed; warm skin is expected; and blood return confirms
patency.
The nurse is preparing to administer a bolus enteral feeding. At what angle
should the patient’s head be positioned?
NURSING PRACTICE NEWEST EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS A NEW UPDATED VERSION LATEST 2026-
2027 FREQUENTLY TESTED QUESTIONS AND SOLUTIONS
(VERIFIED ANSWERS) ALREADY GRADED A+ |INSTANT
DOWNLOAD PDF
A nurse is preparing to administer an enteral feeding via a nasogastric tube.
Which action should the nurse take first to verify tube placement?
A) Auscultate for air insufflation over the epigastric area.
B) Measure the pH of aspirated gastric fluid.
C) Obtain an abdominal X-ray.
D) Assess the patient for coughing and choking.
Correct Answer: C
Rationale: An abdominal X-ray is the most reliable method to confirm nasogastric
tube placement before initiating feedings. While pH testing and auscultation are
used in practice, they are less definitive and can yield false results. The X-ray
provides visual confirmation that the tip is in the stomach and not the respiratory
tract, which is critical for patient safety.
A patient with a new colostomy is concerned about the odor from the pouch.
Which intervention should the nurse recommend?
A) Place an aspirin tablet inside the pouch.
,B) Use a pouch with a charcoal filter.
C) Change the pouch every 2 hours.
D) Apply petroleum jelly around the stoma.
Correct Answer: B
Rationale: Charcoal filters are designed to absorb and neutralize odor from ostomy
pouches, making them a practical and effective solution. Aspirin is not recommended
and can irritate the stoma. Frequent pouch changes are unnecessary and can
traumatize the skin. Petroleum jelly should not be used as it can prevent proper
adherence of the pouch.
A nurse is performing a sterile wound dressing change. After setting up the
sterile field, the nurse drops a sterile gauze pad onto the outer 1-inch border of
the field. What should the nurse do?
A) Use the gauze pad since it is still on the sterile field.
B) Discard the gauze pad and obtain a new one.
C) Move the gauze pad to the center of the field.
D) Cover the gauze pad with sterile gloves.
Correct Answer: B
Rationale: The outer 1-inch border of a sterile field is considered non-sterile because
it is the area most likely to come into contact with unsterile surfaces. Any item that
touches this border must be considered contaminated and discarded. Using it would
break aseptic technique and increase infection risk.
Which finding indicates that a patient is experiencing a systemic reaction to a
blood transfusion?
,A) Localized urticaria at the IV site.
B) Temperature increase of 1°F (0.6°C) above baseline.
C) Pain and redness at the infusion site.
D) Bradycardia and hypotension.
Correct Answer: B
Rationale: A febrile non-hemolytic reaction, indicated by a temperature rise of 1°F
or more, is a common systemic response to blood transfusions. Localized urticaria is
usually a mild allergic reaction, not systemic. Pain at the site suggests infiltration.
Bradycardia is not typical; tachycardia and hypotension are more common in severe
reactions.
The nurse is inserting a urinary catheter. After lubricating the catheter, the
nurse notes that the patient is grimacing and bearing down. What is the
priority action?
A) Continue insertion quickly to minimize discomfort.
B) Stop and check for resistance or obstruction.
C) Inflate the balloon immediately to secure placement.
D) Apply more lubricant and proceed slowly.
Correct Answer: B
Rationale: Grimacing and bearing down suggest pain or resistance, which could
indicate urethral spasm, stricture, or catheter misplacement. Continuing could cause
trauma. The nurse should stop, assess for obstruction, and ensure proper alignment
before attempting to advance further.
A patient on fall precautions is attempting to get out of bed unassisted. Which
intervention should the nurse implement immediately?
, A) Apply a vest restraint to keep the patient in bed.
B) Place the bed in the lowest position with all side rails up.
C) Sit the patient in a chair beside the bed.
D) Offer a bedpan to meet elimination needs.
Correct Answer: D
Rationale: Offering a bedpan addresses the most common reason patients attempt to
get up—urinary urgency. This is a least-restrictive intervention that respects dignity
and safety. Restraints require a physician order and are a last resort. Side rails up
can increase fall risk if the patient climbs over them.
The nurse is assessing a patient’s peripheral IV site. Which finding requires
immediate discontinuation of the IV?
A) Slight edema around the insertion site.
B) A palpable venous cord along the vessel.
C) Temperature of the skin is warm to the touch.
D) A blood return of 2 mL upon aspiration.
Correct Answer: B
Rationale: A palpable venous cord is a classic sign of phlebitis, which indicates vein
inflammation and requires immediate removal of the IV to prevent further damage.
Slight edema can be managed; warm skin is expected; and blood return confirms
patency.
The nurse is preparing to administer a bolus enteral feeding. At what angle
should the patient’s head be positioned?
