NSG 3100 EVALUATION ALL QUESTIONS AND
ANSWERS SURE A+
✔✔a female patient who speaks a little English has emergency gallbladder surgery,
during nursing action, would best help this patient understand wound care instruction? -
✔✔Demonstrate and have the patient return demonstration
✔✔Which statement by a patient with an ileostomy alerts the nurse to the need for
further education? - ✔✔I will irrigate my stoma to keep it clean and have bowel
movements regularly
✔✔The nurse is caring for a patient with an elevated creatinine. The nurse notes that
the elevation of this lab result can be suggestive of? - ✔✔impaired kidney function
✔✔The nurse is caring for a patient with a 3 way catheter and notes that the difference
between this and a traditional 2 way or in/out is? - ✔✔can be used to irrigate the
bladder when the patient feels like their bladder is full
✔✔You are caring for a client who had an indwelling catheter removed 6 hours ago.
The patient has not voided since its removal and complaining of abdominal pain. What
would be the nurse's next step? - ✔✔assess the bladder using a bladder scanner
✔✔You have gone to assess a patient with a stoma and noticed drainage seeping
through from the faceplate. What should be the next steps? - ✔✔perform ostomy care
and apply a new appliance
✔✔The nurse is preparing a patient for a thoracentesis and notes that proper
positioning of such procedure is? - ✔✔Tripod
✔✔The nurse is caring for a patient needing an MRI w/o contrast. Which patient is
important to note to the radiologist? - ✔✔The type I diabetic with insulin pump
, ✔✔The nurse is teaching a client about 24 hour urine
creatinine clearance what interventions can be delegated to the UAP? - ✔✔Remanding
the client not to put toilet paper in the specimen
✔✔You are taking care of a patient who has returned from colonoscopy following
sedation. What are the
Primary concerns for the nurse? - ✔✔pulse oximetry and respiration
✔✔Patient inquires about their upcoming KUb and questions what the provider will look
at and where on the body it is performed? - ✔✔Kidney, ureters, bladder, on the
abdomen.
✔✔Select a nursing diagnosis related to elevated BUN levels? - ✔✔Deficient fluid
volume
✔✔Where Do We Give an Intramuscular Injection? - ✔✔In the muscle tissue
✔✔Normal Potassium: (regulates fluid balance) - ✔✔3.5 - 5.3 mEq/L
✔✔Normal Sodium: (regulates fluid balance) - ✔✔135 - 145 mEq/L
✔✔Normal Calcium: (bone strength) - ✔✔4.5 - 5.5 mEq/L
✔✔Normal Chloride: regulates fluid balance - ✔✔95 - 105 mEq/L
✔✔Normal Glucose: - ✔✔70-110 mg/dl
✔✔Intramuscular (IM) Injections syringe size - ✔✔Deltoid - 1 mL syringe
Ventrogluteal - 3 to 5 mL syringes
✔✔Intramuscular (IM) Needle size - ✔✔• Deltoid - #23-#25 gauge
• Ventrogluteal - #21-#22 gauge
✔✔Intramuscular needle length - ✔✔• Deltoid - 1 inch
• Ventrogluteal - 1.5 inches
✔✔The nurse is caring for a female client who is to have a magnetic resonance imaging
(MRI) scan without contrast performed. Which of the following assessment finding
should the nurse report to the technician and radiologist before the test is performed? -
✔✔The client has an implanted insulin pump
ANSWERS SURE A+
✔✔a female patient who speaks a little English has emergency gallbladder surgery,
during nursing action, would best help this patient understand wound care instruction? -
✔✔Demonstrate and have the patient return demonstration
✔✔Which statement by a patient with an ileostomy alerts the nurse to the need for
further education? - ✔✔I will irrigate my stoma to keep it clean and have bowel
movements regularly
✔✔The nurse is caring for a patient with an elevated creatinine. The nurse notes that
the elevation of this lab result can be suggestive of? - ✔✔impaired kidney function
✔✔The nurse is caring for a patient with a 3 way catheter and notes that the difference
between this and a traditional 2 way or in/out is? - ✔✔can be used to irrigate the
bladder when the patient feels like their bladder is full
✔✔You are caring for a client who had an indwelling catheter removed 6 hours ago.
The patient has not voided since its removal and complaining of abdominal pain. What
would be the nurse's next step? - ✔✔assess the bladder using a bladder scanner
✔✔You have gone to assess a patient with a stoma and noticed drainage seeping
through from the faceplate. What should be the next steps? - ✔✔perform ostomy care
and apply a new appliance
✔✔The nurse is preparing a patient for a thoracentesis and notes that proper
positioning of such procedure is? - ✔✔Tripod
✔✔The nurse is caring for a patient needing an MRI w/o contrast. Which patient is
important to note to the radiologist? - ✔✔The type I diabetic with insulin pump
, ✔✔The nurse is teaching a client about 24 hour urine
creatinine clearance what interventions can be delegated to the UAP? - ✔✔Remanding
the client not to put toilet paper in the specimen
✔✔You are taking care of a patient who has returned from colonoscopy following
sedation. What are the
Primary concerns for the nurse? - ✔✔pulse oximetry and respiration
✔✔Patient inquires about their upcoming KUb and questions what the provider will look
at and where on the body it is performed? - ✔✔Kidney, ureters, bladder, on the
abdomen.
✔✔Select a nursing diagnosis related to elevated BUN levels? - ✔✔Deficient fluid
volume
✔✔Where Do We Give an Intramuscular Injection? - ✔✔In the muscle tissue
✔✔Normal Potassium: (regulates fluid balance) - ✔✔3.5 - 5.3 mEq/L
✔✔Normal Sodium: (regulates fluid balance) - ✔✔135 - 145 mEq/L
✔✔Normal Calcium: (bone strength) - ✔✔4.5 - 5.5 mEq/L
✔✔Normal Chloride: regulates fluid balance - ✔✔95 - 105 mEq/L
✔✔Normal Glucose: - ✔✔70-110 mg/dl
✔✔Intramuscular (IM) Injections syringe size - ✔✔Deltoid - 1 mL syringe
Ventrogluteal - 3 to 5 mL syringes
✔✔Intramuscular (IM) Needle size - ✔✔• Deltoid - #23-#25 gauge
• Ventrogluteal - #21-#22 gauge
✔✔Intramuscular needle length - ✔✔• Deltoid - 1 inch
• Ventrogluteal - 1.5 inches
✔✔The nurse is caring for a female client who is to have a magnetic resonance imaging
(MRI) scan without contrast performed. Which of the following assessment finding
should the nurse report to the technician and radiologist before the test is performed? -
✔✔The client has an implanted insulin pump
