Galen College of Nursing
3 MAXE · 0013 GSN
★ ★
GC Pure Nursing
EST. 1989
W E C H A N G E T H E L I F E O F O N E T O C A R E F O R T H E L I V E S O F M A N Y.
NSG 3100 Exam 3 — Diagnostics, Elimination, &
Medication Administration
CO M P L E T E Q U E ST I O N S W I T H CO R R E CT A N S W E RS & RAT I O N A L E S
INSTITUTION Galen College of Nursing COURSE CODE NSG 3100
PROGRAM Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE NSG 3100 Exam 3 — Diagnostics, TOTAL QUESTIONS 130 Questions
Elimination, & Medication
Administration — Complete
Questions With Correct Answers &
Rationales | Already Graded A+
COURSE TITLE Health Assessment & Nursing FORMAT Multiple Choice — Select the
Fundamentals Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Diagnostic procedures, elimination, and medication administration are all testable content.
▸ NCLEX-style questions with clinical reasoning and prioritization are emphasized.
▸ Correct answers and detailed rationales appear below each question.
▸ All content reflects current evidence-based nursing practice guidelines.
, SECTION I — DIAGNOSTICS, ELIMINATION, &
Questions 1 – 130
MEDICATION ADMINISTRATION
1. A colonoscopy is ordered and the patient has questions about the examination. Before the
colonoscopy, the nurse teaches the patient that:
A. General anesthesia is used for the procedure.
B. Light sedation is normally used.
C. The procedure takes about 3 hours.
D. No bowel preparation is required.
CORRECT ANSWER B — Light sedation is normally used.
RATIONALE Colonoscopy is typically performed with light sedation to keep the patient
comfortable and relaxed while allowing them to follow instructions. General
anesthesia is rarely used for routine colonoscopy. Bowel preparation is essential
before the procedure.
2. When changing the colostomy appliance, cut the opening in the skin barrier no more than
____ larger than the stoma.
A. 1/4 inch
B. 1/8 inch
C. 1/2 inch
D. 3/4 inch
CORRECT ANSWER B — 1/8 inch
RATIONALE When changing a colostomy appliance, the opening in the skin barrier should be
cut no more than 1/8 inch larger than the stoma. This ensures a proper fit that
protects the peristomal skin from irritation while allowing the stoma to function
properly.
,3. The nurse is alert to the possibility that for 24 to 48 hours after the postoperative
procedure, clients may experience the following as a result of the anesthetic used during
the surgery:
A. Paralytic ileus
B. Peristalsis
C. Increased motility
D. Constipation
CORRECT ANSWER A — Paralytic ileus
RATIONALE Paralytic ileus is a common postoperative complication that can occur 24-48
hours after surgery due to the effects of anesthesia. It is characterized by
decreased or absent bowel motility, leading to abdominal distention and the
inability to pass stool or gas.
4. The client receiving a tube feeding develops diarrhea. The nurse should:
A. Stop the tube feeding immediately.
B. Adjust the rate of infusion.
C. Add more water to the formula.
D. Add fiber to the formula.
CORRECT ANSWER B — Adjust the rate of infusion.
RATIONALE When a client receiving tube feeding develops diarrhea, the nurse should first
assess the cause. Common causes include too rapid infusion rate, formula
temperature, or contamination. Adjusting the rate of infusion may help resolve
the diarrhea.
, 5. The best time to change a pouching system is in the morning or 2 to 4 hours after meals.
True or False?
A. True
B. False
C. Only in the morning
D. Only before meals
CORRECT ANSWER A — True
RATIONALE The best time to change a pouching system is in the morning before eating or 2-4
hours after meals. At these times, the bowel is least active, reducing the likelihood
of leakage or output during the change process.
6. A noninvasive method of estimating bladder volume would be:
A. Invasive urodynamic testing
B. Bladder Scanner
C. Catheterization
D. Ultrasound
CORRECT ANSWER B — Bladder Scanner
RATIONALE A bladder scanner is a noninvasive method of estimating bladder volume using
ultrasound technology. It measures the amount of urine in the bladder without
the need for catheterization.
3 MAXE · 0013 GSN
★ ★
GC Pure Nursing
EST. 1989
W E C H A N G E T H E L I F E O F O N E T O C A R E F O R T H E L I V E S O F M A N Y.
NSG 3100 Exam 3 — Diagnostics, Elimination, &
Medication Administration
CO M P L E T E Q U E ST I O N S W I T H CO R R E CT A N S W E RS & RAT I O N A L E S
INSTITUTION Galen College of Nursing COURSE CODE NSG 3100
PROGRAM Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE NSG 3100 Exam 3 — Diagnostics, TOTAL QUESTIONS 130 Questions
Elimination, & Medication
Administration — Complete
Questions With Correct Answers &
Rationales | Already Graded A+
COURSE TITLE Health Assessment & Nursing FORMAT Multiple Choice — Select the
Fundamentals Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Diagnostic procedures, elimination, and medication administration are all testable content.
▸ NCLEX-style questions with clinical reasoning and prioritization are emphasized.
▸ Correct answers and detailed rationales appear below each question.
▸ All content reflects current evidence-based nursing practice guidelines.
, SECTION I — DIAGNOSTICS, ELIMINATION, &
Questions 1 – 130
MEDICATION ADMINISTRATION
1. A colonoscopy is ordered and the patient has questions about the examination. Before the
colonoscopy, the nurse teaches the patient that:
A. General anesthesia is used for the procedure.
B. Light sedation is normally used.
C. The procedure takes about 3 hours.
D. No bowel preparation is required.
CORRECT ANSWER B — Light sedation is normally used.
RATIONALE Colonoscopy is typically performed with light sedation to keep the patient
comfortable and relaxed while allowing them to follow instructions. General
anesthesia is rarely used for routine colonoscopy. Bowel preparation is essential
before the procedure.
2. When changing the colostomy appliance, cut the opening in the skin barrier no more than
____ larger than the stoma.
A. 1/4 inch
B. 1/8 inch
C. 1/2 inch
D. 3/4 inch
CORRECT ANSWER B — 1/8 inch
RATIONALE When changing a colostomy appliance, the opening in the skin barrier should be
cut no more than 1/8 inch larger than the stoma. This ensures a proper fit that
protects the peristomal skin from irritation while allowing the stoma to function
properly.
,3. The nurse is alert to the possibility that for 24 to 48 hours after the postoperative
procedure, clients may experience the following as a result of the anesthetic used during
the surgery:
A. Paralytic ileus
B. Peristalsis
C. Increased motility
D. Constipation
CORRECT ANSWER A — Paralytic ileus
RATIONALE Paralytic ileus is a common postoperative complication that can occur 24-48
hours after surgery due to the effects of anesthesia. It is characterized by
decreased or absent bowel motility, leading to abdominal distention and the
inability to pass stool or gas.
4. The client receiving a tube feeding develops diarrhea. The nurse should:
A. Stop the tube feeding immediately.
B. Adjust the rate of infusion.
C. Add more water to the formula.
D. Add fiber to the formula.
CORRECT ANSWER B — Adjust the rate of infusion.
RATIONALE When a client receiving tube feeding develops diarrhea, the nurse should first
assess the cause. Common causes include too rapid infusion rate, formula
temperature, or contamination. Adjusting the rate of infusion may help resolve
the diarrhea.
, 5. The best time to change a pouching system is in the morning or 2 to 4 hours after meals.
True or False?
A. True
B. False
C. Only in the morning
D. Only before meals
CORRECT ANSWER A — True
RATIONALE The best time to change a pouching system is in the morning before eating or 2-4
hours after meals. At these times, the bowel is least active, reducing the likelihood
of leakage or output during the change process.
6. A noninvasive method of estimating bladder volume would be:
A. Invasive urodynamic testing
B. Bladder Scanner
C. Catheterization
D. Ultrasound
CORRECT ANSWER B — Bladder Scanner
RATIONALE A bladder scanner is a noninvasive method of estimating bladder volume using
ultrasound technology. It measures the amount of urine in the bladder without
the need for catheterization.
