NURSING LICENSURE
NSG 3100 EXAM 4 | 50 NEW QUESTIONS AND ANSWERS
| 2026/2027 UPDATE | 100% CORRECT - GALEN
Complete Blueprint Coverage
A+
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Nutritional Assessment and Requirements
Therapeutic Diets and Nutritional Support
Fluid Volume Balance and IV Therapy
Electrolyte Imbalances
Acid-Base Balance
STUVIAACTUALEXAM
, NUTRITIONAL ASSESSMENT AND REQUIREMENTS
Q1.
A 78-year-old client is admitted with a stage 3 pressure injury. The nurse reviews the client's laboratory values and
notes a serum albumin of 2.4 g/dL and a prealbumin of 8 mg/dL. The client reports a poor appetite for the past
three weeks and has lost 12 pounds unintentionally. Which nursing action addresses the priority nutritional
concern?
A. Request a consult for a pureed diet to reduce chewing effort
B. Collaborate with the dietitian to initiate high-protein, high-calorie supplementation
C. Encourage the client to drink 2 liters of water daily to improve skin turgor
D. Schedule daily weights and document intake and output only
Correct Answer: B
Rationale:
Low albumin and prealbumin combined with unintentional weight loss and a stage 3 pressure injury indicate protein-calorie
malnutrition that impairs wound healing. High-protein, high-calorie supplementation directly addresses the deficit. A pureed diet alone
does not increase protein density, and fluid intake or monitoring without nutritional intervention will not correct the underlying
malnutrition.
Q2.
During a nutritional screening of a 45-year-old client who recently underwent gastric bypass surgery, the nurse
calculates a body mass index of 28 and notes that the client is taking a multivitamin without mineral
supplementation. The client reports fatigue and brittle nails. Which laboratory value should the nurse anticipate will
be most informative for guiding further nutritional intervention?
A. Serum sodium and potassium
B. Serum ferritin and vitamin B12 levels
C. Fasting blood glucose and HbA1c
D. Serum creatinine and blood urea nitrogen
Correct Answer: B
Rationale:
After gastric bypass, reduced stomach capacity and altered absorption place clients at high risk for iron and vitamin B12 deficiency,
which present with fatigue and nail changes. Ferritin and B12 levels specifically evaluate these common post-bariatric deficiencies.
Electrolytes, glucose, and renal markers, while useful, do not target the primary nutritional risks in this surgical population.
, Q3.
A nurse is teaching a group of nursing students about the role of micronutrients in wound healing. A student asks
which nutrient is most critical for collagen synthesis and tensile strength of new tissue. Which response by the
nurse is accurate?
A. Vitamin K is essential because it promotes clotting at the wound site
B. Vitamin C is required for hydroxylation of proline and lysine during collagen formation
C. Vitamin D is the primary nutrient that stimulates fibroblast migration
D. Vitamin E prevents oxidation of polyunsaturated fats in the wound bed
Correct Answer: B
Rationale:
Vitamin C is a required cofactor for the hydroxylation of proline and lysine residues, steps that stabilize the collagen triple helix and
determine wound tensile strength. Vitamin K supports coagulation, vitamin D influences bone and immune function, and vitamin E
has antioxidant properties, but none of these is the primary driver of collagen cross-linking.
Q4.
An older adult client living in a long-term care facility has a Mini Nutritional Assessment score of 7, indicating
malnutrition. The client has difficulty chewing due to poorly fitting dentures and frequently leaves more than half of
each meal uneaten. Which intervention should the nurse implement first?
A. Order a dental consult for new dentures and provide soft, high-calorie foods in the interim
B. Begin total parenteral nutrition until oral intake improves
C. Restrict fluid intake during meals to increase caloric density of food
D. Administer a daily multivitamin and reassess nutritional status in two weeks
Correct Answer: A
Rationale:
Poorly fitting dentures are a modifiable barrier to oral intake. Securing a dental consult while offering soft, nutrient-dense foods
immediately increases caloric and protein consumption. Parenteral nutrition is reserved for non-functional gastrointestinal tracts, fluid
restriction during meals is not indicated, and a multivitamin alone will not correct the caloric deficit.
NSG 3100 EXAM 4 | 50 NEW QUESTIONS AND ANSWERS
| 2026/2027 UPDATE | 100% CORRECT - GALEN
Complete Blueprint Coverage
A+
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Nutritional Assessment and Requirements
Therapeutic Diets and Nutritional Support
Fluid Volume Balance and IV Therapy
Electrolyte Imbalances
Acid-Base Balance
STUVIAACTUALEXAM
, NUTRITIONAL ASSESSMENT AND REQUIREMENTS
Q1.
A 78-year-old client is admitted with a stage 3 pressure injury. The nurse reviews the client's laboratory values and
notes a serum albumin of 2.4 g/dL and a prealbumin of 8 mg/dL. The client reports a poor appetite for the past
three weeks and has lost 12 pounds unintentionally. Which nursing action addresses the priority nutritional
concern?
A. Request a consult for a pureed diet to reduce chewing effort
B. Collaborate with the dietitian to initiate high-protein, high-calorie supplementation
C. Encourage the client to drink 2 liters of water daily to improve skin turgor
D. Schedule daily weights and document intake and output only
Correct Answer: B
Rationale:
Low albumin and prealbumin combined with unintentional weight loss and a stage 3 pressure injury indicate protein-calorie
malnutrition that impairs wound healing. High-protein, high-calorie supplementation directly addresses the deficit. A pureed diet alone
does not increase protein density, and fluid intake or monitoring without nutritional intervention will not correct the underlying
malnutrition.
Q2.
During a nutritional screening of a 45-year-old client who recently underwent gastric bypass surgery, the nurse
calculates a body mass index of 28 and notes that the client is taking a multivitamin without mineral
supplementation. The client reports fatigue and brittle nails. Which laboratory value should the nurse anticipate will
be most informative for guiding further nutritional intervention?
A. Serum sodium and potassium
B. Serum ferritin and vitamin B12 levels
C. Fasting blood glucose and HbA1c
D. Serum creatinine and blood urea nitrogen
Correct Answer: B
Rationale:
After gastric bypass, reduced stomach capacity and altered absorption place clients at high risk for iron and vitamin B12 deficiency,
which present with fatigue and nail changes. Ferritin and B12 levels specifically evaluate these common post-bariatric deficiencies.
Electrolytes, glucose, and renal markers, while useful, do not target the primary nutritional risks in this surgical population.
, Q3.
A nurse is teaching a group of nursing students about the role of micronutrients in wound healing. A student asks
which nutrient is most critical for collagen synthesis and tensile strength of new tissue. Which response by the
nurse is accurate?
A. Vitamin K is essential because it promotes clotting at the wound site
B. Vitamin C is required for hydroxylation of proline and lysine during collagen formation
C. Vitamin D is the primary nutrient that stimulates fibroblast migration
D. Vitamin E prevents oxidation of polyunsaturated fats in the wound bed
Correct Answer: B
Rationale:
Vitamin C is a required cofactor for the hydroxylation of proline and lysine residues, steps that stabilize the collagen triple helix and
determine wound tensile strength. Vitamin K supports coagulation, vitamin D influences bone and immune function, and vitamin E
has antioxidant properties, but none of these is the primary driver of collagen cross-linking.
Q4.
An older adult client living in a long-term care facility has a Mini Nutritional Assessment score of 7, indicating
malnutrition. The client has difficulty chewing due to poorly fitting dentures and frequently leaves more than half of
each meal uneaten. Which intervention should the nurse implement first?
A. Order a dental consult for new dentures and provide soft, high-calorie foods in the interim
B. Begin total parenteral nutrition until oral intake improves
C. Restrict fluid intake during meals to increase caloric density of food
D. Administer a daily multivitamin and reassess nutritional status in two weeks
Correct Answer: A
Rationale:
Poorly fitting dentures are a modifiable barrier to oral intake. Securing a dental consult while offering soft, nutrient-dense foods
immediately increases caloric and protein consumption. Parenteral nutrition is reserved for non-functional gastrointestinal tracts, fluid
restriction during meals is not indicated, and a multivitamin alone will not correct the caloric deficit.
