G A L E N C O L L E G E O F N U R S I N G · A S S O C I AT E D E G R E E N U R S I N G P R O G R A M
NSG 3100 Exam 3
Elimination & Medication
Administration
NCLEX-Style Practice Questions with Rationales
Topic Focus: GI & Urinary Elimination, Specimen Collection, Ostomy Care,
Enemas
Edition 1 · July 2026 · Part 1 of 2
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales 2
NSG 3100 · Galen College of Nursing Page 1
,NSG 3100 EXAM 3 PRACTICE GUIDE ELIMINATION & MEDICATION ADMINISTRATION
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: GI & Urinary Elimination, Specimen Collection, Ostomy Care,
Enemas
1 A nurse is assessing a client for gastrointestinal issues. Which components
should the nurse include in the assessment?
A Daily activities, positioning, medications, intake and output, abdomen and bowel
sounds, stool assessment
B Only bowel sounds and stool assessment
C Only daily activities and medications
D Only intake and output
CORRECT ANSWER: A
Rationale:
A comprehensive GI assessment includes daily activities, positioning, medications, intake and
output, abdomen and bowel sounds, and stool assessment.
Tested Concept: GI assessment components
,2 A nurse is assessing a client's stool. Which characteristics should the nurse
evaluate?
A Color, consistency, shape, amount, odor, constituents
B Only color and consistency
C Only amount and odor
D Only shape and constituents
CORRECT ANSWER: A
Rationale:
Stool assessment includes color, consistency, shape, amount, odor, and constituents. Each
characteristic provides important diagnostic information.
Tested Concept: Stool assessment characteristics
3 A nurse is instructing a client on stool collection. Which instruction should the
nurse include?
A Defecate in a clean bedpan or bedside commode, avoid urine contamination, do
not place toilet tissue in the bedpan, notify the nurse immediately
B Collect stool from the toilet bowl
C Place toilet tissue with the specimen
D Wait several hours before notifying the nurse
CORRECT ANSWER: A
Rationale:
Proper stool collection requires defecating in a clean bedpan, avoiding urine contamination, not
placing toilet tissue in the bedpan, and notifying the nurse immediately for prompt lab
transport.
Tested Concept: Stool collection instructions
, 4 A nurse is reviewing reasons for testing feces. Which are valid reasons? (Select all
that apply.)
A Occult blood detection
B Analyze dietary products and digestive secretions
C Detect ova and parasites
D Detect bacteria or viruses
E Measure specific gravity
CORRECT ANSWER: A, B, C, D
Rationale:
Fecal testing is used to detect occult blood, analyze diet/digestion, detect ova and parasites,
and detect bacteria or viruses. Specific gravity is measured in urine, not feces.
Tested Concept: Reasons for testing feces
5 A nurse is testing for occult blood in a client's stool. Which color indicates a
positive result?
A Green
B Blue
C Yellow
D Red
CORRECT ANSWER: B
Rationale:
A blue color indicates a positive guaiac test result for occult blood. Occult blood may indicate
ulcers, inflammation, or tumors.
Tested Concept: Occult blood — blue is positive
NSG 3100 Exam 3
Elimination & Medication
Administration
NCLEX-Style Practice Questions with Rationales
Topic Focus: GI & Urinary Elimination, Specimen Collection, Ostomy Care,
Enemas
Edition 1 · July 2026 · Part 1 of 2
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales 2
NSG 3100 · Galen College of Nursing Page 1
,NSG 3100 EXAM 3 PRACTICE GUIDE ELIMINATION & MEDICATION ADMINISTRATION
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: GI & Urinary Elimination, Specimen Collection, Ostomy Care,
Enemas
1 A nurse is assessing a client for gastrointestinal issues. Which components
should the nurse include in the assessment?
A Daily activities, positioning, medications, intake and output, abdomen and bowel
sounds, stool assessment
B Only bowel sounds and stool assessment
C Only daily activities and medications
D Only intake and output
CORRECT ANSWER: A
Rationale:
A comprehensive GI assessment includes daily activities, positioning, medications, intake and
output, abdomen and bowel sounds, and stool assessment.
Tested Concept: GI assessment components
,2 A nurse is assessing a client's stool. Which characteristics should the nurse
evaluate?
A Color, consistency, shape, amount, odor, constituents
B Only color and consistency
C Only amount and odor
D Only shape and constituents
CORRECT ANSWER: A
Rationale:
Stool assessment includes color, consistency, shape, amount, odor, and constituents. Each
characteristic provides important diagnostic information.
Tested Concept: Stool assessment characteristics
3 A nurse is instructing a client on stool collection. Which instruction should the
nurse include?
A Defecate in a clean bedpan or bedside commode, avoid urine contamination, do
not place toilet tissue in the bedpan, notify the nurse immediately
B Collect stool from the toilet bowl
C Place toilet tissue with the specimen
D Wait several hours before notifying the nurse
CORRECT ANSWER: A
Rationale:
Proper stool collection requires defecating in a clean bedpan, avoiding urine contamination, not
placing toilet tissue in the bedpan, and notifying the nurse immediately for prompt lab
transport.
Tested Concept: Stool collection instructions
, 4 A nurse is reviewing reasons for testing feces. Which are valid reasons? (Select all
that apply.)
A Occult blood detection
B Analyze dietary products and digestive secretions
C Detect ova and parasites
D Detect bacteria or viruses
E Measure specific gravity
CORRECT ANSWER: A, B, C, D
Rationale:
Fecal testing is used to detect occult blood, analyze diet/digestion, detect ova and parasites,
and detect bacteria or viruses. Specific gravity is measured in urine, not feces.
Tested Concept: Reasons for testing feces
5 A nurse is testing for occult blood in a client's stool. Which color indicates a
positive result?
A Green
B Blue
C Yellow
D Red
CORRECT ANSWER: B
Rationale:
A blue color indicates a positive guaiac test result for occult blood. Occult blood may indicate
ulcers, inflammation, or tumors.
Tested Concept: Occult blood — blue is positive
