EXAM QUESTIONS AND DETAILED
CORRECT ANSWERS (VERIFIED
ANSWERS) 2024-2025 FUNDAMENTAL
CONCEPTS & SKILLS FOR NURSING
PRACTICE I | GALEN
A patient is scheduled for an intravenous pyelogram (IVP).
Which piece of data would be most important to know
before the procedure is carried out?
a . Urinalysis negative for sugar and acetone
b . History of allergies
c . History of a recent thyroid scan
d . Frequency of urination Correct Answer b . History of
allergies
What self care measure is most important for the nurse to
include when developing a teaching plan for a patient who
will be discharged with a urostomy?
a . Change the appliance before going to bed
b . Cut the wafer 1 inch larger than the stoma
c . Cleanse the peristomal skin with mild soap and water
d . Use firm pressure to attach the wafer to the skin
Correct Answer c . Cleanse the peristomal skin with mild
soap and water
,An indwelling catheter is ordered for a postoperative
patient who is unable to void. What is the priority concern
of the nurse performing the procedure?
a . Teaching deep-breathing techniques
b . Maintaining strict aseptic technique
c . Medicating the patient for pain before the procedure
d . Positioning the patient for comfort during the procedure
Correct Answer b . Maintaining strict aseptic technique
The nurse is assessing a patient with an indwelling
catheter and finds that the catheter is not draining, and the
patient's bladder is distended. What action should the
nurse take next?
a . Notify the primary care provider
b . Assess the tubing for kinks and ensure downward flow
c . Change the catheter as soon as possible
d . Aspirate the stagnant urine in the catheter for culture
Correct Answer b . Assess the tubing for kinks and ensure
downward flow
When obtaining a urine specimen for urinalysis from a
patient with an indwelling catheter, the nurse should do
which of the following?
a . Apply sterile gloves for the procedure
b . Clamp the drainage tubing for 10 to 30 minutes before
specimen collection begins
c . Disconnect the catheter from the drainage tubing and
collect the urine in a specimen cup
d . Insert a small - gauge needle directly into the cath eter
tubing to draw up the urine Correct Answer b . Clamp the
,drainage tubing for 10 to 30 minutes before specimen
collection begins
A patient is admitted with advanced liver disease. Which
of the following lab results would the nurse expect to see?
a. Albumin 2.6 g/dL
b. Blood urea nitrogen 18 mg/dL
c. Homocysteine 2.4 mg/L
d. Bilirubin 0.7 mg/dL Correct Answer a
Which of the following blood tests requires the patient to
be fasting?
a. Hemoglobin
b. Prothrombin time
c. Cholesterol
d. Creatinine Correct Answer c
A patient is in the Emergency Department with a diagnosis
of acute myocardial infarction within about the past 3
hours. Which of the following cardiac markers would the
nurse expect to be elevated at this point?
a. CK-MB
b. Myoglobin
c. Troponin I
d. TroponinT Correct Answer b
The nurse has explained a paracentesis to a patient.
Which of the following statements would indicate the
patient needs more teaching?
a. "I will need to sign a consent form before the
procedure."
, b. "You will be using a needle to remove fluid from my
abdomen."
c. "You will be measuring my abdomen before and after
the procedure."
d. "I will be lying on my left side during the procedure."
Correct Answer d
A patient just had a lumbar puncture. Which of the
following would the off-shift nurse report during hand-off
report to the new nurse?
a. He is to lie flat for at least 4 hours.
b. He should remain NPO for at least 4 hours.
c. Assess for signs of postprocedure hypertension.
d. Hold all sedatives and opioids for at least 4 hours.
Correct Answer a
Which of the following allergies would be problematic for a
patient scheduled for computed tomography with contrast?
a. Allergy to penicillin
b. Allergy to shellfish
c. Allergy to peanuts
d. Allergy to latex Correct Answer b
A patient is being discharged from the hospital with a new
ileostomy. The patient expresses concern about caring for
the ostomy. Before hospital discharge, it is most important
for the nurse to coordinate with which member of the
health care team?
a. Home care nurse
b. Wound ostomy continence nurse
c. Registered dietitian