Galen College of Nursing NSG 3100 Ch 6,7,8 Nclex prep questions and answers_ Spring 2026.

Galen College of Nursing NSG 3100 Ch 6,7,8 Nclex prep questions and answers_ Spring 2026. 1. A client returns from a lumbar puncture and reports nausea and a severe headache when sitting upright. Which action should the nurse take first? A. Encourage fluids B. Place the client flat C. Administer acetaminophen D. Notify the provider 2. A client with a Foley catheter has had 20 mL of urine output in the last hour. What is the nurse’s priority action? A. Document as normal B. Increase oral fluids C. Assess catheter patency and tubing D. Notify the provider immediately 3. A client scheduled for IV pyelography reports a shellfish allergy. What is the nurse’s priority action? A. Proceed with test B. Premedicate with antihistamine C. Notify the provider D. Encourage fluids 4. Which client is at highest risk for fecal impaction? A. Ambulatory adult with high fiber intake B. Postoperative client on opioids and bedrest C. Teenager with diarrhea D. Adult with high activity level 5. A client’s urine specific gravity is 1.004. What does this finding suggest? A. Dehydration B. Normal hydration C. Overhydration D. Kidney failure 6. After a thoracentesis, which finding requires immediate intervention? A. Mild discomfort at site B. Respiratory rate 28 and dyspnea C. Slight cough D. BP 120/80 7. Which statement indicates correct understanding of 24-hour urine collection? A. “I will save my first morning void.” B. “I will discard the first void and collect the rest.”C. “I can stop collecting at bedtime.” D. “I don’t need to refrigerate the sample.” 8. A client with urinary retention would most likely exhibit which finding? A. Polyuria B. Dribbling with bladder distention C. Clear concentrated urine D. No urge to void 9. A client receiving contrast dye develops wheezing and hives. What is the nurse’s priority? A. Document reaction B. Encourage fluids C. Stop procedure and initiate emergency response D. Elevate legs 10. Which route has the fastest onset of action? A. Oral B. IM C. Subcutaneous D. IV 11. A client has black tarry stools. What should the nurse suspect? A. Lower GI bleed B. Upper GI bleed C. Iron supplement reaction D. Bile duct obstruction 12. Which action prevents medication leakage during IM injection of irritating medication? A. Aspirating B. Using 45-degree angle C. Z-track method D. Massaging site 13. A client’s BUN is 42 mg/dL. Which assessment finding supports this lab value? A. Edema B. Dry mucous membranes C. Clear urine D. Bradycardia 14. A client has not voided 7 hours after catheter removal. What should the nurse do first? A. Insert a Foley B. Notify providerC. Perform bladder scan D. Encourage ambulation only 15. Which client is most at risk for a urinary tract infection? A. Young healthy male B. Female with diabetes and Foley catheter C. Teen athlete D. Middle-aged runner 16. A client receiving a hypertonic enema reports dizziness and weakness during administration. What is the nurse’s priority concern? A. Electrolyte imbalance B. Hypovolemia C. Constipation D. Hyperglycemia 17. A client with BPH reports hesitancy and nocturia. What is the underlying cause? A. Increased urine production B. Bladder infection C. Urethral obstruction D. Renal failure 18. The nurse is preparing to administer a subcutaneous injection. Which action ensures proper absorption? A. Insert at 90 degrees without pinching B. Massage the site after injection C. Rotate injection sites D. Aspirate before injecting 19. Which assessment finding indicates a possible adverse reaction to IV contrast dye? A. White stool B. Mild nausea C. Decreased urine output D. Warm flushed sensation 20. A client with dehydration is expected to have which urinary finding? A. Clear urine B. Low specific gravity C. Amber urine D. Polyuria 21. After inserting a Foley catheter, which action confirms proper placement before inflating the balloon?A. Resistance is felt B. Urine returns into tubing C. Client reports discomfort D. Advance catheter 1 inch 22. A client is prescribed an oil retention enema. Which instruction is correct? A. Expel immediately after insertion B. Retain for 30 minutes C. Sit upright during administration D. Administer rapidly