NSG 3100 EXAM 3 GALEN COLLEGE 2025 NEWEST EXAM 2
VERSIONS WITH 400+ QUESTIONS WITH 100% CORRECT
VERIFIED ANSWERS ALREADY GRADED A+/ (FUNDAMENTAL
CONCEPTS & SKILLS FOR NURSING PRACTICE I) WITH
RATIONALES
1.
A nurse is caring for an adult client who reports having difficulty initiating
urination, experiencing a weak urinary stream, and feeling as though the bladder
has not completely emptied after voiding. The client states that these symptoms
have progressively worsened over several weeks. Which nursing assessment
finding would most strongly support the presence of urinary retention?
A. Frequent production of large amounts of clear urine
B. A distended bladder with small, frequent amounts of urine
C. Dark amber urine following prolonged exercise
D. Burning sensation accompanied by increased urinary frequency
Answer: B
2.
A hospitalized client has been unable to void for several hours after surgery and
reports increasing suprapubic discomfort and bladder pressure. The nurse performs
a bladder assessment and notes a palpable, distended bladder. Which intervention
should the nurse anticipate as the most appropriate next step after assessing the
client?
A. Encourage the client to drink several liters of water rapidly
B. Obtain a bladder scan to determine the amount of retained urine
C. Administer a prescribed antidiuretic medication
D. Restrict all oral and intravenous fluids
Answer: B
3.
,A nurse is preparing to obtain a clean-catch midstream urine specimen from a
client who is able to ambulate independently to the bathroom. Which instruction
should the nurse provide to help ensure that the specimen is collected correctly?
A. Begin urinating directly into the specimen container
B. Collect the first urine produced immediately after awakening
C. Cleanse the urinary meatus, begin voiding, and then collect the midstream urine
D. Fill the container completely before stopping urination
Answer: C
4.
A client is scheduled for a urinalysis and has been instructed to provide a clean-
catch specimen. The client asks why cleansing the perineal area before collecting
the specimen is necessary. Which response by the nurse is most appropriate?
A. “It prevents the urine from becoming concentrated.”
B. “It decreases contamination from microorganisms and surrounding tissue.”
C. “It increases the amount of urine that can be collected.”
D. “It prevents the kidneys from releasing bacteria.”
Answer: B
5.
A nurse is collecting a urine specimen from an indwelling urinary catheter for
laboratory analysis. Which technique should the nurse use?
A. Pour urine directly from the drainage bag into the specimen container
B. Disconnect the catheter from the drainage tubing and collect urine
C. Obtain the specimen from the catheter’s designated sampling port using aseptic
technique
D. Ask the client to urinate around the catheter into a specimen container
Answer: C
6.
A client with an indwelling urinary catheter has had very little urine output during
the previous two hours. The nurse observes that the drainage tubing is looped
,beneath the client and that the collection bag is positioned above the level of the
bladder. Which action should the nurse take first?
A. Remove the catheter immediately
B. Reposition the tubing and drainage bag appropriately
C. Irrigate the catheter without a prescription
D. Clamp the catheter for 30 minutes
Answer: B
7.
A nurse is caring for a client with an indwelling urinary catheter. Which finding
requires immediate correction to reduce the risk of urinary tract infection?
A. The collection bag is below bladder level
B. The catheter tubing is secured to the client's thigh
C. The drainage system has been disconnected
D. The client reports mild urinary urgency
Answer: C
8.
A nurse is preparing to insert an indwelling urinary catheter in an adult female
client using sterile technique. After opening the catheterization kit, the nurse
accidentally touches the sterile catheter with an unsterile glove. What should the
nurse do?
A. Continue because the catheter will be disinfected by urine
B. Wipe the catheter with antiseptic solution and continue
C. Replace the contaminated catheter and maintain sterile technique
D. Rinse the catheter with sterile water and continue
Answer: C
9.
A client has an indwelling urinary catheter that is no longer medically necessary.
The nurse receives an order to discontinue it. Which action is appropriate?
, A. Cut the catheter before removing it
B. Deflate the retention balloon completely before gently removing the catheter
C. Pull the catheter out quickly while the balloon remains inflated
D. Clamp the catheter for 24 hours before removal
Answer: B
10.
A nurse has discontinued an indwelling urinary catheter in an adult client. Which
assessment is most important during the period following catheter removal?
A. Ability to pass flatus
B. Ability to void spontaneously
C. Presence of bowel sounds
D. Amount of oral secretions
Answer: B
11.
A client who recently had a urinary catheter removed reports suprapubic
discomfort but has been unable to urinate. Which assessment should the nurse
perform first?
A. Assess for urinary retention
B. Assess the client's bowel sounds
C. Inspect the oral mucosa
D. Measure the client's oxygen saturation
Answer: A
12.
A nurse is caring for a client who has been prescribed a 24-hour urine collection.
The client begins the collection at 0700. Which action is appropriate at the
beginning of the collection?
A. Save the urine voided at 0700 as the first specimen
B. Discard the urine voided at 0700 and record the start time
VERSIONS WITH 400+ QUESTIONS WITH 100% CORRECT
VERIFIED ANSWERS ALREADY GRADED A+/ (FUNDAMENTAL
CONCEPTS & SKILLS FOR NURSING PRACTICE I) WITH
RATIONALES
1.
A nurse is caring for an adult client who reports having difficulty initiating
urination, experiencing a weak urinary stream, and feeling as though the bladder
has not completely emptied after voiding. The client states that these symptoms
have progressively worsened over several weeks. Which nursing assessment
finding would most strongly support the presence of urinary retention?
A. Frequent production of large amounts of clear urine
B. A distended bladder with small, frequent amounts of urine
C. Dark amber urine following prolonged exercise
D. Burning sensation accompanied by increased urinary frequency
Answer: B
2.
A hospitalized client has been unable to void for several hours after surgery and
reports increasing suprapubic discomfort and bladder pressure. The nurse performs
a bladder assessment and notes a palpable, distended bladder. Which intervention
should the nurse anticipate as the most appropriate next step after assessing the
client?
A. Encourage the client to drink several liters of water rapidly
B. Obtain a bladder scan to determine the amount of retained urine
C. Administer a prescribed antidiuretic medication
D. Restrict all oral and intravenous fluids
Answer: B
3.
,A nurse is preparing to obtain a clean-catch midstream urine specimen from a
client who is able to ambulate independently to the bathroom. Which instruction
should the nurse provide to help ensure that the specimen is collected correctly?
A. Begin urinating directly into the specimen container
B. Collect the first urine produced immediately after awakening
C. Cleanse the urinary meatus, begin voiding, and then collect the midstream urine
D. Fill the container completely before stopping urination
Answer: C
4.
A client is scheduled for a urinalysis and has been instructed to provide a clean-
catch specimen. The client asks why cleansing the perineal area before collecting
the specimen is necessary. Which response by the nurse is most appropriate?
A. “It prevents the urine from becoming concentrated.”
B. “It decreases contamination from microorganisms and surrounding tissue.”
C. “It increases the amount of urine that can be collected.”
D. “It prevents the kidneys from releasing bacteria.”
Answer: B
5.
A nurse is collecting a urine specimen from an indwelling urinary catheter for
laboratory analysis. Which technique should the nurse use?
A. Pour urine directly from the drainage bag into the specimen container
B. Disconnect the catheter from the drainage tubing and collect urine
C. Obtain the specimen from the catheter’s designated sampling port using aseptic
technique
D. Ask the client to urinate around the catheter into a specimen container
Answer: C
6.
A client with an indwelling urinary catheter has had very little urine output during
the previous two hours. The nurse observes that the drainage tubing is looped
,beneath the client and that the collection bag is positioned above the level of the
bladder. Which action should the nurse take first?
A. Remove the catheter immediately
B. Reposition the tubing and drainage bag appropriately
C. Irrigate the catheter without a prescription
D. Clamp the catheter for 30 minutes
Answer: B
7.
A nurse is caring for a client with an indwelling urinary catheter. Which finding
requires immediate correction to reduce the risk of urinary tract infection?
A. The collection bag is below bladder level
B. The catheter tubing is secured to the client's thigh
C. The drainage system has been disconnected
D. The client reports mild urinary urgency
Answer: C
8.
A nurse is preparing to insert an indwelling urinary catheter in an adult female
client using sterile technique. After opening the catheterization kit, the nurse
accidentally touches the sterile catheter with an unsterile glove. What should the
nurse do?
A. Continue because the catheter will be disinfected by urine
B. Wipe the catheter with antiseptic solution and continue
C. Replace the contaminated catheter and maintain sterile technique
D. Rinse the catheter with sterile water and continue
Answer: C
9.
A client has an indwelling urinary catheter that is no longer medically necessary.
The nurse receives an order to discontinue it. Which action is appropriate?
, A. Cut the catheter before removing it
B. Deflate the retention balloon completely before gently removing the catheter
C. Pull the catheter out quickly while the balloon remains inflated
D. Clamp the catheter for 24 hours before removal
Answer: B
10.
A nurse has discontinued an indwelling urinary catheter in an adult client. Which
assessment is most important during the period following catheter removal?
A. Ability to pass flatus
B. Ability to void spontaneously
C. Presence of bowel sounds
D. Amount of oral secretions
Answer: B
11.
A client who recently had a urinary catheter removed reports suprapubic
discomfort but has been unable to urinate. Which assessment should the nurse
perform first?
A. Assess for urinary retention
B. Assess the client's bowel sounds
C. Inspect the oral mucosa
D. Measure the client's oxygen saturation
Answer: A
12.
A nurse is caring for a client who has been prescribed a 24-hour urine collection.
The client begins the collection at 0700. Which action is appropriate at the
beginning of the collection?
A. Save the urine voided at 0700 as the first specimen
B. Discard the urine voided at 0700 and record the start time
