NSG 3100 Exam 3
1. The patient states that she has been taking warfarin, an anticoagulant, for several years. The nurse
notices several bruised areas on her arms. Which of the following laboratory results is the most clinically
significant for this medication?
a. Platelets: 450,000
b. Prothrombin time: 24.2 seconds
c. Activated partial thromboplastin time: 30 seconds
d. Fibrinogen: 350 mg/dL - ANSWER-b
1. Which laboratory result should immediately be reported by the nurse to the primary care provider
(PCP)?
a. Hemoglobin: 15.6
b. Hematocrit: 32%
c. Red blood cells: 5.3
d. White blood cells: 6000 - ANSWER-b
A 40-year-old patient complains of 4 days of frequent loose stools with abdominal cramping. What is the
priority nursing diagnosis for this patient?
a. Impaired Skin Integrity
b. Fluid Imbalance
c. Acute Pain
d. Self-Care Deficit (i.e., toileting) - ANSWER-b
A female patient has had frequent urinary tract infections. Which statement by the patient indicates
that the nurse's teaching on prevention has been effective?
a. "I will limit my fluid intake to 40 ounces per day."
b. "I will use only organic bath bombs when bathing."
c. "I will wait to wear my tight jeans until after my urine is clear."
d. "I will wipe from the front to back after voiding." - ANSWER-d
A nurse must give 1 g of Keflex, PO, q 6 hr × 3 days. The supply on hand is 500 mg/capsule. How many
capsules should the nurse administer at each dose? - ANSWER-2 capsules
A patient has a 24-hour urine specimen ordered for creatinine clearance. Which instruction is correct?
a. "Collect all urine from the time the collection begins until it ends."
b. "Save only a sample from each voiding."
c. "Clean the perineal area three times before you begin to urinate."
, NSG 3100 Exam 3
d. "Discard the first urine specimen, and then collect all urine until the time period expires." - ANSWER-d
A patient has been using herbal medication as part of her daily routine. Which actions should the nurse
take? (Select all that apply.)
a. Document the herbs as part of the medication history.
b. Recommend a reputable company from which to buy herbs.
c. Allow the patient to self-administer the herbs with her morning medications.
d. Inform the primary care provider of the findings.
e. Identify possible adverse effects of the herbal medications. - ANSWER-a,d,e
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 - ANSWER-a
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
d. Primary care provider - ANSWER-b
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 - ANSWER-b
A patient is scheduled for a colonoscopy. After preprocedure teaching by the nurse, the patient
demonstrates understanding when he makes which statement?
a. "I can have coffee the morning of the procedure."
1. The patient states that she has been taking warfarin, an anticoagulant, for several years. The nurse
notices several bruised areas on her arms. Which of the following laboratory results is the most clinically
significant for this medication?
a. Platelets: 450,000
b. Prothrombin time: 24.2 seconds
c. Activated partial thromboplastin time: 30 seconds
d. Fibrinogen: 350 mg/dL - ANSWER-b
1. Which laboratory result should immediately be reported by the nurse to the primary care provider
(PCP)?
a. Hemoglobin: 15.6
b. Hematocrit: 32%
c. Red blood cells: 5.3
d. White blood cells: 6000 - ANSWER-b
A 40-year-old patient complains of 4 days of frequent loose stools with abdominal cramping. What is the
priority nursing diagnosis for this patient?
a. Impaired Skin Integrity
b. Fluid Imbalance
c. Acute Pain
d. Self-Care Deficit (i.e., toileting) - ANSWER-b
A female patient has had frequent urinary tract infections. Which statement by the patient indicates
that the nurse's teaching on prevention has been effective?
a. "I will limit my fluid intake to 40 ounces per day."
b. "I will use only organic bath bombs when bathing."
c. "I will wait to wear my tight jeans until after my urine is clear."
d. "I will wipe from the front to back after voiding." - ANSWER-d
A nurse must give 1 g of Keflex, PO, q 6 hr × 3 days. The supply on hand is 500 mg/capsule. How many
capsules should the nurse administer at each dose? - ANSWER-2 capsules
A patient has a 24-hour urine specimen ordered for creatinine clearance. Which instruction is correct?
a. "Collect all urine from the time the collection begins until it ends."
b. "Save only a sample from each voiding."
c. "Clean the perineal area three times before you begin to urinate."
, NSG 3100 Exam 3
d. "Discard the first urine specimen, and then collect all urine until the time period expires." - ANSWER-d
A patient has been using herbal medication as part of her daily routine. Which actions should the nurse
take? (Select all that apply.)
a. Document the herbs as part of the medication history.
b. Recommend a reputable company from which to buy herbs.
c. Allow the patient to self-administer the herbs with her morning medications.
d. Inform the primary care provider of the findings.
e. Identify possible adverse effects of the herbal medications. - ANSWER-a,d,e
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 - ANSWER-a
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
d. Primary care provider - ANSWER-b
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 - ANSWER-b
A patient is scheduled for a colonoscopy. After preprocedure teaching by the nurse, the patient
demonstrates understanding when he makes which statement?
a. "I can have coffee the morning of the procedure."
