NSG 3100 Exam 3
Obtaining a capillary blood specimen to measure blood glucose, you should - ANS ensure
there is good blood flow at the puncture site
True or False
When testing for fecal occult blood, a green color indicates a guaiac positive result. - ANS
False
A RN instructing a female patient on obtaining a clean catch urine specimen should stress to: -
ANS Void a small amount of urine before collecting the specimen
The client has an indwelling catheter. The nurse should obtain a sterile urine specimen by -
ANS using a syringe to withdraw urine from the catheter tubing port
An x-ray of the abdomen visualizing the kidneys, ureters and bladder is known as: - ANS KUB
What is an echocardiogram? - ANS Visualization of the structures of the heart by using
ultrasound
What does MRI stand for? - ANS Magnetic Resonance Imaging
Thoracentesis is removal of fluid from: - ANS pleural space
While assisting with a thoracentesis the nurse should do all of the following EXCEPT: - ANS
Have the patient cough periodically during the procedure
A noninvasive method of estimating bladder volume would be: - ANS Bladder Scanner
Your urine should smell - ANS aromatic
What is a normal urine output per hour? - ANS 30 mL
Urge incontinence is due to - ANS an overactive bladder
Stress incontinence is when - ANS urine leaks when you laugh, cough or sneeze
The presence of ketones in the urine indicates - ANS rapid breakdown of fat
The nurse who teaches a client about preventing UTIs would include which statement? - ANS
Void immediately after sexual intercourse
, How much space should you leave from the tip of the penis and the drainage tube when
applying a condom cath? - ANS 1 Inch
The nurse understands that a straight catheterization: - ANS empties the bladder and the
catheter is immediately removed
The purpose of a three way Foley after a TURP is to - ANS Irrigation
A nurse is inserting a Foley catheter in a female and obtains clear urine. What next? - ANS
Advance the catheter another 2 inches (5 cm)
Where should Foley indwelling catheter drainage bag be positioned after insertion of catheter? -
ANS Lower than the level of the bladder
What are the causes of constipation? - ANS poor bowel habits
diet low in fiber
chronic use of laxatives
What indicates a correct understanding of the use of laxatives for constipation? - ANS
Laxatives should only be taken for a few days.
Which position is the patient placed in for the administration of an enema? - ANS Sims
When giving an enema, you should insert the tube 7-10 cm (3-4 inches). True or False? - ANS
True
When changing the colostomy appliance, cut the opening in the skin barrier no more than ____
larger than the stoma. - ANS 1/8 inch
The best time to change a pouching system is in the morning or 2 to 4 hours after meals. True
or False - ANS True
An unlicensed assistive personnel (UAP) reports to the nurse that a client being fed experienced
coughing and choking when swallowing. The client states, "It feels like the food is stuck in my
throat." What does the nurse suspect is happening with this client? - ANS The client is having
dysphagia.
While undergoing a soapsuds enema, the client complains of mild abdominal cramping. The
nurse should: - ANS lower the bag
The client has an indwelling catheter. The nurse should obtain a sterile urine specimen by: -
ANS syringe to withdraw from cath port
Obtaining a capillary blood specimen to measure blood glucose, you should - ANS ensure
there is good blood flow at the puncture site
True or False
When testing for fecal occult blood, a green color indicates a guaiac positive result. - ANS
False
A RN instructing a female patient on obtaining a clean catch urine specimen should stress to: -
ANS Void a small amount of urine before collecting the specimen
The client has an indwelling catheter. The nurse should obtain a sterile urine specimen by -
ANS using a syringe to withdraw urine from the catheter tubing port
An x-ray of the abdomen visualizing the kidneys, ureters and bladder is known as: - ANS KUB
What is an echocardiogram? - ANS Visualization of the structures of the heart by using
ultrasound
What does MRI stand for? - ANS Magnetic Resonance Imaging
Thoracentesis is removal of fluid from: - ANS pleural space
While assisting with a thoracentesis the nurse should do all of the following EXCEPT: - ANS
Have the patient cough periodically during the procedure
A noninvasive method of estimating bladder volume would be: - ANS Bladder Scanner
Your urine should smell - ANS aromatic
What is a normal urine output per hour? - ANS 30 mL
Urge incontinence is due to - ANS an overactive bladder
Stress incontinence is when - ANS urine leaks when you laugh, cough or sneeze
The presence of ketones in the urine indicates - ANS rapid breakdown of fat
The nurse who teaches a client about preventing UTIs would include which statement? - ANS
Void immediately after sexual intercourse
, How much space should you leave from the tip of the penis and the drainage tube when
applying a condom cath? - ANS 1 Inch
The nurse understands that a straight catheterization: - ANS empties the bladder and the
catheter is immediately removed
The purpose of a three way Foley after a TURP is to - ANS Irrigation
A nurse is inserting a Foley catheter in a female and obtains clear urine. What next? - ANS
Advance the catheter another 2 inches (5 cm)
Where should Foley indwelling catheter drainage bag be positioned after insertion of catheter? -
ANS Lower than the level of the bladder
What are the causes of constipation? - ANS poor bowel habits
diet low in fiber
chronic use of laxatives
What indicates a correct understanding of the use of laxatives for constipation? - ANS
Laxatives should only be taken for a few days.
Which position is the patient placed in for the administration of an enema? - ANS Sims
When giving an enema, you should insert the tube 7-10 cm (3-4 inches). True or False? - ANS
True
When changing the colostomy appliance, cut the opening in the skin barrier no more than ____
larger than the stoma. - ANS 1/8 inch
The best time to change a pouching system is in the morning or 2 to 4 hours after meals. True
or False - ANS True
An unlicensed assistive personnel (UAP) reports to the nurse that a client being fed experienced
coughing and choking when swallowing. The client states, "It feels like the food is stuck in my
throat." What does the nurse suspect is happening with this client? - ANS The client is having
dysphagia.
While undergoing a soapsuds enema, the client complains of mild abdominal cramping. The
nurse should: - ANS lower the bag
The client has an indwelling catheter. The nurse should obtain a sterile urine specimen by: -
ANS syringe to withdraw from cath port
