GALEN NSG 3100 EXAM 3 –
NSG 3100 PRACTICE TEST BANK
UPDATED QUESTIONS AND ANSWERS WITH RATIONALE
A+ GRADED| BRAND NEW RELEASE!
This 250-item practice test bank covers the major domains tested on
NSG 3100 Exam 3. Each item includes the correct answer and a brief
rationale. Content is original and intended for study reinforcement.
for study reinforcement.
Domains:
1. Perioperative,
2. F&E/Acid-Base,
3. Urinary, Bowel,
4. Oxygenation,
5. Nutrition, Skin/Wound,
6. Safety/Infection/Med Admin
DOMAIN 1: PERIOPERATIVE NURSING (Items 1-35)
1. A preoperative patient reports taking aspirin daily. Which is the
nurse's priority action?
A. Document and proceed
B. Notify the surgeon before surgery
C. Hold the next dose
D. Reassure the patient aspirin is safe
, Answer: B
Rationale: Aspirin increases bleeding risk; the surgeon decides
whether to postpone or adjust.
2. Which finding most increases a surgical patient's risk for
postoperative infection?
A. Hemoglobin 13.5
B. Blood glucose 240 mg/dL
C. BMI 24
D. Age 45
Answer: B
Rationale: Hyperglycemia impairs wound healing and immune function.
3. A patient is NPO after midnight for morning surgery. Which action
is correct?
A. Offer ice chips
B. Allow clear liquids
C. Confirm NPO status with the patient
D. Give routine morning meds with water
Answer: C
, Rationale: Verifying NPO status prevents aspiration.
4. During the immediate postoperative period, which assessment finding
should the nurse report first?
A. Pain 4/10
B. Respiratory rate 8 and shallow
C. Urine output 40 mL/hr
D. Incisional tenderness
Answer: B
Rationale: Airway and breathing take priority.
5. Which instruction best prevents atelectasis after abdominal surgery?
A. Remain flat in bed
B. Splint the incision and use the incentive spirometer
C. Restrict fluids
D. Avoid coughing
Answer: B
Rationale: Splinting plus IS promotes lung expansion.
6. A patient returns from surgery with a Jackson-Pratt drain. Which
action is correct?
, A. Empty and recompress the bulb
B. Flush the drain with saline
C. Clamp the drain
D. Irrigate with sterile water
Answer: A
Rationale: JP drains require compression to maintain suction.
7. Which patient statement shows correct understanding of
postoperative leg exercises?
A. "I'll keep my legs still to avoid clots."
B. "I'll flex and point my feet every hour."
C. "I'll cross my legs when sitting."
D. "I'll massage my calves deeply."
Answer: B
Rationale: Ankle pumps promote venous return.
8. A postoperative patient has a temperature of 100.6 F on day 1.
Which is the nurse's best interpretation?
A. Normal inflammatory response
B. Sepsis
C. Malignant hyperthermia
NSG 3100 PRACTICE TEST BANK
UPDATED QUESTIONS AND ANSWERS WITH RATIONALE
A+ GRADED| BRAND NEW RELEASE!
This 250-item practice test bank covers the major domains tested on
NSG 3100 Exam 3. Each item includes the correct answer and a brief
rationale. Content is original and intended for study reinforcement.
for study reinforcement.
Domains:
1. Perioperative,
2. F&E/Acid-Base,
3. Urinary, Bowel,
4. Oxygenation,
5. Nutrition, Skin/Wound,
6. Safety/Infection/Med Admin
DOMAIN 1: PERIOPERATIVE NURSING (Items 1-35)
1. A preoperative patient reports taking aspirin daily. Which is the
nurse's priority action?
A. Document and proceed
B. Notify the surgeon before surgery
C. Hold the next dose
D. Reassure the patient aspirin is safe
, Answer: B
Rationale: Aspirin increases bleeding risk; the surgeon decides
whether to postpone or adjust.
2. Which finding most increases a surgical patient's risk for
postoperative infection?
A. Hemoglobin 13.5
B. Blood glucose 240 mg/dL
C. BMI 24
D. Age 45
Answer: B
Rationale: Hyperglycemia impairs wound healing and immune function.
3. A patient is NPO after midnight for morning surgery. Which action
is correct?
A. Offer ice chips
B. Allow clear liquids
C. Confirm NPO status with the patient
D. Give routine morning meds with water
Answer: C
, Rationale: Verifying NPO status prevents aspiration.
4. During the immediate postoperative period, which assessment finding
should the nurse report first?
A. Pain 4/10
B. Respiratory rate 8 and shallow
C. Urine output 40 mL/hr
D. Incisional tenderness
Answer: B
Rationale: Airway and breathing take priority.
5. Which instruction best prevents atelectasis after abdominal surgery?
A. Remain flat in bed
B. Splint the incision and use the incentive spirometer
C. Restrict fluids
D. Avoid coughing
Answer: B
Rationale: Splinting plus IS promotes lung expansion.
6. A patient returns from surgery with a Jackson-Pratt drain. Which
action is correct?
, A. Empty and recompress the bulb
B. Flush the drain with saline
C. Clamp the drain
D. Irrigate with sterile water
Answer: A
Rationale: JP drains require compression to maintain suction.
7. Which patient statement shows correct understanding of
postoperative leg exercises?
A. "I'll keep my legs still to avoid clots."
B. "I'll flex and point my feet every hour."
C. "I'll cross my legs when sitting."
D. "I'll massage my calves deeply."
Answer: B
Rationale: Ankle pumps promote venous return.
8. A postoperative patient has a temperature of 100.6 F on day 1.
Which is the nurse's best interpretation?
A. Normal inflammatory response
B. Sepsis
C. Malignant hyperthermia
