1
NSG
NSG 4100 / NSG4100 EXAM 1: (NEW 2025/ 2026
UPDATE) NURSING PRACTICE - ADULT HEALTH III
REVIEW| QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- GALEN
What education should a patient receive if they are being discharged home with an indwelling
catheter? - ANS ✓Need to learn the adequacy of urine output, need to use asepsis technique
while cleaning and never irrigate regularly, only change when there is leakage, blockage or
encrustation, clean with soap and water, the tube needs to be anchor to minimize
manipulation, wash the perineal area twice a day
Explain the surgical procedure of a kidney transplant. - ANS ✓For the individual receiving
the kidney the old ones are not removed. The new kidney is placed on patient iliac fossa
anterior to the iliac crest because it allows easier blood flow. The renal artery of the donated
kidney is sutured to the iliac artery and the renal vein to the iliac vein. The ureter of the
donated kidney is sutured to the bladder and once the blood supply as been established in the
OR urine should flow showing a success.
What should the nursing assessment focus on post-kidney transplants? - ANS ✓Rejection-
oliguria (production of small amount o urine), edema, fever, increase BP, weight gain.
Infection-fever, high HR, high WBC
What topics should be included in post-op kidney transplant teaching? - ANS ✓Rejection
S/S, Infection S/S, and being medication compliance (needing to be on Immunosupressants
for the rest of their life).
What is the focus of care for a brain-dead patient that is an organ donor? - ANS ✓To
maintain good perfusion (good BP means good perfusion), decrease risk for infection, and
maintaining hemodynamic stability.
Risk factors for bladder cancer - ANS ✓Smoking occupational exposure (especially to
rubber), genetic mutations
Risk factors for renal cancer - ANS ✓Smoking, occupational exposure especially asbestos
What are the dietary recommendations for bariatric surgery patient? - ANS ✓Small frequent
meals, need to eat slowly and chew thoroughly, do not drink with meals, walk at least 30
minutes a day, take dietary supplements, only drink low calorie drinks
NSG 4100
, 2
NSG
What is dumping syndrome? - ANS ✓Rapid transit of food bolus from stomach to small
intestine.
What are signs and symptoms of dumping syndrome after bariatric surgery? - ANS
✓Elevated heart rate, dizziness, sweating, N/V, bloating, abdominal pain, diarrhea
Risk factors for oral and esophageal cancer - ANS ✓Smoking, excessive alcohol, previous
head and neck cancer, HPV infections
Risk factors for gastric cancer - ANS ✓Eating a diet with salty and smoked foods, chronic
gastritis, smoking, obesity, ulcers, H. pylori infection
What kind of diet do oral/esophageal/gastric cancers patient need? - ANS ✓Mechanical soft
diet along with small sips of water, no spicy or greasy foods
Signs and symptoms/complications of fluid overload in Liver Disease. - ANS ✓Ascites,
crackles, esop varies(bleeding in the esoph due to back up), portal hypertension, hypertension
Education for patients on preventing colon cancer. - ANS ✓Screening starting at the age of
50 unless the patient has a family history or is at high risk, watch for bright red blood in stool
Risk factors for colon cancer - ANS ✓Smoking, UC/Crohn's African American
Sign/Symptoms of colon cancer - ANS ✓Change in bowel habits and blood in the stool
Signs/Symptoms of pancreatitis - ANS ✓Abdominal pain, tenderness, back pain, pain after
meals, pain after alcohol ingestion
Nursing Intervention/treatments for pancreatitis. - ANS ✓Patient will be NPO and have an
NG TUBE, we will need to treat the pain and give the patient H2-reduce stomach acid
(cimetidine)/PPI- reduces the amount of stomach acid made by glands in the lining (Nexium-
esomeprazole)
Dietary recommendations for pancreatitis - ANS ✓Avoid high fat foods, small meals, avoid
alcohol, measure abdominal girth
Risk factors for pancreatic cancer - ANS ✓Older males, obesity, alcohol, smoking, diabetes,
environmental exposure
What labs would you expect to be drawn for pancreatitis? - ANS ✓Serum amylase will be
elevated and lipase will be elevated
What medications might you give for pancreatitis? - ANS ✓H2 (cimetidine-Tagamet,
famotidine-Pepsid) and PPI (esomeprazole-Nexium, dexlansoprazole, pantoprazole) but need
to avoid OTC antacids.
NSG 4100
NSG
NSG 4100 / NSG4100 EXAM 1: (NEW 2025/ 2026
UPDATE) NURSING PRACTICE - ADULT HEALTH III
REVIEW| QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- GALEN
What education should a patient receive if they are being discharged home with an indwelling
catheter? - ANS ✓Need to learn the adequacy of urine output, need to use asepsis technique
while cleaning and never irrigate regularly, only change when there is leakage, blockage or
encrustation, clean with soap and water, the tube needs to be anchor to minimize
manipulation, wash the perineal area twice a day
Explain the surgical procedure of a kidney transplant. - ANS ✓For the individual receiving
the kidney the old ones are not removed. The new kidney is placed on patient iliac fossa
anterior to the iliac crest because it allows easier blood flow. The renal artery of the donated
kidney is sutured to the iliac artery and the renal vein to the iliac vein. The ureter of the
donated kidney is sutured to the bladder and once the blood supply as been established in the
OR urine should flow showing a success.
What should the nursing assessment focus on post-kidney transplants? - ANS ✓Rejection-
oliguria (production of small amount o urine), edema, fever, increase BP, weight gain.
Infection-fever, high HR, high WBC
What topics should be included in post-op kidney transplant teaching? - ANS ✓Rejection
S/S, Infection S/S, and being medication compliance (needing to be on Immunosupressants
for the rest of their life).
What is the focus of care for a brain-dead patient that is an organ donor? - ANS ✓To
maintain good perfusion (good BP means good perfusion), decrease risk for infection, and
maintaining hemodynamic stability.
Risk factors for bladder cancer - ANS ✓Smoking occupational exposure (especially to
rubber), genetic mutations
Risk factors for renal cancer - ANS ✓Smoking, occupational exposure especially asbestos
What are the dietary recommendations for bariatric surgery patient? - ANS ✓Small frequent
meals, need to eat slowly and chew thoroughly, do not drink with meals, walk at least 30
minutes a day, take dietary supplements, only drink low calorie drinks
NSG 4100
, 2
NSG
What is dumping syndrome? - ANS ✓Rapid transit of food bolus from stomach to small
intestine.
What are signs and symptoms of dumping syndrome after bariatric surgery? - ANS
✓Elevated heart rate, dizziness, sweating, N/V, bloating, abdominal pain, diarrhea
Risk factors for oral and esophageal cancer - ANS ✓Smoking, excessive alcohol, previous
head and neck cancer, HPV infections
Risk factors for gastric cancer - ANS ✓Eating a diet with salty and smoked foods, chronic
gastritis, smoking, obesity, ulcers, H. pylori infection
What kind of diet do oral/esophageal/gastric cancers patient need? - ANS ✓Mechanical soft
diet along with small sips of water, no spicy or greasy foods
Signs and symptoms/complications of fluid overload in Liver Disease. - ANS ✓Ascites,
crackles, esop varies(bleeding in the esoph due to back up), portal hypertension, hypertension
Education for patients on preventing colon cancer. - ANS ✓Screening starting at the age of
50 unless the patient has a family history or is at high risk, watch for bright red blood in stool
Risk factors for colon cancer - ANS ✓Smoking, UC/Crohn's African American
Sign/Symptoms of colon cancer - ANS ✓Change in bowel habits and blood in the stool
Signs/Symptoms of pancreatitis - ANS ✓Abdominal pain, tenderness, back pain, pain after
meals, pain after alcohol ingestion
Nursing Intervention/treatments for pancreatitis. - ANS ✓Patient will be NPO and have an
NG TUBE, we will need to treat the pain and give the patient H2-reduce stomach acid
(cimetidine)/PPI- reduces the amount of stomach acid made by glands in the lining (Nexium-
esomeprazole)
Dietary recommendations for pancreatitis - ANS ✓Avoid high fat foods, small meals, avoid
alcohol, measure abdominal girth
Risk factors for pancreatic cancer - ANS ✓Older males, obesity, alcohol, smoking, diabetes,
environmental exposure
What labs would you expect to be drawn for pancreatitis? - ANS ✓Serum amylase will be
elevated and lipase will be elevated
What medications might you give for pancreatitis? - ANS ✓H2 (cimetidine-Tagamet,
famotidine-Pepsid) and PPI (esomeprazole-Nexium, dexlansoprazole, pantoprazole) but need
to avoid OTC antacids.
NSG 4100
