NUR 254 Exam 3 | Galen College of Nursing 2026 | Questions &
Verified Answers | Latest Update | Graded A+
1. A client is suspected of having tuberculosis. When would be the best time for
the nurse to collect the sputum specimen?
Directly before the client goes to bed in the evening.
After the client brushes the teeth.
After the client eats a meal.
Immediately after the client awakens in the morning.
2. After a bone marrow biopsy, what should the nurse do to help control the
patient's bleeding and prevent a hematoma from forming?
Pack the incision site with sterile packing strips
Apply pressure to the biopsy site
Palpate the site with padded gauze
Sit the client up in high Fowler's
3. Describe the significance of measuring ALT, AST, and bilirubin in evaluating
liver function before surgery.
These tests are used to evaluate kidney function before surgery.
ALT and AST levels are irrelevant for preoperative assessments.
Bilirubin levels indicate only the presence of infection.
Measuring ALT, AST, and bilirubin helps assess liver function and
identify potential complications during surgery.
4. Why is the assessment of passing flatus important before advancing a client's
diet from NPO to clear liquids?
, Passing flatus means the client has no pain and can eat anything.
Passing flatus is irrelevant to dietary advancement after surgery.
Passing flatus shows that the client is hydrated and ready for solid
food.
Passing flatus indicates that the gastrointestinal tract is functioning,
which is necessary for digestion.
5. The nurse is caring for a client in the postoperative period. When will the
nurse anticipate that the client is most likely to require the greatest amount of
analgesia for pain?
12-36 hours after surgery
Immediately after surgery
48-60 hours after surgery
4 hour after surgery
6. Why is it important for middle-aged adults to receive influenza and
pneumococcal vaccinations?
These vaccinations are optional and not recommended by health
authorities.
These vaccinations are primarily for children and not relevant to
middle-aged adults.
These vaccinations are only necessary for elderly patients.
These vaccinations help prevent serious respiratory infections that
can lead to complications in middle-aged adults.
7. What is the correct positioning for a client undergoing a thoracentesis?
, Position the client in a seated position with elbows on the overbed
table.
Place the client supine in the Trendelenburg position.
Administer an opioid analgesic.
Instruct the UAP to measure vital signs.
8. In a scenario where a nurse faces an ethical dilemma regarding patient care,
how might understanding that moral development continues into adulthood
impact their decision-making process?
Understanding that moral development continues into adulthood
may lead the nurse to consider the patient's evolving values and
beliefs in their decision-making process.
The nurse will assume all adults have the same moral reasoning as
adolescents.
The nurse will focus solely on hospital policies without considering the
patient's perspective.
The nurse may disregard the patient's values as they are fixed after
adolescence.
9. Why is it important to collect a sample from two different areas of the stool
specimen during a Hemoccult test?
To confirm the presence of vitamin C in the stool.
To minimize the time taken for the test.
To ensure the sample is large enough for testing.
To increase the likelihood of detecting occult blood that may not be
present in a single area.
, 10. The nurse reviewing preoperative bloodwork of a client with a history of
liver failure, focuses on which of the following tests?
ALT, AST, bilirubin
BUN, creatinine, and CBC
Serum albumin, TSH, and fasting blood glucose
Serum electrolytes, CBC and TSH
11. What nursing diagnosis is indicated for a client expressing sadness about
losing a breast after a mastectomy?
Disturbed Body Image
Fear
Grieving
Ineffective Coping
12. If a nurse collects a sputum specimen for tuberculosis testing but does not
send it to the laboratory immediately, what potential issue could arise?
Increased likelihood of the patient developing pneumonia
The specimen will be too diluted to test effectively
The patient may experience discomfort from the delay
Degradation of the specimen leading to inaccurate test results
13. A patient with diabetes has a glycosylated hemoglobin level of 9%. What
does this indicate about their diabetes management?
Excellent glucose control
Normal glucose levels
Verified Answers | Latest Update | Graded A+
1. A client is suspected of having tuberculosis. When would be the best time for
the nurse to collect the sputum specimen?
Directly before the client goes to bed in the evening.
After the client brushes the teeth.
After the client eats a meal.
Immediately after the client awakens in the morning.
2. After a bone marrow biopsy, what should the nurse do to help control the
patient's bleeding and prevent a hematoma from forming?
Pack the incision site with sterile packing strips
Apply pressure to the biopsy site
Palpate the site with padded gauze
Sit the client up in high Fowler's
3. Describe the significance of measuring ALT, AST, and bilirubin in evaluating
liver function before surgery.
These tests are used to evaluate kidney function before surgery.
ALT and AST levels are irrelevant for preoperative assessments.
Bilirubin levels indicate only the presence of infection.
Measuring ALT, AST, and bilirubin helps assess liver function and
identify potential complications during surgery.
4. Why is the assessment of passing flatus important before advancing a client's
diet from NPO to clear liquids?
, Passing flatus means the client has no pain and can eat anything.
Passing flatus is irrelevant to dietary advancement after surgery.
Passing flatus shows that the client is hydrated and ready for solid
food.
Passing flatus indicates that the gastrointestinal tract is functioning,
which is necessary for digestion.
5. The nurse is caring for a client in the postoperative period. When will the
nurse anticipate that the client is most likely to require the greatest amount of
analgesia for pain?
12-36 hours after surgery
Immediately after surgery
48-60 hours after surgery
4 hour after surgery
6. Why is it important for middle-aged adults to receive influenza and
pneumococcal vaccinations?
These vaccinations are optional and not recommended by health
authorities.
These vaccinations are primarily for children and not relevant to
middle-aged adults.
These vaccinations are only necessary for elderly patients.
These vaccinations help prevent serious respiratory infections that
can lead to complications in middle-aged adults.
7. What is the correct positioning for a client undergoing a thoracentesis?
, Position the client in a seated position with elbows on the overbed
table.
Place the client supine in the Trendelenburg position.
Administer an opioid analgesic.
Instruct the UAP to measure vital signs.
8. In a scenario where a nurse faces an ethical dilemma regarding patient care,
how might understanding that moral development continues into adulthood
impact their decision-making process?
Understanding that moral development continues into adulthood
may lead the nurse to consider the patient's evolving values and
beliefs in their decision-making process.
The nurse will assume all adults have the same moral reasoning as
adolescents.
The nurse will focus solely on hospital policies without considering the
patient's perspective.
The nurse may disregard the patient's values as they are fixed after
adolescence.
9. Why is it important to collect a sample from two different areas of the stool
specimen during a Hemoccult test?
To confirm the presence of vitamin C in the stool.
To minimize the time taken for the test.
To ensure the sample is large enough for testing.
To increase the likelihood of detecting occult blood that may not be
present in a single area.
, 10. The nurse reviewing preoperative bloodwork of a client with a history of
liver failure, focuses on which of the following tests?
ALT, AST, bilirubin
BUN, creatinine, and CBC
Serum albumin, TSH, and fasting blood glucose
Serum electrolytes, CBC and TSH
11. What nursing diagnosis is indicated for a client expressing sadness about
losing a breast after a mastectomy?
Disturbed Body Image
Fear
Grieving
Ineffective Coping
12. If a nurse collects a sputum specimen for tuberculosis testing but does not
send it to the laboratory immediately, what potential issue could arise?
Increased likelihood of the patient developing pneumonia
The specimen will be too diluted to test effectively
The patient may experience discomfort from the delay
Degradation of the specimen leading to inaccurate test results
13. A patient with diabetes has a glycosylated hemoglobin level of 9%. What
does this indicate about their diabetes management?
Excellent glucose control
Normal glucose levels
