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    Exam Review

    1. A nurse is reinforcing teaching for a client about testing for gonorrhea. Which of the following statements will the nurse include in the teaching?
      A)
      "You will have a tube of blood drawn."
      B)
      "You will need to provide a stool sample for this test."
      C)
      "You will have an X-ray for this test."
      D)
      "You will have a culture swab taken from your cervix, rectum or mouth."
    2. A nurse is reinforcing teaching with a client who has cirrhosis of the liver. Which of the following statements should be included in the education materials?
      A)
      "Increase your activity as much as possible. You need to remain active."
      B)
      "Take pain-relief medication such as acetaminophen to relieve discomfort associated with ascites."
      C)
      "Avoid high-sodium foods such as canned soups/vegetables, processed meats, and prepackaged frozen dinners."
      D)
      "Ensure that you eat three large meals per day to keep your calories up."
    3. A nurse is collecting data from the medical history of a client who has been diagnosed with peptic ulcer disease (PUD). Which of the following factors should the nurse recognize as a primary risk factor to the development of PUD?
      A)
      Frequent use of antacid medications
      B)
      Consumption of a high-fiber diet
      C)
      A history of seasonal allergies
      D)
      Infection of Helicobacter pylori
    4. A nurse is caring for a client who is undergoing gender-affirming therapy. Which of the following is an expected outcome of gender-affirming care?
      A)
      The client will have a lower risk of contracting a sexually transmitted infection.
      B)
      The client will be less likely to experience medication side effects.
      C)
      The client will have a lower risk of cardiovascular disease in the future.
      D)
      The client is likely to experience an improvement in quality of life and mental health.
    Page 1 of 13

    Exam Review

    1. A nurse is caring for a client who has been diagnosed with gastroesophageal reflux disease (GERD). Which of the following should the nurse reinforce in the teaching as potential complications associated with poorly managed GERD? (Select All that Apply.)
      (SATA)
      A)
      Erosive esophagitis
      B)
      Barrett's esophagus
      C)
      Aspiration pneumonia
      D)
      Peptic ulcer disease
      E)
      Esophageal strictures
      F)
      Gastric cancer
    2. A nurse is discussing the pathophysiology of irritable bowel syndrome (IBS) with a client. Which of the following factors should the nurse include as a contributor to the development of IBS?
      A)
      "A dysfunction in the mucosal lining of the gastrointestinal tract contributes to the manifestations of IBS."
      B)
      "IBS manifestations are due to the overproduction of prostaglandins leading to increased bowel motility."
      C)
      "IBS is primarily caused by the presence of Clostridium difficile in the gastrointestinal tract."
      D)
      "An alteration in the interaction of the enteric nervous system and CNS contributes to the development of IBS."
    3. A nurse is caring for a client who has recurring manifestations of gastroesophageal reflux disease (GERD). Which of the following statements should the nurse reinforce in the teaching plan?
      A)
      "Excess weight around the abdomen may exacerbate GERD manifestations."
      B)
      "It is recommended to lie down immediately after eating to aid in digestion."
      C)
      "Increase your intake of caffeine and chocolate to help strengthen the lower esophageal sphincter."
      D)
      "You should eat large meals to reduce the frequency of stomach emptying."
    4. A nurse is contributing to the plan of care for a client who has erectile dysfunction. Which of the following should be included in the plan of care? (Select All that Apply.)
      (SATA)
      A)
      Review the client's current medication list.
      B)
      Assess the client's use of tobacco products.
      C)
      Screen the client for manifestations of depression.
      D)
      Instruct the client to void after sexual intercourse.
      E)
      Ask the client to describe current physical activity.
    Page 2 of 13

    Exam Review

    1. A nurse is caring for a client who states their parent died from complications of a Gl bleed. Which of the following reinforcements by the nurse will help the client decrease their risk of developing a peptic ulcer?
      A)
      "Avoid using decongestants for seasonal allergies/colds due to their positive link to developing a peptic ulcer."
      B)
      "Avoid foods that have been fried."
      C)
      "Avoid using hormone replacement therapy as this can increase your risk for a peptic ulcer."
      D)
      "Avoid consuming undercooked foods."
    2. A nurse is reinforcing teaching with a client who has end-stage liver disease and a recent diagnosis of thrombocytopenia. Which of the following statements provides the best recommendation to prevent complications of bleeding?
      A)
      Wear sleeveless or short-sleeved shirts and shorts to better visualize any skin issues.
      B)
      Apply an ice pack over a bleeding wound.
      C)
      Use a floss pick instead of the floss string to floss in between the teeth.
      D)
      Only use a soft-bristle toothbrush.
    3. A nurse is collecting data from a client's laboratory results. Which of the following lab values is usually tested with a new-onset diagnosis of liver disease?
      A)
      Albumin
      B)
      Erythrocyte sedimentation rate (ESR)
      C)
      C-reactive protein (CRP)
      D)
      D-dimer
    4. A nurse is reinforcing teaching for a client who has fibrocystic breasts about the use of acetaminophen. Which of the following statements should be included in the teaching?
      A)
      "Take the acetaminophen with food."
      B)
      "Acetaminophen should not be used for fibrocystic breast changes."
      C)
      "Check your other medication labels to be sure they don't include acetaminophen."
      D)
      "Acetaminophen will decrease the swelling but not the pain."
    Page 3 of 13

    Exam Review

    1. A nurse is reinforcing teaching with a client who has a new diagnosis of Crohn's disease. Which of the following statements by the nurse provides the most simplistic and non-medical description of the disorder?
      A)
      Crohn's disease looks like what would appear to be a second-degree burn in the colon and rectum areas only.
      B)
      Crohn's disease is characterized by a transmural granulomatous inflammation that can affect any part of the gastrointestinal tract.
      C)
      Crohn's disease causes continuous inflammation of the mucosa and sub-mucosa of the colon and rectal linings.
      D)
      Crohn's disease has the appearance of a patchwork quilt with some areas that are clear and some with sores.
    2. A nurse on a medical surgical unit is collecting data from an older adult client who has a large amount of abdominal ascites. The client is alert and oriented x3 and states that they walk independently at home and normally use a cane but forgot to bring it to the hospital. Which of the following measures are important for the nurse to initiate first?
      A)
      Skin safety protocol
      B)
      Fall risk protocol
      C)
      Bleeding precaution protocol
      D)
      Sodium restriction diet
    3. A nurse is collecting data on a 75-yr-old client who is a semi-retired attorney. The client has a diagnosis of confusion/delirium. The client has an end-stage liver failure diagnosis with increasing ascites. The spouse questions the nurse about the client's mental status because they state that the client is usually lucid and still works part-time. Which of the following indications is likely the contributing factor for the diagnosis?
      A)
      "This is likely related to a new-onset UTI."
      B)
      "This is likely related to new-onset hepatic encephalopathy."
      C)
      "This is likely related to a new-onset schizophrenia."
      D)
      "This is likely related to new-onset dementia."
    4. A nurse is preparing to administer medication to a client with peptic ulcer disease (PUD). Which of the following medications should the nurse expect the provider to prescribe as a protective barrier over the surface of the ulcer?
      A)
      Pantoprazole
      B)
      Famotidine
      C)
      Calcium carbonate
      D)
      Sucralfate
    Page 4 of 13

    Exam Review

    1. A nurse is caring for a female client in an outpatient clinic. Which of the following actions by the client increases the risk of bacterial vaginosis?
      A)
      The client douches after intercourse.
      B)
      The client uses a condom during intercourse.
      C)
      The client voids after intercourse.
      D)
      The client is taking an oral hormonal contraceptive.
    2. A nurse is caring for a client in the primary care office who states, "I think I have been experiencing symptoms of reflux." Which of the following manifestations should the nurse anticipate for a client who has GERD?
      A)
      Dyspnea
      B)
      Dysarthria
      C)
      Dyspepsia
      D)
      Dysesthesia
    3. A nurse is caring for a client who has fibrocystic breasts. The client asks the nurse, "What will happen to my fibrocystic breast changes after menopause?" Which of the following statements is an appropriate response by the nurse?
      A)
      "The manifestations often get worse after menopause."
      B)
      "You will be at increased risk of breast cancer."
      C)
      "The manifestations usually go away after menopause."
      D)
      "Menopause won't have any effect on the manifestations."
    4. A nurse is caring for a client who has been diagnosed with Helicobacter pylori infection. Which of the following medications should the nurse expect the provider will prescribe?
      A)
      Amoxicillin
      B)
      H2 receptor antagonists
      C)
      Proton pump inhibitors
      D)
      Antacids
    Page 5 of 13

    Exam Review

    1. A nurse is reinforcing teaching with a client who has recently been diagnosed with a hiatal hernia. Which of the following new information will be beneficial for the nurse to relay to the client?
      A)
      A hiatal hernia might increase your risk for stomach cancer.
      B)
      A hiatal hernia might increase your risk for GERD.
      C)
      A hiatal hernia might increase your risk for lung disease.
      D)
      A hiatal hernia might increase your risk for intestinal cancer.
    2. A nurse is teaching a client who has genital herpes about physiologic effects of the infection. Which of the following statements by the client indicates the teaching has been effective?
      A)
      "The medication will decrease manifestations but not cure the infection."
      B)
      "If I don't have any lesions, I can't transmit the infection to my partner."
      C)
      "Once I finish the medication, my partner is not at risk for getting the infection."
      D)
      "I need to take all the antibiotics, as prescribed, to treat the infection."
    3. A nurse is reinforcing teaching with a client who needs to have a cholecystectomy due to gallstones. Which of the following is the best response from the nurse to explain what caused this problem?
      A)
      The gallbladder has become inflamed due to the cholesterol in the gallstones.
      B)
      The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct.
      C)
      The gallbladder has become blocked by a tumor and is no longer working.
      D)
      The gallbladder became infected by a virus and needs to be removed.
    4. A nurse is reinforcing teaching with a client who is being prepped for emergency surgery related to a small bowel obstruction. The client is anxious and doesn't understand what the surgeon means by "adhesions" causing the blockage. Which of the following statements is the best response from the nurse?
      A)
      "It's okay. It happens all the time and I've seen a lot of clients with this issue."
      B)
      "The most important thing is that now you are here, and it is going to get taken care of."
      C)
      "I will be happy to go and get you some reading materials about this procedure to explain it further."
      D)
      "This means that scar tissue formed from the healing of a past abdominal surgery is now constricting the opening in your intestine."
    Page 6 of 13