Exam Review
- A nurse is reviewing a client's prescription for 1,000 mL of 5% dextrose in water IV to infuse over 8 hr. At 1400, the nurse observes that there is 500 mL of solution remaining in the client's current IV bag. At what time should the nurse administer the next bag of IV solution?A)1700B)1600C)1500D)1800
- A patient has a bowel perforation from a recent surgery and has now been diagnosed with peritonitis. He has hypoactive bowel sounds, a temp of 100.5F. and an elevated WBC. To which of the following should the nurse be alert as the most serious potential complication of peritonitisA)Abdominal tendernessB)SepsisC)DiarrheaD)Nausea
- A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances?A)SteatorrheaB)BacteriaC)BloodD)Parasites
- The nurse is aware that many of the diseases of the lower gastrointestinal tract can be identified by the characteristics of the patient's stool. What would voluminous, greasy stools suggestA)Small Bowel ObstructionB)Colon CancerC)Intestinal malabsorptionD)Inflammatory colitis
Exam Review
- A charge nurse is observing a nurse auscultating a client's bowel sounds. Which of the following actions requires intervention by the charge nurse?A)Palpates the abdomen prior to performing auscultation.B)Performs auscultation between mealsC)Auscultates bowel sounds for 3 to 5 minD)Clamps the NG tube during auscultation
- A nurse is caring for a patient who has had bariatric surgery and is developing a teaching plan for the patient. Which information is essential for the nurse to include in this teachingA)Limit calories to no more than 3,000 dailyB)Choose foods high in simple carbohydrates.C)Eat six small meals daily spaced at equal intervals.D)Drink a minimum of 90 Ml (3 oz) of fluid with each meal.
- The nurse is receiving the morning report about a patient who is being treated on the hospital's medical unit. The nurse is informed that the patient's serum bilirubin level has been trending upward over the past 2 days and is now well above the normal reference range. The nurse should anticipate which of the following assessment findingsA)JaundiceB)AscitesC)Cold intoleranceD)Dependent edema
- A patient with a new ileostomy is concerned about the consistency of their stoma output. What is the expected consistency of ileostomy output shortly after surgery?A)Solid and formedB)Hard and pellet-likeC)Watery to pastyD)Mucus only
Exam Review
- A nurse is caring for a client in the primary care office who has a recent diagnosis of 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 lung disease."C)"A hiatal hernia might increase your risk for GERD."D)"A hiatal hernia might increase your risk for intestinal cancer.
- A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse the client's peristalsis is returning?A)Request for a cup of tea and some toastB)Passage of flatusC)Abdominal distentionD)Hypoactive bowel sounds in two quadrants
- A preoperative nurse is caring for 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)"This means that scar tissue formed from the healing of a past abdominal surgery is now constricting the opening in your intestine.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)"It's okay. It happens all the time and I've seen a lot of clients with this issue."
- A nurse is admitting a client who was prescribed antibiotic therapy and now has a Clostridium difficile infection. Which of the following actions should the nurse take?A)Place the client in a negative pressure room.B)Have the client wear a mask when out of the room.C)Use alcohol hand sanitizer after completing tasks for the client.D)Disinfect equipment in the client's room daily.
Exam Review
- A 77-year-old female patient experienced an ischemic stroke 6 days ago and has a nasogastric NG tube in place to facilitate tube feeding. The care team has arranged for many of the patient's medications to be made available in liquid form but not all of her medications are available in liquid form. As a result, the nurses have been crushing some of the patient's pills and administering them with warm tap water. Which of the following medications should not be administered in this mannerA)Tylenol with codeineB)Extended Release Metoprolol (Lopressor)C)Liquid ProbioticD)Levothyroxine (Synthroid)
- A nurse is planning care for a client who requires screening for rectal cancer. Which of the following tests should the nurse anticipate in the client's plan of care?A)Endoscopic retrograde cholangiopancreatography (ERCP)B)Upper GI seriesC)Upper Gl endoscopyD)Colonoscopy
- A nurse is providing discharge teaching for a client who is postoperative following an inner maxillary fixation for facial fractures. Which of the following instructions should the nurse include in the teaching?A)Eat a mechanical soft diet.B)Keep wire cutters with you.C)Floss teeth daily.D)Swallow using the supraglottic method.
- A public health nurse is participating in a community health fair that is focused on health promotion and illness prevention. Which of the following older adults most likely faces the highest risk of developing oral cancer?A)A woman who is morbidly obese and has a longstanding diagnosis of systemic lupus erythematosus (SLE).B)A woman who describes herself as a "proud breast cancer survivor for over 10 years."C)A man who states that he enjoys good health, with the exception of "heartburn after nearly every meal."D)A man who describes himself as always having been a "heavy smoker and a heavy drinker."
Exam Review
- A nurse is teaching a client who has a prescription of a nasogastric tube (NG) to treat a pyloric obstruction. Which of the following rationales for the use of the nasogastric tube should the nurse include in the teaching?A)Supply nutrients via tube feedings.B)Administer medications.C)Decompress the stomach.D)Determine the pH of the gastric secretions.
- A nurse is assessing a client who is receiving total parenteral nutrition (TPN). Which of the following findings should the nurse recognize as a complication of this therapyA)AspirationB)HyperglycemiaC)Small Bowel ObstructionD)Stomatitis
- A nurse is assessing a client who is on long term omeprazole (Prilosec) therapy. Which of the following findings should indicate to the nurse the medication is effective?A)Increased appetiteB)Absence of headacheC)Reduced dyspepsiaD)Regular bowel movements
- A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The nurse notices that the solution bag is almost empty and there is not another bag of TPN to administer. Which of the following IV solutions should the nurse administer until the next bag of TPN solution is available?A)Normal SalineB)10% dextrose in water (D10W)C)0.45% sodium chloride (0.45% NaCl)D)Lactated Ringer's solution
Exam Review
- A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?A)Chronic blood lossB)Intestinal parasitesC)Dietary iron restrictionsD)Intestinal malabsorption syndrome
- A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?A)"Crushing the medication might cause you to have a stomachache or indigestion."B)"Crushing the medication would release all the medication at once, rather than over time."C)"Crushing is unsafe, as it destroys the ingredients in the medication."D)"Crushing the medication is a good idea, and I can mix it in some ice cream for you."
- A nurse is providing teaching to 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 is characterized by a transmural granulomatous inflammation that can affect any part of the gastrointestinal tract.B)Crohn's disease looks like what would appear to be a second-degree burn in the colon and rectum areas only.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.
- The nurse is conducting an assessment of a patient's nutritional status prior to post pyloric intubation. When assessing the patient's most recent laboratory values the nurse should pay particular attention to the patient's level ofA)PrealbuminB)Alkaline phosphataseC)Blood glucoseD)Potassium