Nur 290 Exam 4 Practice Questions (CHAPTERS:
MUSCULOSKELETAL: - 34: rheumatoid arthritis,
systemic lupus eryhthromatosus (SLE), gout - 36:
osteoarthritis, joint replacement - 37: fractures, hip
fractures GI DISORDERS - 39: delivering enteral nutrition,
GERD, esophageal cancer - 40: peptic ulcer disease, gastric
cancer - 41: appendicitis, diverticular disease, IBD, ostomy,
intestinal obstruction, colorectal cancer - 43: viral hepatitis,
cirrhosis - 44: pancreatitis, cholecystitis) With Complete
Solutions
a client was fitted with an arm cast after fracturing the humerus.
twelve hours after the application of the cast, the client tells the
nurse that the injured arm hurts. analgesics do not relieve the
pain. what would be the most appropriate nursing action?
a. prepare the client for opening or bivalving of the cast
b. obtain a prescription for a different analgesic
c. encourage the client to wiggle and move the fingers
d. petal the edges of the client's cast
A. PREPARE THE CLIENT FOR OPENING OR BIVALVING
OF THE CAST
a client with gastroesophageal reflux disease (GERD) has a
diagnosis of Barrett esophagus with minor cell changes. What
principle should be integrated into the client's subsequent care?
a. the client will be monitored closely to detect malignant
,changes
b. liver enzymes must be checked regularly, as H2 receptor
antagonists may cause hepatic damage
c. small amounts of blood are likely to be present in the stools
and are not cause for concern
d. antacids may be discontinued when symptoms of heartburn
subside
A. THE CLIENT WILL BE MONITORED CLOSELY TO
DETECT MALIGNANT CHANGES
a client has been diagnosed with an esophageal diverticulum
after undergoing diagnostic imaging. when taking the health
history, the nurse should expect the client to describe what sign
or symptom?
a. burning pain on swallowing
b. regurgitation of undigested food
c. symptoms mimicking a myocardial infarction
d. chronic parotid abscesses
B. REGURGITATION OF UNDIGESTED FOOD
a nurse is addressing the prevention of esophageal cancer in
response to a question posed by a participant in a health
promotion workshop. what action should the nurse recommend
as having the greatest potential to prevent esophageal cancer?
a. promotion of a nutrient-dense, low-fat diet
b. annual screening endoscopy for clients over 50 with a family
history of esophageal cancer
,c. early diagnosis and treatment of gastroesophageal reflux
disease
d. adequate fluid intake and avoidance of spicy foods
C. EARLY DIAGNOSIS AND TREATMENT OF
GASTROESOPHAGEAL REFLUX DISEASE
a client who underwent surgery for esophageal cancer is
admitted to the critical care unit following postanesthetic
recovery. what should the nurse include in the client's immediate
postoperative plan of care?
a. teaching the client to self-suction
b. performing chest physiotherapy to promote oxygenation
c. positioning the client to prevent gastric reflux
d. providing a regular diet as tolerated
C. POSITIONING THE CLIENT TO PREVENT GASTRIC
REFLUX
a client with GERD has undergone diagnostic testing and it has
been determined that increasing the pace of gastric emptying
may help alleviate symptoms. the nurse should anticipate that
the client may be prescribed what drug?
a. metoclopramide
b. omeprazole
c. lansoprazole
d. calcium carbonate
A. METOCLOPRAMIDE
, a nurse is caring for a client in the late stages of esophageal
cancer. the nurse should plan to prevent or address what
characteristic(s) of this stage of the disease? SATA.
a. perforation into the mediastinum
b. development of an esophageal lesion
c. erosion into the great vessels
d. painful swallowing
e. obstruction of the esophagus
A. PERFORATION INTO THE MEDIASTINUM
C. EROSION INTO THE GREAT VESSELS
E. OBSTRUCTION OF THE ESOPHAGUS
the nurse is preparing to check for tube placement in the client's
stomach as well as measure the residual volume. what are these
nursing actions attempting to prevent?
a. gastric ulcers
b. aspiration
c. abdominal distention
d. diarrhea
B. ASPIRATION
a client's NG tube has become clogged after the nurse instilled a
medication that was insufficiently crushed. the nurse has
attempted to aspirate with a large-bore syringe, with no success.
what should the nurse do next?
a. withdraw the NG tube 2 inches (5 cm) and reattempt
MUSCULOSKELETAL: - 34: rheumatoid arthritis,
systemic lupus eryhthromatosus (SLE), gout - 36:
osteoarthritis, joint replacement - 37: fractures, hip
fractures GI DISORDERS - 39: delivering enteral nutrition,
GERD, esophageal cancer - 40: peptic ulcer disease, gastric
cancer - 41: appendicitis, diverticular disease, IBD, ostomy,
intestinal obstruction, colorectal cancer - 43: viral hepatitis,
cirrhosis - 44: pancreatitis, cholecystitis) With Complete
Solutions
a client was fitted with an arm cast after fracturing the humerus.
twelve hours after the application of the cast, the client tells the
nurse that the injured arm hurts. analgesics do not relieve the
pain. what would be the most appropriate nursing action?
a. prepare the client for opening or bivalving of the cast
b. obtain a prescription for a different analgesic
c. encourage the client to wiggle and move the fingers
d. petal the edges of the client's cast
A. PREPARE THE CLIENT FOR OPENING OR BIVALVING
OF THE CAST
a client with gastroesophageal reflux disease (GERD) has a
diagnosis of Barrett esophagus with minor cell changes. What
principle should be integrated into the client's subsequent care?
a. the client will be monitored closely to detect malignant
,changes
b. liver enzymes must be checked regularly, as H2 receptor
antagonists may cause hepatic damage
c. small amounts of blood are likely to be present in the stools
and are not cause for concern
d. antacids may be discontinued when symptoms of heartburn
subside
A. THE CLIENT WILL BE MONITORED CLOSELY TO
DETECT MALIGNANT CHANGES
a client has been diagnosed with an esophageal diverticulum
after undergoing diagnostic imaging. when taking the health
history, the nurse should expect the client to describe what sign
or symptom?
a. burning pain on swallowing
b. regurgitation of undigested food
c. symptoms mimicking a myocardial infarction
d. chronic parotid abscesses
B. REGURGITATION OF UNDIGESTED FOOD
a nurse is addressing the prevention of esophageal cancer in
response to a question posed by a participant in a health
promotion workshop. what action should the nurse recommend
as having the greatest potential to prevent esophageal cancer?
a. promotion of a nutrient-dense, low-fat diet
b. annual screening endoscopy for clients over 50 with a family
history of esophageal cancer
,c. early diagnosis and treatment of gastroesophageal reflux
disease
d. adequate fluid intake and avoidance of spicy foods
C. EARLY DIAGNOSIS AND TREATMENT OF
GASTROESOPHAGEAL REFLUX DISEASE
a client who underwent surgery for esophageal cancer is
admitted to the critical care unit following postanesthetic
recovery. what should the nurse include in the client's immediate
postoperative plan of care?
a. teaching the client to self-suction
b. performing chest physiotherapy to promote oxygenation
c. positioning the client to prevent gastric reflux
d. providing a regular diet as tolerated
C. POSITIONING THE CLIENT TO PREVENT GASTRIC
REFLUX
a client with GERD has undergone diagnostic testing and it has
been determined that increasing the pace of gastric emptying
may help alleviate symptoms. the nurse should anticipate that
the client may be prescribed what drug?
a. metoclopramide
b. omeprazole
c. lansoprazole
d. calcium carbonate
A. METOCLOPRAMIDE
, a nurse is caring for a client in the late stages of esophageal
cancer. the nurse should plan to prevent or address what
characteristic(s) of this stage of the disease? SATA.
a. perforation into the mediastinum
b. development of an esophageal lesion
c. erosion into the great vessels
d. painful swallowing
e. obstruction of the esophagus
A. PERFORATION INTO THE MEDIASTINUM
C. EROSION INTO THE GREAT VESSELS
E. OBSTRUCTION OF THE ESOPHAGUS
the nurse is preparing to check for tube placement in the client's
stomach as well as measure the residual volume. what are these
nursing actions attempting to prevent?
a. gastric ulcers
b. aspiration
c. abdominal distention
d. diarrhea
B. ASPIRATION
a client's NG tube has become clogged after the nurse instilled a
medication that was insufficiently crushed. the nurse has
attempted to aspirate with a large-bore syringe, with no success.
what should the nurse do next?
a. withdraw the NG tube 2 inches (5 cm) and reattempt
