ANSWERS RATED A+
✔✔The nurse is administering immediate postoperative care to a patient who
underwent bariatric surgery. Which is a priority intervention?
A. Ambulating the patient
B. Administering analgesics
C. Providing solid foods
D. Providing low-protein diet to the patient - ✔✔B. Administering analgesics
✔✔The nurse provides education to a patient about postoperative care after an open
cholecystectomy. Which statement made by the patient indicates the need for further
teaching?
A. "I should consume a low fat diet."
B. "I can resume weightlifting now."
C. "I am permitted to engage in sexual intercourse."
D. "It is important to perform deep-breathing exercises." - ✔✔B. "I can resume
weightlifting now."
✔✔Which dietary recommendation would the nurse give to a patient with chronic
gallbladder disease?
A. Include dairy products
B. Maintain a low-protein diet
C. Include fat-soluble vitamins
D. Increase the intake of refined cereals - ✔✔C. Include fat-soluble vitamins
✔✔A patient reports abdominal pain, a rapid heartbeat, and generalized itching. The
nurse observes clay colored stools and amber colored urine. Which condition would the
nurse suspect?
A. Chronic pancreatitis
B. Chemoembolization
C. Hepatoencephalopathy
D. Obstruction of bile flow - ✔✔D. Obstruction of bile flow
✔✔A patient presents with pain in the right side of the upper quadrant, a body
temperature of 101° F, and indigestion. The laboratory reports show a white blood cell
count (WBC) of 14,000 cells/µL. The nurse suspects that the patient is experiencing
which condition?
A. Cirrhosis
B. Pancreatitis
C. Cholecystitis
D. Pancreatic cancer - ✔✔C. Cholecystitis
✔✔A patient has been diagnosed with cholethiasis. Which findings would indicate
possible obstructed bile flow? Select all that apply
,A. Jaundice
B. Steatorrhea
C. Dark, tarry stools
D. Dark-amber urine
E. Bleeding tendencies - ✔✔A. Jaundice
B. Steatorrhea
D. Dark-amber urine
E. Bleeding tendencies
✔✔Which statement made by the patient indicates the need for further teaching about
laparoscopic cholecystectomy?
A. "Small punctures will be made in my abdomen."
B. "I may be discharged the same day as the surgery."
C. "I will have work restrictions for six weeks after surgery."
D. "An instrument with a camera will be inside my abdomen." - ✔✔C. "I will have work
restrictions for six weeks after surgery."
✔✔What term is used for the formation of stones in the gallbladder?
A. Biliary colic
B. Cholangitis
C. Cholecystitis
D. Cholelithiasis - ✔✔D. Cholelithiasis
✔✔Which dietary substance would the nurse recommend for a patient with acute
cholecystitis?
A. Fat
B. Protein
C. Calcium
D. Carbohydrates - ✔✔A. Fat
✔✔When a patient is admitted with dehydration, which intervention would the nurse
include in a patient's plan of care?
A. Perform daily weights
B. Reorient the patient hourly
C. Restrict sodium intake to 2 grams per day
D. Provide continuous oxygen saturation monitoring - ✔✔A. Perform daily weights
✔✔During which phase should the nurse identify health problems?
A. Planning
B. Evaluation
C. Assessment
D. Nursing Diagnosis - ✔✔D. Nursing Diagnosis
✔✔Which intervention would the nurse implement first when providing care for a patient
being treated for hypernatremia that developed slowly over several days?
,A. Inflate seizure precautions
B. Administer prescribed diuretics
C. Monitor the patient's weight each day
D. Restrict the patient's dietary sodium intake - ✔✔A. Inflate seizure precautions
✔✔A COPD patient with severe hypoxia who has been prescribed oxygen therapy may
benefit from which nursing interventions? Select all that apply
A. Teach about home O2 use
B. Provide a high amount of O2
C. Provide a continuous supply of O2
D. Monitor for signs of adverse effects of O2 therapy
E. Adjust the oxygen flow rate depending on the desired O2 level - ✔✔A. Teach about
home O2 use
D. Monitor for signs of adverse effects of O2 therapy
E. Adjust the oxygen flow rate depending on the desired O2 level
✔✔Which action may be beneficial to a patient with COPD to maximize food intake?
A. Avoiding cold foods
B. Limiting fluids during mealtimes
C. Avoiding frequent meals and snacks
D. Performing physical activity before meals - ✔✔B. Limiting fluids during mealtimes
✔✔A 72-year old patient was admitted with epigastric pain caused by a gastric ulcer.
Which patient assessment warrants an urgent change in the nursing plan of care?
A. Chest pain relived with eating or drinking water
B. Back pain three or four hours after eating a meal
C. Burning epigastric pain 90 minutes after breakfast
D. Rigid abdomen - ✔✔D. Rigid abdomen
✔✔When the nurse is caring for a patient with a COPD exacerbation who requires
oxygen administration, which assessment finding is of most concern?
A. Bilateral ronchi
B. Increased lethargy
C. PaCO2 50 mmHg
D. O2 saturation 92% - ✔✔B. Increased lethargy
✔✔Which fluid and electrolyte imbalance would the nurse associate with the patient's
laboratory data?
Na+ = 132 mEq/L
BUN= 5mg/dL
HCT= 33%
A. Hyperkalemia
B. Hypernatremia
C. Excess fluid volume
D. Deficient fluid volume - ✔✔C. Excess fluid volume
, ✔✔Which clinical manifestations would indicate a patient with heart failure is at risk for
developing fluid volume excess?
A. Full, bounding pulse
B. Flattened neck veins
C. Low BP
D. Easily obliterated pulse - ✔✔A. Full, bounding pulse
✔✔Which term described the problem-solving approach to the identification and
treatment of a patient problem?
A. Data collection
B. Nursing diagnosis
C. Nursing process
D. Quality and Safety Education for Nurses (QSEN) - ✔✔C. Nursing process
✔✔Which task may be delegated to the UAP?
A. Discharging a patient
B. Measuring urine output
C. Administering oral medications
D. Performing an initial assessment - ✔✔B. Measuring urine output
✔✔Which right of delegation is the nurse addressing when considering a patient's
current needs?
A. Right task
B. Right circumstances
C. Right supervision and evaluation
D. Right directions and communications - ✔✔B. Right circumstances
✔✔A patient with chronic kidney disease is experiencing severe hyperphosphatemia.
The nurse notifies the HCP in anticipation of which ordered treatment?
A. Hemodialysis
B. Fluid restriction
C. Potassium supplementation
D. Loop diuretic therapy - ✔✔A. Hemodialysis
✔✔The nurse administers regular insulin IV to a patient to manage hyperkalemia.
Which additional IV medication would the nurse administer with the insulin to prevent
complications from this treatment?
A. Glucose
B. Furosemide
C. Pamidronate
D. Calcium gluconate - ✔✔A. Glucose