ANSWERS RATED A+
✔✔The health care provider prescribes warfarin for a patient VTE. Which information
would the nurse include in the patient's discharge teaching plan?
A. No routine laboratory monitoring is needed
B. Avoid contact sports and high risk activities
C. Increase daily intake of dark-green, leafy vegetables.
D. Continue to use garlic as a dietary supplement. - ✔✔B. Avoid contact sports and high
risk activities
✔✔A patient presents with symptoms of VTE in the calf. Which study would the nurse
expect to be prescribed to investigate for VTE?
A. Duplex ultrasound
B. Contrast venography
C. Magnetic resonance venography
D. Computed tomography venography - ✔✔A. Duplex ultrasound
✔✔The nurse is performing a physical assessment on a patient with CVI. Which
manifestation involving the lower extremities would the nurse expect?
A. Shiny skin
B. Absent pulses
C. Brownish color
D. Lack of sensation - ✔✔C. Brownish color
✔✔Which intervention would the nurse include in the care of a patient who has CVI?
A. Application of topical antibiotics to venous ulcers
B. Administering oral or subcutaneous anticoagulants
C. Maintaining the patient's legs in a dependent position
D. Teaching the patient the correct use of compression stockings - ✔✔D. Teaching the
patient the correct use of compression stockings
✔✔Which organism causes gastritis?
A. Streptococcus
B. Fusiform bacteria
C. Candida albicans
D. Helicobacter Pylori - ✔✔D. Helicobacter Pylori
✔✔Assessment findings of a patient include anorexia, nausea, and vomiting, and
epigastric tenderness. Which condition would the nurse suspect?
A. Gastritis
B. Achalasia
C. Stomach cancer
D. Upper GI bleeding - ✔✔A. Gastritis
,✔✔To prevent the recurrence of gastritis, which instruction would the nurse provide to
the patient?
A. Take Tylenol and ibuprofen for pain
B. Stop smoking and drinking
C. Consume a regular diet with moderate spices and seasonings
D. Request a prescription for corticosteroids from the health care provider - ✔✔B. Stop
smoking and drinking
✔✔Which condition is the most common cause for hematemesis?
A. Thalassemia
B. Sickle cell disease
C. Pernicious anemia
D. PUD - ✔✔D. PUD
✔✔A patient with acute gastritis has an NG tube to low-intermittent suction with bilious
drainage. Later the nurse observes that the drainage is blood-tinged. What action would
the nurse take next?
A. Assess the patient's pain
B. Obtain a set of vital signs
C. Page the health care provider
D. Document the data in the patient's record - ✔✔B. Obtain a set of vital signs
✔✔Which surgical treatment may result in the complications of weight loss, dumping
syndrome, and impaired wound healing?
A. Mandibulectomy
B. Total gastrectomy
C.Hemiglossectomy
D. Nissen Fundoplication - ✔✔B. Total gastrectomy
✔✔The nurse notes that a patient who had a total gastrectomy the day before has a
very small amount of fluid draining from the NG tube. Which action would the nurse
take?
A. Increase the power on the suction device
B. Irrigate the NG tube with 50 mL of sterile saline
C. Continue to monitor the patient and the drainage
D. Notify the health care provider immediately. - ✔✔C. Continue to monitor the patient
and the drainage
✔✔A patient reports nausea and burning epigastric pain. The patient takes NSAIDS on
a regular basis to relieve headaches. Which condition would the nurse suspect?
A. Gastritis
B. Achalasia
C. Oral cancer
D. Esophageal varices - ✔✔A. Gastritis
,✔✔What type of medication increases a patient's risk for upper GI bleeding?
A. Antacids
B. Anticholinergics
C. Tricyclic antidepressants
D. NSAIDS - ✔✔D. NSAIDS
✔✔A patient with abdominal trauma is at a risk for the development of hypovolemic
shock. The nurse expect which assessment finding?
A. Respiratory rate of 16 BPM
B. Heart rate of 58 BPM
C. BP of 80/42 mmHg
D. Increased pulse pressure - ✔✔C. BP of 80/42 mmHg
✔✔The nurse provides post-op care 8 hours after a patient underwent a laparotomy.
The nurse assesses the drainage rom the nasogastric tube and notifies the health care
provider immediately about which finding?
A. Bright red drainage
B. Bright green drainage
C. Dark-brown drainage
D. Dark-red drainage - ✔✔A. Bright red drainage
✔✔The nurse assesses a patient and suspects appendicitis based on which findings?
Select all that apply
A. Muscle guarding
B. High grade fever
C. Pain at McBurney's point
D. Pain decreased by coughing
E. Patient prefers to lie still, with the right leg flexed - ✔✔A. Muscle guarding
C. Pain at McBurney's point
E. Patient prefers to lie still, with the right leg flexed
✔✔The nurse is caring for a patient with an acute onset of abdominal pain, nausea, and
vomiting. A bowel obstruction is suspected. When auscultating the patient's abdomen,
the nurse expects which bowel sounds?
A. Borborygmus
B. Absent
C. Low-pitched below the area of the obstruction
D. High-pitched above the area of obstruction - ✔✔D. High-pitched above the area of
obstruction
✔✔The nurse provides preoperative care for a patient with a ruptured appendix and the
presence of peritonitis. The nurse prepares to administer which type of medication?
A. Benzodiazepine
B. Antiemetic
, C. NSAID
D. Antibiotic - ✔✔D. Antibiotic
✔✔Which condition involves inflammation of all layers of the bowel wall?
A. Peritonitis
B. Gastroenteritis
C. Crohn's Disease
D. Ulcerative Colitis - ✔✔D. Ulcerative Colitis
✔✔The nurse assigns which diagnostic statement as the highest priority in the plan of
care for a patient who has ulcerative colitis?
A. Activity intolerance
B. Deficient fluid volume
C. Impaired tissue integrity
D. Risk for impaired skin integrity - ✔✔B. Deficient fluid volume
✔✔A patient reports periumbilical pain that increases after coughing and sneezing. The
patient prefers to lie still with the right leg flexed. Which condition does the nurse
suspect?
A. Peritonitis
B. Appendicitis
C. Gastroenteritis
D. Ulcerative Colitis - ✔✔B. Appendicitis
✔✔When selecting the site for a patient's ostomy, which consideration does the health
team make?
A. The patient should be able to see the site
B. Outside the rectus muscle area is the best site
C. It is ideal if an abdominal stoma site can easily be bend
D. The ostomy should be conveniently located to allow for routine irrigation. - ✔✔A. The
patient should be able to see the site
✔✔The nurse provides postoperative care one day after a patient undergoes colotomy
surgery. The patient's stoma is most and dark pink, with no obvious drainage. Which
action does the nurse take?
A. Document the normal findings
B. Consult the wound, ostomy, and continence nurse
C. Irrigate the ostomy with normal saline
D. Palpate the abdomen around the stoma - ✔✔A. Document the normal findings
✔✔The nurse provides education about a double-barreled stoma for a group of nursing
students and includes which information?
A. It has distal functioning stoma called a mucus fistula
B. It involves the creation of a proximal nonfunctioning stoma
C. IT is usually performed in a patient who requires a permanent ostomy