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NURS 498 Final Exam Questions and
Correct Answers/ Latest Update / Already
Graded
After the nurse has completed teaching a client with newly diagnosed
celiac disease, which of the following breakfast choices by the client
indicates good understanding of the information?
a. Corn tortilla with eggs
b. Bagel with cream cheese
c. Oatmeal with non-fat milk
d. Whole wheat toast with butter
Ans: a. corn tortilla with eggs
A client with ulcerative colitis who is taking azathioprine calls the nurse
in the outpatient clinic about all of these symptoms. Which of the
following symptoms is most important to communicate to the health
care provider?
a. Elevated temperature
b. Joint pain
c. Frequent headaches
d. Nausea
Ans: a. elevated temperature
All rights reserved © 2025/ 2026 |
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A nurse is developing a care plan for a client with hepatic
encephalopathy. Which are the goals for the care for this client? Select
all that apply.
a. provide food and fluids high in carbohydrates
b. encourage physical activity
c. prevent constipation
d. administer lactulose to reduce blood ammonia levels
f. check the pupil reaction
g. monitor coordination while walking
Ans: a. provide food and fluids high in carbohydrates
c. prevent constipation
d. administer lactulose to reduce blood ammonia levels
f. check the pupil reaction
g. monitor coordination while walking
The nurse is providing discharge teaching for a client with newly
diagnosed Crohn's disease about dietary measures to implement
during exacerbation episodes. Which statement made by the client
indicates a need for further instruction?
a. "I can have exacerbations and remissions with Crohn's disease."
b. "I'm going to learn some stress reduction techniques."
All rights reserved © 2025/ 2026 |
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c. "I will need to avoid caffeinated beverages."
d. "I should increase the fibre in my diet."
Ans: d. "I should increase the fibre in my diet."
The nurse is providing discharge teaching to a client following
gastrectomy and should instruct the client to take which measures to
assist in preventing dumping syndrome?
a. limit the fluid taken with meals
b. sit in a high-fowlers position during meals.
c. ambulate following a meal
d. eat high-carbohydrate foods
Ans: a. limit the fluid taken with meals
The nurse is caring for a client following a gastrojejunostomy (Billroth II
procedure). Which post-operative prescription should the nurse
question and verify?
a. leg exercises
b. early ambulation
c. irrigating the nasogastric tube
d. deep breathing and coughing exercises
All rights reserved © 2025/ 2026 |
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Ans: c. irrigating the nasogastric tube
The nurse is caring for a client who returns to the surgical nursing unit
following a vertical banded gastroplasty with a nasogastric tube to low,
intermittent suction and a patient-controlled analgesia (PCA) machine
for pain control. Which of the following nursing actions should be
included in the postoperative plan of care?
a. Support the surgical incision during client coughing and turning in
bed.
b. Irrigate the nasogastric (NG) tube frequently with normal saline.
c. Offer sips of sweetened liquids at frequent intervals.
d. Remind the client that PCA use may slow the return of bowel
function.
Ans: a. Support the surgical incision during client coughing and
turning in bed.
A client with a gunshot wound to the abdomen undergoes surgery, and
a colostomy is formed as illustrated. Which of the following
information should the nurse include in client teaching?
a. Soft, formed stool can be expected as drainage.
b. Stool will be expelled from both ostomy stomas.
c. This type of colostomy is usually temporary.
All rights reserved © 2025/ 2026 |
NURS 498 Final Exam Questions and
Correct Answers/ Latest Update / Already
Graded
After the nurse has completed teaching a client with newly diagnosed
celiac disease, which of the following breakfast choices by the client
indicates good understanding of the information?
a. Corn tortilla with eggs
b. Bagel with cream cheese
c. Oatmeal with non-fat milk
d. Whole wheat toast with butter
Ans: a. corn tortilla with eggs
A client with ulcerative colitis who is taking azathioprine calls the nurse
in the outpatient clinic about all of these symptoms. Which of the
following symptoms is most important to communicate to the health
care provider?
a. Elevated temperature
b. Joint pain
c. Frequent headaches
d. Nausea
Ans: a. elevated temperature
All rights reserved © 2025/ 2026 |
, Page |2
A nurse is developing a care plan for a client with hepatic
encephalopathy. Which are the goals for the care for this client? Select
all that apply.
a. provide food and fluids high in carbohydrates
b. encourage physical activity
c. prevent constipation
d. administer lactulose to reduce blood ammonia levels
f. check the pupil reaction
g. monitor coordination while walking
Ans: a. provide food and fluids high in carbohydrates
c. prevent constipation
d. administer lactulose to reduce blood ammonia levels
f. check the pupil reaction
g. monitor coordination while walking
The nurse is providing discharge teaching for a client with newly
diagnosed Crohn's disease about dietary measures to implement
during exacerbation episodes. Which statement made by the client
indicates a need for further instruction?
a. "I can have exacerbations and remissions with Crohn's disease."
b. "I'm going to learn some stress reduction techniques."
All rights reserved © 2025/ 2026 |
, Page |3
c. "I will need to avoid caffeinated beverages."
d. "I should increase the fibre in my diet."
Ans: d. "I should increase the fibre in my diet."
The nurse is providing discharge teaching to a client following
gastrectomy and should instruct the client to take which measures to
assist in preventing dumping syndrome?
a. limit the fluid taken with meals
b. sit in a high-fowlers position during meals.
c. ambulate following a meal
d. eat high-carbohydrate foods
Ans: a. limit the fluid taken with meals
The nurse is caring for a client following a gastrojejunostomy (Billroth II
procedure). Which post-operative prescription should the nurse
question and verify?
a. leg exercises
b. early ambulation
c. irrigating the nasogastric tube
d. deep breathing and coughing exercises
All rights reserved © 2025/ 2026 |
, Page |4
Ans: c. irrigating the nasogastric tube
The nurse is caring for a client who returns to the surgical nursing unit
following a vertical banded gastroplasty with a nasogastric tube to low,
intermittent suction and a patient-controlled analgesia (PCA) machine
for pain control. Which of the following nursing actions should be
included in the postoperative plan of care?
a. Support the surgical incision during client coughing and turning in
bed.
b. Irrigate the nasogastric (NG) tube frequently with normal saline.
c. Offer sips of sweetened liquids at frequent intervals.
d. Remind the client that PCA use may slow the return of bowel
function.
Ans: a. Support the surgical incision during client coughing and
turning in bed.
A client with a gunshot wound to the abdomen undergoes surgery, and
a colostomy is formed as illustrated. Which of the following
information should the nurse include in client teaching?
a. Soft, formed stool can be expected as drainage.
b. Stool will be expelled from both ostomy stomas.
c. This type of colostomy is usually temporary.
All rights reserved © 2025/ 2026 |
