Acute care GI exam 3
Questions with Accurate
Answers
A 22yearold patient with Escherichia coli O157:H7 food poisoning is
admitted to the hospital with bloody diarrhea and dehydration. All of
the following orders are received. Which order will the nurse question?
a. Infuse lactated Ringer's solution at 250 mL/hr.
b. Monitor blood urea nitrogen and creatinine daily.
c. Administer loperamide (Imodium) after each stool.
d. Provide a clear liquid diet and progress diet as tolerated. correct
answer C
A 22yearold who is hospitalized with anorexia nervosa is 5 ft 5 in (163
cm) tall and weighs 90 pounds (41 kg). Laboratory tests reveal
hypokalemia and irondeficiency
anemia. Which nursing diagnosis has the highest priority for the
patient?
a. Risk for activity intolerance related to anemia and weakness
b. Risk for electrolyte imbalance related to poor eating patterns
c. Ineffective health maintenance related to obsession with body image
d. Imbalanced nutrition: less than body requirements related to refusal
to eat correct answer b
,A 24yo who takes a diuretic and a βblocker to control blood pressure is
scheduled for
abdominal surgery. Which patient information is most important to
communicate to the health care
provider before surgery?
a. Pulse rate 59
b. Hematocrit 35%
c. Blood pressure 142/78
d. Serum potassium 3.3 mEq/L correct answer D
A 32yearold patient is diagnosed with early alcoholic cirrhosis. Which
topic is most important to include in patient teaching?
a. Need to abstain from alcohol
b. Use of vitamin B supplements
c. Maintenance of a nutritious diet
d. Treatment with lactulose (Cephulac) correct answer A
A 36yearold woman is admitted for an outpatient surgery. Which
information obtained by the nurse during the preoperative assessment
is most important to report to the anesthesiologist before
surgery?
a. The patient's lack of knowledge about postoperative pain control
measures
,b. The patient's statement that her last menstrual period was 8 weeks
previously
c. The patient's history of a postoperative infection following a prior
cholecystectomy
d. The patient's concern that she will be unable to care for her children
postoperatively correct answer B
A 42yo pt is recovering from anesthesia in the PACU. On admission to
the PACU, the blood pressure (BP) is 124/70. Thirty minutes after
admission, the bp falls to 112/60, with a pulse of 72 and warm, dry skin.
The most appropriate action by the nurse at this time is to
a. increase the rate of the IV fluid replacement.
b. continue to take vital signs every 15 minutes.
c. administer oxygen therapy at 100% per mask.
d. notify the anesthesia care provider (ACP) immediately. correct
answer B
A 62yearold patient who has been diagnosed with esophageal cancer
tells the nurse, "I know that my chances are not very good, but I do not
feel ready to die yet." Which response by the nurse is most
appropriate?
a. "You may have quite a few years still left to live."
b. "Thinking about dying will only make you feel worse."
c. "Having this new diagnosis must be very hard for you."
, d. "It is important that you be realistic about your prognosis." correct
answer C
A 66yearold patient has a body mass index (BMI) of 31 kg/m , a normal
Creactive protein level, and low transferrin and albumin levels. The
nurse will plan patient teaching to increase the patient's intake of foods
that are high in
a. iron.
b. protein.
c. calories.
d. carbohydrate. correct answer b
A 67yearold patient tells the nurse, "I have problems with constipation
now that I am older, so I use a suppository every morning." Which
action should the nurse take first?
a. Encourage the patient to increase oral fluid intake.
b. Inform the patient that a daily bowel movement is unnecessary.
c. Assess the patient about individual risk factors for constipation.
d. Suggest that the patient increase dietary intake of high fiber foods.
correct answer C
A 75yO is to be discharged from the ambulatory surgical unit following
left eye surgery. The pt tells the nurse, "I do not know if I can take care
of myself with this patch over my eye." The most appropriate nursing
action is to
Questions with Accurate
Answers
A 22yearold patient with Escherichia coli O157:H7 food poisoning is
admitted to the hospital with bloody diarrhea and dehydration. All of
the following orders are received. Which order will the nurse question?
a. Infuse lactated Ringer's solution at 250 mL/hr.
b. Monitor blood urea nitrogen and creatinine daily.
c. Administer loperamide (Imodium) after each stool.
d. Provide a clear liquid diet and progress diet as tolerated. correct
answer C
A 22yearold who is hospitalized with anorexia nervosa is 5 ft 5 in (163
cm) tall and weighs 90 pounds (41 kg). Laboratory tests reveal
hypokalemia and irondeficiency
anemia. Which nursing diagnosis has the highest priority for the
patient?
a. Risk for activity intolerance related to anemia and weakness
b. Risk for electrolyte imbalance related to poor eating patterns
c. Ineffective health maintenance related to obsession with body image
d. Imbalanced nutrition: less than body requirements related to refusal
to eat correct answer b
,A 24yo who takes a diuretic and a βblocker to control blood pressure is
scheduled for
abdominal surgery. Which patient information is most important to
communicate to the health care
provider before surgery?
a. Pulse rate 59
b. Hematocrit 35%
c. Blood pressure 142/78
d. Serum potassium 3.3 mEq/L correct answer D
A 32yearold patient is diagnosed with early alcoholic cirrhosis. Which
topic is most important to include in patient teaching?
a. Need to abstain from alcohol
b. Use of vitamin B supplements
c. Maintenance of a nutritious diet
d. Treatment with lactulose (Cephulac) correct answer A
A 36yearold woman is admitted for an outpatient surgery. Which
information obtained by the nurse during the preoperative assessment
is most important to report to the anesthesiologist before
surgery?
a. The patient's lack of knowledge about postoperative pain control
measures
,b. The patient's statement that her last menstrual period was 8 weeks
previously
c. The patient's history of a postoperative infection following a prior
cholecystectomy
d. The patient's concern that she will be unable to care for her children
postoperatively correct answer B
A 42yo pt is recovering from anesthesia in the PACU. On admission to
the PACU, the blood pressure (BP) is 124/70. Thirty minutes after
admission, the bp falls to 112/60, with a pulse of 72 and warm, dry skin.
The most appropriate action by the nurse at this time is to
a. increase the rate of the IV fluid replacement.
b. continue to take vital signs every 15 minutes.
c. administer oxygen therapy at 100% per mask.
d. notify the anesthesia care provider (ACP) immediately. correct
answer B
A 62yearold patient who has been diagnosed with esophageal cancer
tells the nurse, "I know that my chances are not very good, but I do not
feel ready to die yet." Which response by the nurse is most
appropriate?
a. "You may have quite a few years still left to live."
b. "Thinking about dying will only make you feel worse."
c. "Having this new diagnosis must be very hard for you."
, d. "It is important that you be realistic about your prognosis." correct
answer C
A 66yearold patient has a body mass index (BMI) of 31 kg/m , a normal
Creactive protein level, and low transferrin and albumin levels. The
nurse will plan patient teaching to increase the patient's intake of foods
that are high in
a. iron.
b. protein.
c. calories.
d. carbohydrate. correct answer b
A 67yearold patient tells the nurse, "I have problems with constipation
now that I am older, so I use a suppository every morning." Which
action should the nurse take first?
a. Encourage the patient to increase oral fluid intake.
b. Inform the patient that a daily bowel movement is unnecessary.
c. Assess the patient about individual risk factors for constipation.
d. Suggest that the patient increase dietary intake of high fiber foods.
correct answer C
A 75yO is to be discharged from the ambulatory surgical unit following
left eye surgery. The pt tells the nurse, "I do not know if I can take care
of myself with this patch over my eye." The most appropriate nursing
action is to
