NUR 257 Final Questions With Complete Solutions
A 35-year-old male client presents at the emergency department
with symptoms of a small bowel obstruction. In collaboration
with the primary provider, what intervention should the nurse
prioritize?
A. Insertion of a nasogastric tube
B. Insertion of a central venous catheter
C. Administration of a mineral oil edema
D. Administration of a glycerin suppository and an oral laxative
Correct Answers A. Insertion of a nasogastric tube
A client has been experiencing lower GI difficulties that have
increased in severity, and the gastroenterologist is concerned
that the client's bowel is not functioning properly. What function
of the lower GI tract is most likely to be affected by the client's
disorder?
A. water and electrolyte absorption
B. protein digestion
C. fat digestion
D. All options are correct Correct Answers A. water and
electrolyte absorption
A client has received a diagnosis of gastric cancer and is
awaiting a surgical date. During the preoperative period, the
client should adopt what dietary guidelines?
A. Eat small, frequent meals with high calorie and vitamin
content.
,B. Eat frequent meals with an equal balance of fate,
carbohydrates, and protein.
C. Eat frequent, low-fat meals with high protein content.
D. Try to maintain the pre-diagnosis pattern of eating. Correct
Answers A. Eat small, frequent meals with high calorie and
vitamin content.
A client has recently been diagnosed with gastric cancer. On
palpation, the nurse would note what two signs that confirm
metastasis to the liver? Select all that apply.
A. Ascites
B. Hepatomegaly
C. Distented bladder
D. Sister Mary Joseph's nodules
E. Petechiae at the palpation site Correct Answers A. Ascites
B. Hepatomegaly
A client is recently diagnosed with Crohn's disease and is
beginning treatment. What the first-line treatment does the nurse
expect that the client will be placed on to decrease the
inflammatory response?
A. Ciprofloxacin
B. Methotrexate
C. Azathroprine
D. Sulfasalazine Correct Answers D. Sulfasalazine
A client present to the ED with acute abdominal pain, fever,
nausea, and vomiting. During the client's examination, the lower
left abdominal quadrant is palpated causing the clinet to reprot
, pain the int RLQ. This psoitive sign is referred to as
____________ and suggests the client may be experiencing
____________.
A. Rovsing's sign; acute appendicitis
b. McBurney's sign; acute appendicitis
C. Rovsing's sign; perforation
D. McBurney's sign; perforation Correct Answers A. Rovsing's
sign; acute appendicitis
A client presents to the emergency room with a possible
diagnosis of appendicitis. The health care provider asks the
nusrse to assess for tenderness at McBurney's point. The nurse
knows to palpate which area?
A. Between the umbilicus and the left iliac crest
B. Between the imnilicus and the anterior superior iliac spine
C. In the left periumbilical area
D. In the upper right quadrant slightly below the diaphragm
Correct Answers B. Between the imnilicus and the anterior
superior iliac spine
A client suspected of having colorectal cancer requires requires
which diagnostic study to confirm the diagnosis?
A. Stool Hematest
B. Carcinoembryonic antigen
C. Sigmiodoscopy
D. Abdominal computed tomography (CT) scan Correct
Answers C. Sigmiodoscopy
A 35-year-old male client presents at the emergency department
with symptoms of a small bowel obstruction. In collaboration
with the primary provider, what intervention should the nurse
prioritize?
A. Insertion of a nasogastric tube
B. Insertion of a central venous catheter
C. Administration of a mineral oil edema
D. Administration of a glycerin suppository and an oral laxative
Correct Answers A. Insertion of a nasogastric tube
A client has been experiencing lower GI difficulties that have
increased in severity, and the gastroenterologist is concerned
that the client's bowel is not functioning properly. What function
of the lower GI tract is most likely to be affected by the client's
disorder?
A. water and electrolyte absorption
B. protein digestion
C. fat digestion
D. All options are correct Correct Answers A. water and
electrolyte absorption
A client has received a diagnosis of gastric cancer and is
awaiting a surgical date. During the preoperative period, the
client should adopt what dietary guidelines?
A. Eat small, frequent meals with high calorie and vitamin
content.
,B. Eat frequent meals with an equal balance of fate,
carbohydrates, and protein.
C. Eat frequent, low-fat meals with high protein content.
D. Try to maintain the pre-diagnosis pattern of eating. Correct
Answers A. Eat small, frequent meals with high calorie and
vitamin content.
A client has recently been diagnosed with gastric cancer. On
palpation, the nurse would note what two signs that confirm
metastasis to the liver? Select all that apply.
A. Ascites
B. Hepatomegaly
C. Distented bladder
D. Sister Mary Joseph's nodules
E. Petechiae at the palpation site Correct Answers A. Ascites
B. Hepatomegaly
A client is recently diagnosed with Crohn's disease and is
beginning treatment. What the first-line treatment does the nurse
expect that the client will be placed on to decrease the
inflammatory response?
A. Ciprofloxacin
B. Methotrexate
C. Azathroprine
D. Sulfasalazine Correct Answers D. Sulfasalazine
A client present to the ED with acute abdominal pain, fever,
nausea, and vomiting. During the client's examination, the lower
left abdominal quadrant is palpated causing the clinet to reprot
, pain the int RLQ. This psoitive sign is referred to as
____________ and suggests the client may be experiencing
____________.
A. Rovsing's sign; acute appendicitis
b. McBurney's sign; acute appendicitis
C. Rovsing's sign; perforation
D. McBurney's sign; perforation Correct Answers A. Rovsing's
sign; acute appendicitis
A client presents to the emergency room with a possible
diagnosis of appendicitis. The health care provider asks the
nusrse to assess for tenderness at McBurney's point. The nurse
knows to palpate which area?
A. Between the umbilicus and the left iliac crest
B. Between the imnilicus and the anterior superior iliac spine
C. In the left periumbilical area
D. In the upper right quadrant slightly below the diaphragm
Correct Answers B. Between the imnilicus and the anterior
superior iliac spine
A client suspected of having colorectal cancer requires requires
which diagnostic study to confirm the diagnosis?
A. Stool Hematest
B. Carcinoembryonic antigen
C. Sigmiodoscopy
D. Abdominal computed tomography (CT) scan Correct
Answers C. Sigmiodoscopy
