NUR 113 HESI practice test 1 (EAQ) Exam
Questions With Correct Answers
which administration instruction would the nurse give a client prescribed
| | | | | | | | | |
lansoprazole 60 mg daily to treat peptic ulcer disease
| | | | | | | | |
(PUD)?
A. as needed
| |
B. with meals
| |
C. before the morning meal
| | | |
D. at bedtime - CORRECT ANSWER✔✔-C
| | | | |
lansoprazole as a once daily dose should be taken in the morning before the first
| | | | | | | | | | | | | | |
meal to optimize its action. this medication is used for 4-6 weeks in combination
| | | | | | | | | | | | | |
with other therapy; it is not used as needed, with meals, or when indigestion
| | | | | | | | | | | | | |
occurs.
which finding is an indication of ulcer perforation in a client with peptic ulcer
| | | | | | | | | | | | | |
disease (PUD)? select all that apply
| | | | |
A. tachycardia
|
B. hypotension
|
C. rigid abdomen
| |
D. nausea/vomiting
|
,E. back and shoulder pain - CORRECT ANSWER✔✔-all the above
| | | | | | | | |
perforation of an ulcer can cause tachycardia and hypotension (both caused by
| | | | | | | | | | | |
fluid volume shifts from the vascular compartment to the abdominal cavity). a
| | | | | | | | | | | |
client with a perforated ulcer would have a hard, rigid abdomen (caused by
| | | | | | | | | | | | |
tensed muscles) and nausea/vomiting. back and shoulder pain can occur as a
| | | | | | | | | | | |
result of irritation of the phrenic nerve.
| | | | | |
which client would the nurse suspect as having peptic ulcer disease after
| | | | | | | | | | | |
reviewing the morning laboratory reports?
| | | |
A. heomophilus influenza
| |
B. helicobacter pylori
| |
C. pseudomonas aeruginosa
| |
D. staphylococcus aureus - CORRECT ANSWER✔✔-B
| | | | |
helicobacter pylori is a bacterium infecting the GI tract and causes peptic ulcers
| | | | | | | | | | | | |
and gastritis. haemophilus influenza may cause nasopharyngitis, meningitis, or
| | | | | | | | |
pneumonia. pseudomonas aeruginosa may cause urinary tract infections and
| | | | | | | | |
meningitis. staphylococcus aureus may cause skin infections, pneumonia, UTIs,
| | | | | | | | |
acute osteomyelitis, and toxic shock syndrome.
| | | | |
which info would be included in the teaching plan for the older client with peptic
| | | | | | | | | | | | | | |
ulcer disease who is taking an antacid and sucralfate?
| | | | | | | |
A. antacids should be taken 30 minutes before a meal
| | | | | | | | |
,B. sucralfate should be taken on an empty stomach 1 hour before meals
| | | | | | | | | | | |
C. sucralfate is prescribed for the long-term maintenance of peptic ulcer disease
| | | | | | | | | | |
D. sodium bicarbonate is an inexpensive over the counter antacid with few
| | | | | | | | | | | |
adverse effects - CORRECT ANSWER✔✔-B
| | | |
sucralfate works best in a low pH environment; therefore it should be given on an
| | | | | | | | | | | | | |
|empty stomach either 1 hour before or 2 hours after meals. sucralfate also
| | | | | | | | | | | | |
should be administered no sooner than 30 minutes before or after an antacid. the
| | | | | | | | | | | | |
|acid-neutralizing effects of antacids. last approx. 30 minutes when taken on an
| | | | | | | | | | | |
empty stomach and 3-4 hours when taken after meals. when sucralfate and an
| | | | | | | | | | | | |
antacid are both prescribed, they are each most effective when the sucralfate is
| | | | | | | | | | | | |
scheduled an hour before meals and the antacid is scheduled after meals.
| | | | | | | | | | | |
sucralfate is prescribed for the short-term treatment of peptic ulcers. its use is
| | | | | | | | | | | | |
limited to 4-8 weeks. the client should follow the recommendations of the
| | | | | | | | | | | |
primary health care provider with regard to antacid selection. sodium
| | | | | | | | | |
bicarbonate can produce acid-base imbalances, which could be harmful,
| | | | | | | | |
especially in older adult clients. | | | |
a client is admitted to the hospital with a diagnosis of peptic ulcer. which
| | | | | | | | | | | | | |
common complication would the nurse assess for in this client?
| | | | | | | | |
A. perforation
|
B. hemorrhage
|
C. pyloric obstruction
| |
D. esophageal varices - CORRECT ANSWER✔✔-B
| | | | |
, hemorrhage because of erosion of blood vessel walls is the most common
| | | | | | | | | | | |
complication of peptic ulcer disease. the complication of gastric perforation
| | | | | | | | | |
usually occurs after, and is not as common as, hemorrhage. pyloric obstruction is
| | | | | | | | | | | | |
not a common complication of peptic ulcer disease. esophageal varices occur
| | | | | | | | | | |
with portal hypertension, not peptic ulcer disease.
| | | | | |
which action would the nurse take when a client who had a total hip replacement
| | | | | | | | | | | | | |
states that the plan is to go swimming at the community pool the day after
| | | | | | | | | | | | | | | |
discharge?
A. tell the client to take a friend along for safety
| | | | | | | | | |
B. encourage participation in this activity because it provides excellent range of
| | | | | | | | | | | |
motion exercise |
C. explain that the incision should not be immersed in water until it has healed
| | | | | | | | | | | | | |
D. let the client know that swimming can substitute for the prescribed physical
| | | | | | | | | | | | |
therapy - CORRECT ANSWER✔✔-C | | |
because of the risk for infection, the client should avoid tub baths, hot tubs,
| | | | | | | | | | | | | |
pools, and immersion in other bodies of water until after the wound has healed
| | | | | | | | | | | | | |
and these activities are approved by the primary health care provider. immersion
| | | | | | | | | | | |
in water for a prolonged period interferes with wound healing, because water
| | | | | | | | | | | |
may macerate tissue. having a friend along does not change the fact that
| | | | | | | | | | | | |
immersion in water for a prolonged period will interfere with wound healing. the
| | | | | | | | | | | | |
client needs to continue physical therapy after discharge whether or not the
| | | | | | | | | | | |
client goes swimming.
| |
which key feature is associated with a stage 2 pressure ulcer?
| | | | | | | | | |
Questions With Correct Answers
which administration instruction would the nurse give a client prescribed
| | | | | | | | | |
lansoprazole 60 mg daily to treat peptic ulcer disease
| | | | | | | | |
(PUD)?
A. as needed
| |
B. with meals
| |
C. before the morning meal
| | | |
D. at bedtime - CORRECT ANSWER✔✔-C
| | | | |
lansoprazole as a once daily dose should be taken in the morning before the first
| | | | | | | | | | | | | | |
meal to optimize its action. this medication is used for 4-6 weeks in combination
| | | | | | | | | | | | | |
with other therapy; it is not used as needed, with meals, or when indigestion
| | | | | | | | | | | | | |
occurs.
which finding is an indication of ulcer perforation in a client with peptic ulcer
| | | | | | | | | | | | | |
disease (PUD)? select all that apply
| | | | |
A. tachycardia
|
B. hypotension
|
C. rigid abdomen
| |
D. nausea/vomiting
|
,E. back and shoulder pain - CORRECT ANSWER✔✔-all the above
| | | | | | | | |
perforation of an ulcer can cause tachycardia and hypotension (both caused by
| | | | | | | | | | | |
fluid volume shifts from the vascular compartment to the abdominal cavity). a
| | | | | | | | | | | |
client with a perforated ulcer would have a hard, rigid abdomen (caused by
| | | | | | | | | | | | |
tensed muscles) and nausea/vomiting. back and shoulder pain can occur as a
| | | | | | | | | | | |
result of irritation of the phrenic nerve.
| | | | | |
which client would the nurse suspect as having peptic ulcer disease after
| | | | | | | | | | | |
reviewing the morning laboratory reports?
| | | |
A. heomophilus influenza
| |
B. helicobacter pylori
| |
C. pseudomonas aeruginosa
| |
D. staphylococcus aureus - CORRECT ANSWER✔✔-B
| | | | |
helicobacter pylori is a bacterium infecting the GI tract and causes peptic ulcers
| | | | | | | | | | | | |
and gastritis. haemophilus influenza may cause nasopharyngitis, meningitis, or
| | | | | | | | |
pneumonia. pseudomonas aeruginosa may cause urinary tract infections and
| | | | | | | | |
meningitis. staphylococcus aureus may cause skin infections, pneumonia, UTIs,
| | | | | | | | |
acute osteomyelitis, and toxic shock syndrome.
| | | | |
which info would be included in the teaching plan for the older client with peptic
| | | | | | | | | | | | | | |
ulcer disease who is taking an antacid and sucralfate?
| | | | | | | |
A. antacids should be taken 30 minutes before a meal
| | | | | | | | |
,B. sucralfate should be taken on an empty stomach 1 hour before meals
| | | | | | | | | | | |
C. sucralfate is prescribed for the long-term maintenance of peptic ulcer disease
| | | | | | | | | | |
D. sodium bicarbonate is an inexpensive over the counter antacid with few
| | | | | | | | | | | |
adverse effects - CORRECT ANSWER✔✔-B
| | | |
sucralfate works best in a low pH environment; therefore it should be given on an
| | | | | | | | | | | | | |
|empty stomach either 1 hour before or 2 hours after meals. sucralfate also
| | | | | | | | | | | | |
should be administered no sooner than 30 minutes before or after an antacid. the
| | | | | | | | | | | | |
|acid-neutralizing effects of antacids. last approx. 30 minutes when taken on an
| | | | | | | | | | | |
empty stomach and 3-4 hours when taken after meals. when sucralfate and an
| | | | | | | | | | | | |
antacid are both prescribed, they are each most effective when the sucralfate is
| | | | | | | | | | | | |
scheduled an hour before meals and the antacid is scheduled after meals.
| | | | | | | | | | | |
sucralfate is prescribed for the short-term treatment of peptic ulcers. its use is
| | | | | | | | | | | | |
limited to 4-8 weeks. the client should follow the recommendations of the
| | | | | | | | | | | |
primary health care provider with regard to antacid selection. sodium
| | | | | | | | | |
bicarbonate can produce acid-base imbalances, which could be harmful,
| | | | | | | | |
especially in older adult clients. | | | |
a client is admitted to the hospital with a diagnosis of peptic ulcer. which
| | | | | | | | | | | | | |
common complication would the nurse assess for in this client?
| | | | | | | | |
A. perforation
|
B. hemorrhage
|
C. pyloric obstruction
| |
D. esophageal varices - CORRECT ANSWER✔✔-B
| | | | |
, hemorrhage because of erosion of blood vessel walls is the most common
| | | | | | | | | | | |
complication of peptic ulcer disease. the complication of gastric perforation
| | | | | | | | | |
usually occurs after, and is not as common as, hemorrhage. pyloric obstruction is
| | | | | | | | | | | | |
not a common complication of peptic ulcer disease. esophageal varices occur
| | | | | | | | | | |
with portal hypertension, not peptic ulcer disease.
| | | | | |
which action would the nurse take when a client who had a total hip replacement
| | | | | | | | | | | | | |
states that the plan is to go swimming at the community pool the day after
| | | | | | | | | | | | | | | |
discharge?
A. tell the client to take a friend along for safety
| | | | | | | | | |
B. encourage participation in this activity because it provides excellent range of
| | | | | | | | | | | |
motion exercise |
C. explain that the incision should not be immersed in water until it has healed
| | | | | | | | | | | | | |
D. let the client know that swimming can substitute for the prescribed physical
| | | | | | | | | | | | |
therapy - CORRECT ANSWER✔✔-C | | |
because of the risk for infection, the client should avoid tub baths, hot tubs,
| | | | | | | | | | | | | |
pools, and immersion in other bodies of water until after the wound has healed
| | | | | | | | | | | | | |
and these activities are approved by the primary health care provider. immersion
| | | | | | | | | | | |
in water for a prolonged period interferes with wound healing, because water
| | | | | | | | | | | |
may macerate tissue. having a friend along does not change the fact that
| | | | | | | | | | | | |
immersion in water for a prolonged period will interfere with wound healing. the
| | | | | | | | | | | | |
client needs to continue physical therapy after discharge whether or not the
| | | | | | | | | | | |
client goes swimming.
| |
which key feature is associated with a stage 2 pressure ulcer?
| | | | | | | | | |
