NU 301 Exam 3 UPDATED ACTUAL
Questions and CORRECT Answers
What is the priority assessment for a client 30 minutes post-glossectomy and bilateral neck dissection? -
CORRECT ANSWER - Airway patency, as edema and hemorrhage can cause rapid obstruction.
What bedside equipment is mandatory for a post-op oral cancer patient? - CORRECT ANSWER -
Tracheostomy kit, suction, and wire cutters.
What lab findings are most consistent with Type A chronic gastritis? - CORRECT ANSWER -
Decreased serum vitamin B12 and megaloblastic anemia due to loss of intrinsic factor.
How should a GERD patient be instructed to elevate the head of the bed? - CORRECT ANSWER -
Using 6-8 inch blocks under the head of the bed frame, not extra pillows.
When should a PPI be taken for optimal GERD management? - CORRECT ANSWER - 30-60
minutes before the first meal of the day.
What are the clinical signs of a perforated peptic ulcer? - CORRECT ANSWER - Sudden severe
constant abdominal pain, board-like rigid abdomen, and absent bowel sounds.
What is the priority nursing action for a suspected perforated peptic ulcer? - CORRECT
ANSWER - Place NPO, establish two large-bore IVs, and notify the surgeon immediately.
What is the only reliable method to verify NG tube placement before initial use? - CORRECT
ANSWER - X-ray.
What is the ASPEN guideline for holding an NG tube feeding based on gastric residual? - CORRECT
ANSWER - Hold the feeding if the gastric residual volume is greater than 500 mL.
What is the standard test of cure for H. pylori infection? - CORRECT ANSWER - Urea breath test
or stool antigen test at least 4 weeks after finishing treatment.
, What physical assessment findings indicate retroperitoneal hemorrhage in acute pancreatitis? -
CORRECT ANSWER - Grey Turner's sign (flank ecchymosis) and Cullen's sign (periumbilical
ecchymosis).
Why is meperidine (Demerol) avoided in the treatment of acute pancreatitis? - CORRECT
ANSWER - Its metabolite, normeperidine, carries a high risk of causing seizures.
What electrolyte imbalance is a common complication of severe acute pancreatitis due to saponification?
- CORRECT ANSWER - Hypocalcemia.
How should pancrelipase (Creon) be administered for chronic pancreatitis? - CORRECT
ANSWER - With every meal and snack; the enteric-coated beads must not be crushed.
What are the components of the classic triad for pancreatic head cancer? - CORRECT ANSWER -
Painless obstructive jaundice, Courvoisier's sign (palpable gallbladder), and profound weight loss.
What is a positive Murphy's sign, and what condition does it indicate? - CORRECT ANSWER -
Inspiratory arrest upon RUQ palpation; indicates acute cholecystitis.
What is the cause of right shoulder pain following a laparoscopic cholecystectomy? - CORRECT
ANSWER - Referred pain from residual CO2 gas irritating the phrenic nerve.
What is the immediate post-exposure prophylaxis for an unvaccinated nurse after an HBsAg+
needlestick? - CORRECT ANSWER - Report to employee health, receive HBIg, and start the
HBV vaccine series within 24 hours.
What is the recommended HOB position for a patient receiving NG tube feedings? - CORRECT
ANSWER - 30-45 degrees during and for 30-60 minutes after the feeding.
What is the preferred IV fluid for severe acute pancreatitis? - CORRECT ANSWER - Lactated
Ringer's solution.
Questions and CORRECT Answers
What is the priority assessment for a client 30 minutes post-glossectomy and bilateral neck dissection? -
CORRECT ANSWER - Airway patency, as edema and hemorrhage can cause rapid obstruction.
What bedside equipment is mandatory for a post-op oral cancer patient? - CORRECT ANSWER -
Tracheostomy kit, suction, and wire cutters.
What lab findings are most consistent with Type A chronic gastritis? - CORRECT ANSWER -
Decreased serum vitamin B12 and megaloblastic anemia due to loss of intrinsic factor.
How should a GERD patient be instructed to elevate the head of the bed? - CORRECT ANSWER -
Using 6-8 inch blocks under the head of the bed frame, not extra pillows.
When should a PPI be taken for optimal GERD management? - CORRECT ANSWER - 30-60
minutes before the first meal of the day.
What are the clinical signs of a perforated peptic ulcer? - CORRECT ANSWER - Sudden severe
constant abdominal pain, board-like rigid abdomen, and absent bowel sounds.
What is the priority nursing action for a suspected perforated peptic ulcer? - CORRECT
ANSWER - Place NPO, establish two large-bore IVs, and notify the surgeon immediately.
What is the only reliable method to verify NG tube placement before initial use? - CORRECT
ANSWER - X-ray.
What is the ASPEN guideline for holding an NG tube feeding based on gastric residual? - CORRECT
ANSWER - Hold the feeding if the gastric residual volume is greater than 500 mL.
What is the standard test of cure for H. pylori infection? - CORRECT ANSWER - Urea breath test
or stool antigen test at least 4 weeks after finishing treatment.
, What physical assessment findings indicate retroperitoneal hemorrhage in acute pancreatitis? -
CORRECT ANSWER - Grey Turner's sign (flank ecchymosis) and Cullen's sign (periumbilical
ecchymosis).
Why is meperidine (Demerol) avoided in the treatment of acute pancreatitis? - CORRECT
ANSWER - Its metabolite, normeperidine, carries a high risk of causing seizures.
What electrolyte imbalance is a common complication of severe acute pancreatitis due to saponification?
- CORRECT ANSWER - Hypocalcemia.
How should pancrelipase (Creon) be administered for chronic pancreatitis? - CORRECT
ANSWER - With every meal and snack; the enteric-coated beads must not be crushed.
What are the components of the classic triad for pancreatic head cancer? - CORRECT ANSWER -
Painless obstructive jaundice, Courvoisier's sign (palpable gallbladder), and profound weight loss.
What is a positive Murphy's sign, and what condition does it indicate? - CORRECT ANSWER -
Inspiratory arrest upon RUQ palpation; indicates acute cholecystitis.
What is the cause of right shoulder pain following a laparoscopic cholecystectomy? - CORRECT
ANSWER - Referred pain from residual CO2 gas irritating the phrenic nerve.
What is the immediate post-exposure prophylaxis for an unvaccinated nurse after an HBsAg+
needlestick? - CORRECT ANSWER - Report to employee health, receive HBIg, and start the
HBV vaccine series within 24 hours.
What is the recommended HOB position for a patient receiving NG tube feedings? - CORRECT
ANSWER - 30-45 degrees during and for 30-60 minutes after the feeding.
What is the preferred IV fluid for severe acute pancreatitis? - CORRECT ANSWER - Lactated
Ringer's solution.
