NURS 321 EXAM #1 QUESTIONS AND CORRECT
DETAILED ANSWERS (ALREADY GRADED A+)
A 67-year-old male is suspected of having a peptic ulcer. The
nurse monitors for a decrease in which diagnostic value with GI
hemorrhage in this patient?
A. Reticulocyte count
B. Hematocrit
C. Prothrombin time
D. IgG antibodies to H pylori - correct answer- B.
Hematocrit
A charge nurse is teaching a group of nurses about a client who
has chronic gastritis and is scheduled for a vagotomy. Which of
the following statements indicates an understanding of the
purpose of this procedure?
a. "The client will have increased duodenal emptying"
b. "The client will have a reduction of gastric acid secretions"
c. "The client will have an increase of gastric mucus secretion"
,d. "The client will have increased secretion of
hydrogen/potassium ATPase enzymes - correct answer-
b. "The client will have a reduction of gastric acid secretions"
A client has a banding procedure for treatment of clinical
obesity. Which statement is accurate with regard to this type of
bariatric surgery?
a. Client will report decreased satiety.
b. Procedure will allow for limited absorption of nutrients.
c. The amount of food consumption will be decreased.
d. The stomach will have an increased ability to process food. -
correct answer- c. The amount of food consumption will
be decreased.
A client with gastroesophageal reflux disease has a catheter and
sensor that is placed in the nose and terminates in the distal
esophagus. The client has also been asked to keep a diary of
symptoms and activities. Which diagnostic test has been ordered
for this client?
a. Twenty-four-hour ambulatory esophageal pH monitoring
b. Pulmonary function tests
,c. Endoscopy
d. Telemetry monitoring - correct answer- a. Twenty-
four-hour ambulatory esophageal pH monitoring
A nurse is admitting a client who reports anorexia and is
experiencing malnutrition. Which of the following laboratory
findings should the nurse expect to be altered?
a. Creatine kinase
b. Troponin
c. Total billirubin
d. Albumin - correct answer- d. Albumin
A nurse is assessing a client and discovers the infusion pump
with the client's TPN solution is not infusing. The nurse should
monitor the client for which of the following conditions?
a. Excessive thirst and urination
b. Shakiness and diaphoresis
c. Fever and chills
d. Hypertension and crackles - correct answer- b.
Shakiness and diaphoresis
, A nurse is assessing a client who has a duodenal ulcer. Which of
the following findings should the nurse expect?
a. The client's pain is in the upper epigastrium
b. The client is malnourished
c. The client says ingesting food intensifies the pain
d. The client reports that pain occurs during the night -
correct answer- d. The client reports that pain occurs
during the night
A nurse is assessing a client who has peritonitis. Which of the
following findings should the nurse expect?
a. Bloody diarrhea
b. Board-like abdomen
c. Periumbilical cyanosis
d. Increased bowel sounds - correct answer- b. Board-
like abdomen
A nurse is assessing a client who has PUD. Which of the
following findings should the nurse identify as the priority?
DETAILED ANSWERS (ALREADY GRADED A+)
A 67-year-old male is suspected of having a peptic ulcer. The
nurse monitors for a decrease in which diagnostic value with GI
hemorrhage in this patient?
A. Reticulocyte count
B. Hematocrit
C. Prothrombin time
D. IgG antibodies to H pylori - correct answer- B.
Hematocrit
A charge nurse is teaching a group of nurses about a client who
has chronic gastritis and is scheduled for a vagotomy. Which of
the following statements indicates an understanding of the
purpose of this procedure?
a. "The client will have increased duodenal emptying"
b. "The client will have a reduction of gastric acid secretions"
c. "The client will have an increase of gastric mucus secretion"
,d. "The client will have increased secretion of
hydrogen/potassium ATPase enzymes - correct answer-
b. "The client will have a reduction of gastric acid secretions"
A client has a banding procedure for treatment of clinical
obesity. Which statement is accurate with regard to this type of
bariatric surgery?
a. Client will report decreased satiety.
b. Procedure will allow for limited absorption of nutrients.
c. The amount of food consumption will be decreased.
d. The stomach will have an increased ability to process food. -
correct answer- c. The amount of food consumption will
be decreased.
A client with gastroesophageal reflux disease has a catheter and
sensor that is placed in the nose and terminates in the distal
esophagus. The client has also been asked to keep a diary of
symptoms and activities. Which diagnostic test has been ordered
for this client?
a. Twenty-four-hour ambulatory esophageal pH monitoring
b. Pulmonary function tests
,c. Endoscopy
d. Telemetry monitoring - correct answer- a. Twenty-
four-hour ambulatory esophageal pH monitoring
A nurse is admitting a client who reports anorexia and is
experiencing malnutrition. Which of the following laboratory
findings should the nurse expect to be altered?
a. Creatine kinase
b. Troponin
c. Total billirubin
d. Albumin - correct answer- d. Albumin
A nurse is assessing a client and discovers the infusion pump
with the client's TPN solution is not infusing. The nurse should
monitor the client for which of the following conditions?
a. Excessive thirst and urination
b. Shakiness and diaphoresis
c. Fever and chills
d. Hypertension and crackles - correct answer- b.
Shakiness and diaphoresis
, A nurse is assessing a client who has a duodenal ulcer. Which of
the following findings should the nurse expect?
a. The client's pain is in the upper epigastrium
b. The client is malnourished
c. The client says ingesting food intensifies the pain
d. The client reports that pain occurs during the night -
correct answer- d. The client reports that pain occurs
during the night
A nurse is assessing a client who has peritonitis. Which of the
following findings should the nurse expect?
a. Bloody diarrhea
b. Board-like abdomen
c. Periumbilical cyanosis
d. Increased bowel sounds - correct answer- b. Board-
like abdomen
A nurse is assessing a client who has PUD. Which of the
following findings should the nurse identify as the priority?
