NURS 321 EXAM #2 REVIEW;
QUESTIONS WITH DETAILED VERIFIED
ANSWERS; ALREADY GRADED A; 2026
A 17 year old male complains of a fever, chills, abdominal pain,
& nausea and vomiting. An assessment of his abdomen reveals
rebound tenderness. The nurse would suspect a diagnosis of:
a. Appendicitis
b. Cholecystitis
c. Pancreatitis
d. Peritonitis - correct answer- a. Appendicitis
A 32 year old female presents to the ER with nausea and
vomiting and vague abdominal pain for the past 2 days. The
nurse's priority intervention would be to:
a. Administer anti-nausea medication intravenously.
b. Encourage small sips of water or warm tea.
c. Keep the patient NPO.
d. Place an NG Tube - correct answer- c. Keep the
patient NPO.
,Rationale: The abdominal pain is most concerning. It could be
peritonitis, toxic megacolon, shock, etc; The patient should be
kept NPO until we figure out what is causing the pain.
A client with irritable bowel syndrome is instructed to begin
using a food diary. The client is unclear as to why a food diary is
needed. What is the basis of the nurse's explanation?
a. Flare-ups of the disease process are associated with increased
caloric intake.
b. Food selection should be based on following a low-sodium,
low-fat diet.
c. Excess fluid intake can lead to exacerbations of the disease.
d. Certain foods can act as triggers and cause flare-ups of the
disease. - correct answer- d. Certain foods can act as
triggers and cause flare-ups of the disease.
A male patient, newly diagnosed with colon cancer, presents to
the ER with cramp-like abdominal pain, nausea, projectile
vomiting, and dehydration. Which type of obstruction would you
suspect based on the patient's history and clinical
manifestations?
,a. Mechanical obstruction of the large intestines
b. Mechanical obstruction of the small intestines
c. Nonmechanical obstruction of the large intestines
d. Nonmechanical obstruction of the small intestines - correct
answer-
A nurse is assessing a patient who has experienced cirrhosis and
subsequent decreased immune status. Which is the nurse most
likely to document in the patient's record?
a. Risk for injury and bleeding
b. Altered nutrition less than body requirements
c. Fluid volume deficit
d. Impaired skin integrity - correct answer- d. Impaired
skin integrity
Rationale: Related to decreased immunity, edema, &
accumulation of bile salts
, A nurse is discussing postsurgery care techniques for a patient
with a hernia. Which techniques are appropriate? Select all that
apply.
a. Inspect the incision for signs and symptoms of infection and
report any concerns to the primary healthcare provider.
b. Avoid heavy lifting for several weeks.
c. Promote atelectasis and venous thromboembolism (VTE).
d. Avoid deep breathing and early ambulation.
e. Splint the surgical site with pillows while coughing. -
correct answer- a, b, and e
A nurse is discussing the precautionary measures that need to
be taken to prevent further complications with a patient who
has hepatitis. Which statement made by the patient indicates a
need for further discussion?
a. "I should continue taking acetaminophen as I have in the
past."
b. "I should take supplements of vitamin A, D, E, and K."
c. "I should take small, frequent meals that are low in fat."
QUESTIONS WITH DETAILED VERIFIED
ANSWERS; ALREADY GRADED A; 2026
A 17 year old male complains of a fever, chills, abdominal pain,
& nausea and vomiting. An assessment of his abdomen reveals
rebound tenderness. The nurse would suspect a diagnosis of:
a. Appendicitis
b. Cholecystitis
c. Pancreatitis
d. Peritonitis - correct answer- a. Appendicitis
A 32 year old female presents to the ER with nausea and
vomiting and vague abdominal pain for the past 2 days. The
nurse's priority intervention would be to:
a. Administer anti-nausea medication intravenously.
b. Encourage small sips of water or warm tea.
c. Keep the patient NPO.
d. Place an NG Tube - correct answer- c. Keep the
patient NPO.
,Rationale: The abdominal pain is most concerning. It could be
peritonitis, toxic megacolon, shock, etc; The patient should be
kept NPO until we figure out what is causing the pain.
A client with irritable bowel syndrome is instructed to begin
using a food diary. The client is unclear as to why a food diary is
needed. What is the basis of the nurse's explanation?
a. Flare-ups of the disease process are associated with increased
caloric intake.
b. Food selection should be based on following a low-sodium,
low-fat diet.
c. Excess fluid intake can lead to exacerbations of the disease.
d. Certain foods can act as triggers and cause flare-ups of the
disease. - correct answer- d. Certain foods can act as
triggers and cause flare-ups of the disease.
A male patient, newly diagnosed with colon cancer, presents to
the ER with cramp-like abdominal pain, nausea, projectile
vomiting, and dehydration. Which type of obstruction would you
suspect based on the patient's history and clinical
manifestations?
,a. Mechanical obstruction of the large intestines
b. Mechanical obstruction of the small intestines
c. Nonmechanical obstruction of the large intestines
d. Nonmechanical obstruction of the small intestines - correct
answer-
A nurse is assessing a patient who has experienced cirrhosis and
subsequent decreased immune status. Which is the nurse most
likely to document in the patient's record?
a. Risk for injury and bleeding
b. Altered nutrition less than body requirements
c. Fluid volume deficit
d. Impaired skin integrity - correct answer- d. Impaired
skin integrity
Rationale: Related to decreased immunity, edema, &
accumulation of bile salts
, A nurse is discussing postsurgery care techniques for a patient
with a hernia. Which techniques are appropriate? Select all that
apply.
a. Inspect the incision for signs and symptoms of infection and
report any concerns to the primary healthcare provider.
b. Avoid heavy lifting for several weeks.
c. Promote atelectasis and venous thromboembolism (VTE).
d. Avoid deep breathing and early ambulation.
e. Splint the surgical site with pillows while coughing. -
correct answer- a, b, and e
A nurse is discussing the precautionary measures that need to
be taken to prevent further complications with a patient who
has hepatitis. Which statement made by the patient indicates a
need for further discussion?
a. "I should continue taking acetaminophen as I have in the
past."
b. "I should take supplements of vitamin A, D, E, and K."
c. "I should take small, frequent meals that are low in fat."
