NUR417 LATEST EXAM
NUR417 LATEST FINAL
EXAM 2025- 2026 SOLVED
Test Bank with 200+ Practice Questions
and Correct Verified Answers
The nurse is administering IV fluid boluses and nasogastric irrigation to a patient
with acute gastrointestinal (GI) bleeding. Which assessment finding is most
important for the nurse to communicate to the health care provider?
1. The bowel sounds are hyperactive in all four quadrants.
2. The patient's lungs have crackles audible to the midchest.
3. The nasogastric (NG) suction is returning coffee-ground material.
4. The patient's blood pressure (BP) has increased to 142/84 mm Hg. –
Correct Answer :2. The patient's lungs have crackles audible to the midchest.
A+ TEST BANK 1
, NUR417 LATEST EXAM
The patient's lung sounds indicate that pulmonary edema may be developing
because of the rapid infusion of IV fluid and that the fluid infusion rate would be
slowed. The return of coffee-ground material in an NG tube is expected for a
patient with upper GI bleeding. The BP is slightly elevated but would not be an
indication to contact the health care provider immediately. Hyperactive bowel
sounds are common when a patient has GI bleeding.
An 80-yr-old patient who is hospitalized with peptic ulcer disease develops new-
onset auditory hallucinations. Which prescribed medication will the nurse
discuss with the health care provider before administration?
1. Sucralfate (Carafate)
2. Aluminum hydroxide
3. Omeprazole (Prilosec)
4. Metoclopramide (Reglan) –
Correct Answer :4. Metoclopramide (Reglan)
Metoclopramide can cause central nervous system side effects ranging from
anxiety to hallucinations. Hallucinations are not a side effect of proton pump
inhibitors, mucosal protectants, or antacids.
After change-of-shift report, which patient would the nurse assess first?
A+ TEST BANK 2
, NUR417 LATEST EXAM
1. A 42-yr-old patient who has acute gastritis and ongoing epigastric pain
2. A 70-yr-old patient with a hiatal hernia who experiences frequent heartburn
3. A 60-yr-old patient with nausea and vomiting who is lethargic with dry mucosa
4. A 53-yr-old patient who has dumping syndrome after a recent partial
gastrectomy –
Correct Answer :3. A 60-yr-old patient with nausea and vomiting who is lethargic
with dry mucosa
A patient with nausea and vomiting who is lethargic with dry mucosa is at high
risk for problems such as aspiration, dehydration, and fluid and electrolyte
disturbances. The other patients will also need to be assessed, but the
information about them indicates symptoms that are typical for their diagnoses
and are not life threatening.
A patient reports gas pains and abdominal distention 2 days after a small bowel
resection. Which action would the nurse take?
1. Administer morphine sulfate.
2. Encourage the patient to ambulate.
3. Offer the prescribed promethazine.
4. Instill a mineral oil retention enema. –
Correct Answer :2. Encourage the patient to ambulate.
A+ TEST BANK 3
, NUR417 LATEST EXAM
Ambulation will improve peristalsis and help the patient eliminate flatus and
reduce gas pain. A mineral oil retention enema is helpful for constipation with
hard stool. A return-flow enema might be used to relieve persistent gas pains.
Morphine will further reduce peristalsis. Promethazine is used as an antiemetic
rather than to decrease gas pains or distention.
A young adult patient is admitted to the hospital for evaluation of right lower
quadrant abdominal pain with nausea and vomiting. Which action would the
nurse take?
1. Assist the patient to cough and deep breathe.
2. Palpate the abdomen for rebound tenderness.
3. Suggest the patient lie on the side, flexing the right leg.
4. Encourage the patient to sip clear, noncarbonated liquids. –
Correct Answer :3. Suggest the patient lie on the side, flexing the right leg.
The patient's clinical manifestations are consistent with appendicitis. Lying still
with the right leg flexed is often the most comfortable position. Checking for
rebound tenderness frequently is unnecessary and uncomfortable for the
patient. The patient should be NPO in case immediate surgery is needed. The
patient will need to know how to cough and deep breathe postoperatively, but
coughing will increase pain at this time.
Which finding is likely in the nurse's assessment of a patient who has a large
bowel obstruction?
A+ TEST BANK 4
NUR417 LATEST FINAL
EXAM 2025- 2026 SOLVED
Test Bank with 200+ Practice Questions
and Correct Verified Answers
The nurse is administering IV fluid boluses and nasogastric irrigation to a patient
with acute gastrointestinal (GI) bleeding. Which assessment finding is most
important for the nurse to communicate to the health care provider?
1. The bowel sounds are hyperactive in all four quadrants.
2. The patient's lungs have crackles audible to the midchest.
3. The nasogastric (NG) suction is returning coffee-ground material.
4. The patient's blood pressure (BP) has increased to 142/84 mm Hg. –
Correct Answer :2. The patient's lungs have crackles audible to the midchest.
A+ TEST BANK 1
, NUR417 LATEST EXAM
The patient's lung sounds indicate that pulmonary edema may be developing
because of the rapid infusion of IV fluid and that the fluid infusion rate would be
slowed. The return of coffee-ground material in an NG tube is expected for a
patient with upper GI bleeding. The BP is slightly elevated but would not be an
indication to contact the health care provider immediately. Hyperactive bowel
sounds are common when a patient has GI bleeding.
An 80-yr-old patient who is hospitalized with peptic ulcer disease develops new-
onset auditory hallucinations. Which prescribed medication will the nurse
discuss with the health care provider before administration?
1. Sucralfate (Carafate)
2. Aluminum hydroxide
3. Omeprazole (Prilosec)
4. Metoclopramide (Reglan) –
Correct Answer :4. Metoclopramide (Reglan)
Metoclopramide can cause central nervous system side effects ranging from
anxiety to hallucinations. Hallucinations are not a side effect of proton pump
inhibitors, mucosal protectants, or antacids.
After change-of-shift report, which patient would the nurse assess first?
A+ TEST BANK 2
, NUR417 LATEST EXAM
1. A 42-yr-old patient who has acute gastritis and ongoing epigastric pain
2. A 70-yr-old patient with a hiatal hernia who experiences frequent heartburn
3. A 60-yr-old patient with nausea and vomiting who is lethargic with dry mucosa
4. A 53-yr-old patient who has dumping syndrome after a recent partial
gastrectomy –
Correct Answer :3. A 60-yr-old patient with nausea and vomiting who is lethargic
with dry mucosa
A patient with nausea and vomiting who is lethargic with dry mucosa is at high
risk for problems such as aspiration, dehydration, and fluid and electrolyte
disturbances. The other patients will also need to be assessed, but the
information about them indicates symptoms that are typical for their diagnoses
and are not life threatening.
A patient reports gas pains and abdominal distention 2 days after a small bowel
resection. Which action would the nurse take?
1. Administer morphine sulfate.
2. Encourage the patient to ambulate.
3. Offer the prescribed promethazine.
4. Instill a mineral oil retention enema. –
Correct Answer :2. Encourage the patient to ambulate.
A+ TEST BANK 3
, NUR417 LATEST EXAM
Ambulation will improve peristalsis and help the patient eliminate flatus and
reduce gas pain. A mineral oil retention enema is helpful for constipation with
hard stool. A return-flow enema might be used to relieve persistent gas pains.
Morphine will further reduce peristalsis. Promethazine is used as an antiemetic
rather than to decrease gas pains or distention.
A young adult patient is admitted to the hospital for evaluation of right lower
quadrant abdominal pain with nausea and vomiting. Which action would the
nurse take?
1. Assist the patient to cough and deep breathe.
2. Palpate the abdomen for rebound tenderness.
3. Suggest the patient lie on the side, flexing the right leg.
4. Encourage the patient to sip clear, noncarbonated liquids. –
Correct Answer :3. Suggest the patient lie on the side, flexing the right leg.
The patient's clinical manifestations are consistent with appendicitis. Lying still
with the right leg flexed is often the most comfortable position. Checking for
rebound tenderness frequently is unnecessary and uncomfortable for the
patient. The patient should be NPO in case immediate surgery is needed. The
patient will need to know how to cough and deep breathe postoperatively, but
coughing will increase pain at this time.
Which finding is likely in the nurse's assessment of a patient who has a large
bowel obstruction?
A+ TEST BANK 4
