NUR 257 FINAL EXAM QUESTIONS AND ANSWERS
1. A patient is not have daily bowel movements and has begun taking a laxative
for this problem. What should the nurse educate the patient about regarding
laxative use?
A. When taking the laxatives, plenty of fluid should be taken as well.
B. The laxatives should be taken no more than 3 times a week or laxative
addiction will result.
C. Laxatives should not be routinely taken due to destruction of nerve endings
in the colon.
D. Laxatives should never be the first response for the treatment of consti-
pation; natural methods should be employed first.
Answer> Laxatives should not be routinely taken due to destruction of nerve
endings in the colon.
2. A client with an infection in the area between the internal and external
sphincters. In which chronic disease is this condition commonly seen?
A. Crohn's Disease
B. diverticulosis
C. ulcerative colitis
D. irritable bowel syndrome
Answer> Crohn's Disease
3. The nurse is caring for a patient who has had an appendectomy. What is the
best position for the nurse to maintain the patient in after surgery?
A. Prone
B. Sims' left lateral
C. High Fowler's
D. Supine with the head of the bed elevated 15 degrees
Answer> High Fowler's
4. A curse caring for a client with small-bowel obstruction should plan to
implement which nursing interventions first?
,A. Administering pain medication
B. Obtaining a blood sample for laboratory studies
C. Preparing to insert a nasogastric (NG) tube
D. Administering I.V. fluids
Answer> Administering I.V. fluids
5. A client has been experiencing lower GI difficulties that have increased in
severity, and the gastroenterologist is concerned that the client's bowel is not
functioning properly. What function of the lower GI tract is most likely to be
affected by the client's disorder?
A. water and electrolyte absorption
,B. protein digestion
C. fat digestion
D. All options are correct
Answer> water and electrolyte absorption
6. The nurse observes the physician palpating the abdomen of a client that is
suspected of having acute appendicitis. When the abdomen is pressed in the
left lower quadrant the client complains of pain on the right side. What does
the nurse understand this assessment technique is referred to?
A. Referred pain
B. Rebound pain
C. Rovsing sign
D. Cremasteric reflex
Answer> Rovsing sign
7. A positive Rovsing's sign is indicative of appendicitis. A nurse knows to
assess for this indicator by palpating the:
A. Right lower quadrant
B. Left lower quadrant
C. Right upper quadrant
D. Left upper quadrant
Answer> Left lower quadrant
8. Which type of diarrhea is caused by increased production of water and
electrolytes by the intestinal mucosa and their secretion into the intestinal
lumen?
A. Osmotic diarrhea
B. Secretory diarrhea
C. Mixed diarrhea
D. Diarrheal disease
Answer> Secretory diarrhea
9. Which is the most prominent signs of inflammatory bowel disease?
, A. Abdominal distention and constipation
B. Intermittent pain and diarrhea
C. Hyperactive bowel sounds and constipation
D. Increased peristalsis and diarrhea
Answer> Intermittent pain and diarrhea
10. Clients with irritable bowel disease (IBS) are at significantly increased risk
for which condition?
A. Osteoporosis
B. DVT
1. A patient is not have daily bowel movements and has begun taking a laxative
for this problem. What should the nurse educate the patient about regarding
laxative use?
A. When taking the laxatives, plenty of fluid should be taken as well.
B. The laxatives should be taken no more than 3 times a week or laxative
addiction will result.
C. Laxatives should not be routinely taken due to destruction of nerve endings
in the colon.
D. Laxatives should never be the first response for the treatment of consti-
pation; natural methods should be employed first.
Answer> Laxatives should not be routinely taken due to destruction of nerve
endings in the colon.
2. A client with an infection in the area between the internal and external
sphincters. In which chronic disease is this condition commonly seen?
A. Crohn's Disease
B. diverticulosis
C. ulcerative colitis
D. irritable bowel syndrome
Answer> Crohn's Disease
3. The nurse is caring for a patient who has had an appendectomy. What is the
best position for the nurse to maintain the patient in after surgery?
A. Prone
B. Sims' left lateral
C. High Fowler's
D. Supine with the head of the bed elevated 15 degrees
Answer> High Fowler's
4. A curse caring for a client with small-bowel obstruction should plan to
implement which nursing interventions first?
,A. Administering pain medication
B. Obtaining a blood sample for laboratory studies
C. Preparing to insert a nasogastric (NG) tube
D. Administering I.V. fluids
Answer> Administering I.V. fluids
5. A client has been experiencing lower GI difficulties that have increased in
severity, and the gastroenterologist is concerned that the client's bowel is not
functioning properly. What function of the lower GI tract is most likely to be
affected by the client's disorder?
A. water and electrolyte absorption
,B. protein digestion
C. fat digestion
D. All options are correct
Answer> water and electrolyte absorption
6. The nurse observes the physician palpating the abdomen of a client that is
suspected of having acute appendicitis. When the abdomen is pressed in the
left lower quadrant the client complains of pain on the right side. What does
the nurse understand this assessment technique is referred to?
A. Referred pain
B. Rebound pain
C. Rovsing sign
D. Cremasteric reflex
Answer> Rovsing sign
7. A positive Rovsing's sign is indicative of appendicitis. A nurse knows to
assess for this indicator by palpating the:
A. Right lower quadrant
B. Left lower quadrant
C. Right upper quadrant
D. Left upper quadrant
Answer> Left lower quadrant
8. Which type of diarrhea is caused by increased production of water and
electrolytes by the intestinal mucosa and their secretion into the intestinal
lumen?
A. Osmotic diarrhea
B. Secretory diarrhea
C. Mixed diarrhea
D. Diarrheal disease
Answer> Secretory diarrhea
9. Which is the most prominent signs of inflammatory bowel disease?
, A. Abdominal distention and constipation
B. Intermittent pain and diarrhea
C. Hyperactive bowel sounds and constipation
D. Increased peristalsis and diarrhea
Answer> Intermittent pain and diarrhea
10. Clients with irritable bowel disease (IBS) are at significantly increased risk
for which condition?
A. Osteoporosis
B. DVT
