ANSWERS
"A patient is being discharged, 8 days postoperatively following a total
esophagectomy." Which teaching point does the nurse consider to be of the
highest priority during the transition to home?
A. Instruct the patient to eat three meals daily.
B. Emphasize the importance of lying down after meals.
C. Encourage the patient to ask his or her health care provider for antidepressant
medication.
D. Stress the importance of notifying the primary health care provider if leaking is
noted at the incision site. correct answer D
A 21-year-old with a stab wound to the abdomen has come to the emergency
department (ED). Once stabilized, the patient is admitted to the medical-surgical
unit. What does the admitting nurse do first for this patient?
A. Administer pain medication.
B. Assess skin temperature and color.
C. Check on the amount of urine output.
D. Take vital signs. correct answer D
A 23-year-old female patient reports having red, raised lesions at the base of her
tongue and on the inside of her mouth for the past 3 weeks. What priority
assessment question should the nurse ask?
,A. "Do you smoke cigarettes?"
B. "What type of work do you do?"
C. "Have you seen a dentist recently?"
D. "Do you have a history of human papillomavirus?" correct answer D
A 24-year-old male is scheduled for a minimally invasive inguinal hernia repair
(MIIHR). Which patient statement indicates a need for further teaching about this
procedure?
A. "I may have trouble urinating immediately after the surgery."
B. "I will need to stay in the hospital overnight."
C. "I will not eat after midnight the day of the surgery."
D. "My chances of having complications after this procedure are slim." correct
answer B
A 67-year-old male patient, with no surgical history, reports pain in the inguinal
area that occurs when he coughs. A bulge that can be pushed back into the
abdomen is found in his inguinal area. What type of hernia does he have?
A. Femoral
B. Reducible
C. Strangulated
D. Incarcerated correct answer B
,A 68-year-old patient with a history of arthritis and hypertension is admitted
reporting progressive epigastric cramping, dyspepsia, nausea, and dark, sticky
stools for 3 days. Which order will the nurse question?
A. Guaiac stool sample ´ 2
B. Stool sample for bacterial testing
C.I V fluids, normal saline at 125 ml/hr
D. Naproxen (Naprosyn) 500 mg twice daily correct answer D
A client arrives at the emergency department with acute abdominal pain in the
left lower quadrant. In which order does the nurse examine and assess the client's
abdomen?
A. LLQ, RLQ, LUQ, RUQ
B. LUQ, LLQ, RUQ, RLQ
C. RLQ, LLQ, RUQ, LUQ
D. RUQ, LUQ, RLQ, LLQ correct answer D
A client had a routine sigmoidoscopy with a tissue biopsy. What postprocedure
complication would the nurse report to the health care provider?
A. Gas and flatulence
B. Excessive bleeding
C. Nausea and vomiting
D. Severe rectal pain correct answer B
, A client has recently developed acute sialadenitis. Which intervention does the
nurse include in this client's care?
A. Applying cold compresses
B. Avoiding the use of fruit or citrus-flavored candy
C. Massaging the salivary gland
D. Restrict fluids correct answer C
A client has undergone a partial glossectomy for cancer. What community
resource does the nurse refer the client to when dressing supplies will be needed
at home?
A. Oral Cancer Foundation
B. American Cancer Society (ACS)
C. Client Advocate Foundation
D. American Medical Supply Foundation correct answer B
A client is admitted to the hospital with severe right upper quadrant (RUQ)
abdominal pain. Which assessment technique does the nurse use for this client?
A. Assesses the abdomen in the following sequence: inspection, palpation,
percussion, auscultation
B. Examines the RUQ of the abdomen last following all other assessment
techniques.
C. Have the client lie in a supine position with legs straight and arms at the sides
D. Gently palpates any bulging mass and documents findings. correct answer B