1 In caring for a client returning from surgery for a thyroid disorder, the nurse would have
available, in case of emergency, the medication
Select one:
a. Potassium Chloride
b. Calcium Gluconate
c. Rectal Aspirin
d. Epinephrine
2 The nurse would regularly assess a client’s ability to metabolize the TPN solution
adequately by monitoring the client for which of the following signs?
Select one:
A. Tachycardia
B. Hypertension
C. Hyperglycemia
D. Elevated BUN concentration
3 A client who has a history of Crohn’s disease is admitted to the hospital with fever,
diarrhea, cramping abdominal pain, and weight loss. Which of the following laboratory
findings would be anticipated for the client?
Select one:
A. Thrombocytopenia
B. Hypercalcemia
C. Hyperalbuminemia
D. Hypokalemia
4 The client attends two sessions with the dietitian to learn about diet modifications to
minimize gastroesophageal reflux. The teaching would be considered successful if the
client says that she will decrease her intake of which of the following foods?
Select one:
A. Fats
B. Carbohydrates
C. High-calcium foods
,D. High-sodium foods
5 Which of the following diets would be most appropriate for the client with ulcerative
colitis?
Select one:
A. High calorie, low protein
B. Low sodium, high carbohydrate
C. High protein, low residue
D. Low fat, high fiber
6 Which of the following nursing diagnoses would be most appropriate for a client with an
intestinal obstruction?
Select one:
A. Impaired swallowing related to NPO status
B. Urinary retention related to deficient fluid volume
C. Chronic pain related to abdominal distention
D. Deficient fluid volume related to nausea and vomiting
7 A client who is recovering from a subtotal gastrectomy asks the nurse, “When will I be
able to eat three meals a day again like I used to?” Which of the following responses by
the nurse is most appropriate?
Select one:
A. “You will have to eat six small meals a day for the rest of your life”
B. “Most clients can resume their normal meal patterns in about 6 to 12mos”
C. “You will be able to tolerate three meals a day before you are discharged”
D. “Eating 6 meals a day is time-consuming, isn’t?”
8 The nurse instructs the client who has had a hemorrhoidectomy not to use sitz bath until
atleast 12 hours postoperatively to avoid inducing which of the following complication?
Select one:
A. Constipation
B. Urinary retention
, C. Hemorrhage
D. Rectal spasm
9 A client returning to the nursing unit after unilateral adrenalectomy has intravenous (IV)
cortisol prescribed. The nurse explains to the client that the primary reason for this
prescription is:
Select one:
a. prevention of addisonian crisis
b. improve respiratory hygiene
c. relief of pruritus.
d. promotion of wound healing
10 Which of the following has been identified as a potential risk factor for the development
of colon cancer?
Select one:
A. Chronic constipation
B. Long-term use of laxatives
C. History of smoking
D. History of inflammatory bowel disease
11 A client is having surgery for cholecystectomy and common bile duct exploration. The
nurse understands that after surgery the client will
Select one:
A. Be unable to concentrate bile
B. Not be able to digest fatty food
C. Be incapable of producing bile
D. Need to take oral bile salts
12 Mr. Laudico expressed to the nurse that he has been smelling increased and asked for
the reason. Nurse Isabelle’s most appropriate response is:
Select one:
a. The odor is normal. A deodorant may be used.
available, in case of emergency, the medication
Select one:
a. Potassium Chloride
b. Calcium Gluconate
c. Rectal Aspirin
d. Epinephrine
2 The nurse would regularly assess a client’s ability to metabolize the TPN solution
adequately by monitoring the client for which of the following signs?
Select one:
A. Tachycardia
B. Hypertension
C. Hyperglycemia
D. Elevated BUN concentration
3 A client who has a history of Crohn’s disease is admitted to the hospital with fever,
diarrhea, cramping abdominal pain, and weight loss. Which of the following laboratory
findings would be anticipated for the client?
Select one:
A. Thrombocytopenia
B. Hypercalcemia
C. Hyperalbuminemia
D. Hypokalemia
4 The client attends two sessions with the dietitian to learn about diet modifications to
minimize gastroesophageal reflux. The teaching would be considered successful if the
client says that she will decrease her intake of which of the following foods?
Select one:
A. Fats
B. Carbohydrates
C. High-calcium foods
,D. High-sodium foods
5 Which of the following diets would be most appropriate for the client with ulcerative
colitis?
Select one:
A. High calorie, low protein
B. Low sodium, high carbohydrate
C. High protein, low residue
D. Low fat, high fiber
6 Which of the following nursing diagnoses would be most appropriate for a client with an
intestinal obstruction?
Select one:
A. Impaired swallowing related to NPO status
B. Urinary retention related to deficient fluid volume
C. Chronic pain related to abdominal distention
D. Deficient fluid volume related to nausea and vomiting
7 A client who is recovering from a subtotal gastrectomy asks the nurse, “When will I be
able to eat three meals a day again like I used to?” Which of the following responses by
the nurse is most appropriate?
Select one:
A. “You will have to eat six small meals a day for the rest of your life”
B. “Most clients can resume their normal meal patterns in about 6 to 12mos”
C. “You will be able to tolerate three meals a day before you are discharged”
D. “Eating 6 meals a day is time-consuming, isn’t?”
8 The nurse instructs the client who has had a hemorrhoidectomy not to use sitz bath until
atleast 12 hours postoperatively to avoid inducing which of the following complication?
Select one:
A. Constipation
B. Urinary retention
, C. Hemorrhage
D. Rectal spasm
9 A client returning to the nursing unit after unilateral adrenalectomy has intravenous (IV)
cortisol prescribed. The nurse explains to the client that the primary reason for this
prescription is:
Select one:
a. prevention of addisonian crisis
b. improve respiratory hygiene
c. relief of pruritus.
d. promotion of wound healing
10 Which of the following has been identified as a potential risk factor for the development
of colon cancer?
Select one:
A. Chronic constipation
B. Long-term use of laxatives
C. History of smoking
D. History of inflammatory bowel disease
11 A client is having surgery for cholecystectomy and common bile duct exploration. The
nurse understands that after surgery the client will
Select one:
A. Be unable to concentrate bile
B. Not be able to digest fatty food
C. Be incapable of producing bile
D. Need to take oral bile salts
12 Mr. Laudico expressed to the nurse that he has been smelling increased and asked for
the reason. Nurse Isabelle’s most appropriate response is:
Select one:
a. The odor is normal. A deodorant may be used.
