Nurs 372 Exam 2 Questions and Correct
Answers, Actual Exam Questions. With
Complete Solution.
A patient with cancer of the tongue has had a radical neck dissection. Which
nursing assessment would be a priority for this patient?
respiratory status and airway clearance
The nurses' comprehensive assessment of a patient includes inspection for
symptoms of oral cancer. What assessment finding is most characteristic of oral
cancer in its early stage?
Presence of a painless sore with raised edges
In this history of a patient with a duodenal ulcer, the nurse would anticipate that
Pain may awaken the patient in the middle of the night
You're caring for a 45 year old patient who is admitted with suspected acute
pancreatitis. The patient reports having extreme mid-epigastric pain that radiates
to the back. The patient states the pain started last night after eating fast food. As
the nurse, you know the two most common causes of acute pancreatitis are:
Gallstones and alcohol abuse
You are caring for a patient newly diagnosed with colon cancer who has become
withdrawn from family members. What strategy should you use to assist the
patient at this time?
Encourage the patient to identify concerns and verbalize feelings
The patient you are caring for is day three following a colostomy. As you are
changing the colostomy appliance, you assess that the stoma is dusky in color.
What might this indicate?
Circulation to the stoma is compromised
A patient with a nasogastric (NG) tube to suction has been taking ice chips by
mouth. The patient asks you why intravenous (IV) fluids are still necessary when
the ice chips are providing fluids. What is your best response?
"Ice chips do not replace electrolytes lost through the NG tube."
A nurse evaluating the effectiveness of dietary teaching with a patient diagnosed
with diverticulitis knows that regular consumption of which of the following food
indicates a need for further instruction?
Sunflower seeds
The nurse is preparing a postoperative teaching plan for a patient who has
undergone bariatric surgery. Which information listed below is essential to
include?
Eat six small meals per day
The patient has bright red streaking of blood in their stool. This is likely a result
of which of the following?
Hemorrhoids
, For a patient with cirrhosis, which nursing intervention would be most
appropriate to control fluid accumulation in the abdominal cavity?
Provide a low sodium diet
A patient who has alcoholic cirrhosis of the liver is to take lactulose (Constulose).
Which of these outcomes should the nurse expect for the patient?
Reduction in blood ammonia levels
Which statement made by the patient who is traveling to a non-industrialized
country indicates the need for further teaching regarding the prevention of viral
hepatitis?
"I should eat plenty of fresh fruit."
A patient visiting the clinic tells the nurse that he has a diverticulum and is
having surgery in two weeks. He asks why his breath is so foul smelling. The
nurse informs the patient that this is most likely due to
Decomposition of food retained in the diverticulum
A patient who has experienced gastric hemorrhage has had the bleeding
controlled and their condition is now stable. The nurse caring for the patient
should include in the plan of care as a priority, frequent assessment for
Tachycardia, hypotension, and tachypnea
A patient admitted with acute cholecystitis is preparing to be discharged home.
What dietary instructions would you include in the discharge plan for the patient?
Instruct the patient to consume a low-fat diet consisting of smaller, more frequent meals
A patient with acute cholecystitis is complaining of severe pain. Which
medication should you prepare to administer?
Morphine Sulfate (Morphine)
The nurse planning the care of a patient admitted with severe pancreatitis would
anticipate the diet order of
NPO with TPN at 83 mL/hr via central line
The nurse is preparing for a home visit to a patient discharged following a total
gastrectomy for treatment of gastric cancer. The nurse anticipates that the plan of
care will include which of the following interventions?
Monthly injections of Vitamin B 12
The nursing student recognizes that all of the following are symptoms of delirium
tremens except:
decreased heart rate
The nurse is caring for a patient with a nasogastric tube who is receiving enteral
feedings via bolus method four times per day. Before each feeding the nurse
assesses NGT placement in the stomach. The rationale for this action is to
prevent
Aspiration
The distressing symptoms of Dumping Syndrome result from the occurrence of
which of the following physiologic events?
Sudden release of peptides
A patient arrives in the clinic with a complaint of altered bowel habits and has a
family history of ulcerative colitis. The stools of this patient will most likely be
Watery with blood and mucus
Answers, Actual Exam Questions. With
Complete Solution.
A patient with cancer of the tongue has had a radical neck dissection. Which
nursing assessment would be a priority for this patient?
respiratory status and airway clearance
The nurses' comprehensive assessment of a patient includes inspection for
symptoms of oral cancer. What assessment finding is most characteristic of oral
cancer in its early stage?
Presence of a painless sore with raised edges
In this history of a patient with a duodenal ulcer, the nurse would anticipate that
Pain may awaken the patient in the middle of the night
You're caring for a 45 year old patient who is admitted with suspected acute
pancreatitis. The patient reports having extreme mid-epigastric pain that radiates
to the back. The patient states the pain started last night after eating fast food. As
the nurse, you know the two most common causes of acute pancreatitis are:
Gallstones and alcohol abuse
You are caring for a patient newly diagnosed with colon cancer who has become
withdrawn from family members. What strategy should you use to assist the
patient at this time?
Encourage the patient to identify concerns and verbalize feelings
The patient you are caring for is day three following a colostomy. As you are
changing the colostomy appliance, you assess that the stoma is dusky in color.
What might this indicate?
Circulation to the stoma is compromised
A patient with a nasogastric (NG) tube to suction has been taking ice chips by
mouth. The patient asks you why intravenous (IV) fluids are still necessary when
the ice chips are providing fluids. What is your best response?
"Ice chips do not replace electrolytes lost through the NG tube."
A nurse evaluating the effectiveness of dietary teaching with a patient diagnosed
with diverticulitis knows that regular consumption of which of the following food
indicates a need for further instruction?
Sunflower seeds
The nurse is preparing a postoperative teaching plan for a patient who has
undergone bariatric surgery. Which information listed below is essential to
include?
Eat six small meals per day
The patient has bright red streaking of blood in their stool. This is likely a result
of which of the following?
Hemorrhoids
, For a patient with cirrhosis, which nursing intervention would be most
appropriate to control fluid accumulation in the abdominal cavity?
Provide a low sodium diet
A patient who has alcoholic cirrhosis of the liver is to take lactulose (Constulose).
Which of these outcomes should the nurse expect for the patient?
Reduction in blood ammonia levels
Which statement made by the patient who is traveling to a non-industrialized
country indicates the need for further teaching regarding the prevention of viral
hepatitis?
"I should eat plenty of fresh fruit."
A patient visiting the clinic tells the nurse that he has a diverticulum and is
having surgery in two weeks. He asks why his breath is so foul smelling. The
nurse informs the patient that this is most likely due to
Decomposition of food retained in the diverticulum
A patient who has experienced gastric hemorrhage has had the bleeding
controlled and their condition is now stable. The nurse caring for the patient
should include in the plan of care as a priority, frequent assessment for
Tachycardia, hypotension, and tachypnea
A patient admitted with acute cholecystitis is preparing to be discharged home.
What dietary instructions would you include in the discharge plan for the patient?
Instruct the patient to consume a low-fat diet consisting of smaller, more frequent meals
A patient with acute cholecystitis is complaining of severe pain. Which
medication should you prepare to administer?
Morphine Sulfate (Morphine)
The nurse planning the care of a patient admitted with severe pancreatitis would
anticipate the diet order of
NPO with TPN at 83 mL/hr via central line
The nurse is preparing for a home visit to a patient discharged following a total
gastrectomy for treatment of gastric cancer. The nurse anticipates that the plan of
care will include which of the following interventions?
Monthly injections of Vitamin B 12
The nursing student recognizes that all of the following are symptoms of delirium
tremens except:
decreased heart rate
The nurse is caring for a patient with a nasogastric tube who is receiving enteral
feedings via bolus method four times per day. Before each feeding the nurse
assesses NGT placement in the stomach. The rationale for this action is to
prevent
Aspiration
The distressing symptoms of Dumping Syndrome result from the occurrence of
which of the following physiologic events?
Sudden release of peptides
A patient arrives in the clinic with a complaint of altered bowel habits and has a
family history of ulcerative colitis. The stools of this patient will most likely be
Watery with blood and mucus
