NR 511 Midterm Exam Questions and Correct
Verified Answers with Rationales 2024 Update.
All of the following medications are used for the control of nausea and vomiting.
Which medication works by affecting the chemoreceptor trigger zone, thereby
stimulating upper gastrointestinal motility and increasing lower esophageal
sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol)
- Correct Answer- Antidopaminergic and cholinergic agents, such as
metoclopramide (Reglan)
Rationale: Metoclopramide (Reglan) is used for diabetic gastroparesis and
postoperative nausea and vomiting. It works by affecting the chemoreceptor
trigger zone, thereby stimulating upper gastrointestinal motility and increasing
lower esophageal sphincter pressure
You auscultate Julie's abdomen and hear a peritoneal friction rub. Which
condition do you rule out?
1.Peritonitis.
2.A liver or spleen abscess.
3.A liver or spleen metastatic tumor.
, NR 511 Midterm Exam Questions and Correct
Verified Answers with Rationales 2024 Update.
4.Irritable bowel syndrome. - Correct Answer- IBS
Rationale: IBS does not produce a friction rub
You are counseling Lillian, who is lactose intolerant, about foods to avoid. You
know she misunderstands the teaching when she tells you she can have:
1. Yogurt.
2.Foods containing whey.
3.Prehydrolyzed milk.
4.Oranges. - Correct Answer- Foods containing whey
Rationale: Advise clients who are lactose intolerant to avoid foods containing
whey. Whey is a lactose-rich ingredient found in some foods, so clients who are
lactose intolerant need to read labels on all foods. To control symptoms, dietary
lactose should be reduced or restricted by using lactose-reduced and lactose-free
dairy products or by eating lactose-rich foods in small amounts or in combination
with low-lactose or lactose-free foods.
Simon, age 72, states that he is worried because he has a bowel movement only
every third day. You respond:
1."You should have two to three stools per day."
2."You should defecate once a day."
3."You should have at least three stools per week."
, NR 511 Midterm Exam Questions and Correct
Verified Answers with Rationales 2024 Update.
4."There is no such thing as a 'normal' pattern of defecation." - Correct Answer-
There is no such thing as a normal pattern of defecation
Rationale: There is no such thing as a "normal" pattern of defecation. Patterns of
defecation vary widely and may in part be affected by dietary habits, fluid intake,
bacteria in the stool, psychological stress, or voluntary postponement of
defecation. Defecating every third day could be the routine pattern for Simon. He
should be questioned if this is routine for him.
Timothy, age 68, complains of an abrupt change in his defecation pattern. You
evaluate him for:
1.Constipation.
2.Colorectal cancer.
3.Irritable bowel syndrome.
4.Acute appendicitis. - Correct Answer- Colorectal cancer
Rationale: A middle-aged or older client with an abrupt change in defecation
pattern must be evaluated for colorectal cancer
Ruby has a colostomy and complains that her stools are too loose. What food(s)
do you suggest to help thicken the stools?
1.Cheese.
2.Leafy green vegetables.
, NR 511 Midterm Exam Questions and Correct
Verified Answers with Rationales 2024 Update.
3.Raw fruits and vegetables.
4.Dried beans. - Correct Answer- Cheese
Rationale: Cheese, bread, pasta, rice, pretzels, and yogurt all help to thicken
stools.
Tina has a chronic hepatitis C infection. She asks you how to prevent its
transmission. You respond:
1."Do not donate blood until one year after diagnosis."
2."Abstain from sex altogether."
3."There is no possibility of transmission through razors or toothbrushes."
4."Abstain from sex during your period." - Correct Answer- Abstain from sex
during your period
Rationale: Because the hepatitis C virus is transmitted in blood, including
menstrual blood, clients should abstain from sex during menstruation. You might
also test Tina to see which genotype her hepatitis C is to see if she is a candidate
for Harvoni or Epclusa.
Your client's 2-month-old daughter is admitted with gastroenteritis and
dehydration after 2 days of vomiting and diarrhea. When the father asks you what
is causing the child's diarrhea, how do you respond?
1."She must be lactose intolerant from the formula, and this is altering the fluid
balance."
Verified Answers with Rationales 2024 Update.
All of the following medications are used for the control of nausea and vomiting.
Which medication works by affecting the chemoreceptor trigger zone, thereby
stimulating upper gastrointestinal motility and increasing lower esophageal
sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol)
- Correct Answer- Antidopaminergic and cholinergic agents, such as
metoclopramide (Reglan)
Rationale: Metoclopramide (Reglan) is used for diabetic gastroparesis and
postoperative nausea and vomiting. It works by affecting the chemoreceptor
trigger zone, thereby stimulating upper gastrointestinal motility and increasing
lower esophageal sphincter pressure
You auscultate Julie's abdomen and hear a peritoneal friction rub. Which
condition do you rule out?
1.Peritonitis.
2.A liver or spleen abscess.
3.A liver or spleen metastatic tumor.
, NR 511 Midterm Exam Questions and Correct
Verified Answers with Rationales 2024 Update.
4.Irritable bowel syndrome. - Correct Answer- IBS
Rationale: IBS does not produce a friction rub
You are counseling Lillian, who is lactose intolerant, about foods to avoid. You
know she misunderstands the teaching when she tells you she can have:
1. Yogurt.
2.Foods containing whey.
3.Prehydrolyzed milk.
4.Oranges. - Correct Answer- Foods containing whey
Rationale: Advise clients who are lactose intolerant to avoid foods containing
whey. Whey is a lactose-rich ingredient found in some foods, so clients who are
lactose intolerant need to read labels on all foods. To control symptoms, dietary
lactose should be reduced or restricted by using lactose-reduced and lactose-free
dairy products or by eating lactose-rich foods in small amounts or in combination
with low-lactose or lactose-free foods.
Simon, age 72, states that he is worried because he has a bowel movement only
every third day. You respond:
1."You should have two to three stools per day."
2."You should defecate once a day."
3."You should have at least three stools per week."
, NR 511 Midterm Exam Questions and Correct
Verified Answers with Rationales 2024 Update.
4."There is no such thing as a 'normal' pattern of defecation." - Correct Answer-
There is no such thing as a normal pattern of defecation
Rationale: There is no such thing as a "normal" pattern of defecation. Patterns of
defecation vary widely and may in part be affected by dietary habits, fluid intake,
bacteria in the stool, psychological stress, or voluntary postponement of
defecation. Defecating every third day could be the routine pattern for Simon. He
should be questioned if this is routine for him.
Timothy, age 68, complains of an abrupt change in his defecation pattern. You
evaluate him for:
1.Constipation.
2.Colorectal cancer.
3.Irritable bowel syndrome.
4.Acute appendicitis. - Correct Answer- Colorectal cancer
Rationale: A middle-aged or older client with an abrupt change in defecation
pattern must be evaluated for colorectal cancer
Ruby has a colostomy and complains that her stools are too loose. What food(s)
do you suggest to help thicken the stools?
1.Cheese.
2.Leafy green vegetables.
, NR 511 Midterm Exam Questions and Correct
Verified Answers with Rationales 2024 Update.
3.Raw fruits and vegetables.
4.Dried beans. - Correct Answer- Cheese
Rationale: Cheese, bread, pasta, rice, pretzels, and yogurt all help to thicken
stools.
Tina has a chronic hepatitis C infection. She asks you how to prevent its
transmission. You respond:
1."Do not donate blood until one year after diagnosis."
2."Abstain from sex altogether."
3."There is no possibility of transmission through razors or toothbrushes."
4."Abstain from sex during your period." - Correct Answer- Abstain from sex
during your period
Rationale: Because the hepatitis C virus is transmitted in blood, including
menstrual blood, clients should abstain from sex during menstruation. You might
also test Tina to see which genotype her hepatitis C is to see if she is a candidate
for Harvoni or Epclusa.
Your client's 2-month-old daughter is admitted with gastroenteritis and
dehydration after 2 days of vomiting and diarrhea. When the father asks you what
is causing the child's diarrhea, how do you respond?
1."She must be lactose intolerant from the formula, and this is altering the fluid
balance."
