ESTUDY
NR511 / NR 511 FINAL EXAM Q & A (LATEST
– CHAMBERLAIN
1. **Mr. Johnson, age 69, has had Meniere's disease for several years. He has some hearing loss but
now has persistent dizziness. What treatment might be used to relieve his dizziness?**
a) A labyrinthectomy
b) Pharmacological therapy
c) A vestibular neurectomy
d) Wearing an earplug in the ear that has the most hearing loss
- **Answer:** c) A vestibular neurectomy
2. **Which treatment option might be used for achalasia?**
a) Balloon dilation of the lower esophageal sphincter
b) Beta blockers
c) A fundoplication
d) An esophagogastrectomy
- **Answer:** a) Balloon dilation of the lower esophageal sphincter
3. **Which oral medication could be used to treat a patient with chronic gallstones who is not a good
candidate for surgery?**
a) Ursodiol (Actigall)
b) Ibuprofen (Advil)
c) Prednisone (Deltasone)
d) Surgery is the only option
- **Answer:** a) Ursodiol (Actigall)
4. **Which medication controls nausea and vomiting by affecting the chemoreceptor trigger zone,
increasing upper gastrointestinal motility, and raising lower esophageal sphincter pressure?**
a) Anticholinergics, such as scopolamine (Donnatal)
b) Antidopaminergic agents, such as prochlorperazine (Compazine)
c) Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan)
d) Tetrahydrocannabinols, such as dronabinol (Marinol)
- **Answer:** c) Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan)
5. **You listen to Julie's abdomen and hear a peritoneal friction rub. Which condition can you rule
out?**
a) Peritonitis
b) A liver or spleen abscess
,ESTUDY
c) A liver or spleen metastatic tumor
d) Irritable bowel syndrome (IBS)
- **Answer:** d) Irritable bowel syndrome (IBS)
6. **What is the most common initial symptom of gastric cancer?**
a) Weight loss
b) Difficulty swallowing (dysphagia)
c) Vomiting blood (hematemesis)
d) Gastrointestinal bleeding
- **Answer:** a) Weight loss
7. **The metabolism of which drug is not affected in Marsha, age 74?**
a) Alcohol
b) Anticonvulsants
c) Psychotropics
d) Oral anticoagulants
- **Answer:** a) Alcohol
8. **Nausea is hard to recognize in a young child. What question might you ask to find out if a child is
feeling nauseous?**
a) "Are you sick to your tummy?"
b) "Are you hungry?"
c) "Are you eating like you normally do?"
d) "Are you nauseous?"
- **Answer:** b) "Are you hungry?"
9. **Zena just had a hemorrhoidectomy. You realize she has not understood your instructions when she
says she will:**
a) Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery
b) Drink at least 2000 mL of fluids daily
c) Decrease her dietary fiber for 1 month
d) Take stool softeners as prescribed
- **Answer:** c) Decrease her dietary fiber for 1 month
10. **Stacy, a nursing student, is about to start her series of hepatitis B vaccinations. Her test shows
hepatitis B surface antibodies (HBsAb). What do you tell her?**
a) She needs to start the hepatitis B series as soon as possible
b) She needs to be tested again because one reading is not conclusive
c) She is permanently immune to hepatitis B
d) She has an acute hepatitis B infection
- **Answer:** c) She is permanently immune to hepatitis B
,ESTUDY
11. **Margie, age 52, has a stressful job and was recently diagnosed with a gastric ulcer. She believes it
might be cancerous. How do you respond?**
a) "Don't worry. Gastric ulcers are not cancerous."
b) "About 95% of gastric ulcers are benign."
c) "You have about a 50% chance of having gastric cancer from your ulcer."
d) "Even if it is cancer, surgery is 100% successful."
- **Answer:** b) "About 95% of gastric ulcers are benign."
12. **You are advising Lillian, who is lactose intolerant, about foods to avoid. She misunderstands your
advice when she says she can have:**
a) Yogurt
b) Foods containing whey
c) Prehydrolyzed milk
d) Oranges
- **Answer:** b) Foods containing whey
13. **Susan, age 59, has no specific complaints at her annual check-up. However, she has type 2
diabetes, mild hypertension, dyslipidemia, and central obesity. How would you diagnose her?**
a) As a healthy adult with several problems
b) As having a glycemic event
c) As having metabolic syndrome
d) As having multiple organ dysfunction
- **Answer:** c) As having metabolic syndrome
14. **Tom has just been diagnosed with celiac disease. Which of the following statements might you tell
him?**
a) There is a new pharmaceutical cure for celiac disease
b) A strict gluten-free diet is the only treatment for celiac disease
c) Your children will not be at a higher risk for developing this disease
d) The presence of celiac disease is decreasing dramatically in the United States
- **Answer:** b) A strict gluten-free diet is the only treatment for celiac disease
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."
4."There is no such thing as a 'normal' pattern of defecation."
ANSWER IS - 4.
"There is no such thing as a 'normal' pattern of defecation."
, ESTUDY
Matt, age 26, recently returned from a camping trip and has gastroenteritis. He says that he has been
eating only canned food. Which of the following pathogens do you suspect?
1.Campylobacter jejuni.
2.Clostridium botulinum.
3.Clostridium perfringens.
4.Staphylococcus.
ANSWER IS - 2.
Clostridium botulinum.
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.
ANSWER IS - 2.
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.
3.Raw fruits and vegetables.
4.Dried beans.
ANSWER IS - 1. Cheese
Martina, age 34, has AIDS and currently suffers from diarrhea. You suspect she has which protozoal
infection of the bowel?
1.Giardiasis.
2.Amebiasis.
3.Cryptosporidiosis.
4.Escherichia coli.
ANSWER IS - 3.
Cryptosporidiosis.
Anson tells you he thinks his antacids are causing his diarrhea. You respond:
1."Antacids contain fructose, which may not be totally absorbed, resulting in fluid being drawn into the
bowel."
NR511 / NR 511 FINAL EXAM Q & A (LATEST
– CHAMBERLAIN
1. **Mr. Johnson, age 69, has had Meniere's disease for several years. He has some hearing loss but
now has persistent dizziness. What treatment might be used to relieve his dizziness?**
a) A labyrinthectomy
b) Pharmacological therapy
c) A vestibular neurectomy
d) Wearing an earplug in the ear that has the most hearing loss
- **Answer:** c) A vestibular neurectomy
2. **Which treatment option might be used for achalasia?**
a) Balloon dilation of the lower esophageal sphincter
b) Beta blockers
c) A fundoplication
d) An esophagogastrectomy
- **Answer:** a) Balloon dilation of the lower esophageal sphincter
3. **Which oral medication could be used to treat a patient with chronic gallstones who is not a good
candidate for surgery?**
a) Ursodiol (Actigall)
b) Ibuprofen (Advil)
c) Prednisone (Deltasone)
d) Surgery is the only option
- **Answer:** a) Ursodiol (Actigall)
4. **Which medication controls nausea and vomiting by affecting the chemoreceptor trigger zone,
increasing upper gastrointestinal motility, and raising lower esophageal sphincter pressure?**
a) Anticholinergics, such as scopolamine (Donnatal)
b) Antidopaminergic agents, such as prochlorperazine (Compazine)
c) Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan)
d) Tetrahydrocannabinols, such as dronabinol (Marinol)
- **Answer:** c) Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan)
5. **You listen to Julie's abdomen and hear a peritoneal friction rub. Which condition can you rule
out?**
a) Peritonitis
b) A liver or spleen abscess
,ESTUDY
c) A liver or spleen metastatic tumor
d) Irritable bowel syndrome (IBS)
- **Answer:** d) Irritable bowel syndrome (IBS)
6. **What is the most common initial symptom of gastric cancer?**
a) Weight loss
b) Difficulty swallowing (dysphagia)
c) Vomiting blood (hematemesis)
d) Gastrointestinal bleeding
- **Answer:** a) Weight loss
7. **The metabolism of which drug is not affected in Marsha, age 74?**
a) Alcohol
b) Anticonvulsants
c) Psychotropics
d) Oral anticoagulants
- **Answer:** a) Alcohol
8. **Nausea is hard to recognize in a young child. What question might you ask to find out if a child is
feeling nauseous?**
a) "Are you sick to your tummy?"
b) "Are you hungry?"
c) "Are you eating like you normally do?"
d) "Are you nauseous?"
- **Answer:** b) "Are you hungry?"
9. **Zena just had a hemorrhoidectomy. You realize she has not understood your instructions when she
says she will:**
a) Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery
b) Drink at least 2000 mL of fluids daily
c) Decrease her dietary fiber for 1 month
d) Take stool softeners as prescribed
- **Answer:** c) Decrease her dietary fiber for 1 month
10. **Stacy, a nursing student, is about to start her series of hepatitis B vaccinations. Her test shows
hepatitis B surface antibodies (HBsAb). What do you tell her?**
a) She needs to start the hepatitis B series as soon as possible
b) She needs to be tested again because one reading is not conclusive
c) She is permanently immune to hepatitis B
d) She has an acute hepatitis B infection
- **Answer:** c) She is permanently immune to hepatitis B
,ESTUDY
11. **Margie, age 52, has a stressful job and was recently diagnosed with a gastric ulcer. She believes it
might be cancerous. How do you respond?**
a) "Don't worry. Gastric ulcers are not cancerous."
b) "About 95% of gastric ulcers are benign."
c) "You have about a 50% chance of having gastric cancer from your ulcer."
d) "Even if it is cancer, surgery is 100% successful."
- **Answer:** b) "About 95% of gastric ulcers are benign."
12. **You are advising Lillian, who is lactose intolerant, about foods to avoid. She misunderstands your
advice when she says she can have:**
a) Yogurt
b) Foods containing whey
c) Prehydrolyzed milk
d) Oranges
- **Answer:** b) Foods containing whey
13. **Susan, age 59, has no specific complaints at her annual check-up. However, she has type 2
diabetes, mild hypertension, dyslipidemia, and central obesity. How would you diagnose her?**
a) As a healthy adult with several problems
b) As having a glycemic event
c) As having metabolic syndrome
d) As having multiple organ dysfunction
- **Answer:** c) As having metabolic syndrome
14. **Tom has just been diagnosed with celiac disease. Which of the following statements might you tell
him?**
a) There is a new pharmaceutical cure for celiac disease
b) A strict gluten-free diet is the only treatment for celiac disease
c) Your children will not be at a higher risk for developing this disease
d) The presence of celiac disease is decreasing dramatically in the United States
- **Answer:** b) A strict gluten-free diet is the only treatment for celiac disease
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."
4."There is no such thing as a 'normal' pattern of defecation."
ANSWER IS - 4.
"There is no such thing as a 'normal' pattern of defecation."
, ESTUDY
Matt, age 26, recently returned from a camping trip and has gastroenteritis. He says that he has been
eating only canned food. Which of the following pathogens do you suspect?
1.Campylobacter jejuni.
2.Clostridium botulinum.
3.Clostridium perfringens.
4.Staphylococcus.
ANSWER IS - 2.
Clostridium botulinum.
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.
ANSWER IS - 2.
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.
3.Raw fruits and vegetables.
4.Dried beans.
ANSWER IS - 1. Cheese
Martina, age 34, has AIDS and currently suffers from diarrhea. You suspect she has which protozoal
infection of the bowel?
1.Giardiasis.
2.Amebiasis.
3.Cryptosporidiosis.
4.Escherichia coli.
ANSWER IS - 3.
Cryptosporidiosis.
Anson tells you he thinks his antacids are causing his diarrhea. You respond:
1."Antacids contain fructose, which may not be totally absorbed, resulting in fluid being drawn into the
bowel."
