NUR 1009 EXAM QUESTIONS AND ANSWERS LATEST UPDATE

NUR 1009 EXAM QUESTIONS AND ANSWERS LATEST UPDATE The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. Which is the most appropriate nursing intervention? a. Notify the surgeon. b. Administer the prescribed pain medication. c. Call and ask the operating room team to perform surgery as soon as possible. d. Reposition the client and apply a heating pad on the warm setting to the client's abdomen. - Ans:- a. Notify the surgeon. A client admitted to the hospital with a suspected diagnosis of acute pancreatitis is being assessed by the nurse. Which assessment findings would be consistent with acute pancreatitis? Select all that apply. a. Diarrhea b. Black, tarry stools ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/29 c. Hyperactive bowel sounds d. Gray-blue color at the flank e. Abdominal guarding and tenderness f. Left upper quadrant pain with radiation to the back - Ans:-d. Gray-blue color at the flank e. Abdominal guarding and tenderness f. Left upper quadrant pain with radiation to the back The nurse is assessing a client who is experiencing an acute episode of cholecystitis. Which of these clinical manifestations support this diagnosis?Select all that apply. a. Fever b. Positive Cullen's sign c. Complaints of indigestion d. Palpable mass in the left upper quadrant e. Pain in the upper right quadrant after a fatty meal f. Vague lower right quadrant abdominal discomfort - Ans:-a. Fever c. Complaints of indigestion ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/29 e. Pain in the upper right quadrant after a fatty meal A client diagnosed with viral hepatitis is complaining of "no appetite" and "losing my taste for food." What instruction would the nurse give the client to provide adequate nutrition? a. Select foods high in fat. b. Increase intake of fluids, including juices. c. Eat a good supper, when anorexia is less severe. d. Eat less often, preferably only three large meals - Ans:-b. Increase intake of fluids, including juices. A client has developed hepatitis A after eating contaminated oysters. The nurse assesses the client for which expected assessment finding? a. Malaise b. Dark stools c. Weight gain d. Left upper quadrant discomfort - Ans:-a. Malaise A client has just had a hemorrhoidectomy. Which nursing interventions are appropriate for this client?Select all that apply. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/29 a. Administer stool softeners as prescribed. b. Instruct the client to limit fluid intake to avoid urinary retention. c. Encourage a high-fiber diet to promote bowel movements without straining. d. Apply cold packs to the anal-rectal area over the dressing until the packing is removed. e. Help the client to a Fowler's position to place pressure on the rectal area and decrease bleeding. - Ans:-a. Administer stool softeners as prescribed. c. Encourage a high-fiber diet to promote bowel movements without straining. e. Help the client to a Fowler's position to place pressure on the rectal area and decrease bleeding. The nurse is planning to teach a client with gastroesophageal reflux disease (GERD) about substances to avoid. Which items would the nurse include on this list? Select all that apply. a. Coffee b. Chocolate c. Peppermint d. Nonfat milk e. Fried chicken ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/29 f. Scrambled eggs - Ans:-a. Coffee b. Chocolate c. Peppermint e. Fried chicken A client suspected of having a duodenal ulcer has undergone esophagogastroduodenoscopy. The nurse would place highest priority on which item as part of the client's care plan? a. Monitoring the temperature b. Monitoring complaints of heartburn c. Giving warm gargles for a sore throat d. Assessing for the return of the gag reflex - Ans:-d. Assessing for the return of the gag reflex The nurse has taught the client with suspected gallbladder disease about an upcoming endoscopic retrograde cholangiopancreatography (ERCP) procedure. The nurse determines that the client needs further information if the client makes which statement?