Nurs 172 HESI Final/ 523 Quizzes & Verified Ans.
The term ________________________ implies special feelings on the part of both the client
and the nurse, based on acceptance, warmth, friendliness, common interest, a sense of trust,
and a nonjudgmental attitude. - Answer: Rapport
Which of the following would contribute to a client's excessive weight gain? (Select all that
apply.)(There are 3 correct answers)
1.Diabetes mellitus
2.Cushing's disease
3.A hypothalamus lesion
4.Hyperthyroidism
5.High levels of serotonin - Answer: 1.Diabetes mellitus
2.Cushing's disease
3.A hypothalamus lesion
Page 1 of 90
,A nurse should identify topiramate (Topamax) as the drug of choice for which of the following
conditions? (Select all that apply.)(There are 2 correct answers)
1.Amenorrhea with a diagnosis of anorexia nervosa
2.Bingeing and purging with a diagnosis of bulimia nervosa
3.Binge eating with a diagnosis of obesity
4.Emaciation with a diagnosis of bulimia nervosa
5.Weight loss with a diagnosis of anorexia nervosa - Answer: 2.Bingeing and purging with a
diagnosis of bulimia nervosa
3.Binge eating with a diagnosis of obesity
A nursing instructor is teaching about the DSM-5 criteria for the diagnosis of binge-eating
disorder. Which of the following student statements indicates that further instruction is
needed? (Select all that apply.)(There are 3 correct answers)
1."In this disorder, binge eating occurs, on average, at least two days a week for six months."
2."In this disorder, distress regarding binge eating is present."
3."In this disorder, binge eating occurs, on average, at least once a week for three months."
4."In this disorder, distress regarding binge eating is absent."
5."In this disorder, binge eating occurs exclusively during the course of bulimia nervosa." -
Answer: 1. "In this disorder, binge eating occurs, on average, at least two days a week for six
months."
4. "In this disorder, distress regarding binge eating is absent."
5. "In this disorder, binge eating occurs exclusively during the course of bulimia nervosa."
True/False
Anorexia nervosa deals with issues of control and a struggle between dependence and
independence. - Answer: True
True/False
Page 2 of 90
,Bulimia deals with loss of control (binge eating) and guilt (purging). - Answer: True
True/False
Fatty foods are the common food intolerances for clients with cholelithiasis. - Answer: True
Teaching in relation to home management following a laparoscopic cholecystectomy should
include
1. reporting any bile-colored drainage or pus from any incision.
2. keeping the bandages on the puncture sites for 48 hours.
3. using over-the-counter antiemetics if nausea and vomiting occur.
4. emptying and measuring the contents of the bile bag from the T tube every day. - Answer: 1.
reporting any bile-colored drainage or pus from any incision.
The nursing management of the client with cholecystitis associated with cholelithiasis is based
on the knowledge that
1. laparoscopic cholecystectomy is the treatment of choice in most clients who are
symptomatic.
2. shock-wave therapy sould be tried initially.
3. once gallstones are removed, they tend not to recur.
4. the disorder can be successfully treated with oral bile salts that dissolve gallstones. - Answer:
1. laparoscopic cholecystectomy is the treatment of choice in most clients who are
symptomatic.
To care for a T-tube in a client following an open/incisional cholecystectomy, the nurse
1. attaches the tube to low continuous suction.
2. keeps the tube supported and free of kinks.
3. clamps the tube when ambulating the client.
4. irrigates the tube with 10-mL sterile saline every 2 to 4 hours. - Answer: 2. keeps the tube
supported and free of kinks.
Page 3 of 90
, A client with chronic cholecystitis asks the nurse whether she will need to continue a low-fat
diet after she has a cholecystectomy. The best response by the nurse is,
1. "A low-fat diet will prevent the development of further gallstones and should be continued."
2. "Yes, because you will not have a gallbladder to store bile, you will not be able to digest fats
adequately."
3. "Removal of the gallbladder will eliminate the source of your pain associated with fat intake,
so you may eat whatever you like."
4. "A low-fat diet is recommended for a few weeks after surgery until the intestine adjusts to
receiving a continuous flow of bile." - Answer: 4. "A low-fat diet is recommended for a few
weeks after surgery until the intestine adjusts to receiving a continuous flow of bile."
A client diagnosed with PTSD states, "Why did my doctor prescribe an antidepressant rather
than an antianxiety drug for me?" Which of the following are the most appropriate nursing
responses? (Select all that apply.)
A. "I'm not sure, because antianxiety drugs have been approved by the FDA for PTSD."
B. "Antidepressants are now considered first-line treatment choice for PTSD."
C. "Many people have adverse reactions to antianxiety drugs."
D. "Because of their addictive properties, antianxiety drugs are less desirable."
E. "There have been no controlled studies on the effect of antianxiety drugs on PTSD." - Answer:
B. "Antidepressants are now considered first-line treatment choice for PTSD."
D. "Because of their addictive properties, antianxiety drugs are less desirable."
E. "There have been no controlled studies on the effect of antianxiety drugs on PTSD."
An extremely distressing experience that causes severe emotional shock and may have long-
lasting psychological effects is called _________________. - Answer: Trauma
Antianxiety drugs are also called ______________________ and minor tranquilizers. - Answer:
Anxiolytic drugs
Page 4 of 90
The term ________________________ implies special feelings on the part of both the client
and the nurse, based on acceptance, warmth, friendliness, common interest, a sense of trust,
and a nonjudgmental attitude. - Answer: Rapport
Which of the following would contribute to a client's excessive weight gain? (Select all that
apply.)(There are 3 correct answers)
1.Diabetes mellitus
2.Cushing's disease
3.A hypothalamus lesion
4.Hyperthyroidism
5.High levels of serotonin - Answer: 1.Diabetes mellitus
2.Cushing's disease
3.A hypothalamus lesion
Page 1 of 90
,A nurse should identify topiramate (Topamax) as the drug of choice for which of the following
conditions? (Select all that apply.)(There are 2 correct answers)
1.Amenorrhea with a diagnosis of anorexia nervosa
2.Bingeing and purging with a diagnosis of bulimia nervosa
3.Binge eating with a diagnosis of obesity
4.Emaciation with a diagnosis of bulimia nervosa
5.Weight loss with a diagnosis of anorexia nervosa - Answer: 2.Bingeing and purging with a
diagnosis of bulimia nervosa
3.Binge eating with a diagnosis of obesity
A nursing instructor is teaching about the DSM-5 criteria for the diagnosis of binge-eating
disorder. Which of the following student statements indicates that further instruction is
needed? (Select all that apply.)(There are 3 correct answers)
1."In this disorder, binge eating occurs, on average, at least two days a week for six months."
2."In this disorder, distress regarding binge eating is present."
3."In this disorder, binge eating occurs, on average, at least once a week for three months."
4."In this disorder, distress regarding binge eating is absent."
5."In this disorder, binge eating occurs exclusively during the course of bulimia nervosa." -
Answer: 1. "In this disorder, binge eating occurs, on average, at least two days a week for six
months."
4. "In this disorder, distress regarding binge eating is absent."
5. "In this disorder, binge eating occurs exclusively during the course of bulimia nervosa."
True/False
Anorexia nervosa deals with issues of control and a struggle between dependence and
independence. - Answer: True
True/False
Page 2 of 90
,Bulimia deals with loss of control (binge eating) and guilt (purging). - Answer: True
True/False
Fatty foods are the common food intolerances for clients with cholelithiasis. - Answer: True
Teaching in relation to home management following a laparoscopic cholecystectomy should
include
1. reporting any bile-colored drainage or pus from any incision.
2. keeping the bandages on the puncture sites for 48 hours.
3. using over-the-counter antiemetics if nausea and vomiting occur.
4. emptying and measuring the contents of the bile bag from the T tube every day. - Answer: 1.
reporting any bile-colored drainage or pus from any incision.
The nursing management of the client with cholecystitis associated with cholelithiasis is based
on the knowledge that
1. laparoscopic cholecystectomy is the treatment of choice in most clients who are
symptomatic.
2. shock-wave therapy sould be tried initially.
3. once gallstones are removed, they tend not to recur.
4. the disorder can be successfully treated with oral bile salts that dissolve gallstones. - Answer:
1. laparoscopic cholecystectomy is the treatment of choice in most clients who are
symptomatic.
To care for a T-tube in a client following an open/incisional cholecystectomy, the nurse
1. attaches the tube to low continuous suction.
2. keeps the tube supported and free of kinks.
3. clamps the tube when ambulating the client.
4. irrigates the tube with 10-mL sterile saline every 2 to 4 hours. - Answer: 2. keeps the tube
supported and free of kinks.
Page 3 of 90
, A client with chronic cholecystitis asks the nurse whether she will need to continue a low-fat
diet after she has a cholecystectomy. The best response by the nurse is,
1. "A low-fat diet will prevent the development of further gallstones and should be continued."
2. "Yes, because you will not have a gallbladder to store bile, you will not be able to digest fats
adequately."
3. "Removal of the gallbladder will eliminate the source of your pain associated with fat intake,
so you may eat whatever you like."
4. "A low-fat diet is recommended for a few weeks after surgery until the intestine adjusts to
receiving a continuous flow of bile." - Answer: 4. "A low-fat diet is recommended for a few
weeks after surgery until the intestine adjusts to receiving a continuous flow of bile."
A client diagnosed with PTSD states, "Why did my doctor prescribe an antidepressant rather
than an antianxiety drug for me?" Which of the following are the most appropriate nursing
responses? (Select all that apply.)
A. "I'm not sure, because antianxiety drugs have been approved by the FDA for PTSD."
B. "Antidepressants are now considered first-line treatment choice for PTSD."
C. "Many people have adverse reactions to antianxiety drugs."
D. "Because of their addictive properties, antianxiety drugs are less desirable."
E. "There have been no controlled studies on the effect of antianxiety drugs on PTSD." - Answer:
B. "Antidepressants are now considered first-line treatment choice for PTSD."
D. "Because of their addictive properties, antianxiety drugs are less desirable."
E. "There have been no controlled studies on the effect of antianxiety drugs on PTSD."
An extremely distressing experience that causes severe emotional shock and may have long-
lasting psychological effects is called _________________. - Answer: Trauma
Antianxiety drugs are also called ______________________ and minor tranquilizers. - Answer:
Anxiolytic drugs
Page 4 of 90
