Examl 3:l NUR242l /l NURl 242l (NEWl
2025/l 2026l Update)l Medical-Surgicall
Nursingl Conceptsl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
QUESTION
Thel nursel isl caringl forl al clientl admittedl withl severel weightl lossl duel tol dieting.l Basedl
onl thel datal provided,l thel nursel plansl carel knowingl thatl whichl conditionl isl likelyl
occurringl thisl client?
Answer:
l Gluconeogenesis
QUESTION
Thel nursel isl caringl forl al clientl withl gallbladderl diseasel whol isl experiencingl nutritionl
problemsl duel tol biliaryl obstruction.l Thel nursel understandsl thatl obstructionl ofl whichl
passagel isl relatedl tol thel clientsl condition?
Answer:
l cysticl duct
QUESTION
Thel nursel isl caringl forl al clientl withl al lowl thrombinl levell asl al resultl ofl cirrhosis.l
Basedl onl thisl findingl itl isl mostl importantl forl thel nursel tol monitorl thel clientl forl s/sl
ofl whichl potentiall complications?
Answer:
l bleeding
QUESTION
,Lactulosel isl prescribedl forl al hospitalizedl clientl withl al diagnosisl ofl hepaticl
encephalopathy.l Whichl assessmentl findingl indicatesl thatl thel clientl isl respondingl tol thisl
mediationl therapyl asl anticipated?
Answer:
l Thel fecall pHl isl acidicl (decreasesl ammonial levels)
QUESTION
Thel nursel isl evaluatingl thel planl ofl carel forl al clientl withl pepticl ulcerl diseasel whol isl
experiencingl acutel pain.l Thel nursel determinesl thatl thel expectedl outcomesl havel beenl
metl ifl thel nursel assessmentl revealsl whichl result?
Answer:
l Clientl hasl eliminatedl anyl irritatingl foodl froml theirl dietl orl abilityl tol sleepl throughl thel
night
QUESTION
Al clientl isl readmittedl tol thel hospitall withl dehydrationl afterl surgeryl forl creationl ofl anl
ileostomy.l Thel nursel assessesl thatl thel clientl hasl lostl 3l lbsl ofl weight,l hasl poorl skinl
turgor,l andl hasl concentratedl urine.l Thel nursel interpretsl thel client'sl clinicall picturel asl
correlatingl mostl closelyl withl recentl intakel ofl whichl medication,l whichl isl
contraindicatedl forl ileostomyl client?
Answer:
l Bisacodyl
QUESTION
Al Penrosel drainl isl inl placel onl thel firstl postoperativel dayl inl al clientl whol isl undergol al
cholecystectomyl procedure.l Serosanguineousl drainagel isl notedl onl thel dressingl coveringl
thel drain.l Whichl nursingl interventionsl mostl appropriate?
Answer:
l changel thel dressing
QUESTION
,Thel nursel isl caringl forl al clientl prescribedl enterall feedingl vial al newlyl insertedl
nasogastricl (NG)l tube.l Beforel initiatingl thel enterall feeding,l thel nursel wouldl performl
whichl actionl first?
Answer:
l Confirml NGl placementl byl x-rayl study
QUESTION
Thel nursel hasl givenl instructionsl toal clientl withl hepatitisl aboutl postl dischargel
managementl duringl convalescence.l Thel nursel determinesl thatl furtherl teachingl isl neededl
ifl thel clientl makesl whichl statement?
Answer:
l Il canl resumel fulll activityl withinl 1l week
QUESTION
Al clientl hasl al large,l deepl duodenall ulcerl diagnosedl byl endoscopy.l Whichl s/sl indicativel
ofl al complicationl wouldl thel nursel lookl forl duringl thel clientsl postl procedurel
assessment?
Answer:
l Al ridged,l boadlikel abdomen
QUESTION
Thel nursel hasl givenl instructionsl toal clientl withl hepatitisl aboutl postl dischargel
managementl duringl convalescence.l Thel nursel determinesl thatl understandsl teachingl isl
neededl ifl thel clientl makesl whichl statement?
Answer:
l vitaminl kl prolongsl clottingl time,l highl carbl lowl fatl diet
QUESTION
Thel nursel isl assistingl al clientl withl Crohn'sl diseasel tol ambulatel tol thel bathroom.l Afterl
thel clientl hasl al bowell movement,l thel nursel wouldl assessl thel stooll forl whichl
characteristicsl thatl isl expectedl withl thisl disease?
, Answer:
l loose,l wateryl stool
QUESTION
Thel nursel isl assessingl al clientl withl al duodenall ulcer.l Thel nursel interpretsl thatl whichl
signl ofl symptoml isl mostl consistentl withl thel typicall presentationl ofl duodenall ulcer?
Answer:
l Painl thatl usl relievedl byl foodl intake
QUESTION
Thel nursel isl obtainingl al healthl hxl forl al clientl withl chronicl pancreatitis.l Thel healthl hxl
isl mostl likelyl tol includel whichl asl al mostl commonl causel factorl unl thel clientsl disorder?
Answer:
l usel ofl alcohol
QUESTION
Al nursel withl gastritisl asksl thel nursel atl al screeningl clinicl aboutl analgesicsl thatl willl
notl causel epigastricl distress.l Thel nursel wouldl telll thel clientl thatl whichl medicationl isl
acceptablel tol take?
Answer:
l acetaminophen
QUESTION
Thel nursel isl providingl dietaryl instructionsl tol al clientl hospitalizedl forl pancreatitis.l
Whichl foodl wouldl thel nursel instructl thel clientl tol AVOID?
Answer:
l salsal andl cornl chips
QUESTION
2025/l 2026l Update)l Medical-Surgicall
Nursingl Conceptsl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
QUESTION
Thel nursel isl caringl forl al clientl admittedl withl severel weightl lossl duel tol dieting.l Basedl
onl thel datal provided,l thel nursel plansl carel knowingl thatl whichl conditionl isl likelyl
occurringl thisl client?
Answer:
l Gluconeogenesis
QUESTION
Thel nursel isl caringl forl al clientl withl gallbladderl diseasel whol isl experiencingl nutritionl
problemsl duel tol biliaryl obstruction.l Thel nursel understandsl thatl obstructionl ofl whichl
passagel isl relatedl tol thel clientsl condition?
Answer:
l cysticl duct
QUESTION
Thel nursel isl caringl forl al clientl withl al lowl thrombinl levell asl al resultl ofl cirrhosis.l
Basedl onl thisl findingl itl isl mostl importantl forl thel nursel tol monitorl thel clientl forl s/sl
ofl whichl potentiall complications?
Answer:
l bleeding
QUESTION
,Lactulosel isl prescribedl forl al hospitalizedl clientl withl al diagnosisl ofl hepaticl
encephalopathy.l Whichl assessmentl findingl indicatesl thatl thel clientl isl respondingl tol thisl
mediationl therapyl asl anticipated?
Answer:
l Thel fecall pHl isl acidicl (decreasesl ammonial levels)
QUESTION
Thel nursel isl evaluatingl thel planl ofl carel forl al clientl withl pepticl ulcerl diseasel whol isl
experiencingl acutel pain.l Thel nursel determinesl thatl thel expectedl outcomesl havel beenl
metl ifl thel nursel assessmentl revealsl whichl result?
Answer:
l Clientl hasl eliminatedl anyl irritatingl foodl froml theirl dietl orl abilityl tol sleepl throughl thel
night
QUESTION
Al clientl isl readmittedl tol thel hospitall withl dehydrationl afterl surgeryl forl creationl ofl anl
ileostomy.l Thel nursel assessesl thatl thel clientl hasl lostl 3l lbsl ofl weight,l hasl poorl skinl
turgor,l andl hasl concentratedl urine.l Thel nursel interpretsl thel client'sl clinicall picturel asl
correlatingl mostl closelyl withl recentl intakel ofl whichl medication,l whichl isl
contraindicatedl forl ileostomyl client?
Answer:
l Bisacodyl
QUESTION
Al Penrosel drainl isl inl placel onl thel firstl postoperativel dayl inl al clientl whol isl undergol al
cholecystectomyl procedure.l Serosanguineousl drainagel isl notedl onl thel dressingl coveringl
thel drain.l Whichl nursingl interventionsl mostl appropriate?
Answer:
l changel thel dressing
QUESTION
,Thel nursel isl caringl forl al clientl prescribedl enterall feedingl vial al newlyl insertedl
nasogastricl (NG)l tube.l Beforel initiatingl thel enterall feeding,l thel nursel wouldl performl
whichl actionl first?
Answer:
l Confirml NGl placementl byl x-rayl study
QUESTION
Thel nursel hasl givenl instructionsl toal clientl withl hepatitisl aboutl postl dischargel
managementl duringl convalescence.l Thel nursel determinesl thatl furtherl teachingl isl neededl
ifl thel clientl makesl whichl statement?
Answer:
l Il canl resumel fulll activityl withinl 1l week
QUESTION
Al clientl hasl al large,l deepl duodenall ulcerl diagnosedl byl endoscopy.l Whichl s/sl indicativel
ofl al complicationl wouldl thel nursel lookl forl duringl thel clientsl postl procedurel
assessment?
Answer:
l Al ridged,l boadlikel abdomen
QUESTION
Thel nursel hasl givenl instructionsl toal clientl withl hepatitisl aboutl postl dischargel
managementl duringl convalescence.l Thel nursel determinesl thatl understandsl teachingl isl
neededl ifl thel clientl makesl whichl statement?
Answer:
l vitaminl kl prolongsl clottingl time,l highl carbl lowl fatl diet
QUESTION
Thel nursel isl assistingl al clientl withl Crohn'sl diseasel tol ambulatel tol thel bathroom.l Afterl
thel clientl hasl al bowell movement,l thel nursel wouldl assessl thel stooll forl whichl
characteristicsl thatl isl expectedl withl thisl disease?
, Answer:
l loose,l wateryl stool
QUESTION
Thel nursel isl assessingl al clientl withl al duodenall ulcer.l Thel nursel interpretsl thatl whichl
signl ofl symptoml isl mostl consistentl withl thel typicall presentationl ofl duodenall ulcer?
Answer:
l Painl thatl usl relievedl byl foodl intake
QUESTION
Thel nursel isl obtainingl al healthl hxl forl al clientl withl chronicl pancreatitis.l Thel healthl hxl
isl mostl likelyl tol includel whichl asl al mostl commonl causel factorl unl thel clientsl disorder?
Answer:
l usel ofl alcohol
QUESTION
Al nursel withl gastritisl asksl thel nursel atl al screeningl clinicl aboutl analgesicsl thatl willl
notl causel epigastricl distress.l Thel nursel wouldl telll thel clientl thatl whichl medicationl isl
acceptablel tol take?
Answer:
l acetaminophen
QUESTION
Thel nursel isl providingl dietaryl instructionsl tol al clientl hospitalizedl forl pancreatitis.l
Whichl foodl wouldl thel nursel instructl thel clientl tol AVOID?
Answer:
l salsal andl cornl chips
QUESTION