NSG 123 Medical Surgical Nursing Exam
2 Questions And Answers | 2025
Updated Solutions | 100% Correct
Answers
Carbon Dioxide in Laparoscopic Cholecystectomy - CORRECT ANSWER-Carbon
dioxide is used during the procedure
Explain to the patient that they might feel pain in the right shoulder or scapular
area (from migration of the carbon dioxide used to insufflate the abdominal cavity
during the procedure).
Laparoscopic Colecystectomy 3 Things to do After - CORRECT ANSWER-
Recommend a heating pad for 15 to 20 minutes hourly or
Encourage the client to ambulate frequently to reduce the bloating.
Manage nausea assess bowel sounds for further complications.
Preoperative Assessment for Open Cholecystectomy - CORRECT ANSWER-Priority
assessment should focus on the client's respiratory status.
If a traditional surgical approach is planned, the high abdominal incision required
during surgery may interfere with full respiratory excursion.
The nurse notes a history of smoking, previous respiratory problems, shallow
respirations, a persistent or ineffective cough, and the presence of adventitious
breath sounds.
CBC and BMP should also be assessed
4 Postoperative Complications of Cholecystostomy - CORRECT ANSWER-After these
surgical procedures, the client is observed for indications of infection, leakage of
bile into the peritoneal cavity, and obstruction of bile drainage.
If bile is not draining properly, an obstruction is probably causing bile to be
forced back into the liver and bloodstream.
Because jaundice may result, the nurse should assess the color of the sclerae.
Yellow-colored sclerae or skin can indicate jaundice.
Clay-colored stool should be reported as this indicates a complication.
Discharge Teaching for Open Cholecystectomy - CORRECT ANSWER-Usually, only a
small amount of serosanguineous fluid drains in the initial 24 hours after surgery;
afterward, the drain is removed.
The drain is typically maintained if there is excess oozing or bile leakage.
Empty the drainage bag attached at least every 8 hours and as needed, to prevent
reflux back into the bile duct.
,Take showers not baths to prevent infection of the incision site.
What disease is characterized by possible malnourishment (anemic) and frequenct
diarrhea? - CORRECT ANSWER-Crohn's disease
The disease characterized by blood sools and left lower quadrent pain - CORRECT
ANSWER-Ulcerative Colitis
What GI disease would be best diagnosed with colonoscopy? - CORRECT ANSWER-
Ulcerative Colitis
What testing would you expect to see from a patient recieving parenteral nutrition? -
CORRECT ANSWER-Blood Glucose
What time of day should Famotidine (pepcid) be administered? - CORRECT ANSWER-
Bed time
What is an intragastric balloon used for? - CORRECT ANSWER-Non-invasive weight
loss
The nurse needs to check Mg++ before administration of what drug? - CORRECT
ANSWER-Magnesium hydroxide/aluminum hydrate MAALOX
Which weight loss drug requirres a fat soluble vitamin supplement? - CORRECT
ANSWER-Orlistat (XENICAL)
What do you give to treat travelers diarrhea? - CORRECT ANSWER-Bismuth Salts-
pepto bismol
This conditon is charcterized by perianal vascular congestion from straining to have a
bowel movement? - CORRECT ANSWER-Hemorrhoids
How often should 30mL of water be flushed through an NG tuve for assessment of
function - CORRECT ANSWER-Every 4 hours
A patient is experiencing diarrhea secondary to ulcerative colitis, do you treat it? -
CORRECT ANSWER-No, their body is flushing out the infection
Bulk forming laxative - CORRECT ANSWER-Citrucel or Metamucil
A patient has a NG tube placed and running suction. What lab should the nurse
monitor? - CORRECT ANSWER-BMP, fluid and electrolytes
What do you give a patient recieving a TPN to prevent hypoglycemia? - CORRECT
ANSWER-D5W or D10W
, What are most gallstones comprised of? - CORRECT ANSWER-Cholesterol
A patient needs to recieve enteric feeding, what type of tube should be placed? -
CORRECT ANSWER-Dobhoff Tube
What condition will you administer the drug Chenodiol? - CORRECT ANSWER-
Cholesterol Gallstones.
2 Key S/S of Crohn's Disease - CORRECT ANSWER-Malnourishment
Anemia
Definite Diagnostic Study for Crohn's Disease - CORRECT ANSWER-CT Scan
Definite Diagnostic Study for Ulcerative Colitis - CORRECT ANSWER-Colonoscopy
What surgery can cure Ulcerative Colitis? - CORRECT ANSWER-Protocholectomy
(removal of colon and rectum)
Nursing Assessment for TPN - CORRECT ANSWER-Blood glucose every 4 to 6
hours. If there is increased urination you need to call pharmacy. Increased urine
output = hypertoxicity
Main Cause of Cholelithiasis - CORRECT ANSWER-Cholesterol stones account for
most of the remaining 75% of cases of gallbladder disease in the United States.
Symptoms of Cholelithias - CORRECT ANSWER-Nausea
Vomiting
Right upper quadrant abdominal pain or epigastric pain that radiates to the right
shoulder especially after meals when the gallbladder is stimulated to release bile.
Patient Teaching for Cholelithiasis - CORRECT ANSWER-The diet immediately after
an episode is usually low-fat liquids. These can include powdered supplements
high in protein and carbohydrate stirred into skim milk.
Purpose of Medication in Cholelithiasis - CORRECT ANSWER-Purpose of
Medications: reduces hepatic production of cholesterol.
Lowers the cholesterol content of bile, which in turn facilitates the gradual
dissolution of cholesterol gallstones.
Examples : Chenodiol (Chenodal, Chenix) is a naturally occurring bile acid .
Purpose of Adding Fat to Emulsion to TPN - CORRECT ANSWER-Fat emulsions
(lipids) are usually given to clients receiving TPN to provide supplemental
kilocalories and prevent fatty acid
Fat emulsions can also control hyperglycemia during periods of stress.
2 Questions And Answers | 2025
Updated Solutions | 100% Correct
Answers
Carbon Dioxide in Laparoscopic Cholecystectomy - CORRECT ANSWER-Carbon
dioxide is used during the procedure
Explain to the patient that they might feel pain in the right shoulder or scapular
area (from migration of the carbon dioxide used to insufflate the abdominal cavity
during the procedure).
Laparoscopic Colecystectomy 3 Things to do After - CORRECT ANSWER-
Recommend a heating pad for 15 to 20 minutes hourly or
Encourage the client to ambulate frequently to reduce the bloating.
Manage nausea assess bowel sounds for further complications.
Preoperative Assessment for Open Cholecystectomy - CORRECT ANSWER-Priority
assessment should focus on the client's respiratory status.
If a traditional surgical approach is planned, the high abdominal incision required
during surgery may interfere with full respiratory excursion.
The nurse notes a history of smoking, previous respiratory problems, shallow
respirations, a persistent or ineffective cough, and the presence of adventitious
breath sounds.
CBC and BMP should also be assessed
4 Postoperative Complications of Cholecystostomy - CORRECT ANSWER-After these
surgical procedures, the client is observed for indications of infection, leakage of
bile into the peritoneal cavity, and obstruction of bile drainage.
If bile is not draining properly, an obstruction is probably causing bile to be
forced back into the liver and bloodstream.
Because jaundice may result, the nurse should assess the color of the sclerae.
Yellow-colored sclerae or skin can indicate jaundice.
Clay-colored stool should be reported as this indicates a complication.
Discharge Teaching for Open Cholecystectomy - CORRECT ANSWER-Usually, only a
small amount of serosanguineous fluid drains in the initial 24 hours after surgery;
afterward, the drain is removed.
The drain is typically maintained if there is excess oozing or bile leakage.
Empty the drainage bag attached at least every 8 hours and as needed, to prevent
reflux back into the bile duct.
,Take showers not baths to prevent infection of the incision site.
What disease is characterized by possible malnourishment (anemic) and frequenct
diarrhea? - CORRECT ANSWER-Crohn's disease
The disease characterized by blood sools and left lower quadrent pain - CORRECT
ANSWER-Ulcerative Colitis
What GI disease would be best diagnosed with colonoscopy? - CORRECT ANSWER-
Ulcerative Colitis
What testing would you expect to see from a patient recieving parenteral nutrition? -
CORRECT ANSWER-Blood Glucose
What time of day should Famotidine (pepcid) be administered? - CORRECT ANSWER-
Bed time
What is an intragastric balloon used for? - CORRECT ANSWER-Non-invasive weight
loss
The nurse needs to check Mg++ before administration of what drug? - CORRECT
ANSWER-Magnesium hydroxide/aluminum hydrate MAALOX
Which weight loss drug requirres a fat soluble vitamin supplement? - CORRECT
ANSWER-Orlistat (XENICAL)
What do you give to treat travelers diarrhea? - CORRECT ANSWER-Bismuth Salts-
pepto bismol
This conditon is charcterized by perianal vascular congestion from straining to have a
bowel movement? - CORRECT ANSWER-Hemorrhoids
How often should 30mL of water be flushed through an NG tuve for assessment of
function - CORRECT ANSWER-Every 4 hours
A patient is experiencing diarrhea secondary to ulcerative colitis, do you treat it? -
CORRECT ANSWER-No, their body is flushing out the infection
Bulk forming laxative - CORRECT ANSWER-Citrucel or Metamucil
A patient has a NG tube placed and running suction. What lab should the nurse
monitor? - CORRECT ANSWER-BMP, fluid and electrolytes
What do you give a patient recieving a TPN to prevent hypoglycemia? - CORRECT
ANSWER-D5W or D10W
, What are most gallstones comprised of? - CORRECT ANSWER-Cholesterol
A patient needs to recieve enteric feeding, what type of tube should be placed? -
CORRECT ANSWER-Dobhoff Tube
What condition will you administer the drug Chenodiol? - CORRECT ANSWER-
Cholesterol Gallstones.
2 Key S/S of Crohn's Disease - CORRECT ANSWER-Malnourishment
Anemia
Definite Diagnostic Study for Crohn's Disease - CORRECT ANSWER-CT Scan
Definite Diagnostic Study for Ulcerative Colitis - CORRECT ANSWER-Colonoscopy
What surgery can cure Ulcerative Colitis? - CORRECT ANSWER-Protocholectomy
(removal of colon and rectum)
Nursing Assessment for TPN - CORRECT ANSWER-Blood glucose every 4 to 6
hours. If there is increased urination you need to call pharmacy. Increased urine
output = hypertoxicity
Main Cause of Cholelithiasis - CORRECT ANSWER-Cholesterol stones account for
most of the remaining 75% of cases of gallbladder disease in the United States.
Symptoms of Cholelithias - CORRECT ANSWER-Nausea
Vomiting
Right upper quadrant abdominal pain or epigastric pain that radiates to the right
shoulder especially after meals when the gallbladder is stimulated to release bile.
Patient Teaching for Cholelithiasis - CORRECT ANSWER-The diet immediately after
an episode is usually low-fat liquids. These can include powdered supplements
high in protein and carbohydrate stirred into skim milk.
Purpose of Medication in Cholelithiasis - CORRECT ANSWER-Purpose of
Medications: reduces hepatic production of cholesterol.
Lowers the cholesterol content of bile, which in turn facilitates the gradual
dissolution of cholesterol gallstones.
Examples : Chenodiol (Chenodal, Chenix) is a naturally occurring bile acid .
Purpose of Adding Fat to Emulsion to TPN - CORRECT ANSWER-Fat emulsions
(lipids) are usually given to clients receiving TPN to provide supplemental
kilocalories and prevent fatty acid
Fat emulsions can also control hyperglycemia during periods of stress.
