Nursing D118 Verified Multiple Choice and
Conceptual Actual Final Exam Questions With
Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
1. What causes pleural effusions? (Choose three.)
Breast cancer
Bronchiectasis
Allergies
Dehydration
Congestive heart failure - ANSWER Breast cancer
Correct! Breast cancer can cause pleural effusions due to cancer cells spreading to
the pleural spaces. Bronchiectasis can cause pleural effusions as it causes a
buildup of fluid in the lung. Congestive heart failure can cause pleural effusions as
it can cause fluid in the lung.
2. What are signs and symptoms of ARDS? (Choose three.)
Low blood pressure
Wheezing
Bradycardia
Fever
Fast, shallow breathing
Check My Answer - ANSWER Correct! Low blood pressure, fever, and fast,
shallow breathing are signs of ARDS. Other signs and symptoms include shortness
,of breath; tachycardia; productive cough; cyanotic lips, skin, and fingernails;
confusion; fatigue; crackling, bubbling, or rattling sounds in the lungs; and chest
pain, especially when taking deep breaths.
3. Appendicitis, - ANSWER appendicitis,-Acute appendicitis is described as
simple, gangrenous, or perforated on the basis of operative findings. In simple
appendicitis, the appendix is viable and intact. Gangrenous appendicitis is
characterized by necrosis of the appendiceal wall. Perforated appendicitis
refers to disruption of the appendix.
Complete blood count (CBC) and differential
• Serum glucose, electrolytes, blood urea nitrogen (BUN), creatinine
• C-reactive protein
• Serum β-hCG
• Sickeldex test
• Urinalysis
Perioperative systemic antibiotics, such as metronidazole and ceftizoxime,
4. Nauseas and vomiting, - ANSWER Uncomplicated viral gastroenteritis
(without metabolic imbalance or dehydration) can be managed with
nonpharmacologic interventions including increased fluid intake and diet
restrictions. A clear liquid diet should be followed for 24 hours, followed by 24
hours of the BRAT (banana, rice, applesauce, and toast) diet. This regimen will
provide the bowel with sufficient rest. A bland diet may be necessary the
following week if the patient is still symptomatic.
,5. Constipation, - ANSWER Constipation is usually defined by practitioners as
a decrease in the frequency of bowel movements to fewer than three per
week
Laboratory
• Complete blood count with differential
• Urinalysisa
• Stool for occult blood
• Thyroid-stimulating hormone
• Serum glucose, serum electrolytes including calcium, blood urea nitrogen,
creatinine
Phase 2
Use bulk-forming laxatives.
• Psyllium (Metamucil) 2.5-30 g daily in divided doses
• Methylcellulose (Citrucel) 2 g daily in divided doses
• Calcium polycarbophil (FiberCon), 1 tablet with 8 oz of water 1-4 times daily,
followed by a second glass of water
Phase 3
Use stool softeners.
• Docusate sodium: 100 mg PO twice daily followed by 8 oz of water
Phase 4
Use osmotic laxatives.
• MiraLax: 17 g in 8 oz of water prn dailya
• Milk of magnesia: 30 mL PO prn at bedtime
• Lactulose: 15-30 mL PO daily to twice a day, up to 60 mL/day in divided dosesa
, Phase 5
Use stimulant laxatives.
• Bisacodyl: 5-15 mg PO daily prn
• Senna (Senokot): 2 tablets PO prn at bedtime
• Bisacodyl (Dulcolax) suppository: 1 per rectum every 3 days prn
Phase 6
Use intestinal secretagogues.
• Lubiprostone 24 mcg twice a daya for chronic constipation
• Linaclotide 145 mcg dailya for chronic constipation
• Plecanatide 3 mg PO dailya
Phase 7
Severely constipated patients may require both oral laxatives and enemas or a
suppository to alleviate constipation.
6. Diarrhea, - ANSWER more than six unformed stools in a 24-hour period,
profuse watery diarrhea, and dehydration or in the case of patients who are
frail or older, immunocompromised, or toxic-appearing, a stool sample should
be sent for C. difficile toxin A or B analysis with secondary consideration of
IBD.
If diarrhea continues after 2 weeks and the suspected cause is noninfectious, then
colitis, diverticulitis, pancreatitis, irritable bowel, and IBD would lead the list of
differential diagnoses.
Diarrhea in the setting of blood in stool and pus should prompt a Wright stain for
white blood cells in cases of bacterial bowel disease or IBD
Conceptual Actual Final Exam Questions With
Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
1. What causes pleural effusions? (Choose three.)
Breast cancer
Bronchiectasis
Allergies
Dehydration
Congestive heart failure - ANSWER Breast cancer
Correct! Breast cancer can cause pleural effusions due to cancer cells spreading to
the pleural spaces. Bronchiectasis can cause pleural effusions as it causes a
buildup of fluid in the lung. Congestive heart failure can cause pleural effusions as
it can cause fluid in the lung.
2. What are signs and symptoms of ARDS? (Choose three.)
Low blood pressure
Wheezing
Bradycardia
Fever
Fast, shallow breathing
Check My Answer - ANSWER Correct! Low blood pressure, fever, and fast,
shallow breathing are signs of ARDS. Other signs and symptoms include shortness
,of breath; tachycardia; productive cough; cyanotic lips, skin, and fingernails;
confusion; fatigue; crackling, bubbling, or rattling sounds in the lungs; and chest
pain, especially when taking deep breaths.
3. Appendicitis, - ANSWER appendicitis,-Acute appendicitis is described as
simple, gangrenous, or perforated on the basis of operative findings. In simple
appendicitis, the appendix is viable and intact. Gangrenous appendicitis is
characterized by necrosis of the appendiceal wall. Perforated appendicitis
refers to disruption of the appendix.
Complete blood count (CBC) and differential
• Serum glucose, electrolytes, blood urea nitrogen (BUN), creatinine
• C-reactive protein
• Serum β-hCG
• Sickeldex test
• Urinalysis
Perioperative systemic antibiotics, such as metronidazole and ceftizoxime,
4. Nauseas and vomiting, - ANSWER Uncomplicated viral gastroenteritis
(without metabolic imbalance or dehydration) can be managed with
nonpharmacologic interventions including increased fluid intake and diet
restrictions. A clear liquid diet should be followed for 24 hours, followed by 24
hours of the BRAT (banana, rice, applesauce, and toast) diet. This regimen will
provide the bowel with sufficient rest. A bland diet may be necessary the
following week if the patient is still symptomatic.
,5. Constipation, - ANSWER Constipation is usually defined by practitioners as
a decrease in the frequency of bowel movements to fewer than three per
week
Laboratory
• Complete blood count with differential
• Urinalysisa
• Stool for occult blood
• Thyroid-stimulating hormone
• Serum glucose, serum electrolytes including calcium, blood urea nitrogen,
creatinine
Phase 2
Use bulk-forming laxatives.
• Psyllium (Metamucil) 2.5-30 g daily in divided doses
• Methylcellulose (Citrucel) 2 g daily in divided doses
• Calcium polycarbophil (FiberCon), 1 tablet with 8 oz of water 1-4 times daily,
followed by a second glass of water
Phase 3
Use stool softeners.
• Docusate sodium: 100 mg PO twice daily followed by 8 oz of water
Phase 4
Use osmotic laxatives.
• MiraLax: 17 g in 8 oz of water prn dailya
• Milk of magnesia: 30 mL PO prn at bedtime
• Lactulose: 15-30 mL PO daily to twice a day, up to 60 mL/day in divided dosesa
, Phase 5
Use stimulant laxatives.
• Bisacodyl: 5-15 mg PO daily prn
• Senna (Senokot): 2 tablets PO prn at bedtime
• Bisacodyl (Dulcolax) suppository: 1 per rectum every 3 days prn
Phase 6
Use intestinal secretagogues.
• Lubiprostone 24 mcg twice a daya for chronic constipation
• Linaclotide 145 mcg dailya for chronic constipation
• Plecanatide 3 mg PO dailya
Phase 7
Severely constipated patients may require both oral laxatives and enemas or a
suppository to alleviate constipation.
6. Diarrhea, - ANSWER more than six unformed stools in a 24-hour period,
profuse watery diarrhea, and dehydration or in the case of patients who are
frail or older, immunocompromised, or toxic-appearing, a stool sample should
be sent for C. difficile toxin A or B analysis with secondary consideration of
IBD.
If diarrhea continues after 2 weeks and the suspected cause is noninfectious, then
colitis, diverticulitis, pancreatitis, irritable bowel, and IBD would lead the list of
differential diagnoses.
Diarrhea in the setting of blood in stool and pus should prompt a Wright stain for
white blood cells in cases of bacterial bowel disease or IBD
