NR511
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1. Mr. Johnson, age 69, has had Meniere disease for several years. He has
some hearing loss but now has persistent vertigo. What treatment might be
instituted to relieve the vertigo?
1.A labyrinthectomy.
2.Pharmacological therapy.
3.A vestibular neurectomy.
4.Wearing an earplug in the ear that has the most hearing loss.: 3.
A vestibular neurectomy.
2. Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter.
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy.: 1. Balloon dilation of the LES
3. Which oral medication might be used to treat a client with chronic cholelithi-
asis who is a poor candidate for surgery?
1.Ursodiol (Actigall).
2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer.: 1. Ursodiol (Actigall)
4. All of the following medications are used for the control of nausea and
vomiting. Which medication works by affecting the chemoreceptor trigger
zone, thereby stimulating upper gastrointestinal motility and increasing lower
esophageal sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol).: 3.Antidopaminergic and cholin-
ergic agents, such as metoclopramide (Reglan).
5. You auscultate Julie's abdomen and hear a peritoneal friction rub. Which
condition do you rule out?
1.Peritonitis.
2.A liver or spleen abscess.
, NR511
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3.A liver or spleen metastatic tumor.
4.Irritable bowel syndrome.: 4. IBS
6. Which is the most common presenting symptom of gastric cancer?
1.Weight loss.
2.Dysphagia.
3.Hematemesis.
4.Gastrointestinal bleeding.: 1. Weight loss
7. The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol.
2.Anticonvulsants.
3.Psychotropics.
4.Oral anticoagulants.: 1. Alcohol
8. Nausea is difficult to discern in a young child. What question might you ask
to determine if a child has nausea?
1."Are you sick to your tummy?"
2."Are you hungry?"
3."Are you eating the way you normally eat?"
4."Are you nauseous?": 2.
"Are you hungry?"
9. Zena just had a hemorrhoidectomy. You know she has not understood your
teaching when she tells you she will:
1.Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2.Drink at least 2000 mL of fluids per day.
3.Decrease her dietary fiber for 1 month.
4.Take stool softeners as prescribed.: 3.Decrease her dietary fiber for 1 month.
10. Stacy, a nursing student, is to begin her series of hepatitis B vaccinations.
You test her for a serological marker, and the results show hepatitis B surface
antibodies (HBsAb). You tell Stacy that she:
1.Needs to begin the hepatitis B series as soon as possible.
2.Needs to be tested again because one reading is not indicative of immunity.
3.Is permanently immune to hepatitis B.
4.Has an acute hepatitis B infection.: 3. Is permanently immune to hepatitis B.
, NR511
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11. Margie, age 52, has an extremely stressful job and was just given a diagnosis
of gastric ulcer. She tells you she is sure it is going to be malignant. How do you
respond?
1."Don't worry. Gastric ulcers are not cancerous."
2."About 95% of gastric ulcers are benign."
3."You have about a 50% chance of having gastric cancer from your ulcer."
4."Even if it is cancer, surgery is 100% successful.": 2."About 95% of gastric ulcers are benign."
12. You are counseling Lillian, who is lactose intolerant, about foods to avoid.
You know she misunderstands the teaching when she tells you she can have:
1.Yogurt.
2.Foods containing whey.
3.Prehydrolyzed milk.
4.Oranges.: 2.Foods containing whey.
13. Susan, age 59, has no specific complaints when she comes in for her annual
examination. She does, however, have type 2 diabetes mellitus (DM), slight
hypertension, dyslipidemia, and central obesity. How would you diagnose her?
1.As a healthy adult with several problems.
2.As having a glycemic event.
3.As having metabolic syndrome.
4.As having multiple organ dysfunction: 3.
As having metabolic syndrome.
14. Tom has just been diagnosed with celiac disease. Which of the following
might you tell him?
1.There is a new pharmaceutical cure for celiac disease.
2.A strict gluten-free diet is the only treatment for celiac disease.
3.Your children will not be at a higher risk for developing this disease.
4.The presence of celiac disease is decreasing dramatically in the United
States.: 2.A strict gluten-free diet is the only treatment for celiac disease.
15. Simon, age 72, states that he is worried because he has a bowel movement
only every third day. You respond:1.
"You should have two to three stools per day."
2."You should defecate once a day."
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3."You should have at least three stools per week."
4."There is no such thing as a 'normal' pattern of defecation.": 4.
"There is no such thing as a 'normal' pattern of defecation."
16. Matt, age 26, recently returned from a camping trip and has gastroenteritis.
He says that he has been eating only canned food. Which of the following
pathogens do you suspect?
1.Campylobacter jejuni.
2.Clostridium botulinum.
3.Clostridium perfringens.
4.Staphylococcus.: 2.
Clostridium botulinum.
17. Timothy, age 68, complains of an abrupt change in his defecation pattern.
You evaluate him for:
1.Constipation.
2.Colorectal cancer.
3.Irritable bowel syndrome.
4.Acute appendicitis.: 2.
Colorectal cancer.
18. Ruby has a colostomy and complains that her stools are too loose. What
food(s) do you suggest to help thicken the stools?
1.Cheese.
2.Leafy green vegetables.
3.Raw fruits and vegetables.
4.Dried beans.: 1. Cheese
19. Martina, age 34, has AIDS and currently suffers from diarrhea. You suspect
she has which protozoal infection of the bowel?
1.Giardiasis.
2.Amebiasis.
3.Cryptosporidiosis.
4.Escherichia coli.: 3.
Cryptosporidiosis.
Study online at https://quizlet.com/_8do4ut
1. Mr. Johnson, age 69, has had Meniere disease for several years. He has
some hearing loss but now has persistent vertigo. What treatment might be
instituted to relieve the vertigo?
1.A labyrinthectomy.
2.Pharmacological therapy.
3.A vestibular neurectomy.
4.Wearing an earplug in the ear that has the most hearing loss.: 3.
A vestibular neurectomy.
2. Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter.
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy.: 1. Balloon dilation of the LES
3. Which oral medication might be used to treat a client with chronic cholelithi-
asis who is a poor candidate for surgery?
1.Ursodiol (Actigall).
2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer.: 1. Ursodiol (Actigall)
4. All of the following medications are used for the control of nausea and
vomiting. Which medication works by affecting the chemoreceptor trigger
zone, thereby stimulating upper gastrointestinal motility and increasing lower
esophageal sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol).: 3.Antidopaminergic and cholin-
ergic agents, such as metoclopramide (Reglan).
5. You auscultate Julie's abdomen and hear a peritoneal friction rub. Which
condition do you rule out?
1.Peritonitis.
2.A liver or spleen abscess.
, NR511
Study online at https://quizlet.com/_8do4ut
3.A liver or spleen metastatic tumor.
4.Irritable bowel syndrome.: 4. IBS
6. Which is the most common presenting symptom of gastric cancer?
1.Weight loss.
2.Dysphagia.
3.Hematemesis.
4.Gastrointestinal bleeding.: 1. Weight loss
7. The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol.
2.Anticonvulsants.
3.Psychotropics.
4.Oral anticoagulants.: 1. Alcohol
8. Nausea is difficult to discern in a young child. What question might you ask
to determine if a child has nausea?
1."Are you sick to your tummy?"
2."Are you hungry?"
3."Are you eating the way you normally eat?"
4."Are you nauseous?": 2.
"Are you hungry?"
9. Zena just had a hemorrhoidectomy. You know she has not understood your
teaching when she tells you she will:
1.Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2.Drink at least 2000 mL of fluids per day.
3.Decrease her dietary fiber for 1 month.
4.Take stool softeners as prescribed.: 3.Decrease her dietary fiber for 1 month.
10. Stacy, a nursing student, is to begin her series of hepatitis B vaccinations.
You test her for a serological marker, and the results show hepatitis B surface
antibodies (HBsAb). You tell Stacy that she:
1.Needs to begin the hepatitis B series as soon as possible.
2.Needs to be tested again because one reading is not indicative of immunity.
3.Is permanently immune to hepatitis B.
4.Has an acute hepatitis B infection.: 3. Is permanently immune to hepatitis B.
, NR511
Study online at https://quizlet.com/_8do4ut
11. Margie, age 52, has an extremely stressful job and was just given a diagnosis
of gastric ulcer. She tells you she is sure it is going to be malignant. How do you
respond?
1."Don't worry. Gastric ulcers are not cancerous."
2."About 95% of gastric ulcers are benign."
3."You have about a 50% chance of having gastric cancer from your ulcer."
4."Even if it is cancer, surgery is 100% successful.": 2."About 95% of gastric ulcers are benign."
12. You are counseling Lillian, who is lactose intolerant, about foods to avoid.
You know she misunderstands the teaching when she tells you she can have:
1.Yogurt.
2.Foods containing whey.
3.Prehydrolyzed milk.
4.Oranges.: 2.Foods containing whey.
13. Susan, age 59, has no specific complaints when she comes in for her annual
examination. She does, however, have type 2 diabetes mellitus (DM), slight
hypertension, dyslipidemia, and central obesity. How would you diagnose her?
1.As a healthy adult with several problems.
2.As having a glycemic event.
3.As having metabolic syndrome.
4.As having multiple organ dysfunction: 3.
As having metabolic syndrome.
14. Tom has just been diagnosed with celiac disease. Which of the following
might you tell him?
1.There is a new pharmaceutical cure for celiac disease.
2.A strict gluten-free diet is the only treatment for celiac disease.
3.Your children will not be at a higher risk for developing this disease.
4.The presence of celiac disease is decreasing dramatically in the United
States.: 2.A strict gluten-free diet is the only treatment for celiac disease.
15. Simon, age 72, states that he is worried because he has a bowel movement
only every third day. You respond:1.
"You should have two to three stools per day."
2."You should defecate once a day."
, NR511
Study online at https://quizlet.com/_8do4ut
3."You should have at least three stools per week."
4."There is no such thing as a 'normal' pattern of defecation.": 4.
"There is no such thing as a 'normal' pattern of defecation."
16. Matt, age 26, recently returned from a camping trip and has gastroenteritis.
He says that he has been eating only canned food. Which of the following
pathogens do you suspect?
1.Campylobacter jejuni.
2.Clostridium botulinum.
3.Clostridium perfringens.
4.Staphylococcus.: 2.
Clostridium botulinum.
17. Timothy, age 68, complains of an abrupt change in his defecation pattern.
You evaluate him for:
1.Constipation.
2.Colorectal cancer.
3.Irritable bowel syndrome.
4.Acute appendicitis.: 2.
Colorectal cancer.
18. Ruby has a colostomy and complains that her stools are too loose. What
food(s) do you suggest to help thicken the stools?
1.Cheese.
2.Leafy green vegetables.
3.Raw fruits and vegetables.
4.Dried beans.: 1. Cheese
19. Martina, age 34, has AIDS and currently suffers from diarrhea. You suspect
she has which protozoal infection of the bowel?
1.Giardiasis.
2.Amebiasis.
3.Cryptosporidiosis.
4.Escherichia coli.: 3.
Cryptosporidiosis.
