Medical-Surgical Test Bank for Exam 2Med
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1. A nurse is examining a client reporting right up- D
per quadrant (RUQ) abdominal pain. What technique
should
the nurse use to assess this clients abdomen?
a. Auscultate after palpating.
b. Avoid any palpation.
c. Palpate the RUQ first.
d. Palpate the RUQ last.
2. A client presents to the emergency department report- B
ing severe abdominal pain. On assessment, the nurse
finds a bulging, pulsating mass in the abdomen. What
action by the nurse is the priority?
a. Auscultate for bowel sounds.
b. Notify the provider immediately.
c. Order an abdominal flat-plate x-ray.
d. Palpate the mass and measure its size
3. A client is recovering from an esophagogastroduo- b
denoscopy (EGD) and requests something to drink.
What
action by the nurse is best?
a. Allow the client cool liquids only.
b. Assess the clients gag reflex.
c. Remind the client to remain NPO.
d. Tell the client to wait 4 hours.
4. An emergency room nurse assesses a client after a mo- b
tor vehicle crash and notes ecchymotic areas across
the clients lower abdomen. Which action should the
nurse take first?
a. Measure the clients abdominal girth.
Medical-Surgical Test Bank for Exam 2 ? Grade A+ Verified Questions and Answers | 2025 Updated Study Guide
, Med Surg Test Bank for Exam 2
Medical-Surgical Test Bank for Exam 2Med
? Grade
SurgA+Test
Verified
BankQuestions
for Examand
2 Answers | 2025 Updated Study Guide
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b. Assess for abdominal guarding or rigidity.
c. Check the clients hemoglobin and hematocrit.
d. Obtain the clients complete health history.
5. A nurse cares for a client who states, My husband is a
repulsed by my colostomy and refuses to be intimate
with me. How should the nurse respond?
a. Lets talk to the ostomy nurse to help you and your
husband work through this.
b. You could try to wear longer lingerie that will better
hide the ostomy appliance.
c. You should empty the pouch first so it will be less
noticeable for your husband.
d. If you are not careful, you can hurt the stoma if you
engage in sexual activity.
6. A nurse assesses a client with a mechanical bowel D
obstruction who reports intermittent abdominal pain.
An
hour later the client reports constant abdominal pain.
Which action should the nurse take next?
a. Administer intravenous opioid medications.
b. Position the client with knees to chest.
c. Insert a nasogastric tube for decompression.
d. Assess the clients bowel sounds.
7. A nurse cares for a client who had a colostomy placed a
in the ascending colon 2 weeks ago. The client
states, The stool in my pouch is still liquid. How should
the nurse respond?
a. The stool will always be liquid with this type of
colostomy.
Medical-Surgical Test Bank for Exam 2 ? Grade A+ Verified Questions and Answers | 2025 Updated Study Guide
, Med Surg Test Bank for Exam 2
Medical-Surgical Test Bank for Exam 2Med
? Grade
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BankQuestions
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b. Eating additional fiber will bulk up your stool and
decrease diarrhea.
c. Your stool will become firmer over the next couple of
weeks.
d. This is abnormal. I will contact your health care
provider.
8. A nurse inserts a nasogastric (NG) tube for an adult a,c,e
client who has a bowel obstruction. Which actions
does
the nurse perform correctly? (Select all that apply.)
a. Performs hand hygiene and positions the client in
high-Fowlers position, with pillows behind the head
and
shoulders
b. Instructs the client to extend the neck against the
pillow once the NG tube has reached the oropharynx
c. Checks for correct placement by checking the pH of
the fluid aspirated from the tube
d. Secures the NG tube by taping it to the clients nose
and pinning the end to the pillowcase
e. Connects the NG tube to intermittent medium suc-
tion with an anti-reflux valve on the air vent
9. A nurse cares for a client who has been diagnosed with a,c,e
a small bowel obstruction. Which assessment
findings should the nurse correlate with this diagno-
sis? (Select all that apply.)
a. Serum potassium of 2.8 mEq/L
b. Loss of 15 pounds without dieting
c. Abdominal pain in upper quadrants
Medical-Surgical Test Bank for Exam 2 ? Grade A+ Verified Questions and Answers | 2025 Updated Study Guide