NUR257 FINAL EXAM QUESTIONS WIH CORRECT
ANSWERS CURRENLY TESTED AND GRADED A+
NEW MODIFIED
The nurse observes the physician palpating the abdomen of a client that is
suspected of having acute appendicitis. When the abdomen is pressed in the left
lower quadrant the client complains of pain on the right side. What does the
nurse understand this assessment technique is referred to?
A. Referred pain
B. Rebound pain
C. Rovsing sign
D. Cremasteric reflex --CORRECT ANSWER--C. Rovsing sign
A positive Rovsing's sign is indicative of appendicitis. A nurse knows to assess
for this indicator by palpating the:
A. Right lower quadrant
B. Left lower quadrant
C. Right upper quadrant
D. Left upper quadrant --CORRECT ANSWER--B. Left lower quadrant
Page 1 of 48
,Which type of diarrhea is caused by increased production of water and
electrolytes by the intestinal mucosa and their secretion into the intestinal
lumen?
A. Osmotic diarrhea
B. Secretory diarrhea
C. Mixed diarrhea
D. Diarrheal disease --CORRECT ANSWER--B. Secretory diarrhea
Which is the most prominent signs of inflammatory bowel disease?
A. Abdominal distention and constipation
B. Intermittent pain and diarrhea
C. Hyperactive bowel sounds and constipation
D. Increased peristalsis and diarrhea --CORRECT ANSWER--B. Intermittent
pain and diarrhea
Clients with irritable bowel disease (IBS) are at significantly increased risk for
which condition?
A. Osteoporosis
B. DVT
C. Hypotension
Page 2 of 48
,D. Pneumonia --CORRECT ANSWER--A. Osteoporosis
When planning care for a client with a small-bowel obstruction, the nurse
should consider the primary goal to be:
A. reporting pain relief
B. maintaining body weight.
C. maintaining fluid balance
D. reestablishing a normal bowel pattern --CORRECT ANSWER--C.
maintaining fluid balance
A client is recently diagnosed with Crohn's disease and is beginning treatment.
What the first-line treatment does the nurse expect that the client will be placed
on to decrease the inflammatory response?
A. Ciprofloxacin
B. Methotrexate
C. Azathroprine
D. Sulfasalazine --CORRECT ANSWER--D. Sulfasalazine
During assessment of a client for a malabsorption disorder, the nurse notes a
history of abdominal pain and weight loss, marked steatorrhea, azotorrhea, and
Page 3 of 48
, frequent glucose intolerance. Based on these clinical features, what diagnosis
will the nurse suspect?
A. Lactose intolerance
B. Celiac disease
C. Pancreatic insufficiency
D. Ileal dysfunction --CORRECT ANSWER--C. Pancreatic insufficiency
A patient is not have daily bowel movements and has begun taking a laxative
for this problem. What should the nurse educate the patient about regarding
laxative use?
A. When taking the laxatives, plenty of fluid should be taken as well.
B. The laxatives should be taken no more than 3 times a week or laxative
addiction will result.
C. Laxatives should not be routinely taken due to destruction of nerve endings
in the colon.
D. Laxatives should never be the first response for the treatment of constipation;
natural methods should be employed first. --CORRECT ANSWER--D.
Laxatives should not be routinely taken due to destruction of nerve endings in
the colon.
A client with an infection in the area between the internal and external
sphincters. In which chronic disease is this condition commonly seen?
Page 4 of 48
ANSWERS CURRENLY TESTED AND GRADED A+
NEW MODIFIED
The nurse observes the physician palpating the abdomen of a client that is
suspected of having acute appendicitis. When the abdomen is pressed in the left
lower quadrant the client complains of pain on the right side. What does the
nurse understand this assessment technique is referred to?
A. Referred pain
B. Rebound pain
C. Rovsing sign
D. Cremasteric reflex --CORRECT ANSWER--C. Rovsing sign
A positive Rovsing's sign is indicative of appendicitis. A nurse knows to assess
for this indicator by palpating the:
A. Right lower quadrant
B. Left lower quadrant
C. Right upper quadrant
D. Left upper quadrant --CORRECT ANSWER--B. Left lower quadrant
Page 1 of 48
,Which type of diarrhea is caused by increased production of water and
electrolytes by the intestinal mucosa and their secretion into the intestinal
lumen?
A. Osmotic diarrhea
B. Secretory diarrhea
C. Mixed diarrhea
D. Diarrheal disease --CORRECT ANSWER--B. Secretory diarrhea
Which is the most prominent signs of inflammatory bowel disease?
A. Abdominal distention and constipation
B. Intermittent pain and diarrhea
C. Hyperactive bowel sounds and constipation
D. Increased peristalsis and diarrhea --CORRECT ANSWER--B. Intermittent
pain and diarrhea
Clients with irritable bowel disease (IBS) are at significantly increased risk for
which condition?
A. Osteoporosis
B. DVT
C. Hypotension
Page 2 of 48
,D. Pneumonia --CORRECT ANSWER--A. Osteoporosis
When planning care for a client with a small-bowel obstruction, the nurse
should consider the primary goal to be:
A. reporting pain relief
B. maintaining body weight.
C. maintaining fluid balance
D. reestablishing a normal bowel pattern --CORRECT ANSWER--C.
maintaining fluid balance
A client is recently diagnosed with Crohn's disease and is beginning treatment.
What the first-line treatment does the nurse expect that the client will be placed
on to decrease the inflammatory response?
A. Ciprofloxacin
B. Methotrexate
C. Azathroprine
D. Sulfasalazine --CORRECT ANSWER--D. Sulfasalazine
During assessment of a client for a malabsorption disorder, the nurse notes a
history of abdominal pain and weight loss, marked steatorrhea, azotorrhea, and
Page 3 of 48
, frequent glucose intolerance. Based on these clinical features, what diagnosis
will the nurse suspect?
A. Lactose intolerance
B. Celiac disease
C. Pancreatic insufficiency
D. Ileal dysfunction --CORRECT ANSWER--C. Pancreatic insufficiency
A patient is not have daily bowel movements and has begun taking a laxative
for this problem. What should the nurse educate the patient about regarding
laxative use?
A. When taking the laxatives, plenty of fluid should be taken as well.
B. The laxatives should be taken no more than 3 times a week or laxative
addiction will result.
C. Laxatives should not be routinely taken due to destruction of nerve endings
in the colon.
D. Laxatives should never be the first response for the treatment of constipation;
natural methods should be employed first. --CORRECT ANSWER--D.
Laxatives should not be routinely taken due to destruction of nerve endings in
the colon.
A client with an infection in the area between the internal and external
sphincters. In which chronic disease is this condition commonly seen?
Page 4 of 48
