N300 TEST 3 EXAM TEST BANK REVIEW
VERIFIED QUESTIONS & 100% ACCURATE
ANSWERS | COMPLETELY UPDATED 2025–2026
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4) A nurse is performing a gastrointestinal assessment on an older adult. What
assessment finding would the nurse be concerned with?
1. Dyspepsia
2. Hiatal hernia
3. Hyperactive bowel sounds
4. Decreased ability to taste foods
- ANSWER: 2
Explanation: 1. Dyspepsia (indigestion with bloating, early satiety, abdominal
distention, anorexia, vomiting, dysphagia, belching, or nausea) is a common
symptom, but often is not vigorously investigated and is attributed to normal
changes of aging.
2. Hiatal hernias, or diaphragmatic hernias that allow a small portion of the
stomach to slide into the chest, are so common in older people that they are
sometimes classified as a normal change of aging and are often asymptomatic.
3. Hyperactive bowel sounds, rebound tenderness, or the presence of an abdominal
mass may indicate a bowel obstruction or perforation and require immediate
referral and medical attention.
4. There is a decrease in the amount of taste buds in older adults; this is a normal
age-related finding.
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6) The nurse is educating a daughter on how to properly feed her older mother.
Following education, which observation by the nurse, indicates that the daughter
still needs additional instruction?
1. She checks to make sure the patient's dentures are in place.
2. She makes sure that each bite is swallowed before providing the next bite.
3. She reminds the patient to chew the food after being placed in the patient's
mouth.
4. She makes sure that the patient remains in an upright position for 15 mi
- ANSWER: 4
Explanation: 1. The family member should ensure that the patient's dentures are in
place and in good repair.
2. Patients being fed must be given time to swallow what is in the mouth before
being fed another bite.
3. Focusing attention on the task at hand and verbally reinforcing the expected
activity may prove effective when feeding the patient.
4. It is important to maintain an upright position for at least 1 hour after eating to
avoid aspiration
11) An older patient is diagnosed with peptic ulcer disease. The nurse knows that
this condition can be precipitated by? Select all that apply.
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1. Taking prescribed warfarin
2. Allergic reactions to penicillin
3. Taking over the counter ibuprofen
4. Taking prescribed medications for hypertension
5. A history of cataract surgery several months ago
- ANSWER: 1, 3
Explanation: 1. Taking an anticoagulant such as warfarin predisposes older adults
to peptic ulcer development.
2. An allergy to penicillin would not contribute to the development of a peptic ulcr.
3. NSAID use increases the incidence of peptic ulcer disease.
4. Taking prescribed medication for hypertension would not contribute to the
development of a peptic ulcer.
5. Cataract surgery would not contribute to the development of a peptic ulcer.
12) The nurse is assessing an older patient diagnosed with diverticulitis. What
assessment findings are congruent with this diagnosis? Select all that apply.
1. Fever
2. Diarrhea
3. Leukocytosis
4. Abdominal tenderness
5. Right lower quadrant pain
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- ANSWER: 1, 3, 4
Explanation: 1. Symptoms of diverticulitis may include fever.
2. Constipation is an aggravating factor for diverticulosis.
3. Symptoms of diverticulitis include leukocytosis.
4. Symptoms of diverticulitis include abdominal tenderness.
5. Symptoms of diverticulitis include left lower quadrant pain.
13) An older patient with diverticulitis is being discharged home following
treatment. Which statement from the patient suggests to the nurse that they may
need more educational information to prevent recurrence of diverticulitis and
manage the disease?
1. "I can eat bran cereals."
2. "I should avoid certain muffins."
3. "I should avoid exercising for 2 weeks."
4. "It is alright to postpone the urge to have a bowel movement."
- ANSWER: 3
Explanation: 1. Eat more fiber and drink plenty of fluids (try to drink eight full
glasses of water per day). This will decrease intraluminal pressure and soften the
consistency of the stool.
2. Avoid foods that precipitate painful attacks. Some foods with seeds, such as
popcorn, sesame seeds, and poppy seeds, can become trapped in the diverticula and
trigger an infection and inflammatory response.