ESTUDYR
HONDROS NUR 176 EXAM 3 UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH
DETAILED RATIONALES
Which is an appropriate bleeding precaution for a patient on anticoagulants?
A. Use a straight razor for shaving
B. Use an electric razor and avoid dental flossing. ✅
C. Increase intake of leafy greens only when INR low
D. Stop all lab monitoring once started
Rationale: Electric razors reduce skin cuts; avoid flossing to prevent gum bleeding and monitor
labs (PT/INR).
What is the correct order for an abdominal assessment?
A. Percussion → Palpation → Inspection → Auscultation
B. Auscultation → Inspection → Percussion → Palpation
C. Inspection → Auscultation → Percussion → Palpation. ✅
D. Palpation → Inspection → Auscultation → Percussion
Rationale: Auscultate before percussion/palpation to avoid altering bowel sounds.
A primary purpose of an NG tube is to:
A. Permanently feed the patient
B. Decompress the stomach and prevent vomiting. ✅
C. Replace the need for oral care
D. Provide long-term parenteral nutrition
Rationale: NG tubes decompress/gastric suction; enteral feeding may be temporary via other
means.
Which finding commonly contributes to constipation in older adults?
A. High fiber intake
B. Low fluid intake and inactivity. ✅
C. Daily vigorous exercise
D. Excessive bowel training
Rationale: Dehydration and sedentary lifestyle commonly cause constipation in older adults.
Best nursing advice to help older adults avoid constipation includes:
A. Avoid all laxatives forever
B. Encourage regular activity, a bowel schedule, 2 L/day fluids, and high-fiber foods. ✅
C. Take stimulant laxatives daily
D. Limit fluids to prevent incontinence
,ESTUDYR
Rationale: Hydration, fiber, activity, and routine prevent constipation; chronic laxative use
causes dependency.
Early signs of appendicitis most often include:
A. Lower-left quadrant pain and jaundice
B. Periumbilical pain migrating to RLQ, anorexia, nausea, and rebound tenderness. ✅
C. Constant, diffuse back pain only
D. Painless rectal bleeding
Rationale: Classic appendicitis begins periumbilically then localizes to McBurney’s point with GI
symptoms.
Sudden disappearance of severe abdominal pain in confirmed appendicitis may indicate:
A. Spontaneous resolution without risk
B. Appendix rupture with risk of peritonitis — urgent assessment required. ✅
C. Resolution of infection only
D. That pain medication worked and no further care needed
Rationale: Sudden pain relief can mean perforation and peritoneal contamination — a medical
emergency.
After an EGD (esophagogastroduodenoscopy), the nurse should first:
A. Allow patient to eat immediately
B. Maintain airway and assess for return of gag reflex before oral intake. ✅
C. Encourage ambulation right away
D. Remove monitoring equipment immediately
Rationale: Sedation can depress gag reflex; ensure airway protection prior to PO intake.
Which statement about ulcerative colitis is correct?
A. It involves the entire GI tract from mouth to anus
B. It affects only the colon and causes bloody diarrhea and cramping. ✅
C. It is diagnosed only by blood tests
D. Caffeine is recommended to reduce symptoms
Rationale: UC is limited to the colon/rectum; colonoscopy with biopsy and stool studies help
confirm diagnosis.
Crohn’s disease differs from ulcerative colitis because Crohn’s:
A. Only affects the colon mucosa
B. Can affect any part of the GI tract and involve transmural inflammation causing obstruction
risk. ✅
C. Never causes elevated WBC
, ESTUDYR
D. Is treated solely with antacids
Rationale: Crohn’s is transmural and can cause strictures, fistulas, and malabsorption.
For postop bowel surgery patients, which is a priority nursing action?
A. Avoid ambulation for 72 hours
B. Encourage early ambulation, monitor dressings/drains, check vitals q4h, incentive
spirometry, and bowel sounds each shift. ✅
C. Feed full liquids immediately after surgery
D. Ignore respiratory status if abdomen stable
Rationale: Early ambulation and pulmonary hygiene reduce complications; frequent
assessment supports recovery.
A key GI symptom of celiac disease is:
A. Constipation without malabsorption
B. Diarrhea with frothy, foul-smelling stools due to malabsorption. ✅
C. Isolated chest pain only
D. Always asymptomatic
Rationale: Gluten-induced villous atrophy causes steatorrhea, weight loss, and nutrient
deficiencies.
Which foods are appropriate for a gluten-free (celiac) diet?
A. Wheat, rye, and barley cereal
B. Corn and rice products — avoid wheat, rye, and barley. ✅
C. Barley-malt beverages routinely
D. Unlabeled processed foods always safe
Rationale: Corn and rice are gluten-free; processed foods may contain hidden gluten — read
labels.
Blood flows from the right atrium to the right ventricle through the:
A. Mitral valve
B. Aortic valve
C. Tricuspid valve. ✅
Rationale: Tricuspid valve separates right atrium and right ventricle.
Which vessel carries oxygenated blood from the lungs to the heart?
A. Pulmonary artery
B. Pulmonary veins to the left atrium. ✅
C. Superior vena cava
D. Coronary sinus
Rationale: Pulmonary veins return oxygenated blood to the left atrium.
HONDROS NUR 176 EXAM 3 UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH
DETAILED RATIONALES
Which is an appropriate bleeding precaution for a patient on anticoagulants?
A. Use a straight razor for shaving
B. Use an electric razor and avoid dental flossing. ✅
C. Increase intake of leafy greens only when INR low
D. Stop all lab monitoring once started
Rationale: Electric razors reduce skin cuts; avoid flossing to prevent gum bleeding and monitor
labs (PT/INR).
What is the correct order for an abdominal assessment?
A. Percussion → Palpation → Inspection → Auscultation
B. Auscultation → Inspection → Percussion → Palpation
C. Inspection → Auscultation → Percussion → Palpation. ✅
D. Palpation → Inspection → Auscultation → Percussion
Rationale: Auscultate before percussion/palpation to avoid altering bowel sounds.
A primary purpose of an NG tube is to:
A. Permanently feed the patient
B. Decompress the stomach and prevent vomiting. ✅
C. Replace the need for oral care
D. Provide long-term parenteral nutrition
Rationale: NG tubes decompress/gastric suction; enteral feeding may be temporary via other
means.
Which finding commonly contributes to constipation in older adults?
A. High fiber intake
B. Low fluid intake and inactivity. ✅
C. Daily vigorous exercise
D. Excessive bowel training
Rationale: Dehydration and sedentary lifestyle commonly cause constipation in older adults.
Best nursing advice to help older adults avoid constipation includes:
A. Avoid all laxatives forever
B. Encourage regular activity, a bowel schedule, 2 L/day fluids, and high-fiber foods. ✅
C. Take stimulant laxatives daily
D. Limit fluids to prevent incontinence
,ESTUDYR
Rationale: Hydration, fiber, activity, and routine prevent constipation; chronic laxative use
causes dependency.
Early signs of appendicitis most often include:
A. Lower-left quadrant pain and jaundice
B. Periumbilical pain migrating to RLQ, anorexia, nausea, and rebound tenderness. ✅
C. Constant, diffuse back pain only
D. Painless rectal bleeding
Rationale: Classic appendicitis begins periumbilically then localizes to McBurney’s point with GI
symptoms.
Sudden disappearance of severe abdominal pain in confirmed appendicitis may indicate:
A. Spontaneous resolution without risk
B. Appendix rupture with risk of peritonitis — urgent assessment required. ✅
C. Resolution of infection only
D. That pain medication worked and no further care needed
Rationale: Sudden pain relief can mean perforation and peritoneal contamination — a medical
emergency.
After an EGD (esophagogastroduodenoscopy), the nurse should first:
A. Allow patient to eat immediately
B. Maintain airway and assess for return of gag reflex before oral intake. ✅
C. Encourage ambulation right away
D. Remove monitoring equipment immediately
Rationale: Sedation can depress gag reflex; ensure airway protection prior to PO intake.
Which statement about ulcerative colitis is correct?
A. It involves the entire GI tract from mouth to anus
B. It affects only the colon and causes bloody diarrhea and cramping. ✅
C. It is diagnosed only by blood tests
D. Caffeine is recommended to reduce symptoms
Rationale: UC is limited to the colon/rectum; colonoscopy with biopsy and stool studies help
confirm diagnosis.
Crohn’s disease differs from ulcerative colitis because Crohn’s:
A. Only affects the colon mucosa
B. Can affect any part of the GI tract and involve transmural inflammation causing obstruction
risk. ✅
C. Never causes elevated WBC
, ESTUDYR
D. Is treated solely with antacids
Rationale: Crohn’s is transmural and can cause strictures, fistulas, and malabsorption.
For postop bowel surgery patients, which is a priority nursing action?
A. Avoid ambulation for 72 hours
B. Encourage early ambulation, monitor dressings/drains, check vitals q4h, incentive
spirometry, and bowel sounds each shift. ✅
C. Feed full liquids immediately after surgery
D. Ignore respiratory status if abdomen stable
Rationale: Early ambulation and pulmonary hygiene reduce complications; frequent
assessment supports recovery.
A key GI symptom of celiac disease is:
A. Constipation without malabsorption
B. Diarrhea with frothy, foul-smelling stools due to malabsorption. ✅
C. Isolated chest pain only
D. Always asymptomatic
Rationale: Gluten-induced villous atrophy causes steatorrhea, weight loss, and nutrient
deficiencies.
Which foods are appropriate for a gluten-free (celiac) diet?
A. Wheat, rye, and barley cereal
B. Corn and rice products — avoid wheat, rye, and barley. ✅
C. Barley-malt beverages routinely
D. Unlabeled processed foods always safe
Rationale: Corn and rice are gluten-free; processed foods may contain hidden gluten — read
labels.
Blood flows from the right atrium to the right ventricle through the:
A. Mitral valve
B. Aortic valve
C. Tricuspid valve. ✅
Rationale: Tricuspid valve separates right atrium and right ventricle.
Which vessel carries oxygenated blood from the lungs to the heart?
A. Pulmonary artery
B. Pulmonary veins to the left atrium. ✅
C. Superior vena cava
D. Coronary sinus
Rationale: Pulmonary veins return oxygenated blood to the left atrium.
