1|Page
NUR 355 Exam 3 Newest Actual Exam Preparation
With Complete Questions And Correct Answers With
Rationales ||Verified Exam!!!| Already Graded
A+||Newest Exam Version!!!
The nurse is caring for a 47-yr-old female patient who is
comatose and is receiving continuous enteral nutrition
through a soft nasogastric tube. The nurse notes the
presence of new crackles in the patient's lungs. In which
order will the nurse take action? (Put a comma and a
space between each answer choice [A, B, C, D].)
a. Check the patient's oxygen saturation.
b. Notify the patient's health care provider.
c. Stop administering the continuous feeding.
d. Measure the gastric residual volume per agency policy.
- Answer-Answers:
C. Stop administering the continuous feeding
A. Check the patient's oxygen saturation
D. Measure the gastric residual volume per agency policy.
B. Notify the patient's health care provider
,2|Page
Rationale: The assessment data indicate that aspiration
may have occurred. The nurse's first action should be to
turn off the enteral feeding to avoid further aspiration. The
next action should be to check the oxygen saturation
because this may indicate the need for immediate
respiratory suctioning or oxygen administration. The
residual volume provides data about possible causes of
aspiration. Finally, the health care provider should be
notified and informed of all the assessment data the nurse
has just obtained.
Which information about an 80-yr-old male patient at the
senior center is of most concern to the nurse?
a. Decreased appetite
b. Occasional indigestion
c. Unintended weight loss
d. Difficulty chewing food - Answer-Answer: Unintended
weight loss
Rationale: Unintentional weight loss is not a normal finding
and may indicate a problem such as cancer or depression.
Poor appetite, difficulty in chewing, and indigestion are
common in older patients. These will need to be
,3|Page
addressed but are not of as much concern as the weight
loss.
2. An older patient reports chronic constipation. To
promote bowel evacuation, when should the nurse
suggest that the patient attempt defecation?
a. In the mid-afternoon
b. After eating breakfast
c. Right after awakening in the morning
d. Immediately before the first daily meal - Answer-
Answer: After eating breakfast
Rationale: The gastrocolic reflex is most active after the
first daily meal. Awakening, the anticipation of eating, and
mid-afternoon timing do not stimulate these reflexes.
What condition should the nurse anticipate when caring for
a patient with a history of a total gastrectomy?
a. Constipation
b. Dehydration
, 4|Page
c. Elevated total serum cholesterol
d. Cobalamin (vitamin B12) deficiency - Answer-Answer:
Cobalamin
Rationale: The patient with a total gastrectomy does not
secrete intrinsic factor, which is needed for cobalamin
(vitamin B12) absorption. Because the stomach absorbs
only small amounts of water and nutrients, the patient is
not at higher risk for dehydration, elevated cholesterol, or
constipation.
The nurse is caring for a patient with an obstructed
common bile duct. What condition should the nurse
expect?
a. Melena
b. Steatorrhea
c. Decreased serum cholesterol level
d. Increased serum indirect bilirubin level - Answer-
Answer: Steatorrhea
Rationale: A common bile duct obstruction will reduce the
absorption of fat in the small intestine, leading to fatty
NUR 355 Exam 3 Newest Actual Exam Preparation
With Complete Questions And Correct Answers With
Rationales ||Verified Exam!!!| Already Graded
A+||Newest Exam Version!!!
The nurse is caring for a 47-yr-old female patient who is
comatose and is receiving continuous enteral nutrition
through a soft nasogastric tube. The nurse notes the
presence of new crackles in the patient's lungs. In which
order will the nurse take action? (Put a comma and a
space between each answer choice [A, B, C, D].)
a. Check the patient's oxygen saturation.
b. Notify the patient's health care provider.
c. Stop administering the continuous feeding.
d. Measure the gastric residual volume per agency policy.
- Answer-Answers:
C. Stop administering the continuous feeding
A. Check the patient's oxygen saturation
D. Measure the gastric residual volume per agency policy.
B. Notify the patient's health care provider
,2|Page
Rationale: The assessment data indicate that aspiration
may have occurred. The nurse's first action should be to
turn off the enteral feeding to avoid further aspiration. The
next action should be to check the oxygen saturation
because this may indicate the need for immediate
respiratory suctioning or oxygen administration. The
residual volume provides data about possible causes of
aspiration. Finally, the health care provider should be
notified and informed of all the assessment data the nurse
has just obtained.
Which information about an 80-yr-old male patient at the
senior center is of most concern to the nurse?
a. Decreased appetite
b. Occasional indigestion
c. Unintended weight loss
d. Difficulty chewing food - Answer-Answer: Unintended
weight loss
Rationale: Unintentional weight loss is not a normal finding
and may indicate a problem such as cancer or depression.
Poor appetite, difficulty in chewing, and indigestion are
common in older patients. These will need to be
,3|Page
addressed but are not of as much concern as the weight
loss.
2. An older patient reports chronic constipation. To
promote bowel evacuation, when should the nurse
suggest that the patient attempt defecation?
a. In the mid-afternoon
b. After eating breakfast
c. Right after awakening in the morning
d. Immediately before the first daily meal - Answer-
Answer: After eating breakfast
Rationale: The gastrocolic reflex is most active after the
first daily meal. Awakening, the anticipation of eating, and
mid-afternoon timing do not stimulate these reflexes.
What condition should the nurse anticipate when caring for
a patient with a history of a total gastrectomy?
a. Constipation
b. Dehydration
, 4|Page
c. Elevated total serum cholesterol
d. Cobalamin (vitamin B12) deficiency - Answer-Answer:
Cobalamin
Rationale: The patient with a total gastrectomy does not
secrete intrinsic factor, which is needed for cobalamin
(vitamin B12) absorption. Because the stomach absorbs
only small amounts of water and nutrients, the patient is
not at higher risk for dehydration, elevated cholesterol, or
constipation.
The nurse is caring for a patient with an obstructed
common bile duct. What condition should the nurse
expect?
a. Melena
b. Steatorrhea
c. Decreased serum cholesterol level
d. Increased serum indirect bilirubin level - Answer-
Answer: Steatorrhea
Rationale: A common bile duct obstruction will reduce the
absorption of fat in the small intestine, leading to fatty
