NR 511 Midterm 2026 Questions and
Answers (100% Correct Answers)
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All of the following medications are used for the control of
nausea and vomiting. Which medication works by affecting the
chemoreceptor trigger zone, thereby stimulating upper
gastrointestinal motility and increasing lower esophageal
sphincter pressure?
© 2026 Assignment
1.Anticholinergics, such as scopolamine (Donnatal).
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2.Antidopaminergic agents, such as prochlorperazine
(Compazine).
3.Antidopaminergic and cholinergic agents, such as
metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol) Ans:
Antidopaminergic and cholinergic agents, such as
metoclopramide (Reglan)
rationale: Metoclopramide (Reglan) is used for diabetic
gastroparesis and postoperative nausea and vomiting. It works
by affecting the chemoreceptor trigger zone, thereby
stimulating upper gastrointestinal motility and increasing
lower esophageal sphincter pressure
You auscultate Julie's abdomen and hear a peritoneal friction
rub. Which condition do you rule out?
1.Peritonitis.
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2.A liver or spleen abscess.
3.A liver or spleen metastatic tumor.
4.Irritable bowel syndrome. Ans: IBS
rationale: IBS does not produce a friction rub
You are counseling Lillian, who is lactose intolerant, about
foods to avoid. You know she misunderstands the teaching
© 2026 Assignment
when she tells you she can have:
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1. Yogurt.
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2.Foods containing whey.
3.Prehydrolyzed milk.
4.Oranges. Ans: Foods containing whey
rationale: Advise clients who are lactose intolerant to avoid
foods containing whey. Whey is a lactose-rich ingredient found
in some foods, so clients who are lactose intolerant need to
read labels on all foods. To control symptoms, dietary lactose
should be reduced or restricted by using lactose-reduced and
lactose-free dairy products or by eating lactose-rich foods in
small amounts or in combination with low-lactose or lactose-
free foods.
Simon, age 72, states that he is worried because he has a bowel
movement only every third day. You respond:
1."You should have two to three stools per day."
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2."You should defecate once a day."
3."You should have at least three stools per week."
4."There is no such thing as a 'normal' pattern of defecation."
Ans: There is no such thing as a normal pattern of defecation
rationale: There is no such thing as a "normal" pattern of
defecation. Patterns of defecation vary widely and may in part
be affected by dietary habits, fluid intake, bacteria in the stool,
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psychological stress, or voluntary postponement of defecation.
Defecating every third day could be the routine pattern for
Simon. He should be questioned if this is routine for him.
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Timothy, age 68, complains of an abrupt change in his
defecation pattern. You evaluate him for:
1.Constipation.
2.Colorectal cancer.
3.Irritable bowel syndrome.
4.Acute appendicitis. Ans: Colorectal cancer
rationale: A middle-aged or older client with an abrupt change
in defecation pattern must be evaluated for colorectal cancer
Ruby has a colostomy and complains that her stools are too
loose. What food(s) do you suggest to help thicken the stools?
1.Cheese.
2.Leafy green vegetables.
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3.Raw fruits and vegetables.
4.Dried beans. Ans: Cheese
rationale: Cheese, bread, pasta, rice, pretzels, and yogurt all
help to thicken stools.
Tina has a chronic hepatitis C infection. She asks you how to
prevent its transmission. You respond:
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1."Do not donate blood until one year after diagnosis."
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2."Abstain from sex altogether."
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3."There is no possibility of transmission through razors or
toothbrushes."
4."Abstain from sex during your period." Ans: Abstain from sex
during your period
rationale: Because the hepatitis C virus is transmitted in blood,
including menstrual blood, clients should abstain from sex
during menstruation. You might also test Tina to see which
genotype her hepatitis C is to see if she is a candidate for
Harvoni or Epclusa.
Your client's 2-month-old daughter is admitted with
gastroenteritis and dehydration after 2 days of vomiting and
diarrhea. When the father asks you what is causing the child's
diarrhea, how do you respond?
1."She must be lactose intolerant from the formula, and this is
altering the fluid balance."