COMPREHENSIVE TEST BANK 2026
QUESTIONS AND ANSWERS EXPERT
REVIEW GRADED A+
⩥ Clinical manifestations of malabsorption include
Answer: gastrointestinal disturbances (eg, abdominal pain, bloating),
low BMI, symptoms of anemia (eg, brittle nails, pallor), and steatorrhea
(eg, pale stool color, oily stool).
⩥ Symptoms of celiac disease include
Answer: diarrhea, pale-colored stools, iron deficiency anemia, nutrient
malabsorption, and weight loss. Symptoms of irritable bowel syndrome
include diarrhea and/or constipation.
⩥ Diagnosis of celiac disease is
Answer: typically determined with upper endoscopy and small bowel
biopsy, which demonstrate a loss of small bowel intestinal villi and
mucosal atrophy.
⩥ Indicated interventions for a client with celiac disease include
Answer: teaching the client about a gluten-free diet and instructing the
client to avoid alcoholic beverages made with gluten (eg, beer, malted
beverages).
,⩥ The nurse should reassure the client who is prescribed ferrous sulfate
that
Answer: dark green stools are a harmless adverse effect of the
medication. In addition, the nurse should instruct the client to take the
medication on an empty stomach to enhance absorption and to take stool
softeners to prevent constipation.
⩥ is performed to remove impacted cerumen from the ear canal. To
irrigate the ear, the external auditory canal should be straightened by
pulling the pinna down and back for clients age ≤3 or up and back for
clients age >3.
Answer: Ear irrigation
⩥ The nurse should assess the client for orthostatic hypotension by
obtaining the client's blood pressure and heart rate in the supine, sitting,
and standing positions.
Answer: The nurse should notify the health care provider if any position
change produces a decrease of systolic blood pressure ≥20 mm Hg.
⩥ (eg, active listening, using open-ended questions) encourage the client
to express feelings and ideas and establish an open, trusting relationship
with the nurse. Nontherapeutic communication techniques (eg,
expressing approval or disapproval, giving advice, asking why)
discourage expression of feelings and ideas and close down the
conversation between the nurse and client.
, Answer: Therapeutic conversation techniques
⩥ hourly rounding, moving the client to a room close to the nurses'
station, and using bed alarms. Lines, tubes, drains (eg, indwelling
urinary catheters), and restraints (eg, all side rails raised) increase fall
risk and should be used only when clinically indicated.
Answer: Interventions to reduce falls in high-risk clients include
⩥ Client falls can be prevented with
Answer: exercise programs, good lighting, handrails, and hourly staff
rounds.
⩥ When a child accidentally ingests a poisonous substance, it is most
important to
Answer: assess the child's condition, including physical signs and
symptoms, mental status, and behavior. Based on the condition of the
child, the nurse can provide guidance and instructions to contact the
appropriate agency (eg, emergency services, poison control center).
⩥ The nurse should first assess the client's condition before intervening.
Answer: This is important as the ability to plan effective nursing care,
set priorities, identify appropriate interventions, and make sound clinical
decisions is based on the information obtained from the assessment.
⩥ The least restrictive device or method to keep a client from