NURSING 201 WEEK 2 QUESTIONS WITH ACCURATE
ANSWERS
A Certified Wound, Ostomy, and Continence Nurse (CWOCN) is teaching a patient
about caring for a new ileostomy. What information is most important to include?
A. "After surgery, output from your ileostomy may be a loose, dark-green liquid
with some blood present."
B. "Call your primary health care provider if your stoma has a bluish or pale look."
C. "Notify the primary health care provider if output from your stoma has a
sweetish odor."
D. "Remember that you must wear a pouch system at all times." correct answer B
A client diagnosed with acalculous cholecystitis asks the nurse how the
gallbladder inflammation developed when there is no history of gallstones. What
is the nurse's best response?
A. "This may be an indication that you are developing sepsis."
B. "The gallstones are present, but have become fibrotic and contracted."
C. "This type of gallbladder inflammation is associated with hypovolemia."
D. "This may be an indication of pancreatic disease." correct answer C
A client has been discharged to home after being hospitalized with an acute
episode of pancreatitis. The client, who is an alcoholic, is unwilling to participate
in Alcoholics Anonymous (AA), and the client's spouse expresses frustration to the
home health nurse regarding the client's refusal. What is the nurse's best
response?
,A. "Your spouse will sign up for the meetings only when he is ready to deal with
his problem."
B. "Keep mentioning the AA meetings to your spouse on a regular basis."
C. "I'll get you some information on the support group Al-Anon."
D. "Tell me more about your frustration with your spouse's refusal to participate
in AA." correct answer C
A client has been placed on enzyme replacement for treatment of chronic
pancreatitis. In teaching the client about this therapy, the nurse advises the client
not to mix enzyme preparations with foods containing which element?
A. Carbohydrates
B. High fat
C. High fiber
D. Protein correct answer D
A client has developed acute pancreatitis after also developing gallstones. Which
is the highest priority nursing instruction for this client to avoid further attacks of
pancreatitis?
A. "You may need a surgical consult for removal of your gallbladder."
B. "See your health care provider (HCP) immediately when experiencing
symptoms of a gallbladder attack."
C. "If you have a gallbladder attack and pain does not resolve within a few days,
call your health care provider."
D. "You'll need to drastically modify your alcohol intake." correct answer B
,A client has just been diagnosed with pancreatic cancer. The client's upset spouse
tells the nurse that they have recently moved to the area, have no close relatives,
and are not yet affiliated with a church. What is the nurse's best response?
A. "Maybe you should find a support group to join."
B. "Would you like me to contact the hospital chaplain for you?"
C. "Do you want me to try to find a therapist for you?"
D. "Do you have any friends whom you want me to call?" correct answer B
A client has undergone the Whipple procedure (radical
pancreaticoduodenectomy) for pancreatic cancer. Which precautionary measures
does the nurse implement to prevent potential complications?
Select all that apply.
A. Check blood glucose often.
B. Check bowel sounds and stools.
C. Ensure that drainage color is clear.
D. Monitor mental status.
E. Place the client in the supine position. correct answer A, B, D
A client is experiencing an attack of acute pancreatitis. Which nursing intervention
is the highest priority for this client?
A. Measure intake and output every shift.
B. Do not administer food or fluids by mouth.
C. Administer opioid analgesic medication.
, D. Assist the client to assume a position of comfort. correct answer C
A client is scheduled to undergo a liver transplantation. Which nursing
intervention is most likely to prevent the complications of bile leakage and
abscess formation?
A. Preventing hypotension
B. Keeping the T-tube in a dependent position
C. Administering antibiotic vaccinations
D. Administering immune-suppressant drugs correct answer B
A client who had been hospitalized with pancreatitis is being discharged with
home health services. The client is severely weakened after this illness. Which
nursing intervention is the highest priority in conserving the client's strength?
A. Limiting the client's activities to one floor of the home
B. Instructing the client to take an as-needed (PRN) sleeping medication at night
C. Arranging for the client to have a nutritional consult to assess the client's diet
D. Asking the health care provider for a request for PRN nasal oxygen correct
answer A
A client who was awaiting liver transplantation is excluded from the procedure
after the presence of which condition is discovered?
A. Colon cancer with metastasis to the liver
B. Hypertension
ANSWERS
A Certified Wound, Ostomy, and Continence Nurse (CWOCN) is teaching a patient
about caring for a new ileostomy. What information is most important to include?
A. "After surgery, output from your ileostomy may be a loose, dark-green liquid
with some blood present."
B. "Call your primary health care provider if your stoma has a bluish or pale look."
C. "Notify the primary health care provider if output from your stoma has a
sweetish odor."
D. "Remember that you must wear a pouch system at all times." correct answer B
A client diagnosed with acalculous cholecystitis asks the nurse how the
gallbladder inflammation developed when there is no history of gallstones. What
is the nurse's best response?
A. "This may be an indication that you are developing sepsis."
B. "The gallstones are present, but have become fibrotic and contracted."
C. "This type of gallbladder inflammation is associated with hypovolemia."
D. "This may be an indication of pancreatic disease." correct answer C
A client has been discharged to home after being hospitalized with an acute
episode of pancreatitis. The client, who is an alcoholic, is unwilling to participate
in Alcoholics Anonymous (AA), and the client's spouse expresses frustration to the
home health nurse regarding the client's refusal. What is the nurse's best
response?
,A. "Your spouse will sign up for the meetings only when he is ready to deal with
his problem."
B. "Keep mentioning the AA meetings to your spouse on a regular basis."
C. "I'll get you some information on the support group Al-Anon."
D. "Tell me more about your frustration with your spouse's refusal to participate
in AA." correct answer C
A client has been placed on enzyme replacement for treatment of chronic
pancreatitis. In teaching the client about this therapy, the nurse advises the client
not to mix enzyme preparations with foods containing which element?
A. Carbohydrates
B. High fat
C. High fiber
D. Protein correct answer D
A client has developed acute pancreatitis after also developing gallstones. Which
is the highest priority nursing instruction for this client to avoid further attacks of
pancreatitis?
A. "You may need a surgical consult for removal of your gallbladder."
B. "See your health care provider (HCP) immediately when experiencing
symptoms of a gallbladder attack."
C. "If you have a gallbladder attack and pain does not resolve within a few days,
call your health care provider."
D. "You'll need to drastically modify your alcohol intake." correct answer B
,A client has just been diagnosed with pancreatic cancer. The client's upset spouse
tells the nurse that they have recently moved to the area, have no close relatives,
and are not yet affiliated with a church. What is the nurse's best response?
A. "Maybe you should find a support group to join."
B. "Would you like me to contact the hospital chaplain for you?"
C. "Do you want me to try to find a therapist for you?"
D. "Do you have any friends whom you want me to call?" correct answer B
A client has undergone the Whipple procedure (radical
pancreaticoduodenectomy) for pancreatic cancer. Which precautionary measures
does the nurse implement to prevent potential complications?
Select all that apply.
A. Check blood glucose often.
B. Check bowel sounds and stools.
C. Ensure that drainage color is clear.
D. Monitor mental status.
E. Place the client in the supine position. correct answer A, B, D
A client is experiencing an attack of acute pancreatitis. Which nursing intervention
is the highest priority for this client?
A. Measure intake and output every shift.
B. Do not administer food or fluids by mouth.
C. Administer opioid analgesic medication.
, D. Assist the client to assume a position of comfort. correct answer C
A client is scheduled to undergo a liver transplantation. Which nursing
intervention is most likely to prevent the complications of bile leakage and
abscess formation?
A. Preventing hypotension
B. Keeping the T-tube in a dependent position
C. Administering antibiotic vaccinations
D. Administering immune-suppressant drugs correct answer B
A client who had been hospitalized with pancreatitis is being discharged with
home health services. The client is severely weakened after this illness. Which
nursing intervention is the highest priority in conserving the client's strength?
A. Limiting the client's activities to one floor of the home
B. Instructing the client to take an as-needed (PRN) sleeping medication at night
C. Arranging for the client to have a nutritional consult to assess the client's diet
D. Asking the health care provider for a request for PRN nasal oxygen correct
answer A
A client who was awaiting liver transplantation is excluded from the procedure
after the presence of which condition is discovered?
A. Colon cancer with metastasis to the liver
B. Hypertension
