ms3 exam 1
A nurse is monitoring the lab results of a client who has end stage liver failure. which of the
following results should the nurse expect?
a. decreased lactate dehydrogenase
b. increased serum albumin
c. decreased serum ammonia
d. increased prothrombin time - correct answer-d. increased prothrombin time
a nurse is caring for a client who has an acute exacerbation of crohns disease. which of the
following actions should the nurse take?
a. ensure bowel rest
b. offer sparkling water frequently
c. administer stool softener
d. offer plain warm tea frequently - correct answer-a. ensure bowel rest
clients who have an exacerbation of crohns disease usually require NPO status to ensure
bowel rest and promote healing and recovery
a nurse is assessing a client who is in the early stages of hepatitis A. which of the following
manifestations should the nurse expect?
a. jaundice
b. anorexia.
c. dark urine
d. pale feces - correct answer-b. anorexia
everything else are LATE manifestations of hep A
a nurse is caring for a client who had a gastric resection to treat a adenocarcinoma of the
stomach. the client tells the nurse in the PACU that he does not remember why the surgeon
said he has to have a tube in his nose. The nurse should explain that the NG tube serves
which of the following purposes?
a. prevents excessive pressure on suture lines
b. allows gastric lavage after surgery
c. allows early postoperative feeding
d. facilitates obtaining gastric specimens for testing - correct answer-a. prevents excessive
pressure on suture lines
a nurse is preparing a community education program about hepatitis B. which of the
following statements should the nurse include in the teaching?
,a. hepatitis b immunization is recommended for those who travel, especially military
personnel.
b. a hep B immunization is given to infants and children
c. hep B is acquired by earing foods contaminated during handling
d. hep B can be prevented by using good personal hygiene habits and proper sanitation -
correct answer-b. a hep B immunization is given to infants and children
a nurse is assessing a client who has a bleeding duodenal ulcer. which of the following
findings should the nurse expect?
a. emesis with coffee ground appearance
b. increased BP
c. decreased HR
d. Bright green stools - correct answer-a. emesis with coffee ground appearance
a nurse is providing dietary teaching to a client who has ulcerative colitis. which of the
following food selections by the client indicates an understanding of the teaching?
a. raw veggie salad with low fat dressing
b. roast chicken and white rice
c. fresh fruit salad and milk
d. peanut butter on whole wheat bread - correct answer-b. roast chicken and white rice
clients with UC are restricted to a low fiber diet
a nurse is teaching a newly licensed nurse about caring for a client who is scheduled for an
esophagogastric balloon tamponade tube to treat bleeding esophageal varices. which of the
following pieces of information should the nurse include in the teaching?
a. the client will be places on mechanical ventilation prior to this procedure
b. the tube will be inserted into the clients trachea
c. the client will receive a bowel preparation with cathartics prior to this procedure
d. the tube allows the application of a ligation band to the bleeding varices - correct
answer-a. the client will be places on mechanical ventilation prior to this procedure
the client will require intubation and mechanical ventilation prior to this procedure to protect
the airway
a nurse is providing postoperative teaching about the management of dumping syndrome to
a client who had a partial gastrectomy. which of the following instructions should the nurse
include in the teaching?
a. consume atleast 4oz of fluid with meals.
b. take a short walk after each meal.
c. use honey to flavor foods like cereal
d. eat protein with each meal - correct answer-d. eat protein with each meal
, nurses should instruct client to eat meals that are high in protein and fat with low to
moderate carb content. protein delays digestion which helps reduce the manifestations of
dumping syndrome
a nurse is assisting a provider with performing a paracentesis on a client. which of the
following actions should the nurse take?
a. ask the client to empty his bladder before the procedure
b. place the client leaning forward over the bedside table for the procedure
c. inform the client he will be sedated during the procedure
d. instruct the client to fast for 6hours prior to the procedure - correct answer-a. ask the client
to empty his bladder before the procedure
a nurse is caring for a client who has GI bleeding. the provider suspects a bleeding lesion in
the colon. the initial approach to treatment likely will involve which of the following
procedures?
a. exploratory laparotomy
b. double contrast barium enema
c. magnetic resonance imaging
d. colonoscopy - correct answer-d. colonoscopy
a nurse is teaching dietary modification strategies to a client who has been newly diagnosed
with cirrhosis. which of the following foods should the nurse recommend?
a. grilled chicken
b. potato soup
c. fish sticks
d. baked ham - correct answer-a. grilled chicken
patient should have high protein to compensate disease related weight loss. patients with
cirrhosis should avoid high sodium and high fat.
a nurse is caring for a client who has ulcerative colitis. the provider prescribes bed rest with
bathroom privileges. when the client asks the nurse why he has to stay in bed, which of the
following responses should the nurse provide?
a. you need to conserve energy at this time
b. lying quietly in bed helps slow down the activity in your intenstines
c. staying in bed promotes rest and comfort you need
d. staying in bed will help prevent injury and minimize your fall risk - correct answer-b. lying
quietly in bed helps slow down the activity in your intenstines
a nurse is performing a GI assessment of a client who has liver cirrhosis with abdominal
distention. which of the following actions should the nurse take to assess for changes in the
clients abdominal distention?
a. percuss the abdomen for tympanic sounds
A nurse is monitoring the lab results of a client who has end stage liver failure. which of the
following results should the nurse expect?
a. decreased lactate dehydrogenase
b. increased serum albumin
c. decreased serum ammonia
d. increased prothrombin time - correct answer-d. increased prothrombin time
a nurse is caring for a client who has an acute exacerbation of crohns disease. which of the
following actions should the nurse take?
a. ensure bowel rest
b. offer sparkling water frequently
c. administer stool softener
d. offer plain warm tea frequently - correct answer-a. ensure bowel rest
clients who have an exacerbation of crohns disease usually require NPO status to ensure
bowel rest and promote healing and recovery
a nurse is assessing a client who is in the early stages of hepatitis A. which of the following
manifestations should the nurse expect?
a. jaundice
b. anorexia.
c. dark urine
d. pale feces - correct answer-b. anorexia
everything else are LATE manifestations of hep A
a nurse is caring for a client who had a gastric resection to treat a adenocarcinoma of the
stomach. the client tells the nurse in the PACU that he does not remember why the surgeon
said he has to have a tube in his nose. The nurse should explain that the NG tube serves
which of the following purposes?
a. prevents excessive pressure on suture lines
b. allows gastric lavage after surgery
c. allows early postoperative feeding
d. facilitates obtaining gastric specimens for testing - correct answer-a. prevents excessive
pressure on suture lines
a nurse is preparing a community education program about hepatitis B. which of the
following statements should the nurse include in the teaching?
,a. hepatitis b immunization is recommended for those who travel, especially military
personnel.
b. a hep B immunization is given to infants and children
c. hep B is acquired by earing foods contaminated during handling
d. hep B can be prevented by using good personal hygiene habits and proper sanitation -
correct answer-b. a hep B immunization is given to infants and children
a nurse is assessing a client who has a bleeding duodenal ulcer. which of the following
findings should the nurse expect?
a. emesis with coffee ground appearance
b. increased BP
c. decreased HR
d. Bright green stools - correct answer-a. emesis with coffee ground appearance
a nurse is providing dietary teaching to a client who has ulcerative colitis. which of the
following food selections by the client indicates an understanding of the teaching?
a. raw veggie salad with low fat dressing
b. roast chicken and white rice
c. fresh fruit salad and milk
d. peanut butter on whole wheat bread - correct answer-b. roast chicken and white rice
clients with UC are restricted to a low fiber diet
a nurse is teaching a newly licensed nurse about caring for a client who is scheduled for an
esophagogastric balloon tamponade tube to treat bleeding esophageal varices. which of the
following pieces of information should the nurse include in the teaching?
a. the client will be places on mechanical ventilation prior to this procedure
b. the tube will be inserted into the clients trachea
c. the client will receive a bowel preparation with cathartics prior to this procedure
d. the tube allows the application of a ligation band to the bleeding varices - correct
answer-a. the client will be places on mechanical ventilation prior to this procedure
the client will require intubation and mechanical ventilation prior to this procedure to protect
the airway
a nurse is providing postoperative teaching about the management of dumping syndrome to
a client who had a partial gastrectomy. which of the following instructions should the nurse
include in the teaching?
a. consume atleast 4oz of fluid with meals.
b. take a short walk after each meal.
c. use honey to flavor foods like cereal
d. eat protein with each meal - correct answer-d. eat protein with each meal
, nurses should instruct client to eat meals that are high in protein and fat with low to
moderate carb content. protein delays digestion which helps reduce the manifestations of
dumping syndrome
a nurse is assisting a provider with performing a paracentesis on a client. which of the
following actions should the nurse take?
a. ask the client to empty his bladder before the procedure
b. place the client leaning forward over the bedside table for the procedure
c. inform the client he will be sedated during the procedure
d. instruct the client to fast for 6hours prior to the procedure - correct answer-a. ask the client
to empty his bladder before the procedure
a nurse is caring for a client who has GI bleeding. the provider suspects a bleeding lesion in
the colon. the initial approach to treatment likely will involve which of the following
procedures?
a. exploratory laparotomy
b. double contrast barium enema
c. magnetic resonance imaging
d. colonoscopy - correct answer-d. colonoscopy
a nurse is teaching dietary modification strategies to a client who has been newly diagnosed
with cirrhosis. which of the following foods should the nurse recommend?
a. grilled chicken
b. potato soup
c. fish sticks
d. baked ham - correct answer-a. grilled chicken
patient should have high protein to compensate disease related weight loss. patients with
cirrhosis should avoid high sodium and high fat.
a nurse is caring for a client who has ulcerative colitis. the provider prescribes bed rest with
bathroom privileges. when the client asks the nurse why he has to stay in bed, which of the
following responses should the nurse provide?
a. you need to conserve energy at this time
b. lying quietly in bed helps slow down the activity in your intenstines
c. staying in bed promotes rest and comfort you need
d. staying in bed will help prevent injury and minimize your fall risk - correct answer-b. lying
quietly in bed helps slow down the activity in your intenstines
a nurse is performing a GI assessment of a client who has liver cirrhosis with abdominal
distention. which of the following actions should the nurse take to assess for changes in the
clients abdominal distention?
a. percuss the abdomen for tympanic sounds
