NUR 114 Test 4 Compilation
After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the client's
understanding. Which menu selection indicates that the client correctly understands the
dietary teaching?
a. Ham sandwich on white bread, cup of applesauce, glass of diet cola
b. Broiled chicken with brown rice, steamed broccoli, glass of apple juice
c. Grilled cheese sandwich, small banana, cup of hot tea with lemon
d. Baked tilapia, fresh green beans, cup of coffee with low-fat milk - correct answer-B
After teaching a client who has a femoral hernia, the nurse assesses the client's
understanding. Which statement indicates the client needs additional teaching related to the
proper use of a truss?
a. "I will put on the truss before I go to bed each night."
b. "I'll put some powder under the truss to avoid skin irritation."
c. "The truss will help my hernia because I can't have surgery."
d. "If I have abdominal pain, I'll let my health care provider know right away." - correct
answer-A
A nurse assesses a client who is recovering from a hemorrhoidectomy that was done the
day before. The nurse notes that the client has lower abdominal distention accompanied by
dullness to percussion over the distended area. Which action should the nurse take?
a. Assess the client's heart rate and blood pressure.
b. Determine when the client last voided.
c. Ask if the client is experiencing flatus.
d. Auscultate all quadrants of the client's abdomen. - correct answer-B
A nurse assesses clients at a community health center. Which client is at highest risk for the
development of colorectal cancer?
a. A 37-year-old who drinks eight cups of coffee daily
b. A 44-year-old with irritable bowel syndrome (IBS)
c. A 60-year-old lawyer who works 65 hours per week
d. A 72-year-old who eats fast food frequently - correct answer-D
A nurse assessing a client with colorectal cancer auscultates high-pitched bowel sounds and
notes the presence of visible peristaltic waves. Which action should the nurse take?
a. Ask if the client is experiencing pain in the right shoulder.
b. Perform a rectal examination and assess for polyps.
c. Contact the provider and recommend computed tomography.
d. Administer a laxative to increase bowel movement activity. - correct answer-C
,A nurse prepares a client for a colonoscopy scheduled for tomorrow. The client states, "My
doctor told me that the fecal occult blood test was negative for colon cancer. I don't think I
need the colonoscopy and would like to cancel it." How should the nurse respond?
a. "Your doctor should not have given you that information prior to the colonoscopy."
b. "The colonoscopy is required due to the high percentage of false negatives with the blood
test."
c. "A negative fecal occult blood test does not rule out the possibility of colon cancer."
d. "I will contact your doctor so that you can discuss your concerns about the procedure -
correct answer-C
An emergency room nurse assesses a client after a motor vehicle crash and notes
ecchymotic areas across the client's lower abdomen. Which action should the nurse take
first?
a. Measure the client's abdominal girth.
b. Assess for abdominal guarding or rigidity.
c. Check the client's hemoglobin and hematocrit.
d. Obtain the client's complete health history. - correct answer-B
A nurse assesses a client with a mechanical bowel obstruction who reports intermittent
abdominal pain. An hour later the client reports constant abdominal pain. Which action
should the nurse take next?
a. Administer intravenous opioid medications.
b. Position the client with knees to chest.
c. Insert a nasogastric tube for decompression.
d. Assess the client's bowel sounds. - correct answer-D
A nurse assesses a client who is prescribed 5-fluorouracil (5-FU) chemotherapy
intravenously for the treatment of colon cancer. Which assessment finding should alert the
nurse to contact the health care provider?
a. White blood cell (WBC) count of 1500/mm3
b. Fatigue
c. Nausea and diarrhea
d. Mucositis and oral ulcers - correct answer-A
A nurse teaches a client who is recovering from a colon resection. Which statement should
the nurse include in this client's plan of care?
a. "You may experience nausea and vomiting for the first few weeks."
b. "Carbonated beverages can help decrease acid reflux from anastomosis sites."
c. "Take a stool softener to promote softer stools for ease of defecation."
d. "You may return to your normal workout schedule, including weight lifting." - correct
answer-C
, A nurse teaches a client who is at risk for colon cancer. Which dietary recommendation
should the nurse teach this client?
a. "Eat low-fiber and low-residual foods."
b. "White rice and bread are easier to digest."
c. "Add vegetables such as broccoli and cauliflower to your new diet."
d. "Foods high in animal fat help to protect the intestinal mucosa." - correct answer-C
A nurse cares for a client who has a family history of colon cancer. The client states, "My
father and my brother had colon cancer. What is the chance that I will get cancer?" How
should the nurse respond?
a. "If you eat a low-fat and low-fiber diet, your chances decrease significantly."
b. "You are safe. This is an autosomal dominant disorder that skips generations."
c. "Preemptive surgery and chemotherapy will remove cancer cells and prevent cancer."
d. "You should have a colonoscopy more frequently to identify abnormal polyps early." -
correct answer-D
After teaching a client who is recovering from a colon resection, the nurse assesses the
client's understanding. Which statements by the client indicate a correct understanding of the
teaching? (Select all that apply.)
a. "I must change the ostomy appliance daily and as needed."
b. "I will use warm water and a soft washcloth to clean around the stoma."
c. "I might start bicycling and swimming again once my incision has healed."
d. "Cutting the flange will help it fit snugly around the stoma to avoid skin breakdown."
e. "I will check the stoma regularly to make sure that it stays a deep red color."
f. "I must avoid dairy products to reduce gas and odor in the pouch." - correct answer-B, C,
D
A nurse assesses a client with irritable bowel syndrome (IBS). Which questions should the
nurse include in this client's assessment? (Select all that apply.)
a. "Which food types cause an exacerbation of symptoms?"
b. "Where is your pain and what does it feel like?"
c. "Have you lost a significant amount of weight lately?"
d. "Are your stools soft, watery, and black in color?"
e. "Do you experience nausea associated with defecation?" - correct answer-A, B, E
A nurse plans care for a client who is recovering from an inguinal hernia repair. Which
interventions should the nurse include in this client's plan of care? (Select all that apply.)
a. Encouraging ambulation three times a day
b. Encouraging normal urination
c. Encouraging deep breathing and coughing
d. Providing ice bags and scrotal support
e. Forcibly reducing the hernia - correct answer-A, B, D
After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the client's
understanding. Which menu selection indicates that the client correctly understands the
dietary teaching?
a. Ham sandwich on white bread, cup of applesauce, glass of diet cola
b. Broiled chicken with brown rice, steamed broccoli, glass of apple juice
c. Grilled cheese sandwich, small banana, cup of hot tea with lemon
d. Baked tilapia, fresh green beans, cup of coffee with low-fat milk - correct answer-B
After teaching a client who has a femoral hernia, the nurse assesses the client's
understanding. Which statement indicates the client needs additional teaching related to the
proper use of a truss?
a. "I will put on the truss before I go to bed each night."
b. "I'll put some powder under the truss to avoid skin irritation."
c. "The truss will help my hernia because I can't have surgery."
d. "If I have abdominal pain, I'll let my health care provider know right away." - correct
answer-A
A nurse assesses a client who is recovering from a hemorrhoidectomy that was done the
day before. The nurse notes that the client has lower abdominal distention accompanied by
dullness to percussion over the distended area. Which action should the nurse take?
a. Assess the client's heart rate and blood pressure.
b. Determine when the client last voided.
c. Ask if the client is experiencing flatus.
d. Auscultate all quadrants of the client's abdomen. - correct answer-B
A nurse assesses clients at a community health center. Which client is at highest risk for the
development of colorectal cancer?
a. A 37-year-old who drinks eight cups of coffee daily
b. A 44-year-old with irritable bowel syndrome (IBS)
c. A 60-year-old lawyer who works 65 hours per week
d. A 72-year-old who eats fast food frequently - correct answer-D
A nurse assessing a client with colorectal cancer auscultates high-pitched bowel sounds and
notes the presence of visible peristaltic waves. Which action should the nurse take?
a. Ask if the client is experiencing pain in the right shoulder.
b. Perform a rectal examination and assess for polyps.
c. Contact the provider and recommend computed tomography.
d. Administer a laxative to increase bowel movement activity. - correct answer-C
,A nurse prepares a client for a colonoscopy scheduled for tomorrow. The client states, "My
doctor told me that the fecal occult blood test was negative for colon cancer. I don't think I
need the colonoscopy and would like to cancel it." How should the nurse respond?
a. "Your doctor should not have given you that information prior to the colonoscopy."
b. "The colonoscopy is required due to the high percentage of false negatives with the blood
test."
c. "A negative fecal occult blood test does not rule out the possibility of colon cancer."
d. "I will contact your doctor so that you can discuss your concerns about the procedure -
correct answer-C
An emergency room nurse assesses a client after a motor vehicle crash and notes
ecchymotic areas across the client's lower abdomen. Which action should the nurse take
first?
a. Measure the client's abdominal girth.
b. Assess for abdominal guarding or rigidity.
c. Check the client's hemoglobin and hematocrit.
d. Obtain the client's complete health history. - correct answer-B
A nurse assesses a client with a mechanical bowel obstruction who reports intermittent
abdominal pain. An hour later the client reports constant abdominal pain. Which action
should the nurse take next?
a. Administer intravenous opioid medications.
b. Position the client with knees to chest.
c. Insert a nasogastric tube for decompression.
d. Assess the client's bowel sounds. - correct answer-D
A nurse assesses a client who is prescribed 5-fluorouracil (5-FU) chemotherapy
intravenously for the treatment of colon cancer. Which assessment finding should alert the
nurse to contact the health care provider?
a. White blood cell (WBC) count of 1500/mm3
b. Fatigue
c. Nausea and diarrhea
d. Mucositis and oral ulcers - correct answer-A
A nurse teaches a client who is recovering from a colon resection. Which statement should
the nurse include in this client's plan of care?
a. "You may experience nausea and vomiting for the first few weeks."
b. "Carbonated beverages can help decrease acid reflux from anastomosis sites."
c. "Take a stool softener to promote softer stools for ease of defecation."
d. "You may return to your normal workout schedule, including weight lifting." - correct
answer-C
, A nurse teaches a client who is at risk for colon cancer. Which dietary recommendation
should the nurse teach this client?
a. "Eat low-fiber and low-residual foods."
b. "White rice and bread are easier to digest."
c. "Add vegetables such as broccoli and cauliflower to your new diet."
d. "Foods high in animal fat help to protect the intestinal mucosa." - correct answer-C
A nurse cares for a client who has a family history of colon cancer. The client states, "My
father and my brother had colon cancer. What is the chance that I will get cancer?" How
should the nurse respond?
a. "If you eat a low-fat and low-fiber diet, your chances decrease significantly."
b. "You are safe. This is an autosomal dominant disorder that skips generations."
c. "Preemptive surgery and chemotherapy will remove cancer cells and prevent cancer."
d. "You should have a colonoscopy more frequently to identify abnormal polyps early." -
correct answer-D
After teaching a client who is recovering from a colon resection, the nurse assesses the
client's understanding. Which statements by the client indicate a correct understanding of the
teaching? (Select all that apply.)
a. "I must change the ostomy appliance daily and as needed."
b. "I will use warm water and a soft washcloth to clean around the stoma."
c. "I might start bicycling and swimming again once my incision has healed."
d. "Cutting the flange will help it fit snugly around the stoma to avoid skin breakdown."
e. "I will check the stoma regularly to make sure that it stays a deep red color."
f. "I must avoid dairy products to reduce gas and odor in the pouch." - correct answer-B, C,
D
A nurse assesses a client with irritable bowel syndrome (IBS). Which questions should the
nurse include in this client's assessment? (Select all that apply.)
a. "Which food types cause an exacerbation of symptoms?"
b. "Where is your pain and what does it feel like?"
c. "Have you lost a significant amount of weight lately?"
d. "Are your stools soft, watery, and black in color?"
e. "Do you experience nausea associated with defecation?" - correct answer-A, B, E
A nurse plans care for a client who is recovering from an inguinal hernia repair. Which
interventions should the nurse include in this client's plan of care? (Select all that apply.)
a. Encouraging ambulation three times a day
b. Encouraging normal urination
c. Encouraging deep breathing and coughing
d. Providing ice bags and scrotal support
e. Forcibly reducing the hernia - correct answer-A, B, D
