RN TARGETED MEDICAL SURGICAL RENAL AND URINARY ONLINE EXAM 3 ACTUAL EXAM LATEST 2025 COMPLETE REAL QUESTIONS AND CORRECT VERIFIED ANSWERS (A NEW UPDATED VERSION) ALREADY GRADED A+ (BRAND NEW)

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EXAM QUESTIONS AND ANSWERS UPDATED (2024/2025) (VERIFI
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A nurse is reviewing the prescriptions for a client who has Campylobacter enterit
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is. Which of the following prescriptions should the nurse clarify with the provider
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?
- 0.45% sodium chloride IV
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- Magnesium hydroxide
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- Ciprofloxacin
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- Potassium - ANS✓Magnesium hydroxide
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Rationale: Nausea, vomiting, and diarrhea are manifestations of enteritis. The nur
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se should clarify a prescription for magnesium hydroxide, also know as milk of m
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agnesia, with the provider. This medication increases gastrointestinal motility, w
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hich can increase the client's risk for an electrolyte imbalance and contribute to d
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ehydration.




RATIONALES:
0.45% sodium chloride IVn n n



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nNausea, vomiting, and diarrhea are manifestations of enteritis. The nurse should
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recognize that a prescription for an IV administration of 0.45% sodium chloride,
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a hypotonic solution, is prescribed to reverse the effects of dehydration and does
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not require clarification.
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Ciprofloxacin
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nThe nurse should recognize that a prescription for ciprofloxacin, an antibiotic, is
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expected and does not require clarification because Campylobacter enteritis is a
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bacterial form of gastroenteritis. n n n




Potassium
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nNausea, vomiting, and diarrhea are manifestations of enteritis, which places the c
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lient at risk for hypokalemia. The nurse should recognize that a prescription for p
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otassium is expected and does not require clarification.
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A nurse is providing discharge teaching for a client following an ileostomy. The n
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urse should instruct the client to report which of the following findings to the pro
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vider?
- Intolerance to high-fiber foods
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- Liquid ileostomy output
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- Dark purple stoma
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- Sensation of burning during bowel elimination - ANS✓Dark purple stoma
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Rationale: The nurse should instruct the client to contact the provider if the stom
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a is a dark purple color, which is an indication of bowel ischemia.
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RATIONALES:
Intolerance to high-fiber foods n n n



- Clients who have an ileostomy often experience intolerance to high-
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fiber foods. The client might need to eliminate these foods from their diet. Howev
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er, the client does not need to report this intolerance to the provider.
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Liquid ileostomy output n n



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nClients who have an ileostomy are expected to have loose liquid output. The nurs
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e should provide the client with information about how to avoid dehydration due
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to excessive liquid output, including recommending the consumption of oral repl
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acement solutions. n




Sensation of burning during bowel elimination n n n n n



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nClients who have an ileostomy are expected to experience a burning sensation d
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uring bowel elimination due to decreased absorption of gastric acid in the ileum.
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The nurse should provide warm soap and water after each bowel movement, dryi
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ng the area gently, and applying a thin coat of ointment to the area.
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A nurse is admitting a client who has acute pancreatitis. Which of the following ac
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tions should the nurse take first?
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- Insert a nasogastric tube for the client
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- Administer ceftazidime to the client
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- Identify the client's current level of pain
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- Instruct the client to remain NPO -
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ANS✓Identify the client's current level of pain
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Rationale: The first action the nurse should take when using the nursing process i
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s to assess the client. Clients who have acute pancreatitis often have severe abdo
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minal pain. By assessing the client's level of pain, the nurse can identify the need f
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or and implement interventions to alleviate the client's pain.
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RATIONALES:


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Insert a nasogastric tube for the client
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nClients who have acute pancreatitis are at risk for paralytic ileus and might requi
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re gastric decompression. The nurse should insert a nasogastric tube, if needed. H
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owever, there is another action the nurse should perform first.
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Administer ceftazidime to the client n n n n



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nClients who have acute pancreatitis are at risk for infection. The nurse should ad
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minister prescribed antibiotics. However, there is another action the nurse shoul
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d perform first.
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Instruct the client to remain NPO
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nClients who have acute pancreatitis are often placed on NPO status to decrease st
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ress on the pancreas. The nurse should explain this intervention to the client. Ho
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wever, there is another action the nurse should perform first.
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A nurse is providing dietary teaching for a client who is postoperative following a
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ngastrectomy. Which of the following foods should the nurse encourage the client
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to include in their diet to reduce the risk for dumping syndrome?
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- Ice cream
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- Eggs
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- Grape juice
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- Honey - ANS✓Eggs
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Rationale: The nurse should instruct the client to increase dietary intake of protei
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containing foods, such as eggs, to decrease the risk for manifestations of dumping
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syndrome. The client should eat some form of protein at each meal.
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