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Question 1 of 50
1. Question
1 point(s)During preparation for bowel surgery, a male client receives an antibiotic to reduce intestinal bacteria. Antibiotic therapy may interfere with the synthesis of which vitamin and may lead to hypoprothrombinemia?
CorrectIncorrect -
Question 2 of 50
2. Question
1 point(s)When evaluating a male client for complications of acute pancreatitis, the nurse would observe for:
CorrectIncorrect -
Question 3 of 50
3. Question
1 point(s)A male client with a recent history of rectal bleeding is being prepared for a colonoscopy. How should the nurse position the client for this test initially?
CorrectIncorrect -
Question 4 of 50
4. Question
1 point(s)A male client with extreme weakness, pallor, weak peripheral pulses, and disorientation is admitted to the emergency department. His wife reports that he has been “spitting up blood.” A Mallory-Weiss tear is suspected, and the nurse begins taking the client’s history from the client’s wife. The question by the nurse that demonstrates her understanding of Mallory-Weiss tearing is:
CorrectIncorrect -
Question 5 of 50
5. Question
1 point(s)Which of the following nursing interventions should the nurse perform for a female client receiving enteral feedings through a gastrostomy tube?
CorrectIncorrect -
Question 6 of 50
6. Question
1 point(s)A male client is recovering from a small bowel resection. To relieve pain, the physician prescribes meperidine (Demerol), 75 mg I.M. every 4 hours. How soon after administration should meperidine onset of action occur?
CorrectIncorrect -
Question 7 of 50
7. Question
1 point(s)The nurse is caring for a male client with cirrhosis. Which assessment findings indicate that the client has deficient vitamin K absorption caused by this hepatic disease?
CorrectIncorrect -
Question 8 of 50
8. Question
1 point(s)Which condition is most likely to have a nursing diagnosis of fluid volume deficit?
CorrectIncorrect -
Question 9 of 50
9. Question
1 point(s)While a female client is being prepared for discharge, the nasogastric (NG) feeding tube becomes clogged. To remedy this problem and teach the client’s family how to deal with it at home, what should the nurse do?
CorrectIncorrect -
Question 10 of 50
10. Question
1 point(s)A male client with pancreatitis complains of pain. The nurse expects the physician to prescribe meperidine (Demerol) instead of morphine to relieve pain because:
CorrectIncorrect -
Question 11 of 50
11. Question
1 point(s)Mandy, an adolescent girl is admitted to an acute care facility with severe malnutrition. After a thorough examination, the physician diagnoses anorexia nervosa. When developing the plan of care for this client, the nurse is most likely to include which nursing diagnosis?
CorrectIncorrect -
Question 12 of 50
12. Question
1 point(s)Which diagnostic test would be used first to evaluate a client with upper GI bleeding?
CorrectIncorrect -
Question 13 of 50
13. Question
1 point(s)A female client who has just been diagnosed with hepatitis A asks, “How could I have gotten this disease?” What is the nurse’s best response?
CorrectIncorrect -
Question 14 of 50
14. Question
1 point(s)When preparing a male client, age 51, for surgery to treat appendicitis, the nurse formulates a nursing diagnosis of Risk for infection related to inflammation, perforation, and surgery. What is the rationale for choosing this nursing diagnosis?
CorrectIncorrect -
Question 15 of 50
15. Question
1 point(s)A female client with hepatitis C develops liver failure and GI hemorrhage. The blood products that would most likely bring about hemostasis in the client are:
CorrectIncorrect -
Question 16 of 50
16. Question
1 point(s)To prevent gastroesophageal reflux in a male client with a hiatal hernia, the nurse should provide which of the following discharge instructions?
CorrectIncorrect -
Question 17 of 50
17. Question
1 point(s)The nurse caring for a client with small bowel obstruction would plan to implement which nursing intervention first?
CorrectIncorrect -
Question 18 of 50
18. Question
1 point(s)A female client with dysphagia is being prepared for discharge. Which outcome indicates that the client is ready for discharge?
CorrectIncorrect -
Question 19 of 50
19. Question
1 point(s)A male client undergoes total gastrectomy. Several hours after surgery, the nurse notes that the client’s nasogastric (NG) tube has stopped draining. How should the nurse respond?
CorrectIncorrect -
Question 20 of 50
20. Question
1 point(s)What laboratory finding is the primary diagnostic indicator for pancreatitis?
CorrectIncorrect -
Question 21 of 50
21. Question
1 point(s)A male client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client, the nurse expects to note:
CorrectIncorrect -
Question 22 of 50
22. Question
1 point(s)Nurse Hannah is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention:
CorrectIncorrect -
Question 23 of 50
23. Question
1 point(s)While palpating a female client’s right upper quadrant (RUQ), the nurse would expect to find which of the following structures?
CorrectIncorrect -
Question 24 of 50
24. Question
1 point(s)A male client has undergone a colon resection. While turning him, wound dehiscence with evisceration occurs. The nurse’s first response is to:
CorrectIncorrect -
Question 25 of 50
25. Question
1 point(s)The nurse is monitoring a female client receiving paregoric to treat diarrhea for drug interactions. Which drugs can produce additive constipation when given with an opium preparation?
CorrectIncorrect -
Question 26 of 50
26. Question
1 point(s)A male client is recovering from an ileostomy that was performed to treat inflammatory bowel disease. During discharge teaching, the nurse should stress the importance of:
CorrectIncorrect -
Question 27 of 50
27. Question
1 point(s)The nurse is caring for a female client with active upper GI bleeding. What is the appropriate diet for this client during the first 24 hours after admission?
CorrectIncorrect -
Question 28 of 50
28. Question
1 point(s)A male client has just been diagnosed with hepatitis A. On assessment, the nurse expects to note:
CorrectIncorrect -
Question 29 of 50
29. Question
1 point(s)A female client with viral hepatitis A is being treated in an acute care facility. Because the client requires enteric precautions, the nurse should:
CorrectIncorrect -
Question 30 of 50
30. Question
1 point(s)Which of the following factors can cause hepatitis A?
CorrectIncorrect -
Question 31 of 50
31. Question
1 point(s)The correct sequence for abdominal assessment is:
CorrectIncorrect -
Question 32 of 50
32. Question
1 point(s)Peritonitis can occur as a complication of:
CorrectIncorrect -
Question 33 of 50
33. Question
1 point(s)A patient has become very depressed postoperatively after receiving a colostomy for GI cancer. He does not participate in his colostomy care or looks at the stoma. An appropriate nursing diagnosis for this situation is:
CorrectIncorrect -
Question 34 of 50
34. Question
1 point(s)Patients with esophageal varices would reveal the following assessment:
CorrectIncorrect -
Question 35 of 50
35. Question
1 point(s)The nurse would anticipate using which medication if sclerotherapy has not been used?
CorrectIncorrect -
Question 36 of 50
36. Question
1 point(s)The nurse must be alert for complications with Sengstaken-Blakemore intubation including:
CorrectIncorrect -
Question 37 of 50
37. Question
1 point(s)Peptic ulcer disease may be caused by which of the following?
CorrectIncorrect -
Question 38 of 50
38. Question
1 point(s)Pain control with peptic ulcer disease includes all of the following except:
CorrectIncorrect -
Question 39 of 50
39. Question
1 point(s)Nitrosocarcinogen production can be inhibited with the intake of:
CorrectIncorrect -
Question 40 of 50
40. Question
1 point(s)The nurse can expect a 60-year old patient with ischemic bowel to report a history of:
CorrectIncorrect -
Question 41 of 50
41. Question
1 point(s)During the initial assessment of a patient post-endoscopy, the nurse notes absent bowel sounds, tachycardia, and abdominal distention. The nurse would anticipate:
CorrectIncorrect -
Question 42 of 50
42. Question
1 point(s)Which of the following tests can be useful as a diagnostic and therapeutic tool in the biliary system?
CorrectIncorrect -
Question 43 of 50
43. Question
1 point(s)To inhibit pancreatic secretions, which pharmacologic agent would you anticipate administering to a patient with acute pancreatitis?
CorrectIncorrect -
Question 44 of 50
44. Question
1 point(s)Your patient’s ABG reveals an acidic pH, an acidic CO2, and a normal bicarbonate level. Which of the following indicates this acid-base disturbance?
CorrectIncorrect -
Question 45 of 50
45. Question
1 point(s)A clinical manifestation of acute pancreatitis is epigastric pain. Your nursing intervention to facilitate relief of pain would place the patient in a:
CorrectIncorrect -
Question 46 of 50
46. Question
1 point(s)What assessment finding of a patient with acute pancreatitis would indicate a bluish discoloration around the umbilicus?
CorrectIncorrect -
Question 47 of 50
47. Question
1 point(s)A patient with severe cirrhosis of the liver develops hepatorenal syndrome. Which of the following nursing assessment data would support this?
CorrectIncorrect -
Question 48 of 50
48. Question
1 point(s)Which phase of hepatitis would the nurse incur strict precautionary measures at?
CorrectIncorrect -
Question 49 of 50
49. Question
1 point(s)You are caring for Rona, a 35-year-old female in a hepatic coma. Which evaluation criteria would be the most appropriate?
CorrectIncorrect -
Question 50 of 50
50. Question
1 point(s)What is the primary nursing diagnosis for a 4th to 10th-day postoperative liver transplant patient?
CorrectIncorrect