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Question 1 of 50
1. Question
1 point(s)A patient with chronic alcohol abuse is admitted with liver failure. You closely monitor the patient’s blood pressure because of which change that is associated with liver failure?
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Question 2 of 50
2. Question
1 point(s)You’re assessing the stoma of a patient with a healthy, well-healed colostomy. You expect the stoma to appear:
CorrectIncorrect -
Question 3 of 50
3. Question
1 point(s)You’re caring for a patient with a sigmoid colostomy. The stool from this colostomy is:
CorrectIncorrect -
Question 4 of 50
4. Question
1 point(s)You’re advising a 21 y.o. with a colostomy who reports problems with flatus. What food should you recommend?
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Question 5 of 50
5. Question
1 point(s)You have to teach ostomy self-care to a patient with a colostomy. You tell the patient to measure and cut the wafer:
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Question 6 of 50
6. Question
1 point(s)You’re performing an abdominal assessment on Brent who is 52 y.o. In which order do you proceed?
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Question 7 of 50
7. Question
1 point(s)You’re doing preoperative teaching with Gertrude who has ulcerative colitis who needs surgery to create an ileoanal reservoir. Which information do you include?
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Question 8 of 50
8. Question
1 point(s)You’re caring for Carin who has just had ileostomy surgery. During the first 24 hours post-op, how much drainage can you expect from the ileostomy?
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Question 9 of 50
9. Question
1 point(s)You’re preparing a teaching plan for a 27 y.o. named Jeff who underwent surgery to close a temporary ileostomy. Which nutritional guidelines do you include in this plan?
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Question 10 of 50
10. Question
1 point(s)Arthur has a family history of colon cancer and is scheduled to have a sigmoidoscopy. He is crying as he tells you, “I know that I have colon cancer, too.” Which response is most therapeutic?
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Question 11 of 50
11. Question
1 point(s)You’re caring for Beth who underwent a Billroth II procedure (surgical removal of the pylorus and duodenum) for treatment of a peptic ulcer. Which findings suggest that the patient is developing dumping syndrome, a complication associated with this procedure?
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Question 12 of 50
12. Question
1 point(s)You’re developing the plan of care for a patient experiencing dumping syndrome after a Billroth II procedure. Which dietary instructions do you include?
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Question 13 of 50
13. Question
1 point(s)You’re caring for Lewis, a 67 y.o. patient with liver cirrhosis who developed ascites and requires paracentesis. Relief of which symptom indicates that the paracentesis was effective?
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Question 14 of 50
14. Question
1 point(s)You’re caring for Jane, a 57 y.o. patient with liver cirrhosis who developed ascites and requires paracentesis. Before her paracentesis, you instruct her to:
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Question 15 of 50
15. Question
1 point(s)After abdominal surgery, your patient has a severe coughing episode that causes wound evisceration. In addition to calling the doctor, which intervention is most appropriate?
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Question 16 of 50
16. Question
1 point(s)You’re caring for Betty with liver cirrhosis. Which of the following assessment findings leads you to suspect hepatic encephalopathy in her?
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Question 17 of 50
17. Question
1 point(s)You are developing a care plan for Sally, a 67 y.o. patient with hepatic encephalopathy. Which of the following do you include?
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Question 18 of 50
18. Question
1 point(s)You have a patient with achalasia (incomplete muscle relaxation of the GI tract, especially sphincter muscles). Which medications do you anticipate to administer?
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Question 19 of 50
19. Question
1 point(s)The student nurse is preparing a teaching care plan to help improve nutrition in a patient with achalasia. You include which of the following:
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Question 20 of 50
20. Question
1 point(s)Britney, a 20 y.o. student is admitted with acute pancreatitis. Which laboratory findings do you expect to be abnormal for this patient?
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Question 21 of 50
21. Question
1 point(s)A patient with Crohn’s disease is admitted after 4 days of diarrhea. Which of the following urine-specific gravity values do you expect to find in this patient?
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Question 22 of 50
22. Question
1 point(s)Your goal is to minimize David’s risk of complications after a herniorrhaphy. You instruct the patient to:
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Question 23 of 50
23. Question
1 point(s)Janice is waiting for discharge instructions after her herniorrhaphy. Which of the following instructions do you include?
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Question 24 of 50
24. Question
1 point(s)Develop a teaching care plan for Angie who is about to undergo a liver biopsy. Which of the following points do you include?
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Question 25 of 50
25. Question
1 point(s)Stephen is a 62 y.o. patient that has had a liver biopsy. Which of the following groups of signs alert you to a possible pneumothorax?
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Question 26 of 50
26. Question
1 point(s)Michael, 42 y.o. The man is admitted to the med-surg floor with a diagnosis of acute pancreatitis. His BP is 136/76, pulse 96, Resps 22, and temp 101. His past history includes hyperlipidemia and alcohol abuse. The doctor prescribes an NG tube. Before inserting the tube, you explain the purpose to the patient. Which of the following is the most accurate explanation?
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Question 27 of 50
27. Question
1 point(s)Jason, a 22 y.o. accident victim, requires an NG tube for feeding. What should you immediately do after inserting an NG tube for liquid enteral feedings?
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Question 28 of 50
28. Question
1 point(s)Stephanie, a 28 y.o. accident victim, requires TPN. The rationale for TPN is to provide:
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Question 29 of 50
29. Question
1 point(s)Type A chronic gastritis can be distinguished from type B by its ability to:
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Question 30 of 50
30. Question
1 point(s)Matt is a 49 y.o. with a hiatal hernia that you are about to counsel. Health care counseling for Matt should include which of the following instructions?
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Question 31 of 50
31. Question
1 point(s)Jerod is experiencing an acute episode of ulcerative colitis. Which is the priority for this patient?
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Question 32 of 50
32. Question
1 point(s)A 29 y.o. patient has an acute episode of ulcerative colitis. What diagnostic test confirms this diagnosis?
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Question 33 of 50
33. Question
1 point(s)Eleanor, a 62 y.o. woman with diverticulosis is your patient. Which interventions would you expect to include in her care?
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Question 34 of 50
34. Question
1 point(s)Regina is a 46 y.o. woman with ulcerative colitis. You expect her stools to look like:
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Question 35 of 50
35. Question
1 point(s)Donald is a 61 y.o. man with diverticulitis. Diverticulitis is characterized by:
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Question 36 of 50
36. Question
1 point(s)Brenda, a 36 y.o. patient is on your floor with acute pancreatitis. Treatment for her includes:
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Question 37 of 50
37. Question
1 point(s)Glenda has cholelithiasis (gallstones). You expect her to complain of:
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Question 38 of 50
38. Question
1 point(s)After an abdominal resection for colon cancer, Madeline returns to her room with a Jackson-Pratt drain in place. The purpose of the drain is to:
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Question 39 of 50
39. Question
1 point(s)Anthony, a 60 y.o. patient, has just undergone a bowel resection with a colostomy. During the first 24 hours, which of the following observations about the stoma should you report to the doctor?
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Question 40 of 50
40. Question
1 point(s)You’re teaching Anthony how to use his new colostomy. How much skin should remain exposed between the stoma and the ring of the appliance?
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Question 41 of 50
41. Question
1 point(s)Claire, a 33 y.o. is on your floor with a possible bowel obstruction. Which intervention is a priority for her?
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Question 42 of 50
42. Question
1 point(s)Your patient has a GI tract that is functioning, but has the inability to swallow foods. Which is the preferred method of feeding for your patient?
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Question 43 of 50
43. Question
1 point(s)Your patient is complaining of abdominal pain during assessment. What is your priority?
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Question 44 of 50
44. Question
1 point(s)Before bowel surgery, Lee is to administer enemas until clear. During administration, he complains of intestinal cramps. What do you do next?
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Question 45 of 50
45. Question
1 point(s)Leigh Ann is receiving pancrelipase (Viokase) for chronic pancreatitis. Which observation best indicates the treatment is effective?
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Question 46 of 50
46. Question
1 point(s)Ralph has a history of alcohol abuse and has acute pancreatitis. Which lab value is most likely to be elevated?
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Question 47 of 50
47. Question
1 point(s)Anna is 45 y.o. and has a bleeding ulcer. Despite multiple blood transfusions, her HGB is 7.5g/dl and HCT is 27%. Her doctor determines that surgical intervention is necessary and she undergoes partial gastrectomy. Postoperative nursing care includes:
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Question 48 of 50
48. Question
1 point(s)Sitty, a 66 y.o. patient underwent a colostomy for a ruptured diverticulum. She did well during the surgery and returned to your med-surg floor in stable condition. You assess her colostomy 2 days after surgery. Which finding do you report to the doctor?
CorrectIncorrect -
Question 49 of 50
49. Question
1 point(s)Sharon has cirrhosis of the liver and develops ascites. What intervention is necessary to decrease the excessive accumulation of serous fluid in her peritoneal cavity?
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Question 50 of 50
50. Question
1 point(s)Katrina is diagnosed with lactose intolerance. To avoid complications with lack of calcium in the diet, which food should be included in the diet?
CorrectIncorrect