MCA 1 EXAM 3
MCA 1 EXAM 3 QUESTIONS AND ANSWERS GRADED A+
A patient with a history of peptic ulcer disease has
presented to the emergency department with
severe abdominal pain and a rigid, boardlike
abdomen. The health care provider suspects a
perforated ulcer. Which interventions should the
nurse anticipate?
Providing IV fluids and inserting a nasogastric (NG)
tube
Administering oral bicarbonate and testing the
patient's gastric pH level
,MCA 1 EXAM 3
Performing a fecal occult blood test and
administering IV calcium gluconate
Starting parenteral nutrition and placing the patient
in a high-Fowler's position ANS >> Providing IV fluids
and inserting a nasogastric (NG) tube
A perforated peptic ulcer requires IV replacement of
fluid losses and continued gastric aspiration by NG
tube. Nothing is given by mouth, and gastric pH
testing is not a priority. Calcium gluconate is not a
medication directly relevant to the patient's
suspected diagnosis, and parenteral nutrition is not
a priority in the short term.
After administration of a dose of metoclopramide,
which patient assessment finding would show the
medication was effective?
Decreased blood pressure
,MCA 1 EXAM 3
Absence of muscle tremors
Relief of nausea and vomiting
No further episodes of diarrhea ANS >> Relief of
nausea and vomiting
Metoclopramide is classified as a prokinetic and
antiemetic medication. If it is effective, the patient's
nausea and vomiting should resolve.
Metoclopramide does not affect blood pressure,
muscle tremors, or diarrhea.
The nurse determines a patient has experienced the
beneficial effects of therapy with famotidine when
which symptom is relieved?
Nausea
, MCA 1 EXAM 3
Belching
Epigastric pain
Difficulty swallowing ANS >> Epigastric pain
Famotidine is an H2-receptor antagonist that
inhibits parietal cell output of HCl acid and
minimizes damage to gastric mucosa related to
hyperacidity, thus relieving epigastric pain. It is not
indicated for nausea, belching, and dysphagia.
The nurse is teaching a group of college students
how to prevent food poisoning. Which comment
shows an understanding of foodborne illness
protection?
MCA 1 EXAM 3 QUESTIONS AND ANSWERS GRADED A+
A patient with a history of peptic ulcer disease has
presented to the emergency department with
severe abdominal pain and a rigid, boardlike
abdomen. The health care provider suspects a
perforated ulcer. Which interventions should the
nurse anticipate?
Providing IV fluids and inserting a nasogastric (NG)
tube
Administering oral bicarbonate and testing the
patient's gastric pH level
,MCA 1 EXAM 3
Performing a fecal occult blood test and
administering IV calcium gluconate
Starting parenteral nutrition and placing the patient
in a high-Fowler's position ANS >> Providing IV fluids
and inserting a nasogastric (NG) tube
A perforated peptic ulcer requires IV replacement of
fluid losses and continued gastric aspiration by NG
tube. Nothing is given by mouth, and gastric pH
testing is not a priority. Calcium gluconate is not a
medication directly relevant to the patient's
suspected diagnosis, and parenteral nutrition is not
a priority in the short term.
After administration of a dose of metoclopramide,
which patient assessment finding would show the
medication was effective?
Decreased blood pressure
,MCA 1 EXAM 3
Absence of muscle tremors
Relief of nausea and vomiting
No further episodes of diarrhea ANS >> Relief of
nausea and vomiting
Metoclopramide is classified as a prokinetic and
antiemetic medication. If it is effective, the patient's
nausea and vomiting should resolve.
Metoclopramide does not affect blood pressure,
muscle tremors, or diarrhea.
The nurse determines a patient has experienced the
beneficial effects of therapy with famotidine when
which symptom is relieved?
Nausea
, MCA 1 EXAM 3
Belching
Epigastric pain
Difficulty swallowing ANS >> Epigastric pain
Famotidine is an H2-receptor antagonist that
inhibits parietal cell output of HCl acid and
minimizes damage to gastric mucosa related to
hyperacidity, thus relieving epigastric pain. It is not
indicated for nausea, belching, and dysphagia.
The nurse is teaching a group of college students
how to prevent food poisoning. Which comment
shows an understanding of foodborne illness
protection?
