ABAC BRIDGE PROGRAM ACTUAL FINALS
QUESTIONS AND ANSWERS SET A+
s.
✔✔Fibrinous - ✔✔thick and sticky and have a high cell and *fibrin* content. Increases
the risk of scar tissue in the area
✔✔Purulent - ✔✔thick, *yellow-green* in color, and contains more leukocytes and cell
debris as well as microorganisms. Indicates bacterial infection, and is often referred to
as *pus*.
✔✔Abscess - ✔✔localized pocket of purulent exudate or pus in a solid tissue (e.g.
around a tooth or in the brain)
✔✔hemorrhagic (sanguineous) exudate - ✔✔present if blood vessels have been
damaged
✔✔Isotonic(dynamic) exercise - ✔✔The muscle shortens to produce muscle contraction
and active movement. Ex. Running,walking, cycling, swimming, ADL's and active range
of motion.
Increase muscle tone, mass, and strength and maintain joint flexibility and circulation
✔✔isometric (static or setting) exercise - ✔✔Muscle contraction without moving the
joint. there is a change in muscle tension but there is no change in muscle length and
no muscle or joint movement
✔✔Isokinetic (resistive) exercise - ✔✔muscle contraction or tension against resistance,
thus isotonic or isometric
✔✔if strangulation is present in a hernia the surgical procedure that will be performed is
known as - ✔✔bowel resection
,✔✔mr. Jackson has been diagnosed with appendicitis as he experiences pain in the
right lower quadrant when the nurse palpates the left lower quadrant this is known as -
✔✔rovsings sign
✔✔peptic ulcer disease usually occurs between 45 to 70 years of age - ✔✔true
✔✔Three clinical manifestations of peptic ulcer disease are - ✔✔bleeding nausea
vomiting and pain
✔✔anticholinergic such as pro-banthine are given to a client diagnosed with diverticulitis
because it - ✔✔reduce his colonic contractions and hypermotility
✔✔the intestinal disease that develops skip lesions is - ✔✔Crohn's disease
✔✔mr. Jackson is being taught how to irrigate his colostomy the nurse instructs him that
he needs to needs to use how much warm tap water to irrigate the colostomy - ✔✔500
to 1000 cc's
✔✔Mcburney's point is located halfway between the umbilicus and the right iliac crest -
✔✔true
✔✔the complication associated with appendicitis when the appendix ruptures and the
fecal contents pills into the abdominal cavity is known as - ✔✔peritonitis
✔✔Peptic ulcer disease is an ulceration of the mucosa of the stomach only - ✔✔false
✔✔The diagnostic test that is considered first choice for diagnosis of peptic ulcer
disease is - ✔✔egd,
✔✔signs and symptoms of irritable bowel syndrome include - ✔✔episodic abdominal
pain cramping and bloating
✔✔the loop colostomy is a type of temporary colostomy that is made when immediate
relief is needed for the bowel often - ✔✔because of obstruction
✔✔the nurse is teaching the client about colostomy care the nurse instructs the client to
empty his her colostomy bag when it is - ✔✔half full
✔✔The nurse is teaching a client with a history of upper gastrointestinal bleeding to
check the stools for blood which information provided by the nurse is most accurate
stools that are black and tarry occur with prolonged bleeding from the stomach or small
intestine - ✔✔stools that are black and tarry occur with prolonged bleeding from the
stomach or small intestine
, ✔✔Mr Tax made 50 is admitted to the ER with said was severe abdominal pain
anorexia and chills is vital signs are temp of 101 pulse 130 respers 34 blood pressure
82 over 48 his pain is more intense in the left lower quadrant that radiates throughout
the entire abdomen with rebound tenderness and abdominal rigidity the nurse plan care
Chris Jackson based on the knowledge of the management of this condition initially
involves - ✔✔treatment for shock
✔✔Jania 23 year old college student is admitted to the ER for evaluation of abdominal
pain with nausea and vomiting she has leukocytosis and increased ESR appendicitis is
suspect when the physical exam reveals localized pain at McBumeys point at what
location does the nurse assess mcbumeys point - ✔✔halfway between the umbilicus
and the right iliac crest
✔✔The registered nurse identify as a potential complication of hypovolemic shock
related to loss of circulatory volume for a client with bacterial peritonitis resulting from a
ruptured appendix a nurse recognize that the major loss of circulating fluid volume
occurs as a result of - ✔✔extracellular fluid shift into the peritoneal cavity
✔✔Miss Graham undergoes a total proctocolectomy with a continental ileostomy
postoperatively a catheter is placed in the stoma and irrigations are performed every 4
hours Miss Graham is very upset telling the nurse at the stoma is ugly and she just
doesn't think she can live with all the alterations in her body which of the following is the
nurses best approach to miss Grimm's remarks - ✔✔consult with Miss Graham in the
surgeon to arrange a visitor from a local ostomy support group
✔✔Mister town has a colostomy with abdominal and perineal incisions the colostomy is
dressed with petroleum jelly gauze and dry gauze dressings the perineal incision is
partially closed and has two drains attached to Jackson Pratt suction during the early
postoperative. Which goal should be given the highest nursing priority - ✔✔facilitating
perineal drainage and healing
✔✔Sean age 33 as a transverse colostomy during the initial post-operative assessment
of the stoma the nurse finds it to be brick red with moderate edema and a small amount
of bleeding which interpretation of this finding by the nurse is most appropriate at this
time - ✔✔the stoma is normal in color and amount of drainage
✔✔Miss Moore is a newly-formed ileostomy which instruction is appropriate for Miss
more concerning the in the care of her ileostomy - ✔✔maintain a diet that is as near
normal as possible avoiding food foods that cause gas or diarrhea
✔✔which instruction does the nurse include while teaching a client to irrigate a new
colostomy - ✔✔hang the irrigating container about 2 feet above the stomach or at
shoulder height
QUESTIONS AND ANSWERS SET A+
s.
✔✔Fibrinous - ✔✔thick and sticky and have a high cell and *fibrin* content. Increases
the risk of scar tissue in the area
✔✔Purulent - ✔✔thick, *yellow-green* in color, and contains more leukocytes and cell
debris as well as microorganisms. Indicates bacterial infection, and is often referred to
as *pus*.
✔✔Abscess - ✔✔localized pocket of purulent exudate or pus in a solid tissue (e.g.
around a tooth or in the brain)
✔✔hemorrhagic (sanguineous) exudate - ✔✔present if blood vessels have been
damaged
✔✔Isotonic(dynamic) exercise - ✔✔The muscle shortens to produce muscle contraction
and active movement. Ex. Running,walking, cycling, swimming, ADL's and active range
of motion.
Increase muscle tone, mass, and strength and maintain joint flexibility and circulation
✔✔isometric (static or setting) exercise - ✔✔Muscle contraction without moving the
joint. there is a change in muscle tension but there is no change in muscle length and
no muscle or joint movement
✔✔Isokinetic (resistive) exercise - ✔✔muscle contraction or tension against resistance,
thus isotonic or isometric
✔✔if strangulation is present in a hernia the surgical procedure that will be performed is
known as - ✔✔bowel resection
,✔✔mr. Jackson has been diagnosed with appendicitis as he experiences pain in the
right lower quadrant when the nurse palpates the left lower quadrant this is known as -
✔✔rovsings sign
✔✔peptic ulcer disease usually occurs between 45 to 70 years of age - ✔✔true
✔✔Three clinical manifestations of peptic ulcer disease are - ✔✔bleeding nausea
vomiting and pain
✔✔anticholinergic such as pro-banthine are given to a client diagnosed with diverticulitis
because it - ✔✔reduce his colonic contractions and hypermotility
✔✔the intestinal disease that develops skip lesions is - ✔✔Crohn's disease
✔✔mr. Jackson is being taught how to irrigate his colostomy the nurse instructs him that
he needs to needs to use how much warm tap water to irrigate the colostomy - ✔✔500
to 1000 cc's
✔✔Mcburney's point is located halfway between the umbilicus and the right iliac crest -
✔✔true
✔✔the complication associated with appendicitis when the appendix ruptures and the
fecal contents pills into the abdominal cavity is known as - ✔✔peritonitis
✔✔Peptic ulcer disease is an ulceration of the mucosa of the stomach only - ✔✔false
✔✔The diagnostic test that is considered first choice for diagnosis of peptic ulcer
disease is - ✔✔egd,
✔✔signs and symptoms of irritable bowel syndrome include - ✔✔episodic abdominal
pain cramping and bloating
✔✔the loop colostomy is a type of temporary colostomy that is made when immediate
relief is needed for the bowel often - ✔✔because of obstruction
✔✔the nurse is teaching the client about colostomy care the nurse instructs the client to
empty his her colostomy bag when it is - ✔✔half full
✔✔The nurse is teaching a client with a history of upper gastrointestinal bleeding to
check the stools for blood which information provided by the nurse is most accurate
stools that are black and tarry occur with prolonged bleeding from the stomach or small
intestine - ✔✔stools that are black and tarry occur with prolonged bleeding from the
stomach or small intestine
, ✔✔Mr Tax made 50 is admitted to the ER with said was severe abdominal pain
anorexia and chills is vital signs are temp of 101 pulse 130 respers 34 blood pressure
82 over 48 his pain is more intense in the left lower quadrant that radiates throughout
the entire abdomen with rebound tenderness and abdominal rigidity the nurse plan care
Chris Jackson based on the knowledge of the management of this condition initially
involves - ✔✔treatment for shock
✔✔Jania 23 year old college student is admitted to the ER for evaluation of abdominal
pain with nausea and vomiting she has leukocytosis and increased ESR appendicitis is
suspect when the physical exam reveals localized pain at McBumeys point at what
location does the nurse assess mcbumeys point - ✔✔halfway between the umbilicus
and the right iliac crest
✔✔The registered nurse identify as a potential complication of hypovolemic shock
related to loss of circulatory volume for a client with bacterial peritonitis resulting from a
ruptured appendix a nurse recognize that the major loss of circulating fluid volume
occurs as a result of - ✔✔extracellular fluid shift into the peritoneal cavity
✔✔Miss Graham undergoes a total proctocolectomy with a continental ileostomy
postoperatively a catheter is placed in the stoma and irrigations are performed every 4
hours Miss Graham is very upset telling the nurse at the stoma is ugly and she just
doesn't think she can live with all the alterations in her body which of the following is the
nurses best approach to miss Grimm's remarks - ✔✔consult with Miss Graham in the
surgeon to arrange a visitor from a local ostomy support group
✔✔Mister town has a colostomy with abdominal and perineal incisions the colostomy is
dressed with petroleum jelly gauze and dry gauze dressings the perineal incision is
partially closed and has two drains attached to Jackson Pratt suction during the early
postoperative. Which goal should be given the highest nursing priority - ✔✔facilitating
perineal drainage and healing
✔✔Sean age 33 as a transverse colostomy during the initial post-operative assessment
of the stoma the nurse finds it to be brick red with moderate edema and a small amount
of bleeding which interpretation of this finding by the nurse is most appropriate at this
time - ✔✔the stoma is normal in color and amount of drainage
✔✔Miss Moore is a newly-formed ileostomy which instruction is appropriate for Miss
more concerning the in the care of her ileostomy - ✔✔maintain a diet that is as near
normal as possible avoiding food foods that cause gas or diarrhea
✔✔which instruction does the nurse include while teaching a client to irrigate a new
colostomy - ✔✔hang the irrigating container about 2 feet above the stomach or at
shoulder height
