NUR 257 Final Exam Questions And Correct Verified Answers
New Version 2026 Graded A+
26
A nurse is preparing to assist a health care provider with a peripherally inserted central catheter. The nurse demonstrates understanding of this
procedure by preparing which insertion site?
A. Subclavian vein
20
B. Basilic vein
C. Jugular vein
D. Implanted port. -ANSWER- B. Basilic vein
s
The nurse cares for a client who receives parenteral nutrition (PN). The nurse notes on the care plan that the catheter will need to be removed 6
weeks after insertion
am
and that the client's venous access device is a
A. Nontunneled central catheter
B. peripherally inserted central catheter
C. tunnedled central catheter
Ex
D. implanted port. -ANSWER- A. Nontunneled central catheter
A patient is not have daily bowel movements and has begun taking a laxative for this problem. What should the nurse educate the patient about
s
regarding laxative use?
rt
A. When taking the laxatives, plenty of fluid should be taken as well.
B. The laxatives should be taken no more than 3 times a week or laxative addiction will result.
pe
C. Laxatives should not be routinely taken due to destruction of nerve endings in the colon.
D. Laxatives should never be the first response for the treatment of constipation; natural methods should be employed first. -ANSWER- D.
Laxatives should not be routinely taken due to destruction of nerve endings in the colon.
Ex
A client with an infection in the area between the internal and external sphincters. In which chronic disease is this condition commonly seen?
A. Crohn's Disease
B. diverticulosis
C. ulcerative colitis
D. irritable bowel syndrome -ANSWER- A. Crohn's Disease
The nurse is caring for a patient who has had an appendectomy. What is the best position for the nurse to maintain the patient in after surgery?
A. Prone
,B. Sims' left lateral
C. High Fowler's
D. Supine with the head of the bed elevated 15 degrees -ANSWER- C. High Fowler's
A curse caring for a client with small-bowel obstruction should plan to implement which nursing interventions first?
A. Administering pain medication
B. Obtaining a blood sample for laboratory studies
C. Preparing to insert a nasogastric (NG) tube
26
D. Administering I.V. fluids -ANSWER- D. Administering I.V. fluids
A client has been experiencing lower GI difficulties that have increased in severity, and the gastroenterologist is concerned that the client's bowel
20
is not functioning properly. What function of the lower GI tract is most likely to be affected by the client's disorder?
A. water and electrolyte absorption
B. protein digestion
C. fat digestion
s
D. All options are correct -ANSWER- A. water and electrolyte absorption
am
A client is recently diagnosed with Crohn's disease and is beginning treatment. What the first-line treatment does
the nurse expect that the client will be placed on to decrease the inflammatory response?
A. Ciprofloxacin
Ex
B. Methotrexate
C. Azathroprine
D. Sulfasalazine -ANSWER- D. Sulfasalazine
s
rt
pe
Ex
, The nurse observes the physician palpating the abdomen of a C. Rovsing sign
client that is suspected of having acute appendicitis.
When the abdomen is pressed in the left lower quadrant the
client complains of pain on the right side. What does the nurse
understand this assessment technique is
referred to?
A. Referred pain
B. Rebound pain
C. Rovsing sign
D.Cremasteric reflex
26
A positive Rovsing's sign is indicative of appendicitis. A nurse B. Left lower quadrant
knows to assess for this indicator by palpating the:
20
A. Right lower quadrant
B. Left lower quadrant
C. Right upper quadrant
D. Left upper quadrant
s
Which type of diarrhea is caused by increased production of B. Secretory diarrhea
water and electrolytes by the intestinal mucosa and their
secretion into the intestinal lumen?
am
A. Osmotic diarrhea
B. Secretory diarrhea
C. Mixed diarrhea
Ex
D. Diarrheal disease
Which is the most prominent signs of inflammatory bowel B. Intermittent pain and diarrhea
disease?
s
A. Abdominal distention and constipation
rt
B. Intermittent pain and diarrhea
C. Hyperactive bowel sounds and constipation
D. Increased peristalsis and diarrhea
pe
Clients with irritable bowel disease (IBS) are at A. Osteoporosis
significantly increased risk for which condition?
Ex
A. Osteoporosis
B. DVT
C. Hypotension
D.Pneumonia
When planning care for a client with a small-bowel C. maintaining fluid balance
obstruction, the nurse should consider the primary goal to be:
A. reporting pain relief
B. maintaining body weight.
C. maintaining fluid balance
D.reestablishing a normal bowel pattern
New Version 2026 Graded A+
26
A nurse is preparing to assist a health care provider with a peripherally inserted central catheter. The nurse demonstrates understanding of this
procedure by preparing which insertion site?
A. Subclavian vein
20
B. Basilic vein
C. Jugular vein
D. Implanted port. -ANSWER- B. Basilic vein
s
The nurse cares for a client who receives parenteral nutrition (PN). The nurse notes on the care plan that the catheter will need to be removed 6
weeks after insertion
am
and that the client's venous access device is a
A. Nontunneled central catheter
B. peripherally inserted central catheter
C. tunnedled central catheter
Ex
D. implanted port. -ANSWER- A. Nontunneled central catheter
A patient is not have daily bowel movements and has begun taking a laxative for this problem. What should the nurse educate the patient about
s
regarding laxative use?
rt
A. When taking the laxatives, plenty of fluid should be taken as well.
B. The laxatives should be taken no more than 3 times a week or laxative addiction will result.
pe
C. Laxatives should not be routinely taken due to destruction of nerve endings in the colon.
D. Laxatives should never be the first response for the treatment of constipation; natural methods should be employed first. -ANSWER- D.
Laxatives should not be routinely taken due to destruction of nerve endings in the colon.
Ex
A client with an infection in the area between the internal and external sphincters. In which chronic disease is this condition commonly seen?
A. Crohn's Disease
B. diverticulosis
C. ulcerative colitis
D. irritable bowel syndrome -ANSWER- A. Crohn's Disease
The nurse is caring for a patient who has had an appendectomy. What is the best position for the nurse to maintain the patient in after surgery?
A. Prone
,B. Sims' left lateral
C. High Fowler's
D. Supine with the head of the bed elevated 15 degrees -ANSWER- C. High Fowler's
A curse caring for a client with small-bowel obstruction should plan to implement which nursing interventions first?
A. Administering pain medication
B. Obtaining a blood sample for laboratory studies
C. Preparing to insert a nasogastric (NG) tube
26
D. Administering I.V. fluids -ANSWER- D. Administering I.V. fluids
A client has been experiencing lower GI difficulties that have increased in severity, and the gastroenterologist is concerned that the client's bowel
20
is not functioning properly. What function of the lower GI tract is most likely to be affected by the client's disorder?
A. water and electrolyte absorption
B. protein digestion
C. fat digestion
s
D. All options are correct -ANSWER- A. water and electrolyte absorption
am
A client is recently diagnosed with Crohn's disease and is beginning treatment. What the first-line treatment does
the nurse expect that the client will be placed on to decrease the inflammatory response?
A. Ciprofloxacin
Ex
B. Methotrexate
C. Azathroprine
D. Sulfasalazine -ANSWER- D. Sulfasalazine
s
rt
pe
Ex
, The nurse observes the physician palpating the abdomen of a C. Rovsing sign
client that is suspected of having acute appendicitis.
When the abdomen is pressed in the left lower quadrant the
client complains of pain on the right side. What does the nurse
understand this assessment technique is
referred to?
A. Referred pain
B. Rebound pain
C. Rovsing sign
D.Cremasteric reflex
26
A positive Rovsing's sign is indicative of appendicitis. A nurse B. Left lower quadrant
knows to assess for this indicator by palpating the:
20
A. Right lower quadrant
B. Left lower quadrant
C. Right upper quadrant
D. Left upper quadrant
s
Which type of diarrhea is caused by increased production of B. Secretory diarrhea
water and electrolytes by the intestinal mucosa and their
secretion into the intestinal lumen?
am
A. Osmotic diarrhea
B. Secretory diarrhea
C. Mixed diarrhea
Ex
D. Diarrheal disease
Which is the most prominent signs of inflammatory bowel B. Intermittent pain and diarrhea
disease?
s
A. Abdominal distention and constipation
rt
B. Intermittent pain and diarrhea
C. Hyperactive bowel sounds and constipation
D. Increased peristalsis and diarrhea
pe
Clients with irritable bowel disease (IBS) are at A. Osteoporosis
significantly increased risk for which condition?
Ex
A. Osteoporosis
B. DVT
C. Hypotension
D.Pneumonia
When planning care for a client with a small-bowel C. maintaining fluid balance
obstruction, the nurse should consider the primary goal to be:
A. reporting pain relief
B. maintaining body weight.
C. maintaining fluid balance
D.reestablishing a normal bowel pattern
