NURS 2000 Exam 5 with Accurate
Solutions
The nurse is interviewing a client who reports having abdominal cramping, bloating, and
diarrhea after drinking milk or ingesting other dairy products. What health problem does
the
client most likely have?
a. Steatorrhea
b. Ulcerative colitis
c. Crohn disease
d. Lactose intolerance - correct Answer-D. Lactose intolerance
The primary health care provider documents that a client has a bruit over the abdominal
aorta.
What teaching will the nurse provide for assistive personnel (AP) based on this
assessment
finding?
a. "Use warm compresses on the client's abdomen continuously."
b. "Avoid washing the client's abdomen too aggressively."
c. "Apply ice to the client's abdomen every 4 hours."
d. "Massage the client's abdomen to help reduce pain." - correct Answer-b. "Avoid
washing the client's abdomen too aggressively."
A client is scheduled for a colonoscopy and the nurse has provided instructions on the
bowel
cleansing regimen. What statement by the client indicates a need for further teaching?
a. "It's a good thing I love orange and cherry gelatin."
b. "My spouse will be here to drive me home."
c. "I'll avoid ibuprofen for several days before the test."
d. "I'll buy a case of clear Gatorade before the prep." - correct Answer-a. "It's a good
thing I love orange and cherry gelatin."
A client had a colonoscopy and biopsy yesterday and calls the gastrointestinal clinic to
report
a spot of bright red blood on the toilet paper today. What response by the nurse is
appropriate?
a. Ask the client to call back if this happens again today.
b. Instruct the client to go to the emergency department.
c. Remind the client that a small amount of bleeding is possible.
d. Tell the client to come to the clinic this afternoon. - correct Answer-c. Remind the
client that a small amount of bleeding is possible.
, The nurse assesses a client with gastroenteritis. What risk factor would the nurse
consider as
the most likely cause of this disorder?
a. Consuming too much fruit
b. Consuming fried or pickled foods
c. Consuming dairy products
d. Consuming raw seafood - correct Answer-d. Consuming raw seafood
The nurse assesses a client who is hospitalized with an exacerbation of Crohn disease.
Which
assessment finding would the nurse expect?
a. Positive Murphy sign with rebound tenderness to palpitation
b. Dull, hypoactive bowel sounds in the lower abdominal quadrants
c. High-pitched, rushing bowel sounds in the right lower quadrant
d. Reports of abdominal cramping that is worse at night - correct Answer-c. High-
pitched, rushing bowel sounds in the right lower quadrant
A nurse cares for a young client with a new ileostomy. The client states, "I cannot go to
prom
with an ostomy." How would the nurse respond?
a. "Sure you can. Purchase a prom dress one size larger to hide the ostomy
appliance."
b. "The pouch won't be as noticeable if you avoid broccoli and carbonated drinks
prior to the prom."
c. "Let's talk to the ostomy nurse about options for ostomy supplies and dress
styles."
d. "You can remove the pouch from your ostomy appliance when you are at the prom
so that it is less noticeable." - correct Answer-c. "Let's talk to the ostomy nurse about
options for ostomy supplies and dress
styles."
The nurse teaches a client about how to prevent transmission of gastroenteritis. Which
statement by the nurse indicates a need for further teaching?
a. "I won't let anyone use my dishes or glasses."
b. "I'll wash my hands with antibacterial soap."
c. "I'll keep my bathroom extra clean."
d. "I'll cook all the meals for my family." - correct Answer-d. "I'll cook all the meals for my
family."
After teaching a client who is prescribed adalimumab for severe ulcerative colitis (UC),
the
nurse assesses the client's understanding. Which statement made by the client
indicates a
need for further teaching?
Solutions
The nurse is interviewing a client who reports having abdominal cramping, bloating, and
diarrhea after drinking milk or ingesting other dairy products. What health problem does
the
client most likely have?
a. Steatorrhea
b. Ulcerative colitis
c. Crohn disease
d. Lactose intolerance - correct Answer-D. Lactose intolerance
The primary health care provider documents that a client has a bruit over the abdominal
aorta.
What teaching will the nurse provide for assistive personnel (AP) based on this
assessment
finding?
a. "Use warm compresses on the client's abdomen continuously."
b. "Avoid washing the client's abdomen too aggressively."
c. "Apply ice to the client's abdomen every 4 hours."
d. "Massage the client's abdomen to help reduce pain." - correct Answer-b. "Avoid
washing the client's abdomen too aggressively."
A client is scheduled for a colonoscopy and the nurse has provided instructions on the
bowel
cleansing regimen. What statement by the client indicates a need for further teaching?
a. "It's a good thing I love orange and cherry gelatin."
b. "My spouse will be here to drive me home."
c. "I'll avoid ibuprofen for several days before the test."
d. "I'll buy a case of clear Gatorade before the prep." - correct Answer-a. "It's a good
thing I love orange and cherry gelatin."
A client had a colonoscopy and biopsy yesterday and calls the gastrointestinal clinic to
report
a spot of bright red blood on the toilet paper today. What response by the nurse is
appropriate?
a. Ask the client to call back if this happens again today.
b. Instruct the client to go to the emergency department.
c. Remind the client that a small amount of bleeding is possible.
d. Tell the client to come to the clinic this afternoon. - correct Answer-c. Remind the
client that a small amount of bleeding is possible.
, The nurse assesses a client with gastroenteritis. What risk factor would the nurse
consider as
the most likely cause of this disorder?
a. Consuming too much fruit
b. Consuming fried or pickled foods
c. Consuming dairy products
d. Consuming raw seafood - correct Answer-d. Consuming raw seafood
The nurse assesses a client who is hospitalized with an exacerbation of Crohn disease.
Which
assessment finding would the nurse expect?
a. Positive Murphy sign with rebound tenderness to palpitation
b. Dull, hypoactive bowel sounds in the lower abdominal quadrants
c. High-pitched, rushing bowel sounds in the right lower quadrant
d. Reports of abdominal cramping that is worse at night - correct Answer-c. High-
pitched, rushing bowel sounds in the right lower quadrant
A nurse cares for a young client with a new ileostomy. The client states, "I cannot go to
prom
with an ostomy." How would the nurse respond?
a. "Sure you can. Purchase a prom dress one size larger to hide the ostomy
appliance."
b. "The pouch won't be as noticeable if you avoid broccoli and carbonated drinks
prior to the prom."
c. "Let's talk to the ostomy nurse about options for ostomy supplies and dress
styles."
d. "You can remove the pouch from your ostomy appliance when you are at the prom
so that it is less noticeable." - correct Answer-c. "Let's talk to the ostomy nurse about
options for ostomy supplies and dress
styles."
The nurse teaches a client about how to prevent transmission of gastroenteritis. Which
statement by the nurse indicates a need for further teaching?
a. "I won't let anyone use my dishes or glasses."
b. "I'll wash my hands with antibacterial soap."
c. "I'll keep my bathroom extra clean."
d. "I'll cook all the meals for my family." - correct Answer-d. "I'll cook all the meals for my
family."
After teaching a client who is prescribed adalimumab for severe ulcerative colitis (UC),
the
nurse assesses the client's understanding. Which statement made by the client
indicates a
need for further teaching?
