NR 325 EXAM 3 STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH CORRECT
DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. The nurse is performing an assessment of an 80-year-old patient. Which
information obtained by the nurse will be of most concern?
a. Decreased appetite
b. Difficulty chewing food
c. Unintentional weight loss
d. Complaints of indigestion - ANSWER ✔ ANS: C
Unintentional weight loss is not a normal finding in older patients and may
indicate a problem such as cancer or depression. Poor appetite, difficulty in
chewing, and complaints of indigestion are common in older patients. These
will need to be addressed, but are not of as much concern as the weight loss
2. To promote bowel evacuation in a patient with chronic complaints of
constipation, the nurse will suggest that the patient should attempt defecation
a. in the mid-afternoon.
b. after eating breakfast.
c. right after getting up in the morning.
d. immediately before the first daily meal. - ANSWER ✔ ANS: B
3. These reflexes are most active after the first daily meal. Arising in the morning,
the anticipation of eating, and physical exercise do not stimulate these reflexes.
4. When a patient has a history of a total gastrectomy, the nurse will monitor for
clinical manifestations of
a. constipation.
b. dehydration.
c. elevated total cholesterol.
d. cobalamin (vitamin B12) deficiency. - ANSWER ✔ ANS: D
,The patient with a total gastrectomy does not secrete intrinsic factor, which is
needed for cobalamin (vitamin B12) absorption. Because the stomach absorbs
only small amounts of water and nutrients, the patient is not at higher risk for
dehydration, elevated cholesterol, or constipation.
5. The nurse will monitor a patient who has an obstruction of the common bile
duct for
a. melena.
b. steatorrhea.
c. decreased serum cholesterol levels.
d. increased serum indirect bilirubin levels. - ANSWER ✔ ANS: B
A common bile duct obstruction will reduce the absorption of fat in the small
intestine, leading to fatty stools. Gastrointestinal (GI) bleeding is not caused by
common bile duct obstruction. Serum cholesterol levels are increased with biliary
obstruction. Direct bilirubin level is increased with biliary obstruction.
6. During change-of-shift report, the nurse receives the following information
about a patient who is scheduled for a colonoscopy. Which information should
be communicated to the health care provider before sending the patient for the
procedure?
a. The patient has a permanent pacemaker to prevent bradycardia.
b. The patient is worried about discomfort during the examination.
c. The patient has had an allergic reaction to shellfish and iodine in the
past.
d. The patient refused to drink the ordered polyethylene glycol
(GoLYTELY). - ANSWER ✔ ANS: D
If the patient has had inadequate bowel preparation, the colon cannot be visualized
and the procedure should be rescheduled. Because contrast solution is not used
during colonoscopy, the iodine allergy is not pertinent. A pacemaker is a
contraindication to magnetic resonance imaging (MRI), but not to colonoscopy.
The nurse should instruct the patient about the sedation used during the
examination to decrease the patient's anxiety about discomfort.
7. Nursing Interventions for cirrhosis? - ANSWER ✔ 1.FVE and ascites:
restriction sodium, daily weights, manage fluid volume with diuretics usually
like a potassium sparing than a loop diuretic
2.Ascites measure abdominal gerth is it getting worse or improving?
,3.Vitamin K replacement due to bleeding risk, platelet transfusion due to low
levels of PLTS, bleeding risk "RANDI"
4.nervous system impaired: hepatic encephalapthy can range from mild confusion
to coma. how can we manage: Lactoluse to help manage ammonia levels and
binds the ammonia via to the stool and you shit it out. so positive sign if we see a
tons of stool! and improved LOC
5.decreae portal HTN, so we want to reduce the stress in the portal system,
decrease portal HTN by using beta blockers like propanolol we want to see reduce
the esophageal varices.
8. nursing care for cirrhosis - ANSWER ✔ sodium restriction, fluid restriciton,
low fat diet, glucose regulation so this will be impaired so need high
carboyhdrates, plant base protein, no animal protein "to much protein it can
lead to elevated ammonia levels". soft foods due to esophageal varcies
9. acute pancreatitis
pancreas function - ANSWER ✔ regulates blood sugar (insulin & glucagon)
Secretes pancreatic juice which breaks down all categories of food
produces digestive enzymes for fats, carbs, and proteins
beta cell secrete insulin: regular
alpha cells secrete digestion enzyme: pepsin, tripsin,
10.Causes of acute pancreatitis - ANSWER ✔ causes: autodigestion, enzymes of
the pancreas that is produce are attacking its own cells and than release it into
the circulation, so they are attacking itselfs. systemic manfestation that looks
like sepsis
11.causes of acute pancreatitis - ANSWER ✔ abuse ETOH
12.Gallstones sitting in pancreas ducts and enzymes cant be releases so they back
up and start attacking the pancreas
13.acute pancreatitis s/s - ANSWER ✔ epigastric pain radiates to the patients
back
, -interreuption of GI: N/V, anorexia
-systemic: fever, tachycardia, low BP, fluids in lungs, impaired GI tract, paralytic
ileus, hemodynamic impaired
14.two labs for pancreatitis? - ANSWER ✔ amylase and lipase gets released by
the pancreas when it is hurt or inflammated. lipase stays elevated for up to 7-10
days helping with late diagnosis of pancreatitis. amylase returns to normal
levels within 3 days.
amylase: 0-160
Lipase: 30-220
15.treatment for acute pancreatitis - ANSWER ✔ pain relief
IV fluids aggressive fluid managemnt
NPO to help healing process
16.outcome is being meet for acute pancreatitis by knowing what? - ANSWER
✔ pain is decrease meaning the inflammation is going down
17.risk factors for chronic pancreatitis - ANSWER ✔ risk: abuse ETOH, acute
pancreatitis epidoses
18.life style changes for pancreatitis - ANSWER ✔ low fat diet
lots of fruits and vegatables
good hydration
no alcohol
stop smoking
care with medication
normal triglycerides
19.A nurse is preparing to administer pancrelipase to a patient who has
pancreatitis. Which of the following actions should the nurse take?
1. Instruct the client to chew the medication before swallowing.
2. Offer a glass of water following medication administration.
3. Administer the medication 60 minutes before meals.
4. Sprinkle the contents on peanut butter. - ANSWER ✔ 2. due to pancreas
enzyme is a very rough medication to have
ACCURATE QUESTIONS WITH CORRECT
DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. The nurse is performing an assessment of an 80-year-old patient. Which
information obtained by the nurse will be of most concern?
a. Decreased appetite
b. Difficulty chewing food
c. Unintentional weight loss
d. Complaints of indigestion - ANSWER ✔ ANS: C
Unintentional weight loss is not a normal finding in older patients and may
indicate a problem such as cancer or depression. Poor appetite, difficulty in
chewing, and complaints of indigestion are common in older patients. These
will need to be addressed, but are not of as much concern as the weight loss
2. To promote bowel evacuation in a patient with chronic complaints of
constipation, the nurse will suggest that the patient should attempt defecation
a. in the mid-afternoon.
b. after eating breakfast.
c. right after getting up in the morning.
d. immediately before the first daily meal. - ANSWER ✔ ANS: B
3. These reflexes are most active after the first daily meal. Arising in the morning,
the anticipation of eating, and physical exercise do not stimulate these reflexes.
4. When a patient has a history of a total gastrectomy, the nurse will monitor for
clinical manifestations of
a. constipation.
b. dehydration.
c. elevated total cholesterol.
d. cobalamin (vitamin B12) deficiency. - ANSWER ✔ ANS: D
,The patient with a total gastrectomy does not secrete intrinsic factor, which is
needed for cobalamin (vitamin B12) absorption. Because the stomach absorbs
only small amounts of water and nutrients, the patient is not at higher risk for
dehydration, elevated cholesterol, or constipation.
5. The nurse will monitor a patient who has an obstruction of the common bile
duct for
a. melena.
b. steatorrhea.
c. decreased serum cholesterol levels.
d. increased serum indirect bilirubin levels. - ANSWER ✔ ANS: B
A common bile duct obstruction will reduce the absorption of fat in the small
intestine, leading to fatty stools. Gastrointestinal (GI) bleeding is not caused by
common bile duct obstruction. Serum cholesterol levels are increased with biliary
obstruction. Direct bilirubin level is increased with biliary obstruction.
6. During change-of-shift report, the nurse receives the following information
about a patient who is scheduled for a colonoscopy. Which information should
be communicated to the health care provider before sending the patient for the
procedure?
a. The patient has a permanent pacemaker to prevent bradycardia.
b. The patient is worried about discomfort during the examination.
c. The patient has had an allergic reaction to shellfish and iodine in the
past.
d. The patient refused to drink the ordered polyethylene glycol
(GoLYTELY). - ANSWER ✔ ANS: D
If the patient has had inadequate bowel preparation, the colon cannot be visualized
and the procedure should be rescheduled. Because contrast solution is not used
during colonoscopy, the iodine allergy is not pertinent. A pacemaker is a
contraindication to magnetic resonance imaging (MRI), but not to colonoscopy.
The nurse should instruct the patient about the sedation used during the
examination to decrease the patient's anxiety about discomfort.
7. Nursing Interventions for cirrhosis? - ANSWER ✔ 1.FVE and ascites:
restriction sodium, daily weights, manage fluid volume with diuretics usually
like a potassium sparing than a loop diuretic
2.Ascites measure abdominal gerth is it getting worse or improving?
,3.Vitamin K replacement due to bleeding risk, platelet transfusion due to low
levels of PLTS, bleeding risk "RANDI"
4.nervous system impaired: hepatic encephalapthy can range from mild confusion
to coma. how can we manage: Lactoluse to help manage ammonia levels and
binds the ammonia via to the stool and you shit it out. so positive sign if we see a
tons of stool! and improved LOC
5.decreae portal HTN, so we want to reduce the stress in the portal system,
decrease portal HTN by using beta blockers like propanolol we want to see reduce
the esophageal varices.
8. nursing care for cirrhosis - ANSWER ✔ sodium restriction, fluid restriciton,
low fat diet, glucose regulation so this will be impaired so need high
carboyhdrates, plant base protein, no animal protein "to much protein it can
lead to elevated ammonia levels". soft foods due to esophageal varcies
9. acute pancreatitis
pancreas function - ANSWER ✔ regulates blood sugar (insulin & glucagon)
Secretes pancreatic juice which breaks down all categories of food
produces digestive enzymes for fats, carbs, and proteins
beta cell secrete insulin: regular
alpha cells secrete digestion enzyme: pepsin, tripsin,
10.Causes of acute pancreatitis - ANSWER ✔ causes: autodigestion, enzymes of
the pancreas that is produce are attacking its own cells and than release it into
the circulation, so they are attacking itselfs. systemic manfestation that looks
like sepsis
11.causes of acute pancreatitis - ANSWER ✔ abuse ETOH
12.Gallstones sitting in pancreas ducts and enzymes cant be releases so they back
up and start attacking the pancreas
13.acute pancreatitis s/s - ANSWER ✔ epigastric pain radiates to the patients
back
, -interreuption of GI: N/V, anorexia
-systemic: fever, tachycardia, low BP, fluids in lungs, impaired GI tract, paralytic
ileus, hemodynamic impaired
14.two labs for pancreatitis? - ANSWER ✔ amylase and lipase gets released by
the pancreas when it is hurt or inflammated. lipase stays elevated for up to 7-10
days helping with late diagnosis of pancreatitis. amylase returns to normal
levels within 3 days.
amylase: 0-160
Lipase: 30-220
15.treatment for acute pancreatitis - ANSWER ✔ pain relief
IV fluids aggressive fluid managemnt
NPO to help healing process
16.outcome is being meet for acute pancreatitis by knowing what? - ANSWER
✔ pain is decrease meaning the inflammation is going down
17.risk factors for chronic pancreatitis - ANSWER ✔ risk: abuse ETOH, acute
pancreatitis epidoses
18.life style changes for pancreatitis - ANSWER ✔ low fat diet
lots of fruits and vegatables
good hydration
no alcohol
stop smoking
care with medication
normal triglycerides
19.A nurse is preparing to administer pancrelipase to a patient who has
pancreatitis. Which of the following actions should the nurse take?
1. Instruct the client to chew the medication before swallowing.
2. Offer a glass of water following medication administration.
3. Administer the medication 60 minutes before meals.
4. Sprinkle the contents on peanut butter. - ANSWER ✔ 2. due to pancreas
enzyme is a very rough medication to have
