MCA1 Exam 3 Questions & Answers
(Grade 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
Performing a fecal occult blood test and administering IV calcium
gluconate
Starting parenteral nutrition and placing the patient in a high-
Fowler's position -
correct answer ✅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
,MCA1 Exam 3 Questions & Answers
(Grade A+)
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
Absence of muscle tremors
Relief of nausea and vomiting
No further episodes of diarrhea -
correct answer ✅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.
,MCA1 Exam 3 Questions & Answers
(Grade A+)
The nurse determines a patient has experienced the beneficial
effects of therapy with famotidine when which symptom is
relieved?
Nausea
Belching
Epigastric pain
Difficulty swallowing -
correct answer ✅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?
, MCA1 Exam 3 Questions & Answers
(Grade A+)
"Eating raw cookie dough from the package is a great snack when
you do not have time to bake."
"Since we only have one cutting board, we can cut up chicken and
salad vegetables at the same time."
"To save refrigerator space, leftover food can be kept on the
counter if it is in sealed containers."
"When the cafeteria gave me a pink hamburger, I sent it back and
asked for a new bun and clean plate." -
correct answer ✅When the cafeteria gave me a pink hamburger, I
sent it back and asked for a new bun and clean plate."
The student who did not accept the pink hamburger and asked for a
new bun and clean plate understood that the pink meat may not
have reached 160°F and could be contaminated with bacteria.
Improperly storing cooked foods, eating raw cookie dough from a
refrigerated package, and only using one cutting board without
washing it with hot soapy water between the chicken and salad
vegetables could all lead to food poisoning from contamination.
(Grade 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
Performing a fecal occult blood test and administering IV calcium
gluconate
Starting parenteral nutrition and placing the patient in a high-
Fowler's position -
correct answer ✅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
,MCA1 Exam 3 Questions & Answers
(Grade A+)
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
Absence of muscle tremors
Relief of nausea and vomiting
No further episodes of diarrhea -
correct answer ✅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.
,MCA1 Exam 3 Questions & Answers
(Grade A+)
The nurse determines a patient has experienced the beneficial
effects of therapy with famotidine when which symptom is
relieved?
Nausea
Belching
Epigastric pain
Difficulty swallowing -
correct answer ✅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?
, MCA1 Exam 3 Questions & Answers
(Grade A+)
"Eating raw cookie dough from the package is a great snack when
you do not have time to bake."
"Since we only have one cutting board, we can cut up chicken and
salad vegetables at the same time."
"To save refrigerator space, leftover food can be kept on the
counter if it is in sealed containers."
"When the cafeteria gave me a pink hamburger, I sent it back and
asked for a new bun and clean plate." -
correct answer ✅When the cafeteria gave me a pink hamburger, I
sent it back and asked for a new bun and clean plate."
The student who did not accept the pink hamburger and asked for a
new bun and clean plate understood that the pink meat may not
have reached 160°F and could be contaminated with bacteria.
Improperly storing cooked foods, eating raw cookie dough from a
refrigerated package, and only using one cutting board without
washing it with hot soapy water between the chicken and salad
vegetables could all lead to food poisoning from contamination.
