Page 1 of 111
NUR 171 EXAM 4 B EXAM QUESTIONS AND CORRECT VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR – JUST RELEASED
NUR 171 EXAM 4 B
10 KEY EXAM COVERAGE AREAS
1. Gastrointestinal elimination assessment and common gastrointestinal disorders.
2. Bowel obstruction, inflammatory bowel disorders, appendicitis, and diverticular
disease.
3. Liver, gallbladder, pancreatic, and hepatitis-related disorders.
4. Nutrition, enteral feeding, parenteral nutrition, and gastrointestinal postoperative
care.
5. Genitourinary assessment, urinary elimination, retention, infection, and common
urinary disorders.
6. Acute kidney injury, chronic kidney disease, dialysis, and renal complications.
7. Male genitourinary disorders and urinary diversion concepts.
8. Infection prevention, transmission-based precautions, antimicrobial therapy, and
sepsis.
9. Skin integrity, wounds, pressure injuries, burns, and wound healing.
10. Integrated nursing priorities, patient teaching, safety, delegation, and clinical decision-
making.
QUESTIONS, ANSWERS, AND RATIONALES
1. Which assessment finding in a client with acute glomerulonephritis should the nurse
recognize as most important to report promptly?
A. Mild fatigue after ambulation
B. Urinary frequency without discomfort
C. New-onset hypertension with decreasing urine output
D. Increased appetite after breakfast
Answer: C
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Rationale: Acute glomerulonephritis can cause fluid retention, hypertension, and impaired
renal filtration. Oliguria with rising blood pressure indicates worsening renal function and
requires prompt evaluation.
2. What question should the nurse ask first when assessing a client with suspected
inflammatory bowel disease and worsening diarrhea?
A. “Have you noticed blood or mucus in your stools?”
B. “Do you usually eat breakfast?”
C. “Have you changed your sleeping position?”
D. “Do you prefer hot or cold drinks?”
Answer: A
Rationale: Stool characteristics, including blood and mucus, provide important information
about intestinal inflammation and disease activity in conditions such as ulcerative colitis.
3. Why is an abdominal assessment performed systematically from inspection through
palpation in a client with severe abdominal pain?
A. Palpation always eliminates the need for laboratory testing
B. Early palpation may alter bowel sounds and tenderness findings
C. Inspection is unnecessary when the client reports pain
D. Auscultation should always be performed after deep palpation
Answer: B
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Rationale: Abdominal assessment follows a specific sequence because palpation can
stimulate bowel activity and potentially alter findings, making auscultation more difficult to
interpret.
4. Which intervention should the nurse prioritize for a client with a suspected small bowel
obstruction who has persistent vomiting and abdominal distention?
A. Encourage a high-fiber meal
B. Administer oral laxatives
C. Encourage large amounts of oral water
D. Maintain prescribed bowel rest and prepare for gastric decompression
Answer: D
Rationale: Bowel obstruction commonly requires bowel rest, IV fluid replacement, electrolyte
monitoring, and gastric decompression when ordered to reduce vomiting and distention.
5. A client with acute appendicitis suddenly reports that severe abdominal pain has
decreased, but the abdomen is becoming rigid; what should the nurse suspect?
A. Resolution of inflammation
B. Perforation with developing peritonitis
C. Successful bowel decompression
D. Improvement caused by increased intestinal motility
Answer: B
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Rationale: A sudden decrease in localized pain followed by rigidity can occur when an
inflamed appendix perforates, allowing infectious material to enter the peritoneal cavity.
6. How should the nurse instruct a client with diverticular disease about preventing
constipation when appropriate during a stable period?
A. Eliminate all fluids after dinner
B. Increase appropriate fiber and fluid intake as prescribed
C. Avoid all fruits and vegetables permanently
D. Remain on a clear-liquid diet every day
Answer: B
Rationale: During nonacute periods, adequate fiber and hydration can support regular bowel
elimination when clinically appropriate and not contraindicated.
7. Which finding in a client with ulcerative colitis most strongly suggests significant fluid-
volume depletion?
A. Moist mucous membranes
B. Increased appetite
C. Orthostatic hypotension with tachycardia
D. Decreased stool frequency
Answer: C
Rationale: Frequent diarrhea can produce substantial fluid and electrolyte loss. Tachycardia
and orthostatic hypotension are important signs of hypovolemia.
NUR 171 EXAM 4 B EXAM QUESTIONS AND CORRECT VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR – JUST RELEASED
NUR 171 EXAM 4 B
10 KEY EXAM COVERAGE AREAS
1. Gastrointestinal elimination assessment and common gastrointestinal disorders.
2. Bowel obstruction, inflammatory bowel disorders, appendicitis, and diverticular
disease.
3. Liver, gallbladder, pancreatic, and hepatitis-related disorders.
4. Nutrition, enteral feeding, parenteral nutrition, and gastrointestinal postoperative
care.
5. Genitourinary assessment, urinary elimination, retention, infection, and common
urinary disorders.
6. Acute kidney injury, chronic kidney disease, dialysis, and renal complications.
7. Male genitourinary disorders and urinary diversion concepts.
8. Infection prevention, transmission-based precautions, antimicrobial therapy, and
sepsis.
9. Skin integrity, wounds, pressure injuries, burns, and wound healing.
10. Integrated nursing priorities, patient teaching, safety, delegation, and clinical decision-
making.
QUESTIONS, ANSWERS, AND RATIONALES
1. Which assessment finding in a client with acute glomerulonephritis should the nurse
recognize as most important to report promptly?
A. Mild fatigue after ambulation
B. Urinary frequency without discomfort
C. New-onset hypertension with decreasing urine output
D. Increased appetite after breakfast
Answer: C
, Page 2 of 111
Rationale: Acute glomerulonephritis can cause fluid retention, hypertension, and impaired
renal filtration. Oliguria with rising blood pressure indicates worsening renal function and
requires prompt evaluation.
2. What question should the nurse ask first when assessing a client with suspected
inflammatory bowel disease and worsening diarrhea?
A. “Have you noticed blood or mucus in your stools?”
B. “Do you usually eat breakfast?”
C. “Have you changed your sleeping position?”
D. “Do you prefer hot or cold drinks?”
Answer: A
Rationale: Stool characteristics, including blood and mucus, provide important information
about intestinal inflammation and disease activity in conditions such as ulcerative colitis.
3. Why is an abdominal assessment performed systematically from inspection through
palpation in a client with severe abdominal pain?
A. Palpation always eliminates the need for laboratory testing
B. Early palpation may alter bowel sounds and tenderness findings
C. Inspection is unnecessary when the client reports pain
D. Auscultation should always be performed after deep palpation
Answer: B
, Page 3 of 111
Rationale: Abdominal assessment follows a specific sequence because palpation can
stimulate bowel activity and potentially alter findings, making auscultation more difficult to
interpret.
4. Which intervention should the nurse prioritize for a client with a suspected small bowel
obstruction who has persistent vomiting and abdominal distention?
A. Encourage a high-fiber meal
B. Administer oral laxatives
C. Encourage large amounts of oral water
D. Maintain prescribed bowel rest and prepare for gastric decompression
Answer: D
Rationale: Bowel obstruction commonly requires bowel rest, IV fluid replacement, electrolyte
monitoring, and gastric decompression when ordered to reduce vomiting and distention.
5. A client with acute appendicitis suddenly reports that severe abdominal pain has
decreased, but the abdomen is becoming rigid; what should the nurse suspect?
A. Resolution of inflammation
B. Perforation with developing peritonitis
C. Successful bowel decompression
D. Improvement caused by increased intestinal motility
Answer: B
, Page 4 of 111
Rationale: A sudden decrease in localized pain followed by rigidity can occur when an
inflamed appendix perforates, allowing infectious material to enter the peritoneal cavity.
6. How should the nurse instruct a client with diverticular disease about preventing
constipation when appropriate during a stable period?
A. Eliminate all fluids after dinner
B. Increase appropriate fiber and fluid intake as prescribed
C. Avoid all fruits and vegetables permanently
D. Remain on a clear-liquid diet every day
Answer: B
Rationale: During nonacute periods, adequate fiber and hydration can support regular bowel
elimination when clinically appropriate and not contraindicated.
7. Which finding in a client with ulcerative colitis most strongly suggests significant fluid-
volume depletion?
A. Moist mucous membranes
B. Increased appetite
C. Orthostatic hypotension with tachycardia
D. Decreased stool frequency
Answer: C
Rationale: Frequent diarrhea can produce substantial fluid and electrolyte loss. Tachycardia
and orthostatic hypotension are important signs of hypovolemia.
