ANCC MEDICAL SURGICAL NURSING
FINAL PAPER QUESTIONS AND
SOLUTIONS
◉ what is a potential outcome when administering total
parenteral nutrition (TPN)?a. infectionb. hyperglycemiac.
electrolyte imbalanced. dehydration
Answer: b
◉ an older adult with anemia requests help with his menu
choices. What type of food should the client be encouraged to
eat?a. one-half cup of prunesb. skim milkc. wheat breadd. oranges
Answer: b
◉ What percentage of adults in the US are obese (BMI>30)?a.
14%b. 21%c. 34%d. 47%
Answer: c
◉ A client receiving chemotherapy for treatment of cancer is at
greatest risk for developing:a. Stomatitisb. Xerostomac. oral
abscessd. candidiasis
Answer: a
◉ A 26-year-old female client informs the nurse that she has had
red, raised lesions at the base of the tongue and on the inside of
,her mouth for the past 2 weeks. What question should the nurse
ask the client?a. "Have you seen a dentist recently?"b. "Do you
smoke cigarettes?"c. "Do you have a history of HIV?"d. "What type
of work do you do?"
Answer: c
◉ An older client with poor oral hygiene was admitted after a fall
in which he sustained a fractured hip. What is the priority nursing
intervention?a. initiate oral care every 6 hoursb. implement
aspiration precautionsc. use lemon glycerin swabs to moisten the
mouth as neededd. request a consult with a registered dietitian
Answer: a
◉ A nurse is reviewing the prescriptions for a client who has
Campylobacter enteritis. Which of the following prescriptions
should the nurse clarify with the provider?a. 0.45% sodium
chloride IVb. Milk of Magnesiac. Ciprofloxacind. Potassium
Answer: b
◉ A nurse is caring for a client who has GERD and a new
prescription for metoclopramide. The nurse should plan to
monitor for which of the following adverse effects?a.
Thrombocytopeniab. hearing lossc. hypotensiond. ataxia
Answer: d
◉ A nurse is caring for a client who has colorectal cancer and is
recieving chemotherapy. The client asks the nurse why blood is
,being drawn for a carcinoembryonic antigen (CEA) level. Which of
the following responses by the nurse is appropriate?a. "The CEA
determines the current stage of you colon cancer."b. "The CEA
determines the efficacy of your chemotherapy."c. "The CEA
determines if the neutrophil count is below the expected
reference range."d. "The CEA determines if you are experiencing
occult bleeding from the GI tract."
Answer: b
◉ A nurse is providing discharge teaching for a client who has
chronic cholecystitis. Which of the following food selections by
the client indicated the teaching was effective?a. unsalted nutsb.
bolognac. cheddar cheesed. bananas
Answer: d
◉ A nurse is providing discharge for a client who has gastritis and
a new prescription for famotidine. Which of the following client
statements indicated the teaching was effective?a. "I should make
sure the water I drink is filtered."b. "I should expect immediate
pain relief after starting this therapy."c. "I will drink iced tea with
my meals and snacks."d. "I will monitor by blood glucose level
regularly while taking this medication."
Answer: a
◉ What symptom does the nurse expect the client with
intussusception to exhibit?a. decrease in pulseb. extremely
elevated body temperaturec. singultus (hiccups)d. frequent
bloody stools
, Answer: c
◉ emotional stress is a risk factor for irritable bowel syndrom
(IBS)true false
Answer: false
◉ which ethnic group has a higher incidence of colorectal
cancer?a. hispanicb. asianc. caucasiand. african-american
Answer: d
◉ A nurse is assessing a client who has peritonitis. Which of the
following findings should the nurse expect?a. bloody diarrheab.
board-like abdomenc. periumbilical cyanosisd. increased bowel
sounds
Answer: b
◉ a nurse is assessing a client who has appendicitis. Which of the
following findings should the nurse expect?a. oral temp 38.4b.
WBC 6,000/mm3c. bloody diarrhead. nausea and vomitinge. right
lower quadrant pain
Answer: a, d, e
◉ A nurse is assessing a client who is postoperative following a
gastrectomy. The nurse should identify which of the following
findings as an indication of acute gastric dilation?a. hiccupsb.
elevated BPc. bradycardiad. left lower quadrant pain
FINAL PAPER QUESTIONS AND
SOLUTIONS
◉ what is a potential outcome when administering total
parenteral nutrition (TPN)?a. infectionb. hyperglycemiac.
electrolyte imbalanced. dehydration
Answer: b
◉ an older adult with anemia requests help with his menu
choices. What type of food should the client be encouraged to
eat?a. one-half cup of prunesb. skim milkc. wheat breadd. oranges
Answer: b
◉ What percentage of adults in the US are obese (BMI>30)?a.
14%b. 21%c. 34%d. 47%
Answer: c
◉ A client receiving chemotherapy for treatment of cancer is at
greatest risk for developing:a. Stomatitisb. Xerostomac. oral
abscessd. candidiasis
Answer: a
◉ A 26-year-old female client informs the nurse that she has had
red, raised lesions at the base of the tongue and on the inside of
,her mouth for the past 2 weeks. What question should the nurse
ask the client?a. "Have you seen a dentist recently?"b. "Do you
smoke cigarettes?"c. "Do you have a history of HIV?"d. "What type
of work do you do?"
Answer: c
◉ An older client with poor oral hygiene was admitted after a fall
in which he sustained a fractured hip. What is the priority nursing
intervention?a. initiate oral care every 6 hoursb. implement
aspiration precautionsc. use lemon glycerin swabs to moisten the
mouth as neededd. request a consult with a registered dietitian
Answer: a
◉ A nurse is reviewing the prescriptions for a client who has
Campylobacter enteritis. Which of the following prescriptions
should the nurse clarify with the provider?a. 0.45% sodium
chloride IVb. Milk of Magnesiac. Ciprofloxacind. Potassium
Answer: b
◉ A nurse is caring for a client who has GERD and a new
prescription for metoclopramide. The nurse should plan to
monitor for which of the following adverse effects?a.
Thrombocytopeniab. hearing lossc. hypotensiond. ataxia
Answer: d
◉ A nurse is caring for a client who has colorectal cancer and is
recieving chemotherapy. The client asks the nurse why blood is
,being drawn for a carcinoembryonic antigen (CEA) level. Which of
the following responses by the nurse is appropriate?a. "The CEA
determines the current stage of you colon cancer."b. "The CEA
determines the efficacy of your chemotherapy."c. "The CEA
determines if the neutrophil count is below the expected
reference range."d. "The CEA determines if you are experiencing
occult bleeding from the GI tract."
Answer: b
◉ A nurse is providing discharge teaching for a client who has
chronic cholecystitis. Which of the following food selections by
the client indicated the teaching was effective?a. unsalted nutsb.
bolognac. cheddar cheesed. bananas
Answer: d
◉ A nurse is providing discharge for a client who has gastritis and
a new prescription for famotidine. Which of the following client
statements indicated the teaching was effective?a. "I should make
sure the water I drink is filtered."b. "I should expect immediate
pain relief after starting this therapy."c. "I will drink iced tea with
my meals and snacks."d. "I will monitor by blood glucose level
regularly while taking this medication."
Answer: a
◉ What symptom does the nurse expect the client with
intussusception to exhibit?a. decrease in pulseb. extremely
elevated body temperaturec. singultus (hiccups)d. frequent
bloody stools
, Answer: c
◉ emotional stress is a risk factor for irritable bowel syndrom
(IBS)true false
Answer: false
◉ which ethnic group has a higher incidence of colorectal
cancer?a. hispanicb. asianc. caucasiand. african-american
Answer: d
◉ A nurse is assessing a client who has peritonitis. Which of the
following findings should the nurse expect?a. bloody diarrheab.
board-like abdomenc. periumbilical cyanosisd. increased bowel
sounds
Answer: b
◉ a nurse is assessing a client who has appendicitis. Which of the
following findings should the nurse expect?a. oral temp 38.4b.
WBC 6,000/mm3c. bloody diarrhead. nausea and vomitinge. right
lower quadrant pain
Answer: a, d, e
◉ A nurse is assessing a client who is postoperative following a
gastrectomy. The nurse should identify which of the following
findings as an indication of acute gastric dilation?a. hiccupsb.
elevated BPc. bradycardiad. left lower quadrant pain
