D440 OA PRACTICE ASSESSMENT
EXAM QUESTIONS AND ANSWERS
Which intervention will the nurse implement for a client hospitalized with acute pan
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creatisis? - - Administer analgesics hc hc hc hc
- Teach relaxation exercises
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- monitor cardiac rate & rhythm
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- provide antiemetics
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Rationale:
Analgesics, histamine- hc
receptor antagonists, and proton pump inhibitors may be administered to decrease
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cgastrointestinal activity and the secretion of pancreatic enzymes. Relaxation will de
hc hc hc hc hc hc hc hc hc hc
crease the metabolic rate, which will decrease gastrointestinal activity, including th
hc hc hc hc hc hc hc hc hc hc
e secretion of pancreatic enzymes. Monitoring cardiac rate and rhythm is necessar
hc hc hc hc hc hc hc hc hc hc hc
y to assess for hypokalemia and fluid volume changes. Antiemetics will be adminis
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tered to help reduce nausea and vomiting. The client would be kept nothing by mo
hc hc hc hc hc hc hc hc hc hc hc hc hc hc
uth to decrease gastrointestinal activity and the secretion of pancreatic enzymes a
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nd therefore would not have a high-
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fat diet order. Once PO nutrition is resumed the diet would include high-
hc hc hc hc hc hc hc hc hc hc hc hc
carbohydrate and protein, but low- hc hc hc hc
fat. Walking increases the metabolic rate, which will increase gastrointestinal activit
hc hc hc hc hc hc hc hc hc hc
y, including the secretion of pancreatic enzymes. Hypocalcemia, not hypercalcemia
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, occurs because of calcium and fatty acids combining during fat necrosis. The clie
hc hc hc hc hc hc hc hc hc hc hc hc hc
nt with acute pancreatitis is at risk for inadequate nutrition and will be weighed dail
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y.
Which food selection by a client with celiac disease indicates the nurse's dietary te
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aching was successful? SATA hc hc hc
Green beans hc
Baked potato hc
Egg noodles hc
Turkey sandwich hc
Baked salmon hc
Whole-wheat cereal hc
Fried eggs hc
Whole milk - Green beans, baked potato, baked salmon, fried eggs, whole milk
hc hc hc hc hc hc hc hc hc hc hc hc
Rationale: Noodles, bread in the turkey sandwich, and whole-
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wheat cereal are high in gluten, and clients on gluten-
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free diets should avoid these products. Celiac clients are to avoid gluten found in
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wheat, oats, and barley. hc hc hc
Which nursing action is appropriate when providing care to a hospitalized infant wh
hc hc hc hc hc hc hc hc hc hc hc hc
o is diagnosed with failure to thrive (FTT) due to inadequate caloric intake? SATA
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Consulting with social work hc hc hc
Monitoring for sensitivity to cow's milk hc hc hc hc hc
EXAM QUESTIONS AND ANSWERS
Which intervention will the nurse implement for a client hospitalized with acute pan
hc hc hc hc hc hc hc hc hc hc hc hc
creatisis? - - Administer analgesics hc hc hc hc
- Teach relaxation exercises
hc hc hc
- monitor cardiac rate & rhythm
hc hc hc hc hc
- provide antiemetics
hc hc
Rationale:
Analgesics, histamine- hc
receptor antagonists, and proton pump inhibitors may be administered to decrease
hc hc hc hc hc hc hc hc hc hc h
cgastrointestinal activity and the secretion of pancreatic enzymes. Relaxation will de
hc hc hc hc hc hc hc hc hc hc
crease the metabolic rate, which will decrease gastrointestinal activity, including th
hc hc hc hc hc hc hc hc hc hc
e secretion of pancreatic enzymes. Monitoring cardiac rate and rhythm is necessar
hc hc hc hc hc hc hc hc hc hc hc
y to assess for hypokalemia and fluid volume changes. Antiemetics will be adminis
hc hc hc hc hc hc hc hc hc hc hc hc
tered to help reduce nausea and vomiting. The client would be kept nothing by mo
hc hc hc hc hc hc hc hc hc hc hc hc hc hc
uth to decrease gastrointestinal activity and the secretion of pancreatic enzymes a
hc hc hc hc hc hc hc hc hc hc hc
nd therefore would not have a high-
hc hc hc hc hc hc
fat diet order. Once PO nutrition is resumed the diet would include high-
hc hc hc hc hc hc hc hc hc hc hc hc
carbohydrate and protein, but low- hc hc hc hc
fat. Walking increases the metabolic rate, which will increase gastrointestinal activit
hc hc hc hc hc hc hc hc hc hc
y, including the secretion of pancreatic enzymes. Hypocalcemia, not hypercalcemia
hc hc hc hc hc hc hc hc hc
, occurs because of calcium and fatty acids combining during fat necrosis. The clie
hc hc hc hc hc hc hc hc hc hc hc hc hc
nt with acute pancreatitis is at risk for inadequate nutrition and will be weighed dail
hc hc hc hc hc hc hc hc hc hc hc hc hc hc
y.
Which food selection by a client with celiac disease indicates the nurse's dietary te
hc hc hc hc hc hc hc hc hc hc hc hc hc
aching was successful? SATA hc hc hc
Green beans hc
Baked potato hc
Egg noodles hc
Turkey sandwich hc
Baked salmon hc
Whole-wheat cereal hc
Fried eggs hc
Whole milk - Green beans, baked potato, baked salmon, fried eggs, whole milk
hc hc hc hc hc hc hc hc hc hc hc hc
Rationale: Noodles, bread in the turkey sandwich, and whole-
hc hc hc hc hc hc hc hc
wheat cereal are high in gluten, and clients on gluten-
hc hc hc hc hc hc hc hc hc
free diets should avoid these products. Celiac clients are to avoid gluten found in
hc hc hc hc hc hc hc hc hc hc hc hc hc hc
wheat, oats, and barley. hc hc hc
Which nursing action is appropriate when providing care to a hospitalized infant wh
hc hc hc hc hc hc hc hc hc hc hc hc
o is diagnosed with failure to thrive (FTT) due to inadequate caloric intake? SATA
hc hc hc hc hc hc hc hc hc hc hc hc hc
Consulting with social work hc hc hc
Monitoring for sensitivity to cow's milk hc hc hc hc hc
