N321 Exam 2 Practice Questions with Answers
What increases an individual's risk for C.Diff? (Select all that apply.)
A. Antibiotic therapy
B. Immunosuppression
C. Intake of fatty foods
D. Old age
E. Sedentary lifestyle - correct answersA. Antibiotic therapy
B. Immunosuppression
D. Old age
What type of precautions should be implemented for a patient with C. Diff?
A. Airborne precautions
B. Contact Precautions
C. Droplet Precautions
D. Standard Precautions - correct answersB. Contact Precautions
A 32 year old female presents to the ER with nausea and vomiting and vague abdominal pain for the past
2 days. The nurse's priority intervention would be to...
A. Administer IV anti-nausea medication
B. Encourage small sips of water or warm tea
C. Keep the patient NPO
D. Place an NG tube - correct answersC. Keep the patient NPO
The nurse recognizes which findings as diagnostic for IBS?
A. Rome IV and/or Manning Criteria
,B. CT scan of the abdomen shows inflammatory process
C. Blood urea nitrogen and creatinine are elevated
D. Patient has abdominal pain and a psychiatric diagnosis - correct answersA. Rome IV and/or Manning
Criteria
A patient is admitted to the hospital for treatment for diverticulitis. The nurse recognizes which
interventions appropriate for this patient?
A. High-fiber diet, ambulate frequently, IV fluids, pain medications
B. Antibiotics, IV fluids, NPO, NG tube, pain medications
C. Laxatives, enemas, diet, pain medications
D. Surgery with follow-up physical therapy - correct answersB. Antibiotics, IV fluids, NPO, NG tube, pain
medications
The nurse is caring for a patient in the emergency department with abdominal pain, fever, nausea, and
vomiting. The patient is suspected of having appendicitis. What intervention may the provider order to
confirm diagnosis?
A. Flat-plate x-ray of the abdomen, chemistry panel
B. CT scan, complete blood count (CBC), abdominal assessment for rebound tenderness
C. Administer a laxative to see if symptoms improve
D. Colonoscopy, esophagogastroduodenoscopy (EGD), and endoscopic retrograde
cholangiopancreatogram (ERCP) - correct answersB. CT scan, complete blood count (CBC), abdominal
assessment for rebound tenderness
The nurse is caring for a patient with colorectal cancer who just had a total colectomy with placement of
a permanent ileostomy. Which nursing diagnosis is a priority for the immediate postoperative period?
A. Disturbed body image
B. Acute pain
C. Potential for infection
D. Knowledge deficit - correct answersB. Acute pain
,A patient has just been brought to the emergency department by emergency medical services after a
motor vehicle accident. What is the first thing the nurse should do?
A. Ask the patient if he or she is in pain
B. Mental status examination and vital signs
C. Ask the patient to move all extremities
D. Order laboratory tests - correct answersB. Mental status examination and vital signs
The nurse recognizes which patient is at greatest risk for type 1 autoimmune hepatitis?
A. A 45-year-old postmenopausal female
B. A 30-year-old female with a history of hyperthyroidism
C. A 16-year-old female with type 1 diabetes mellitus
D. A 12-year-old female with autism - correct answersC. A 16-year-old female with type 1 diabetes
mellitus
In reviewing diagnostic results of a patient with suspected hepatitis, the nurse correlates which result as
consistent with hepatitis A?
A. Prolonged prothrombin time (PT)
B. Decreased white blood cell count
C. Presence of IgM anti-HAV
D. Detectable serum HBV DNA - correct answersC. Presence of IgM anti-HAV
Elevated ammonia levels can lead to hepatic encephalopathy. Which provider order best reduces this
risk in patients with cirrhosis?
A. Administer furosemide and spironolactone
B. Administer antibiotics
, C. Restrict protein intake
D. Restrict caloric intake - correct answersC. Restrict protein intake
In a patient with cirrhosis, the nursing diagnosis "Risk for injury and bleeding associated with prolonged
clotting factors" is most appropriate associated with which disorder?
A. Pruritus
B. Vitamin K deficiency
C. Hyponatremia
D. Ascites - correct answersB. Vitamin K deficiency
The nurse assesses for which clinical manifestations in the patient diagnosed with liver cancer? (Select all
that apply.)
A. Periumbilical pain
B. Anorexia
C. Hemoptysis
D. Fatigue
E. Jaundice - correct answersB. Anorexia
D. Fatigue
E. Jaundice
Which statement by a patient diagnosed with liver trauma indicates understanding of the prescribed
plan of care?
A. "I will need a liver transplant."
B. "I will need a blood transfusion."
C. "I am at increased risk for infection."
D. "I will never be able to drink alcohol again." - correct answersB. "I will need a blood transfusion."
What increases an individual's risk for C.Diff? (Select all that apply.)
A. Antibiotic therapy
B. Immunosuppression
C. Intake of fatty foods
D. Old age
E. Sedentary lifestyle - correct answersA. Antibiotic therapy
B. Immunosuppression
D. Old age
What type of precautions should be implemented for a patient with C. Diff?
A. Airborne precautions
B. Contact Precautions
C. Droplet Precautions
D. Standard Precautions - correct answersB. Contact Precautions
A 32 year old female presents to the ER with nausea and vomiting and vague abdominal pain for the past
2 days. The nurse's priority intervention would be to...
A. Administer IV anti-nausea medication
B. Encourage small sips of water or warm tea
C. Keep the patient NPO
D. Place an NG tube - correct answersC. Keep the patient NPO
The nurse recognizes which findings as diagnostic for IBS?
A. Rome IV and/or Manning Criteria
,B. CT scan of the abdomen shows inflammatory process
C. Blood urea nitrogen and creatinine are elevated
D. Patient has abdominal pain and a psychiatric diagnosis - correct answersA. Rome IV and/or Manning
Criteria
A patient is admitted to the hospital for treatment for diverticulitis. The nurse recognizes which
interventions appropriate for this patient?
A. High-fiber diet, ambulate frequently, IV fluids, pain medications
B. Antibiotics, IV fluids, NPO, NG tube, pain medications
C. Laxatives, enemas, diet, pain medications
D. Surgery with follow-up physical therapy - correct answersB. Antibiotics, IV fluids, NPO, NG tube, pain
medications
The nurse is caring for a patient in the emergency department with abdominal pain, fever, nausea, and
vomiting. The patient is suspected of having appendicitis. What intervention may the provider order to
confirm diagnosis?
A. Flat-plate x-ray of the abdomen, chemistry panel
B. CT scan, complete blood count (CBC), abdominal assessment for rebound tenderness
C. Administer a laxative to see if symptoms improve
D. Colonoscopy, esophagogastroduodenoscopy (EGD), and endoscopic retrograde
cholangiopancreatogram (ERCP) - correct answersB. CT scan, complete blood count (CBC), abdominal
assessment for rebound tenderness
The nurse is caring for a patient with colorectal cancer who just had a total colectomy with placement of
a permanent ileostomy. Which nursing diagnosis is a priority for the immediate postoperative period?
A. Disturbed body image
B. Acute pain
C. Potential for infection
D. Knowledge deficit - correct answersB. Acute pain
,A patient has just been brought to the emergency department by emergency medical services after a
motor vehicle accident. What is the first thing the nurse should do?
A. Ask the patient if he or she is in pain
B. Mental status examination and vital signs
C. Ask the patient to move all extremities
D. Order laboratory tests - correct answersB. Mental status examination and vital signs
The nurse recognizes which patient is at greatest risk for type 1 autoimmune hepatitis?
A. A 45-year-old postmenopausal female
B. A 30-year-old female with a history of hyperthyroidism
C. A 16-year-old female with type 1 diabetes mellitus
D. A 12-year-old female with autism - correct answersC. A 16-year-old female with type 1 diabetes
mellitus
In reviewing diagnostic results of a patient with suspected hepatitis, the nurse correlates which result as
consistent with hepatitis A?
A. Prolonged prothrombin time (PT)
B. Decreased white blood cell count
C. Presence of IgM anti-HAV
D. Detectable serum HBV DNA - correct answersC. Presence of IgM anti-HAV
Elevated ammonia levels can lead to hepatic encephalopathy. Which provider order best reduces this
risk in patients with cirrhosis?
A. Administer furosemide and spironolactone
B. Administer antibiotics
, C. Restrict protein intake
D. Restrict caloric intake - correct answersC. Restrict protein intake
In a patient with cirrhosis, the nursing diagnosis "Risk for injury and bleeding associated with prolonged
clotting factors" is most appropriate associated with which disorder?
A. Pruritus
B. Vitamin K deficiency
C. Hyponatremia
D. Ascites - correct answersB. Vitamin K deficiency
The nurse assesses for which clinical manifestations in the patient diagnosed with liver cancer? (Select all
that apply.)
A. Periumbilical pain
B. Anorexia
C. Hemoptysis
D. Fatigue
E. Jaundice - correct answersB. Anorexia
D. Fatigue
E. Jaundice
Which statement by a patient diagnosed with liver trauma indicates understanding of the prescribed
plan of care?
A. "I will need a liver transplant."
B. "I will need a blood transfusion."
C. "I am at increased risk for infection."
D. "I will never be able to drink alcohol again." - correct answersB. "I will need a blood transfusion."
