NURS 360 Exam 3 ATI
Which of the following client responses requires the nurse to ask additional open-ended questions?
(select all that apply)
a. "I've thrown up about three times today, and I feel awful. My stomach is so queasy, and it hurts."
b. "I feel a little warm. I think I have a fever. I also have body aches and pain."
c. "For lunch yesterday, I ate a salad that I made from the salad bar at the grocery store. I went out
to dinner last night and ordered shrimp scampi."
d. "Now that I think about it, a coworker called in sick yesterday because they had the flu. I was
surprised because they didn't seem sick the day before yesterday."
e. "No one who I had lunch or dinner with yesterday is sick." - a, c, d
Which of the following are functions of the gastrointestinal tract? (select all that apply)
a. Digestion of food
b. Elimination of waste
c. Provision of oxygen to the organs
d. Circulation of blood
e. Production of lymphocytes to fight infection - a, b
Which of the following assessment findings are unexpected when inspecting abdomen? (select all
that apply)
a. Soft protrusion of the umbilicus
b. Silver white striae
c. Scaphoid abdomen
d. Voluntary guarding
e. Prominent veins - a, e
which of the following would be appropriate questions to collect subjective data about a client's past
health history? - "have you had any previous abdominal surgeries?"
which of the following assessment findings are expected when auscultating the abdomen? -
borborygmi
, which of the following assessment findings are expected when palpating the abdomen? - voluntary
guarding
You are teaching a client about recommendations to prevent the occurrence of colorectal cancer.
Which of the following should be included in the teaching? (select all that apply)
a. Consume a diet which is high in fats and simple carbohydrates
b. Engage in moderate exercise for 30 mins per day
c. Achieve and maintain a weight within the recommended BMI
d. Limit alcohol intake to 4 to 5 drinks per day
e. Include probiotics in your daily diet - b, c
which of the following in an unexpected finding that should be documented and reported to the
provider? - abdominal distension
the nine abdominal regions - Right hypochondriac, right lumbar, right inguinal, epigastric, umbilical,
hypogastric, left hypochondriac, left lumber, left inguinal
chronic conditions that can affect the GI system - Diabetes, hepatitis, or cirrhosis
causes of abdominal distension - Gas, tumors, fluid, constipation, or intestinal obstruction
Hyperactive, rumbling or growling sounds that can be heard without using a stethoscope -
borborygmus
a nurse is preparing to inspect the abdomen of a client who has liver disease. which of the following
manifestations should the nurse expect? - dilated veins
A nurse is providing teaching to a client about screening for colorectal cancer. Which of the following
tests should the nurse include? (select all that apply)
a. Fecal occult test
b. Flex sigmoidoscopy
c. Colonoscopy
d. Barium enema with contrast
Which of the following client responses requires the nurse to ask additional open-ended questions?
(select all that apply)
a. "I've thrown up about three times today, and I feel awful. My stomach is so queasy, and it hurts."
b. "I feel a little warm. I think I have a fever. I also have body aches and pain."
c. "For lunch yesterday, I ate a salad that I made from the salad bar at the grocery store. I went out
to dinner last night and ordered shrimp scampi."
d. "Now that I think about it, a coworker called in sick yesterday because they had the flu. I was
surprised because they didn't seem sick the day before yesterday."
e. "No one who I had lunch or dinner with yesterday is sick." - a, c, d
Which of the following are functions of the gastrointestinal tract? (select all that apply)
a. Digestion of food
b. Elimination of waste
c. Provision of oxygen to the organs
d. Circulation of blood
e. Production of lymphocytes to fight infection - a, b
Which of the following assessment findings are unexpected when inspecting abdomen? (select all
that apply)
a. Soft protrusion of the umbilicus
b. Silver white striae
c. Scaphoid abdomen
d. Voluntary guarding
e. Prominent veins - a, e
which of the following would be appropriate questions to collect subjective data about a client's past
health history? - "have you had any previous abdominal surgeries?"
which of the following assessment findings are expected when auscultating the abdomen? -
borborygmi
, which of the following assessment findings are expected when palpating the abdomen? - voluntary
guarding
You are teaching a client about recommendations to prevent the occurrence of colorectal cancer.
Which of the following should be included in the teaching? (select all that apply)
a. Consume a diet which is high in fats and simple carbohydrates
b. Engage in moderate exercise for 30 mins per day
c. Achieve and maintain a weight within the recommended BMI
d. Limit alcohol intake to 4 to 5 drinks per day
e. Include probiotics in your daily diet - b, c
which of the following in an unexpected finding that should be documented and reported to the
provider? - abdominal distension
the nine abdominal regions - Right hypochondriac, right lumbar, right inguinal, epigastric, umbilical,
hypogastric, left hypochondriac, left lumber, left inguinal
chronic conditions that can affect the GI system - Diabetes, hepatitis, or cirrhosis
causes of abdominal distension - Gas, tumors, fluid, constipation, or intestinal obstruction
Hyperactive, rumbling or growling sounds that can be heard without using a stethoscope -
borborygmus
a nurse is preparing to inspect the abdomen of a client who has liver disease. which of the following
manifestations should the nurse expect? - dilated veins
A nurse is providing teaching to a client about screening for colorectal cancer. Which of the following
tests should the nurse include? (select all that apply)
a. Fecal occult test
b. Flex sigmoidoscopy
c. Colonoscopy
d. Barium enema with contrast
