NURS 320 Exam 3 | 89 Practice Questions
And Correct Answers (Already Graded A+) |
New Update 2025
The male client tells the nurse he has been experiencing "heartburn" at night that
awakens him. Which assessment question should the nurse ask?
"1. "How much weight have you gained recently?"
2. "What have you done to alleviate the heartburn?"
3. "Do you consume many milk and dairy products?"
4. "Have you been around anyone with a stomach virus? - ANSWER "What
have you done to alleviate the heart burn?"
- Important to know what client is doing to treat problem
The nurse caring for a client diagnosed with GERD writes the client problem of
"behavior modification." What intervention should be included for this problem?
1. Teach the client to sleep with a foam wedge under the head.
2. Encourage the client to decrease the amount of smoking.
3. Instruct the client to take OTC medications for relief of pain
4. Discuss the need to attend AA to quit drinking - ANSWER Teach the client to
sleep with a foam wedge under the head
- Helps prevent reflux. Behavior modification is changing one's behavior
,The nurse is preparing a client diagnosed with GERD for discharge following an
esophagogastroduodenoscopy (EGD). Which statement indicates the client
UNDERSTANDS the discharge instructions?
1. "I should not eat for at least 1 day following this procedure
2. "I can lie down whenever I want after a meal. It won't make a difference"
3. "The stomach contents won't bother my esophagus, but will make me
nauseous."
4. "I should avoid orange juice and eating tomatoes until my esophagus heals" -
ANSWER "I should avoid orange juice and eating tomato until my esophagus
heals"
- OJ and tomato juice are acidic and should be avoided
The nurse is planning the care of client diagnosed with lower esophageal
sphincter dysfunction. Which dietary modification should be included in the plan
of care?
1. Allow any of the client's favorite foods as long the amount is limited.
2. Have the client perform eructation exercises several times a day.
3. Eat four to six small meals a day and limit fluids during meal times
4. Encourage the client to consume a glass of red wine with one meal a day. -
ANSWER Eat four to six small meals a day and limit fluids during meal times
- Clients should eat small frequent meals and avoid fluid with meals
The nurse is caring for a client diagnosed with GERD. Which nursing intervention
should be implemented?
1. Place client prone and administer NAIDS
,2. Have client remain upright at all times and walk for 30 minutes 3 times a week
3. Instruct client to maintain a right lateral side lying positon and take antacids
before meals
4. Elevate HOB 30 degrees and discuss lifestyle modifications with client -
ANSWER Elevate HOB 30 degrees and discuss lifestyle modifications with
client
The nursing is caring for an adult client diagnosed with GERD. Which condition is
MOST COMMON comorbid disease associate with GERD?
1. Adult onset asthma
2. Pancreatitis
3. PUD
4. Increased gastric emptying - ANSWER Adult onset asthma
- 80-90% of cases are caused by GERD
The nurse administering morning medications at 0730. Which medication should
have priority?
1. PPI
2. A non-narcotic analgesic
3. A histamin receptor antagonish
4. A mucosal barrier agent - ANSWER A mucosal barrier agent
- A mucosal barrier agent must be administered on an empty stomach to coat the
stomach
, The nurse is preparing a client diagnosed with GERD for surgery. Which
information warrants notifying the HCP?
1. The client's Bernstein esophageal test was positive
2. The client's abdominal xray should a hiatal hernia
3. The client's WBC is 14,000
4. The client's hemoglobin is 13.8 - ANSWER The client's WBC is 14,000
- Indicates possible infection. Rest of findings are normal or expected
The charge nurse is making assignments. Staffing includes a RN with 5 years of
med surg experience, a newly graduated RN, and two UAPs. Which client should
be assigned to the most experienced nurse?
1. This 39 year old client diagnosed with lower esophageal dysfunction who is
complaining of pyrosis
2. The 54 year old client diagnosed with Barrett's esophagus who is scheduled to
have an endoscopy this morning
3. The 46 year old client diagnosed with GERD who has wheezing in all lobes
4. The 68 year old who is three days post op for hiatal hernia and needs to be
ambulated 4 times a today. - ANSWER The 46 year old client diagnosed with
GERD who has wheezing in all lobes
- Wheezing indicates asthma which is a complication of GERD
Which statement made by the client indicates to the nurse the client may be
experiencing GERD?
1. "My chest hurts when I walk up the stairs"
2. "I take antacids with me everywhere I go."
And Correct Answers (Already Graded A+) |
New Update 2025
The male client tells the nurse he has been experiencing "heartburn" at night that
awakens him. Which assessment question should the nurse ask?
"1. "How much weight have you gained recently?"
2. "What have you done to alleviate the heartburn?"
3. "Do you consume many milk and dairy products?"
4. "Have you been around anyone with a stomach virus? - ANSWER "What
have you done to alleviate the heart burn?"
- Important to know what client is doing to treat problem
The nurse caring for a client diagnosed with GERD writes the client problem of
"behavior modification." What intervention should be included for this problem?
1. Teach the client to sleep with a foam wedge under the head.
2. Encourage the client to decrease the amount of smoking.
3. Instruct the client to take OTC medications for relief of pain
4. Discuss the need to attend AA to quit drinking - ANSWER Teach the client to
sleep with a foam wedge under the head
- Helps prevent reflux. Behavior modification is changing one's behavior
,The nurse is preparing a client diagnosed with GERD for discharge following an
esophagogastroduodenoscopy (EGD). Which statement indicates the client
UNDERSTANDS the discharge instructions?
1. "I should not eat for at least 1 day following this procedure
2. "I can lie down whenever I want after a meal. It won't make a difference"
3. "The stomach contents won't bother my esophagus, but will make me
nauseous."
4. "I should avoid orange juice and eating tomatoes until my esophagus heals" -
ANSWER "I should avoid orange juice and eating tomato until my esophagus
heals"
- OJ and tomato juice are acidic and should be avoided
The nurse is planning the care of client diagnosed with lower esophageal
sphincter dysfunction. Which dietary modification should be included in the plan
of care?
1. Allow any of the client's favorite foods as long the amount is limited.
2. Have the client perform eructation exercises several times a day.
3. Eat four to six small meals a day and limit fluids during meal times
4. Encourage the client to consume a glass of red wine with one meal a day. -
ANSWER Eat four to six small meals a day and limit fluids during meal times
- Clients should eat small frequent meals and avoid fluid with meals
The nurse is caring for a client diagnosed with GERD. Which nursing intervention
should be implemented?
1. Place client prone and administer NAIDS
,2. Have client remain upright at all times and walk for 30 minutes 3 times a week
3. Instruct client to maintain a right lateral side lying positon and take antacids
before meals
4. Elevate HOB 30 degrees and discuss lifestyle modifications with client -
ANSWER Elevate HOB 30 degrees and discuss lifestyle modifications with
client
The nursing is caring for an adult client diagnosed with GERD. Which condition is
MOST COMMON comorbid disease associate with GERD?
1. Adult onset asthma
2. Pancreatitis
3. PUD
4. Increased gastric emptying - ANSWER Adult onset asthma
- 80-90% of cases are caused by GERD
The nurse administering morning medications at 0730. Which medication should
have priority?
1. PPI
2. A non-narcotic analgesic
3. A histamin receptor antagonish
4. A mucosal barrier agent - ANSWER A mucosal barrier agent
- A mucosal barrier agent must be administered on an empty stomach to coat the
stomach
, The nurse is preparing a client diagnosed with GERD for surgery. Which
information warrants notifying the HCP?
1. The client's Bernstein esophageal test was positive
2. The client's abdominal xray should a hiatal hernia
3. The client's WBC is 14,000
4. The client's hemoglobin is 13.8 - ANSWER The client's WBC is 14,000
- Indicates possible infection. Rest of findings are normal or expected
The charge nurse is making assignments. Staffing includes a RN with 5 years of
med surg experience, a newly graduated RN, and two UAPs. Which client should
be assigned to the most experienced nurse?
1. This 39 year old client diagnosed with lower esophageal dysfunction who is
complaining of pyrosis
2. The 54 year old client diagnosed with Barrett's esophagus who is scheduled to
have an endoscopy this morning
3. The 46 year old client diagnosed with GERD who has wheezing in all lobes
4. The 68 year old who is three days post op for hiatal hernia and needs to be
ambulated 4 times a today. - ANSWER The 46 year old client diagnosed with
GERD who has wheezing in all lobes
- Wheezing indicates asthma which is a complication of GERD
Which statement made by the client indicates to the nurse the client may be
experiencing GERD?
1. "My chest hurts when I walk up the stairs"
2. "I take antacids with me everywhere I go."
