NR 511 Midterm Exam LATEST VERSION 202 QUESTIONS AND ANSWERS WITH
STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST UPDATE
2025
1. You auscultate Julie's abdomen and hear a IBS
peritoneal friction rub. Which condition do
you rule out? rationale: IBS does not produce a friction
rub
1. Peritonitis.
2. A liver or spleen abscess.
3. A liver or spleen metastatic tumor.
4.Irritable bowel syndrome.
2. You are counseling Lillian, who is lactose Foods containing whey
intolerant, about foods to avoid. You know
she misunderstands the teaching when rationale: Advise clients who are lactose in-
she tells you she can have: tolerant to avoid foods containing whey.
1. Yogurt. Whey is a lactose-rich ingredient found in
, NR 511 Midterm Exam LATEST VERSION 202 QUESTIONS AND ANSWERS WITH
STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST UPDATE
2025
2. Foods containing whey. some foods, so clients who are lactose in-
3.Prehydrolyzed milk. tolerant need to read labels on all foods. To
4.Oranges. control symptoms, dietary lactose should be
reduced or restricted by using lactose-re-
duced and lactose-free dairy products or by
eating lactose-rich foods in small amounts
or in combination with low-lactose or lac-
tose-free foods.
3. Simon, age 72, states that he is worried There is no such thing as a normal pattern
because he has a bowel movement only of defecation
every third day. You respond:
1. "You should have two to three stools per rationale: There is no such thing as a "nor-
day." mal" pattern of defecation. Patterns of defe-
2. "You should defecate once a day." cation vary widely and may in part be attect-
3. "You should have at least three stools ed by dietary habits, fluid intake, bacteria
per week." in the stool, psychological stress, or volun-
4. "There is no such thing as a 'normal' pat- tary postponement of defecation. Defecat-
tern of defecation." ing every third day could be the routine pat-
tern for Simon. He should be questioned if
this is routine for him.
4. Timothy, age 68, complains of an abrupt Colorectal cancer
change in his defecation pattern. You eval-
uate him for: rationale: A middle-aged or older client with
1. Constipation. an abrupt change in defecation pattern
2.Colorectal cancer. must be evaluated for colorectal cancer
3. Irritable bowel syndrome.
4. Acute appendicitis.
5. Ruby has a colostomy and complains that Cheese
her stools are too loose. What food(s) do
you suggest to help thicken the stools?
, NR 511 Midterm Exam LATEST VERSION 202 QUESTIONS AND ANSWERS WITH
STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST UPDATE
2025
1. Cheese. rationale: Cheese, bread, pasta, rice, pret-
2. Leafy green vegetables. zels, and yogurt all help to thicken stools.
3. Raw fruits and vegetables.
4. Dried beans.
6. Tina has a chronic hepatitis C infection. Abstain from sex during your period
She asks you how to prevent its transmis-
sion. You respond: rationale: Because the hepatitis C virus is
1. "Do not donate blood until one year af- transmitted in blood, including menstrual
ter diagnosis." blood, clients should abstain from sex dur-
2. "Abstain from sex altogether." ing menstruation. You might also test Tina to
3. "There is no possibility of transmission see which genotype her hepatitis C is to see
through razors or toothbrushes." if she is a candidate for Harvoni or Epclusa.
4. "Abstain from sex during your period."
7. Your client's 2-month-old daughter is ad- "The infectious agent invaded the stomach
mitted with gastroenteritis and dehydra- lining and is attecting the balance of water
tion after 2 days of vomiting and diarrhea. and nutrients."
When the father asks you what is causing
the child's diarrhea, how do you respond? rationale: In 80% of cases, gastroenteritis
1. "She must be lactose intolerant from the is viral in nature. This viral infection caus-
formula, and this is altering the fluid bal- es diarrhea by stimulating the secretion of
ance." electrolytes into the intestine. This is rapidly
2. "Her body's telling you that it's time to followed by water along the osmotic gradi-
introduce some solids into her system." ent, resulting in watery stools.
3. "The virus is causing irritation of the
gastrointestinal lining, which causes diar-
rhea."
4. "The infectious agent invaded the stom-
ach lining and is affecting the balance of
water and nutrients."
, NR 511 Midterm Exam LATEST VERSION 202 QUESTIONS AND ANSWERS WITH
STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST UPDATE
2025
8. Sandy, age 52, presents with jaundice, Icteric
dark urine, and light-colored stools, stat-
ing that she is slightly improved over last rationale: In the icteric stage of viral he-
week's symptoms. Which stage of viral he- patitis, there is jaundice, dark urine, and
patitis do you suspect? light-colored stools. There are continued
1.Incubation. prodromal complaints, with gradual im-
2.Prodromal. provement.
3.Icteric.
4.Convalescent.
9. Rose, a client with gastroesophageal re- NSAIDS
flux disease (GERD), has many other con-
current conditions. In teaching Rose about rationale: Clients with GERD should avoid
medications to avoid, what do you recom- taking NSAIDs because they tend to aggra-
mend she refrain from using? vate the already irritated gastric mucosa.
1.Antibiotics.
2. Nonsteroidal anti-inflammatory drugs
(NSAIDs).
3. Oral contraceptives.
4.Antifungals.
10. Lucy, age 49, has pain in both the left and PID
right lower quadrants. What might you
suspect? rationale: The pain associated with pelvic in-
1.A gastric ulcer. flammatory disease can be palpated in both
2.Gastritis. the right and left lower quadrants.
3.Pelvic inflammatory disease.
4.Pancreatitis.
11. In a 2-month-old infant with vomiting and Decreased peripheral perfusion
diarrhea, the most effective way of deter-
mining a fluid deficit is to check for: rationale: In a 2-month-old infant with vom-
iting and diarrhea, the most ettective way
STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST UPDATE
2025
1. You auscultate Julie's abdomen and hear a IBS
peritoneal friction rub. Which condition do
you rule out? rationale: IBS does not produce a friction
rub
1. Peritonitis.
2. A liver or spleen abscess.
3. A liver or spleen metastatic tumor.
4.Irritable bowel syndrome.
2. You are counseling Lillian, who is lactose Foods containing whey
intolerant, about foods to avoid. You know
she misunderstands the teaching when rationale: Advise clients who are lactose in-
she tells you she can have: tolerant to avoid foods containing whey.
1. Yogurt. Whey is a lactose-rich ingredient found in
, NR 511 Midterm Exam LATEST VERSION 202 QUESTIONS AND ANSWERS WITH
STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST UPDATE
2025
2. Foods containing whey. some foods, so clients who are lactose in-
3.Prehydrolyzed milk. tolerant need to read labels on all foods. To
4.Oranges. control symptoms, dietary lactose should be
reduced or restricted by using lactose-re-
duced and lactose-free dairy products or by
eating lactose-rich foods in small amounts
or in combination with low-lactose or lac-
tose-free foods.
3. Simon, age 72, states that he is worried There is no such thing as a normal pattern
because he has a bowel movement only of defecation
every third day. You respond:
1. "You should have two to three stools per rationale: There is no such thing as a "nor-
day." mal" pattern of defecation. Patterns of defe-
2. "You should defecate once a day." cation vary widely and may in part be attect-
3. "You should have at least three stools ed by dietary habits, fluid intake, bacteria
per week." in the stool, psychological stress, or volun-
4. "There is no such thing as a 'normal' pat- tary postponement of defecation. Defecat-
tern of defecation." ing every third day could be the routine pat-
tern for Simon. He should be questioned if
this is routine for him.
4. Timothy, age 68, complains of an abrupt Colorectal cancer
change in his defecation pattern. You eval-
uate him for: rationale: A middle-aged or older client with
1. Constipation. an abrupt change in defecation pattern
2.Colorectal cancer. must be evaluated for colorectal cancer
3. Irritable bowel syndrome.
4. Acute appendicitis.
5. Ruby has a colostomy and complains that Cheese
her stools are too loose. What food(s) do
you suggest to help thicken the stools?
, NR 511 Midterm Exam LATEST VERSION 202 QUESTIONS AND ANSWERS WITH
STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST UPDATE
2025
1. Cheese. rationale: Cheese, bread, pasta, rice, pret-
2. Leafy green vegetables. zels, and yogurt all help to thicken stools.
3. Raw fruits and vegetables.
4. Dried beans.
6. Tina has a chronic hepatitis C infection. Abstain from sex during your period
She asks you how to prevent its transmis-
sion. You respond: rationale: Because the hepatitis C virus is
1. "Do not donate blood until one year af- transmitted in blood, including menstrual
ter diagnosis." blood, clients should abstain from sex dur-
2. "Abstain from sex altogether." ing menstruation. You might also test Tina to
3. "There is no possibility of transmission see which genotype her hepatitis C is to see
through razors or toothbrushes." if she is a candidate for Harvoni or Epclusa.
4. "Abstain from sex during your period."
7. Your client's 2-month-old daughter is ad- "The infectious agent invaded the stomach
mitted with gastroenteritis and dehydra- lining and is attecting the balance of water
tion after 2 days of vomiting and diarrhea. and nutrients."
When the father asks you what is causing
the child's diarrhea, how do you respond? rationale: In 80% of cases, gastroenteritis
1. "She must be lactose intolerant from the is viral in nature. This viral infection caus-
formula, and this is altering the fluid bal- es diarrhea by stimulating the secretion of
ance." electrolytes into the intestine. This is rapidly
2. "Her body's telling you that it's time to followed by water along the osmotic gradi-
introduce some solids into her system." ent, resulting in watery stools.
3. "The virus is causing irritation of the
gastrointestinal lining, which causes diar-
rhea."
4. "The infectious agent invaded the stom-
ach lining and is affecting the balance of
water and nutrients."
, NR 511 Midterm Exam LATEST VERSION 202 QUESTIONS AND ANSWERS WITH
STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST UPDATE
2025
8. Sandy, age 52, presents with jaundice, Icteric
dark urine, and light-colored stools, stat-
ing that she is slightly improved over last rationale: In the icteric stage of viral he-
week's symptoms. Which stage of viral he- patitis, there is jaundice, dark urine, and
patitis do you suspect? light-colored stools. There are continued
1.Incubation. prodromal complaints, with gradual im-
2.Prodromal. provement.
3.Icteric.
4.Convalescent.
9. Rose, a client with gastroesophageal re- NSAIDS
flux disease (GERD), has many other con-
current conditions. In teaching Rose about rationale: Clients with GERD should avoid
medications to avoid, what do you recom- taking NSAIDs because they tend to aggra-
mend she refrain from using? vate the already irritated gastric mucosa.
1.Antibiotics.
2. Nonsteroidal anti-inflammatory drugs
(NSAIDs).
3. Oral contraceptives.
4.Antifungals.
10. Lucy, age 49, has pain in both the left and PID
right lower quadrants. What might you
suspect? rationale: The pain associated with pelvic in-
1.A gastric ulcer. flammatory disease can be palpated in both
2.Gastritis. the right and left lower quadrants.
3.Pelvic inflammatory disease.
4.Pancreatitis.
11. In a 2-month-old infant with vomiting and Decreased peripheral perfusion
diarrhea, the most effective way of deter-
mining a fluid deficit is to check for: rationale: In a 2-month-old infant with vom-
iting and diarrhea, the most ettective way
