ESTUDYR
NP2 FINAL UPDATED EXAM WITH MOST TESTED QUESTIONS
AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH
DETAILED RATIONALES
1.
A client with GERD says, “I plan to have a snack 1 hour before going to bed.” Which response indicates
further teaching is needed?
A. “Avoid chocolate and caffeine.”
B. “Elevate your head with pillows.”
C. “Having a snack so close to bedtime is fine.” ✅
D. “Eat small, frequent meals.”
Rationale: Late-night snacks worsen nocturnal reflux. They should be eaten at least 3 hours before lying
down.
2.
Metoclopramide (Reglan) is scheduled QID for a GERD client. When should the nurse administer it?
A. With each meal and bedtime snack
B. 30 minutes before each meal and at bedtime ✅
C. 30 minutes after each meal
D. Every six hours around the clock
Rationale: Metoclopramide enhances gastric emptying; giving it before meals maximizes efficacy.
3.
After 4 weeks of omeprazole, what symptom’s relief best demonstrates effectiveness?
A. Nausea improvement
B. Heartburn relief ✅
C. Abdominal distention reduction
D. Improved appetite
Rationale: PPIs target acid-mediated symptoms—heartburn is the primary indicator.
4.
, ESTUDYR
When teaching antacid use, the nurse instructs the client to:
A. Chew the tablet, then swallow it with water.
B. Take with meals for best effect.
C. Space doses 1–2 hours apart from other medications. ✅
D. Swallow tablets whole without chewing.
Rationale: Antacids can bind other drugs; spacing prevents interactions.
5.
How should the nurse describe a hiatal hernia?
A. “It’s a weakness of your LES muscle.”
B. “Part of your stomach pushes up through the diaphragm into the chest.” ✅
C. “Your esophagus has extra folds causing reflux.”
D. “Your stomach cannot empty properly.”
Rationale: A hiatal hernia is the protrusion of the stomach through the esophageal hiatus.
6.
Priority nursing action for a hiatal hernia client is:
A. Administer H₂ blockers.
B. Encourage lots of fluids.
C. Place client in semi-Fowler’s position after meals. ✅
D. Apply abdominal binder.
Rationale: Elevation uses gravity to reduce reflux and herniation symptoms.
7.
An older adult in Buck’s traction is disoriented. The best nursing action is:
A. Place a clock and calendar in the room. ✅
B. Add more traction weight.
C. Restrict visitors.
D. Dim the room lights.
Rationale: Orientation aids help confused clients maintain cognition without disturbing traction.
8.
NP2 FINAL UPDATED EXAM WITH MOST TESTED QUESTIONS
AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH
DETAILED RATIONALES
1.
A client with GERD says, “I plan to have a snack 1 hour before going to bed.” Which response indicates
further teaching is needed?
A. “Avoid chocolate and caffeine.”
B. “Elevate your head with pillows.”
C. “Having a snack so close to bedtime is fine.” ✅
D. “Eat small, frequent meals.”
Rationale: Late-night snacks worsen nocturnal reflux. They should be eaten at least 3 hours before lying
down.
2.
Metoclopramide (Reglan) is scheduled QID for a GERD client. When should the nurse administer it?
A. With each meal and bedtime snack
B. 30 minutes before each meal and at bedtime ✅
C. 30 minutes after each meal
D. Every six hours around the clock
Rationale: Metoclopramide enhances gastric emptying; giving it before meals maximizes efficacy.
3.
After 4 weeks of omeprazole, what symptom’s relief best demonstrates effectiveness?
A. Nausea improvement
B. Heartburn relief ✅
C. Abdominal distention reduction
D. Improved appetite
Rationale: PPIs target acid-mediated symptoms—heartburn is the primary indicator.
4.
, ESTUDYR
When teaching antacid use, the nurse instructs the client to:
A. Chew the tablet, then swallow it with water.
B. Take with meals for best effect.
C. Space doses 1–2 hours apart from other medications. ✅
D. Swallow tablets whole without chewing.
Rationale: Antacids can bind other drugs; spacing prevents interactions.
5.
How should the nurse describe a hiatal hernia?
A. “It’s a weakness of your LES muscle.”
B. “Part of your stomach pushes up through the diaphragm into the chest.” ✅
C. “Your esophagus has extra folds causing reflux.”
D. “Your stomach cannot empty properly.”
Rationale: A hiatal hernia is the protrusion of the stomach through the esophageal hiatus.
6.
Priority nursing action for a hiatal hernia client is:
A. Administer H₂ blockers.
B. Encourage lots of fluids.
C. Place client in semi-Fowler’s position after meals. ✅
D. Apply abdominal binder.
Rationale: Elevation uses gravity to reduce reflux and herniation symptoms.
7.
An older adult in Buck’s traction is disoriented. The best nursing action is:
A. Place a clock and calendar in the room. ✅
B. Add more traction weight.
C. Restrict visitors.
D. Dim the room lights.
Rationale: Orientation aids help confused clients maintain cognition without disturbing traction.
8.
