Nursing 112 Unit 5 (2025) Actual Exam
Questions and Answers A+ Graded
Hernia .- .CORRECT .ANSWER-intestines .protrude .through .the .abdominal
.opening
reducible .hernia .- .CORRECT .ANSWER-hernia .that .will .go .back .in
incarcerated .hernia .- .CORRECT .ANSWER-hernia .that .won't .go .back .in, .surgery
.typically .required
hernia .risk .factors .- .CORRECT .ANSWER--obesity
-smoking .
-excessive .wound .tension .(splint; .turn, .cough, .deep .breath) .
-malnutrition .
-pregnancy .
-medications
-constipation
why .are .obesity .and .pregnancy .a .risk .factor .for .hernias .- .CORRECT .ANSWER-
the .muscles .stretch .and .weakens .them
hernia .causes .- .CORRECT .ANSWER--straining .
-lifting .heavy .weights .
-sudden .twists .
-pulls .or .muscle .strain .
-weight .gain .
-chronic .cough
hernia .clinical .manifestations .- .CORRECT .ANSWER--bulge .or .visible .swelling
.associated .with .cough .or .bearing .down .
-pain .
-strangulation
strangulation .- .CORRECT .ANSWER-blood .supply .compromised
-abdominal .distention
-nausea .
-vomiting .
,-pain .
-fever .
-tachycardia .
**necessitates .immediate .surgery .to .prevent .gangrene**
locations .of .hernia .- .CORRECT .ANSWER--ventral .(incisional) .
-umbilical .
-inguinal .
-femoral
what .is .a .big .risk .with .femoral .hernias .in .males .- .CORRECT .ANSWER-if .it .gets
.too .big .then .it .can .go .into .the .scrotum
hernia .diagnosis .- .CORRECT .ANSWER--physical .exam .(most .common) .
-herniography .
-CT .
-MRI
hernia .surgical .management .- .CORRECT .ANSWER--hernia .repair
what .should .be .avoided .after .hernia .repair .surgery .- .CORRECT .ANSWER-
coughing
hernia .complications .- .CORRECT .ANSWER--strangulation .of .intestine .
-reoccurrence
hernia .assessments .- .CORRECT .ANSWER--vital .signs .
-pain .
-I&O .
-surgical .site
hernia .nursing .actions .- .CORRECT .ANSWER--deep .breath .
-pain .medication .
-ice .pack .
-clear .liquid .diet .and .advanced .as .tolerated .(make .sure .bowel .sounds .and .gas
.are .present)
hernia .teaching .- .CORRECT .ANSWER--discourage .coughing .
-avoid .heavy .lifting .
-pain .management .
-observe .incisions
hemorrhoids .- .CORRECT .ANSWER-swollen .or .dilated .veins .in .anorectal .area .
-swollen .blood .vessels
(can .be .internal .or .external)
hemorrhoids .clinical .manifestations .- .CORRECT .ANSWER--40% .asymptomatic .
-bleeding .(especially .in .stool) .
-itching, .irritation, .pain
, what .may .happen .during .a .bowel .movement .regarding .a .hemorrhoid .-
.CORRECT .ANSWER-may .protrude .when .having .BM .and .then .go .back .in .after
hemorrhoid .diagnosis .- .CORRECT .ANSWER--digital .exam
-anoscopy .
-sigmoidoscopy
hemorrhoid .conservative .treatment .- .CORRECT .ANSWER--relief .of .symptoms
.and .pain .
-cold .packs .(shrink) .
-sitz/warm .bath .(get .rid .of .itching) .
-increase .fluid .and .fiber .
-stool .softeners .
-topical .nitro, .nifedipine, .over .there .counter .agents
hemorrhoid .surgical .management .- .CORRECT .ANSWER--rubber .band .ligation
.(suppresses .blood .supply .of .hem. .and .it .dies .off) .
-bipolar, .infrared .and .laser .coagulation .
-sclerotherapy .
-cryosurgery .(freeze) .
-hemorrhoidectomy .(cut .out .hem.. .most .invasive.. .last .option)
hemorrhoid .complications .- .CORRECT .ANSWER--infection .(exposure .to .E.coli) .
-pain .
-urinary .retention
-fecal .inaction .
-damage .to .sphincter .(decreased .control .of .bowel) .
-bleeding .
-abscess .formation .(develops .fistula.. .most .severe.. .possible .sepsis)
hemorrhoid .assessment .- .CORRECT .ANSWER--vital .signs .
-visual .inspection .of .rectal .area .
-frequency .and .character .of .bowel .movements .
-bowel .habits .postoperatively .
-pain .
-I&O
hemorrhoid .nursing .actions .- .CORRECT .ANSWER--analgesia .prior .to .first .BM .
-local .anesthetics .
-corticosteroids .
-provide .cold .packs .and .sitz .baths .
-administer .laxatives .
-apply .local .moist .heat
hemorrhoid .teaching .- .CORRECT .ANSWER--care .of .surgical .site .(get .pt .mirror
.to .look .at) .
-measures .to .prevent .constipation .
-avoid .straining .
Questions and Answers A+ Graded
Hernia .- .CORRECT .ANSWER-intestines .protrude .through .the .abdominal
.opening
reducible .hernia .- .CORRECT .ANSWER-hernia .that .will .go .back .in
incarcerated .hernia .- .CORRECT .ANSWER-hernia .that .won't .go .back .in, .surgery
.typically .required
hernia .risk .factors .- .CORRECT .ANSWER--obesity
-smoking .
-excessive .wound .tension .(splint; .turn, .cough, .deep .breath) .
-malnutrition .
-pregnancy .
-medications
-constipation
why .are .obesity .and .pregnancy .a .risk .factor .for .hernias .- .CORRECT .ANSWER-
the .muscles .stretch .and .weakens .them
hernia .causes .- .CORRECT .ANSWER--straining .
-lifting .heavy .weights .
-sudden .twists .
-pulls .or .muscle .strain .
-weight .gain .
-chronic .cough
hernia .clinical .manifestations .- .CORRECT .ANSWER--bulge .or .visible .swelling
.associated .with .cough .or .bearing .down .
-pain .
-strangulation
strangulation .- .CORRECT .ANSWER-blood .supply .compromised
-abdominal .distention
-nausea .
-vomiting .
,-pain .
-fever .
-tachycardia .
**necessitates .immediate .surgery .to .prevent .gangrene**
locations .of .hernia .- .CORRECT .ANSWER--ventral .(incisional) .
-umbilical .
-inguinal .
-femoral
what .is .a .big .risk .with .femoral .hernias .in .males .- .CORRECT .ANSWER-if .it .gets
.too .big .then .it .can .go .into .the .scrotum
hernia .diagnosis .- .CORRECT .ANSWER--physical .exam .(most .common) .
-herniography .
-CT .
-MRI
hernia .surgical .management .- .CORRECT .ANSWER--hernia .repair
what .should .be .avoided .after .hernia .repair .surgery .- .CORRECT .ANSWER-
coughing
hernia .complications .- .CORRECT .ANSWER--strangulation .of .intestine .
-reoccurrence
hernia .assessments .- .CORRECT .ANSWER--vital .signs .
-pain .
-I&O .
-surgical .site
hernia .nursing .actions .- .CORRECT .ANSWER--deep .breath .
-pain .medication .
-ice .pack .
-clear .liquid .diet .and .advanced .as .tolerated .(make .sure .bowel .sounds .and .gas
.are .present)
hernia .teaching .- .CORRECT .ANSWER--discourage .coughing .
-avoid .heavy .lifting .
-pain .management .
-observe .incisions
hemorrhoids .- .CORRECT .ANSWER-swollen .or .dilated .veins .in .anorectal .area .
-swollen .blood .vessels
(can .be .internal .or .external)
hemorrhoids .clinical .manifestations .- .CORRECT .ANSWER--40% .asymptomatic .
-bleeding .(especially .in .stool) .
-itching, .irritation, .pain
, what .may .happen .during .a .bowel .movement .regarding .a .hemorrhoid .-
.CORRECT .ANSWER-may .protrude .when .having .BM .and .then .go .back .in .after
hemorrhoid .diagnosis .- .CORRECT .ANSWER--digital .exam
-anoscopy .
-sigmoidoscopy
hemorrhoid .conservative .treatment .- .CORRECT .ANSWER--relief .of .symptoms
.and .pain .
-cold .packs .(shrink) .
-sitz/warm .bath .(get .rid .of .itching) .
-increase .fluid .and .fiber .
-stool .softeners .
-topical .nitro, .nifedipine, .over .there .counter .agents
hemorrhoid .surgical .management .- .CORRECT .ANSWER--rubber .band .ligation
.(suppresses .blood .supply .of .hem. .and .it .dies .off) .
-bipolar, .infrared .and .laser .coagulation .
-sclerotherapy .
-cryosurgery .(freeze) .
-hemorrhoidectomy .(cut .out .hem.. .most .invasive.. .last .option)
hemorrhoid .complications .- .CORRECT .ANSWER--infection .(exposure .to .E.coli) .
-pain .
-urinary .retention
-fecal .inaction .
-damage .to .sphincter .(decreased .control .of .bowel) .
-bleeding .
-abscess .formation .(develops .fistula.. .most .severe.. .possible .sepsis)
hemorrhoid .assessment .- .CORRECT .ANSWER--vital .signs .
-visual .inspection .of .rectal .area .
-frequency .and .character .of .bowel .movements .
-bowel .habits .postoperatively .
-pain .
-I&O
hemorrhoid .nursing .actions .- .CORRECT .ANSWER--analgesia .prior .to .first .BM .
-local .anesthetics .
-corticosteroids .
-provide .cold .packs .and .sitz .baths .
-administer .laxatives .
-apply .local .moist .heat
hemorrhoid .teaching .- .CORRECT .ANSWER--care .of .surgical .site .(get .pt .mirror
.to .look .at) .
-measures .to .prevent .constipation .
-avoid .straining .
