A nurse is caring for a client who is bedridden. To establish a bladder routine, what should the
nurse encourage the client to do?
Increase fluid intake
The nurse is explaining to the nursing students the relationship between "releasing"
hormones and "inhibiting" hormones. What is the best answer by the nursing students of
which part of the body is responsible for releasing hormones that either inhibit release or
promote the release of other hormones from the anterior lobe of the pituitary?
Hypothalamus
A postsurgical client is anxious to start eating again. The nurse is reviewing the progression of
diets to expect after surgery. What is the correct sequence of progression of diets following
surgery?
1.Clear liquid
2. Soft diet
3. Full liquid diet
4. Regular diet
1, 3, 2, 4
A nurse is caring for a client who has lactose intolerance. Based on this information, what
supplementation should the nurse include in client teaching as a suggestion to add in the diet
of this client?
Vitamin D
A client is undergoing tests to confirm a diagnosis of hyperthyroidism. What test would be
ordered for this client?
Thyroid scan
,A nurse is caring for a female client with anorexia nervosa. What would the nurse observe
during the nursing assessment of the client?
Alopecia
The nurse is reviewing with a client the digestive pathway. The steps involved in the digestive
pathway are in random order. The nurse asks the client to place them in the correct sequence.
Which does the client say are the correct sequences of steps involved in the digestive
pathway?
1. The physical breakdown of food is accomplished by the process of mastication.
2. The chemical breakdown of food occurs by the release of various enzymes.
3. The process of churning the food takes place in the pylorus of the stomach.
4. Absorption of the dissolved molecules occurs in the small intestine. The molecules are then
taken into circulation.
5. Dilution of the food entering the digestive tract is accomplished by water and various
enzymes
1, 3, 2, 5, 4
A nurse is caring for a 60-year-old client who has recently undergone a thyroidectomy. Which
of the following postoperative complications is most critical for the nurse to monitor when
caring for this client?
Difficulty in breathing
The nurse is teaching the parents of a juvenile diagnosed with type 1 diabetes the three
"polys" of diabetes symptoms. Which of the following describes excessive hunger?
Polyphagia
A nurse is caring for a client with protein-calorie malnutrition (PCM). What effect of PCM
should the nurse monitor for in the client?
Delayed wound healing
The physician has ordered an endoscopic procedure for a client to directly visualize the
stomach and duodenum for tumors. Does the nurse know which test would most likely be
scheduled?
Gastroscopy
The nurse administering insulin to clients in a nursing home recognizes the signs of an insulin
that is unusable. Which of the following insulins may be administered?
,A prefilled syringe that is milky white
A nurse is assigned to care for a client who has a diet high in sodium. What information
should the nurse provide to the client regarding the consequences of a high-sodium diet?
It increases the risk of developing osteoporosis.
A client is on dialysis and is on a protein-restricted diet. The client weighs 60 kg. Based on the
client's weight, what is the amount of protein allowed on this client's diet?
36-48 g
A client has been prescribed GoLYTELY before a barium study. What instruction should the
nurse provide to this client regarding its method of use?
Mix the solution thoroughly before drinking
A client has a few canker sores in her mouth. What nursing care measure should the nurse
provide?
Ask the client to apply a silver nitrate stick, as ordered.
To be able to provide optimal care to clients with problems involving digestion, a nurse needs
to understand the functions performed by various organs of the digestive system. What is a
function of the pancreas that the nurse needs to know to help explain the pathology of the
pancreas to a client?
Secretes the hormones insulin, glucagon, and somatostatin into the bloodstream
A nurse is caring for a client with spastic colitis. What sign and symptom should be reported
to the physician for further evaluation?
Fever
Which of the following clients would be most susceptible to experiencing ketoacidosis?
A client with type I diabetes
A morbidly obese client has hepatitis. What measure should the nurse undertake when caring
for the client?
Have the client wear rubber-soled shoes
A nurse is caring for a client who is on a full liquid diet with nutritional supplements for a
week. What side effects of these supplements should the nurse monitor in the client?
, Diarrhea
Proper assessment of a client's personal food preferences or aversions helps the nurse to
adjust the client's diet without disregarding the client's traditional ethnic group's dietary
beliefs. A nurse is assessing a client in a healthcare facility. The client states an intake of high
amounts of salty foods. Based on this information, the nurse is aware that this predisposes
this client to what possible medical diagnoses?
1.Hypertension
2. Atherosclerosis
3. Cardiac disease
4. Obesity
1,3
The nurse is reviewing fat-soluble and water-soluble vitamins and their main functions and
food sources with a group of postoperative bariatric clients. The nurse reviews with the clients
the various B complex vitamins and what their functions are in the body. What is the role of
niacin that the nurse should review with the clients?
Release of energy from carbohydrate, fat, and protein
A nurse caring for a 60-year-old client with hypertrophy of the prostate gland is required to
remove the retention catheter that was inserted to relieve urinary retention. Which step
should the nurse follow when removing the catheter?
Catheter balloon should be completely deflated.
A nurse is caring for a client with urine retention who has been catheterized. What is the
maximum amount of urine that can be removed from the bladder?
750 to 1,000 mL
The nurse is reviewing the categories of metabolism with a client who has recently had
gastrointestinal surgery of the stomach, gallbladder, pancreas, and liver for cancer. Based on
this information, which is the proper organ the client would say demonstrates a proper
understanding of the organ that is vital to metabolism for digestion in the body?
Liver
A nurse is caring for a client with a 5-month-old baby. Which is a benefit of breastfeeding that
the nurse should highlight when educating the client?
It decreases the risk of Crohn's disease.
nurse encourage the client to do?
Increase fluid intake
The nurse is explaining to the nursing students the relationship between "releasing"
hormones and "inhibiting" hormones. What is the best answer by the nursing students of
which part of the body is responsible for releasing hormones that either inhibit release or
promote the release of other hormones from the anterior lobe of the pituitary?
Hypothalamus
A postsurgical client is anxious to start eating again. The nurse is reviewing the progression of
diets to expect after surgery. What is the correct sequence of progression of diets following
surgery?
1.Clear liquid
2. Soft diet
3. Full liquid diet
4. Regular diet
1, 3, 2, 4
A nurse is caring for a client who has lactose intolerance. Based on this information, what
supplementation should the nurse include in client teaching as a suggestion to add in the diet
of this client?
Vitamin D
A client is undergoing tests to confirm a diagnosis of hyperthyroidism. What test would be
ordered for this client?
Thyroid scan
,A nurse is caring for a female client with anorexia nervosa. What would the nurse observe
during the nursing assessment of the client?
Alopecia
The nurse is reviewing with a client the digestive pathway. The steps involved in the digestive
pathway are in random order. The nurse asks the client to place them in the correct sequence.
Which does the client say are the correct sequences of steps involved in the digestive
pathway?
1. The physical breakdown of food is accomplished by the process of mastication.
2. The chemical breakdown of food occurs by the release of various enzymes.
3. The process of churning the food takes place in the pylorus of the stomach.
4. Absorption of the dissolved molecules occurs in the small intestine. The molecules are then
taken into circulation.
5. Dilution of the food entering the digestive tract is accomplished by water and various
enzymes
1, 3, 2, 5, 4
A nurse is caring for a 60-year-old client who has recently undergone a thyroidectomy. Which
of the following postoperative complications is most critical for the nurse to monitor when
caring for this client?
Difficulty in breathing
The nurse is teaching the parents of a juvenile diagnosed with type 1 diabetes the three
"polys" of diabetes symptoms. Which of the following describes excessive hunger?
Polyphagia
A nurse is caring for a client with protein-calorie malnutrition (PCM). What effect of PCM
should the nurse monitor for in the client?
Delayed wound healing
The physician has ordered an endoscopic procedure for a client to directly visualize the
stomach and duodenum for tumors. Does the nurse know which test would most likely be
scheduled?
Gastroscopy
The nurse administering insulin to clients in a nursing home recognizes the signs of an insulin
that is unusable. Which of the following insulins may be administered?
,A prefilled syringe that is milky white
A nurse is assigned to care for a client who has a diet high in sodium. What information
should the nurse provide to the client regarding the consequences of a high-sodium diet?
It increases the risk of developing osteoporosis.
A client is on dialysis and is on a protein-restricted diet. The client weighs 60 kg. Based on the
client's weight, what is the amount of protein allowed on this client's diet?
36-48 g
A client has been prescribed GoLYTELY before a barium study. What instruction should the
nurse provide to this client regarding its method of use?
Mix the solution thoroughly before drinking
A client has a few canker sores in her mouth. What nursing care measure should the nurse
provide?
Ask the client to apply a silver nitrate stick, as ordered.
To be able to provide optimal care to clients with problems involving digestion, a nurse needs
to understand the functions performed by various organs of the digestive system. What is a
function of the pancreas that the nurse needs to know to help explain the pathology of the
pancreas to a client?
Secretes the hormones insulin, glucagon, and somatostatin into the bloodstream
A nurse is caring for a client with spastic colitis. What sign and symptom should be reported
to the physician for further evaluation?
Fever
Which of the following clients would be most susceptible to experiencing ketoacidosis?
A client with type I diabetes
A morbidly obese client has hepatitis. What measure should the nurse undertake when caring
for the client?
Have the client wear rubber-soled shoes
A nurse is caring for a client who is on a full liquid diet with nutritional supplements for a
week. What side effects of these supplements should the nurse monitor in the client?
, Diarrhea
Proper assessment of a client's personal food preferences or aversions helps the nurse to
adjust the client's diet without disregarding the client's traditional ethnic group's dietary
beliefs. A nurse is assessing a client in a healthcare facility. The client states an intake of high
amounts of salty foods. Based on this information, the nurse is aware that this predisposes
this client to what possible medical diagnoses?
1.Hypertension
2. Atherosclerosis
3. Cardiac disease
4. Obesity
1,3
The nurse is reviewing fat-soluble and water-soluble vitamins and their main functions and
food sources with a group of postoperative bariatric clients. The nurse reviews with the clients
the various B complex vitamins and what their functions are in the body. What is the role of
niacin that the nurse should review with the clients?
Release of energy from carbohydrate, fat, and protein
A nurse caring for a 60-year-old client with hypertrophy of the prostate gland is required to
remove the retention catheter that was inserted to relieve urinary retention. Which step
should the nurse follow when removing the catheter?
Catheter balloon should be completely deflated.
A nurse is caring for a client with urine retention who has been catheterized. What is the
maximum amount of urine that can be removed from the bladder?
750 to 1,000 mL
The nurse is reviewing the categories of metabolism with a client who has recently had
gastrointestinal surgery of the stomach, gallbladder, pancreas, and liver for cancer. Based on
this information, which is the proper organ the client would say demonstrates a proper
understanding of the organ that is vital to metabolism for digestion in the body?
Liver
A nurse is caring for a client with a 5-month-old baby. Which is a benefit of breastfeeding that
the nurse should highlight when educating the client?
It decreases the risk of Crohn's disease.
