N2261 Midterm 1 Questions With Complete Solutions
The nurse is caring for a client with acute cholelithiasis resulting
in obstructive jaundice. Which of the following is an expected
finding related to their diagnosis? SATA (2)
a. Yellow sclera
b. Straw-colored urine
c. Loose, black tarry stool
d. Abdominal pain in the RUQ
a
d
A client is being discharged from the hospital after a
cholecystectomy. Which of the following statements indicate
that the client understood the discharge teaching?
a. I will eat a low carb and low protein diet
b. I will limit fatty foods for several weeks after surgery
c. I will take regular supplements including vitamin C and zinc
d. I will limit my fiber and fluid intake to avoid stimulating the
bowel
b
A client is admitted with acute pancreatitis. What is a priority
action for the nurse?
a. Encourage small frequent meals
b. Provide timely analgesia
c. Limit coffee to 3 cups per day
d. Encourage bed rest
,b
The nurse is caring for a client who is POD2 from a
cholecystectomy. Other than GI, which of the following systems
is a priority assessment?
a. Respiratory
b. Genitourinary
c. Musculoskeletal
d. Neurological
a
What treatment intervention usually precedes laparoscopic or
open cholecystectomy for a client with cholelithiasis?
a. Topical gallstone dissolution
b. Magnetic resonance cholangiopancreatography
c. Abdominal ultrasound
d. Endoscopic retrograde cholangiopancreatography (ERCP)
d
What is the most common complication of ERCP?
a. Urinary tract infection
b. Pancreatitis
c. Pneumonia
d. Peritonitis
b
A client is booked for a laparoscopic cholecystectomy. Which of
the following are contraindications for this procedure? SATA
a. History of serious bleeding disorder
b. Peritonitis
, c. Abscess formation
d. Acute cholelithiasis
a
b
c
A client with a T-Tube is noted to have a temp 38.0C, HR 98
regular, RR 20 and O2 97% RA. The nurse notes erythema and
pain at the T-Tube insertion site. The nurse suspects the client
has which of the following post-operative complications?
a. Pneumonia
b. Atelectasis
c. Paralytic ileus
d. Surgical site infection
d
A patient with a history of pancreatitis reports acute pain in the
abdomen. Which abnormal finding in the laboratory report of
this patient indicates pancreatitis?
a. Raised bilirubin
b. Low hemoglobin
c. Raised serum amylase
d. Low AST
c
The nurse is caring for a client who had a total pancreatectomy
and is now being discharged. Which of the following statements
indicate that the client did not understand their discharge
teaching?
The nurse is caring for a client with acute cholelithiasis resulting
in obstructive jaundice. Which of the following is an expected
finding related to their diagnosis? SATA (2)
a. Yellow sclera
b. Straw-colored urine
c. Loose, black tarry stool
d. Abdominal pain in the RUQ
a
d
A client is being discharged from the hospital after a
cholecystectomy. Which of the following statements indicate
that the client understood the discharge teaching?
a. I will eat a low carb and low protein diet
b. I will limit fatty foods for several weeks after surgery
c. I will take regular supplements including vitamin C and zinc
d. I will limit my fiber and fluid intake to avoid stimulating the
bowel
b
A client is admitted with acute pancreatitis. What is a priority
action for the nurse?
a. Encourage small frequent meals
b. Provide timely analgesia
c. Limit coffee to 3 cups per day
d. Encourage bed rest
,b
The nurse is caring for a client who is POD2 from a
cholecystectomy. Other than GI, which of the following systems
is a priority assessment?
a. Respiratory
b. Genitourinary
c. Musculoskeletal
d. Neurological
a
What treatment intervention usually precedes laparoscopic or
open cholecystectomy for a client with cholelithiasis?
a. Topical gallstone dissolution
b. Magnetic resonance cholangiopancreatography
c. Abdominal ultrasound
d. Endoscopic retrograde cholangiopancreatography (ERCP)
d
What is the most common complication of ERCP?
a. Urinary tract infection
b. Pancreatitis
c. Pneumonia
d. Peritonitis
b
A client is booked for a laparoscopic cholecystectomy. Which of
the following are contraindications for this procedure? SATA
a. History of serious bleeding disorder
b. Peritonitis
, c. Abscess formation
d. Acute cholelithiasis
a
b
c
A client with a T-Tube is noted to have a temp 38.0C, HR 98
regular, RR 20 and O2 97% RA. The nurse notes erythema and
pain at the T-Tube insertion site. The nurse suspects the client
has which of the following post-operative complications?
a. Pneumonia
b. Atelectasis
c. Paralytic ileus
d. Surgical site infection
d
A patient with a history of pancreatitis reports acute pain in the
abdomen. Which abnormal finding in the laboratory report of
this patient indicates pancreatitis?
a. Raised bilirubin
b. Low hemoglobin
c. Raised serum amylase
d. Low AST
c
The nurse is caring for a client who had a total pancreatectomy
and is now being discharged. Which of the following statements
indicate that the client did not understand their discharge
teaching?
