Exam 1 Nur. 114 Questions with Detailed Verified
Answers
A 38 year old woman was hospitalized with a diagnosis of cholecystitis. The nurse
would expect the history of her present illness to include intolerance to which of the
following?
a. carbohydrates
b. fat
c. protein
d. dark green vegetables Ans: B
A nurse is assessing a client with a diagnosis of cholecystitis. The client is becoming
more jaundiced and reports clay-colored stools. Which of the following BEST explains
these symptoms?
a. The bile has stopped being produced
b. The pancreatic duct has an obstruction
c. The patient has cholelithiasis
d. There is an obstruction in the common bile duct Ans: D
The nurse is do patient teaching for a client with cholecystitis. What information
would be considered relevant for this type of patient? SATA
a. There is gradual onset of pain
b. Weighing daily is required
c. CBC will be ordered
,d. Shock wave lithotripsy will be ordered
e. Fat intake will be limited
f. Seizures occur intermittently
g. Fatigue prevails throughout the day Ans: CDE
A client with cancer of the stomach is admitted to the hospital and scheduled for a
subtotal gastrectomy. The nurse is providing preoperative teaching. What should the
nurse teach the client to do postoperatively to minimize the complication of dumping
syndrome?
a. ambulalte after every meal
b. remain on a diet low in fat
c. eat in semi recumbent position
d. increase fluid intake when eating food Ans: C
A patient with ulcerative colitis is scheduled for treatment with sulfasalazine. Which of
the following are correct about this drug? SATA
a. can cause folate deficiency
b. can cause hyperchloremia
c. can cause megaloblastic anemia
d. can cause anaphylaxis
e. can cause blindness
f. can cause thrombocytopenia
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,g. can cause kidney damage Ans: ACDFG
A client who has ulcerative colitis has persistent diarrhea, and has lost 12 pounds since
the exacerbation of the disease. Which of the following will be most effective in
helping the client meet nutritional needs?
a. TPN
b. high calorie, high protein diet
c. eating six small meals a day
d. continuous enteral feedings Ans: A
Nursing care for a child admitted with acute glomerulonephritis should be directed
towards:
a. enforcing bed rest
b. promoting diuresis
c. encouraging fluids
d. removing dietary salt Ans: B
Nephrotic syndrome will result in:
a. decreased HCT
b. decreased serum protein
c. hyperglycemia
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, d. hypercalcemia Ans: B
A middle-aged obese female presents to the ED with severe radiating right-sided flank
pain, nausea, vomiting, and fever. The nurse understands that a likely cause of her
symptoms is ________.
a) acute cholecystitis
b) hepatitis B
c) hepatitis A
d) pancreatitis Ans: A
The nurse is obtaining information from a client with Crohn's disease about his
medication history. What medication would the nurse include when asking about what
medications the client has taken for suppression of the inflammatory and immune
response?
a) Diuretics
b) Ibuprofen (Advil)
c) Corticosteroids
d) Angiotensin-converting enzyme inhibitors (ACE-I) Ans: C
A client recently started a new medication to treat a suspected ulcer. She asks the
nurse how this medicine is helping. Which of the following would be the best response
by the nurse regarding anti-ulcerative medications?
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Answers
A 38 year old woman was hospitalized with a diagnosis of cholecystitis. The nurse
would expect the history of her present illness to include intolerance to which of the
following?
a. carbohydrates
b. fat
c. protein
d. dark green vegetables Ans: B
A nurse is assessing a client with a diagnosis of cholecystitis. The client is becoming
more jaundiced and reports clay-colored stools. Which of the following BEST explains
these symptoms?
a. The bile has stopped being produced
b. The pancreatic duct has an obstruction
c. The patient has cholelithiasis
d. There is an obstruction in the common bile duct Ans: D
The nurse is do patient teaching for a client with cholecystitis. What information
would be considered relevant for this type of patient? SATA
a. There is gradual onset of pain
b. Weighing daily is required
c. CBC will be ordered
,d. Shock wave lithotripsy will be ordered
e. Fat intake will be limited
f. Seizures occur intermittently
g. Fatigue prevails throughout the day Ans: CDE
A client with cancer of the stomach is admitted to the hospital and scheduled for a
subtotal gastrectomy. The nurse is providing preoperative teaching. What should the
nurse teach the client to do postoperatively to minimize the complication of dumping
syndrome?
a. ambulalte after every meal
b. remain on a diet low in fat
c. eat in semi recumbent position
d. increase fluid intake when eating food Ans: C
A patient with ulcerative colitis is scheduled for treatment with sulfasalazine. Which of
the following are correct about this drug? SATA
a. can cause folate deficiency
b. can cause hyperchloremia
c. can cause megaloblastic anemia
d. can cause anaphylaxis
e. can cause blindness
f. can cause thrombocytopenia
© Get it right 2025 Getaway - Stuvia US All rights reserved
,g. can cause kidney damage Ans: ACDFG
A client who has ulcerative colitis has persistent diarrhea, and has lost 12 pounds since
the exacerbation of the disease. Which of the following will be most effective in
helping the client meet nutritional needs?
a. TPN
b. high calorie, high protein diet
c. eating six small meals a day
d. continuous enteral feedings Ans: A
Nursing care for a child admitted with acute glomerulonephritis should be directed
towards:
a. enforcing bed rest
b. promoting diuresis
c. encouraging fluids
d. removing dietary salt Ans: B
Nephrotic syndrome will result in:
a. decreased HCT
b. decreased serum protein
c. hyperglycemia
© Get it right 2025 Getaway - Stuvia US All rights reserved
, d. hypercalcemia Ans: B
A middle-aged obese female presents to the ED with severe radiating right-sided flank
pain, nausea, vomiting, and fever. The nurse understands that a likely cause of her
symptoms is ________.
a) acute cholecystitis
b) hepatitis B
c) hepatitis A
d) pancreatitis Ans: A
The nurse is obtaining information from a client with Crohn's disease about his
medication history. What medication would the nurse include when asking about what
medications the client has taken for suppression of the inflammatory and immune
response?
a) Diuretics
b) Ibuprofen (Advil)
c) Corticosteroids
d) Angiotensin-converting enzyme inhibitors (ACE-I) Ans: C
A client recently started a new medication to treat a suspected ulcer. She asks the
nurse how this medicine is helping. Which of the following would be the best response
by the nurse regarding anti-ulcerative medications?
© Get it right 2025 Getaway - Stuvia US All rights reserved