NUR 257 FINAL EXAM 250 QUESTIONS & CORRECT
ANSWERS LATEST 2025
A patient is not have daily bowel movements and has begun taking a laxative for
this problem. What should the nurse educate the patient about regarding laxative
use?
A. When taking the laxatives, plenty of fluid should be taken as well.
B. The laxatives should be taken no more than 3 times a week or laxative addiction
will result.
C. Laxatives should not be routinely taken due to destruction of nerve endings in
the colon.
D. Laxatives should never be the first response for the treatment of constipation;
natural methods should be employed first.
D. Laxatives should not be routinely taken due to destruction of nerve endings in
the colon.
A client with an infection in the area between the internal and external sphincters.
In which chronic disease is this condition commonly seen?
A. Crohn's Disease
B. diverticulosis
C. ulcerative colitis
D. irritable bowel syndrome
A. Crohn's Disease
The nurse is caring for a patient who has had an appendectomy. What is the best
position for the nurse to maintain the patient in after surgery?
A. Prone
B. Sims' left lateral
C. High Fowler's
D. Supine with the head of the bed elevated 15 degrees
C. High Fowler's
A curse caring for a client with small-bowel obstruction should plan to implement
which nursing interventions first?
A. Administering pain medication
B. Obtaining a blood sample for laboratory studies
,C. Preparing to insert a nasogastric (NG) tube
D. Administering I.V. fluids
D. Administering I.V. fluids
A client has been experiencing lower GI difficulties that have increased in severity,
and the gastroenterologist is concerned that the client's bowel is not functioning
properly. What function of the lower GI tract is most likely to be affected by the
client's disorder?
A. water and electrolyte absorption
B. protein digestion
C. fat digestion
D. All options are correct
A. water and electrolyte absorption
The nurse observes the physician palpating the abdomen of a client that is
suspected of having acute appendicitis. When the abdomen is pressed in the left
lower quadrant the client complains of pain on the right side. What does the nurse
understand this assessment technique is referred to?
A. Referred pain
B. Rebound pain
C. Rovsing sign
D. Cremasteric reflex
C. Rovsing sign
A positive Rovsing's sign is indicative of appendicitis. A nurse knows to assess for
this indicator by palpating the:
A. Right lower quadrant
B. Left lower quadrant
C. Right upper quadrant
D. Left upper quadrant
B. Left lower quadrant
Which type of diarrhea is caused by increased production of water and electrolytes
by the intestinal mucosa and their secretion into the intestinal lumen?
A. Osmotic diarrhea
B. Secretory diarrhea
C. Mixed diarrhea
D. Diarrheal disease
B. Secretory diarrhea
,Which is the most prominent signs of inflammatory bowel disease?
A. Abdominal distention and constipation
B. Intermittent pain and diarrhea
C. Hyperactive bowel sounds and constipation
D. Increased peristalsis and diarrhea
B. Intermittent pain and diarrhea
Clients with irritable bowel disease (IBS) are at significantly increased risk for
which condition?
A. Osteoporosis
B. DVT
C. Hypotension
D. Pneumonia
A. Osteoporosis
When planning care for a client with a small-bowel obstruction, the nurse should
consider the primary goal to be:
A. reporting pain relief
B. maintaining body weight.
C. maintaining fluid balance
D. reestablishing a normal bowel pattern
C. maintaining fluid balance
A client is recently diagnosed with Crohn's disease and is beginning treatment.
What the first-line treatment does the nurse expect that the client will be placed on
to decrease the inflammatory response?
A. Ciprofloxacin
B. Methotrexate
C. Azathroprine
D. Sulfasalazine
D. Sulfasalazine
During assessment of a client for a malabsorption disorder, the nurse notes a
history of abdominal pain and weight loss, marked steatorrhea, azotorrhea, and
frequent glucose intolerance. Based on these clinical features, what diagnosis will
the nurse suspect?
A. Lactose intolerance
B. Celiac disease
, C. Pancreatic insufficiency
D. Ileal dysfunction
C. Pancreatic insufficiency
The nurse is assisting a client to drain his continent ileostomy (Kock pouch). The
nurse should insert the catheter how far through the nipple/valve?
A. 2 in.
B. 3 in
C. 4 in.
D. 5 in.
A. 2 in.
What symptoms of perforation might the nurse observe in a client with an
intestinal obstruction? (select all that apply).
A. Sudden, sustained abdominal pain
B. abdominal distention
C. sudden drop in body temperature
D. intermittent, severe pain
B. abdominal distention
Which of the following is accurate regarding regional enteritis?
A. Fistulas are common
B. Severe diarrhea
C. Severe bleeding
D. Exacerbation and remissions
D. Exacerbation and remissions
what is the most common cause of small-bowel obstruction?
A. Hernias
B. Neoplasma
C. Adhesions
D. Volvulus
C. Adhesions
A client presents to the emergency room with a possible diagnosis of appendicitis.
The health care provider asks the nusrse to assess for tenderness at McBurney's
point. The nurse knows to palpate which area?
A. Between the umbilicus and the left iliac crest
B. Between the imnilicus and the anterior superior iliac spine
ANSWERS LATEST 2025
A patient is not have daily bowel movements and has begun taking a laxative for
this problem. What should the nurse educate the patient about regarding laxative
use?
A. When taking the laxatives, plenty of fluid should be taken as well.
B. The laxatives should be taken no more than 3 times a week or laxative addiction
will result.
C. Laxatives should not be routinely taken due to destruction of nerve endings in
the colon.
D. Laxatives should never be the first response for the treatment of constipation;
natural methods should be employed first.
D. Laxatives should not be routinely taken due to destruction of nerve endings in
the colon.
A client with an infection in the area between the internal and external sphincters.
In which chronic disease is this condition commonly seen?
A. Crohn's Disease
B. diverticulosis
C. ulcerative colitis
D. irritable bowel syndrome
A. Crohn's Disease
The nurse is caring for a patient who has had an appendectomy. What is the best
position for the nurse to maintain the patient in after surgery?
A. Prone
B. Sims' left lateral
C. High Fowler's
D. Supine with the head of the bed elevated 15 degrees
C. High Fowler's
A curse caring for a client with small-bowel obstruction should plan to implement
which nursing interventions first?
A. Administering pain medication
B. Obtaining a blood sample for laboratory studies
,C. Preparing to insert a nasogastric (NG) tube
D. Administering I.V. fluids
D. Administering I.V. fluids
A client has been experiencing lower GI difficulties that have increased in severity,
and the gastroenterologist is concerned that the client's bowel is not functioning
properly. What function of the lower GI tract is most likely to be affected by the
client's disorder?
A. water and electrolyte absorption
B. protein digestion
C. fat digestion
D. All options are correct
A. water and electrolyte absorption
The nurse observes the physician palpating the abdomen of a client that is
suspected of having acute appendicitis. When the abdomen is pressed in the left
lower quadrant the client complains of pain on the right side. What does the nurse
understand this assessment technique is referred to?
A. Referred pain
B. Rebound pain
C. Rovsing sign
D. Cremasteric reflex
C. Rovsing sign
A positive Rovsing's sign is indicative of appendicitis. A nurse knows to assess for
this indicator by palpating the:
A. Right lower quadrant
B. Left lower quadrant
C. Right upper quadrant
D. Left upper quadrant
B. Left lower quadrant
Which type of diarrhea is caused by increased production of water and electrolytes
by the intestinal mucosa and their secretion into the intestinal lumen?
A. Osmotic diarrhea
B. Secretory diarrhea
C. Mixed diarrhea
D. Diarrheal disease
B. Secretory diarrhea
,Which is the most prominent signs of inflammatory bowel disease?
A. Abdominal distention and constipation
B. Intermittent pain and diarrhea
C. Hyperactive bowel sounds and constipation
D. Increased peristalsis and diarrhea
B. Intermittent pain and diarrhea
Clients with irritable bowel disease (IBS) are at significantly increased risk for
which condition?
A. Osteoporosis
B. DVT
C. Hypotension
D. Pneumonia
A. Osteoporosis
When planning care for a client with a small-bowel obstruction, the nurse should
consider the primary goal to be:
A. reporting pain relief
B. maintaining body weight.
C. maintaining fluid balance
D. reestablishing a normal bowel pattern
C. maintaining fluid balance
A client is recently diagnosed with Crohn's disease and is beginning treatment.
What the first-line treatment does the nurse expect that the client will be placed on
to decrease the inflammatory response?
A. Ciprofloxacin
B. Methotrexate
C. Azathroprine
D. Sulfasalazine
D. Sulfasalazine
During assessment of a client for a malabsorption disorder, the nurse notes a
history of abdominal pain and weight loss, marked steatorrhea, azotorrhea, and
frequent glucose intolerance. Based on these clinical features, what diagnosis will
the nurse suspect?
A. Lactose intolerance
B. Celiac disease
, C. Pancreatic insufficiency
D. Ileal dysfunction
C. Pancreatic insufficiency
The nurse is assisting a client to drain his continent ileostomy (Kock pouch). The
nurse should insert the catheter how far through the nipple/valve?
A. 2 in.
B. 3 in
C. 4 in.
D. 5 in.
A. 2 in.
What symptoms of perforation might the nurse observe in a client with an
intestinal obstruction? (select all that apply).
A. Sudden, sustained abdominal pain
B. abdominal distention
C. sudden drop in body temperature
D. intermittent, severe pain
B. abdominal distention
Which of the following is accurate regarding regional enteritis?
A. Fistulas are common
B. Severe diarrhea
C. Severe bleeding
D. Exacerbation and remissions
D. Exacerbation and remissions
what is the most common cause of small-bowel obstruction?
A. Hernias
B. Neoplasma
C. Adhesions
D. Volvulus
C. Adhesions
A client presents to the emergency room with a possible diagnosis of appendicitis.
The health care provider asks the nusrse to assess for tenderness at McBurney's
point. The nurse knows to palpate which area?
A. Between the umbilicus and the left iliac crest
B. Between the imnilicus and the anterior superior iliac spine
