EXAM 2025-2026 WITH MULTIPLE
CHOICE QUESTIONS AND DETAILED
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A client is admitted via the emergency department with the
tentative diagnosis of diverticulitis. Which test commonly is
prescribed to assess for this problem?
Computed tomography (CT) scan
Gastroscopy
Colonoscopy
Barium enema - THE CORRECT ANSWER-Computed tomography (CT)
scan
A CT scan with contrast is the test of choice for diverticulitis
because it effectively reflects the involved colon. A gastroscopy
assesses the upper, not lower, gastrointestinal tract.
Colonoscopy is contraindicated because of the possibility of
perforation and peritonitis. Barium enema is contraindicated
because of the possibility of perforation and peritonitis.
,Following a cholecystectomy to remove a cancerous gallbladder,
the client has a T-tube in place. The T-tube drains 300 mL of
bile-colored fluid during the first 24 hours after surgery. What
should the nurse do?
Clamp the tube intermittently to slow the drainage.
Increase the rate of intravenous fluids to compensate for this
loss.
Empty the portable drainage system and reestablish negative
pressure.
Consider this an expected response after surgery and record the
results. - THE CORRECT ANSWER-Consider this an expected response
after surgery and record the results.
The T-tube provides an outlet for bile produced by the liver and
is expected to drain 300 to 500 mL in the first day. Clamping
the tube during the early postoperative period may cause a
buildup of pressure and leakage of bile into the peritoneum.
The healthcare provider prescribes the rate of fluid
administration. Drainage from the T-tube is by gravity; negative
pressure is not applied.
A client, experiencing an exacerbation of Crohn disease, is
admitted to the hospital for intravenous steroid therapy. The
nurse should not assign this client to a room with a roommate
who has which illness?
,Pancreatitis
Thrombophlebitis
Bacterial meningitis
Acute cholecystitis - THE CORRECT ANSWER-Bacterial meningitis
The bacteria that cause meningitis are transmitted via air
currents; the client should be in a private room with airborne
precautions to protect other people. Pancreatitis is not a
communicable disease; it is most often caused by autodigestion
of pancreatic tissue by its own enzymes. Thrombophlebitis is
not a communicable disease; it is inflammation of a vein
(phlebitis) associated with thrombus formation. Cholecystitis is
not a communicable disease; it is inflammation of the
gallbladder.
A client is admitted to the hospital with a diagnosis of Crohn
disease. What is most important for the nurse to include in the
teaching plan for this client?
Controlling constipation
Meeting nutritional needs
Preventing increased weakness
, Anticipating a sexual alteration - THE CORRECT ANSWER-Meeting
nutritional needs
To avoid gastrointestinal pain and diarrhea, these clients often
refuse to eat and become malnourished. The consumption of a
high-calorie, high-protein diet is advised. Diarrhea, not
constipation, is a problem with Crohn disease. Preventing an
increase in weakness is a secondary concern that results from
malnutrition; correcting the malnutrition will increase strength.
Anticipating a sexual alteration generally is not a problem with
Crohn disease.
A client with a history of pancreatitis is scheduled for surgery to
excise a pseudocyst of the pancreas. The client asks, "What is a
pseudocyst?" Which information should the nurse include in a
response to this question?
Malignant growth
Pocket of undigested food particles
Sac filled with pus from necrotic pancreatic tissue
Walled-off space of pancreatic enzymes and exudate - THE
CORRECT ANSWER-Walled-off space of pancreatic enzymes and
exudate