Exam 4 Practice Questions- NUR 372 With Complete
Solutions
The nurse understands which of the following statements are
correct concerning carpal tunnel syndrome (CTS)?
A. CTS is a complication of a wrist fracture
B. CTS is due to repetitive motion of the wrist
C. CTS is treated with immobilization in a cast
D. CTS cannot be corrected by surgery
b
CTS is due to repetitive motion of the wrist leading to
inflammation and compression of the median nerve. it can be
treated with anti inflammatories and carpal tunnel release
surgery. it is not a complication of a wrist fracture and is not
treated by immobilization with a cast
The nurse is caring for the client with diverticulitis. The nurse
should plan to instruct the client to avoid which food during an
episode of acute diverticulitis?
A. White bread
B. Ripe banana
C. Cooked oatmeal
D. Iceberg lettuce
c
cooked oatmeal contains 4g of fiber per serving. foods high in
fiber should be avoided during an episode of acute diverticulitis.
,foods instead should be restricted to low fiber foods or clear
liquids. once diverticulitis is resolved, the client should return to
a high fiber diet.
The nurse assesses for which clinical manifestation in the patient
with cholecystitis?
A. Murphy's sign
B. Trousseau's sign
C. Cullen's sign
D. Grey Turner's sign
a
murphys sign is a test conducted to determine disease of the
gallbladder. a positive cullens sign is bruising around the peri
umbilical area and may indicate pancreatitis, grey turners sign
occurs on the flank and may also indicate pancreatitis, and
trousseaus sign indicates hypocalcemia.
The nurse is caring for the client who received monitored
conscious sedation during a surgical procedure. Which
assessment is most important post-operatively?
A. Bilateral lung sounds
B. Amount of urine present
C. Ability to swallow liquids
D. Rate and depth of breathing
d
the rate and depth of breathing should be assessed to determine
the adequacy of air exchange. a respiratory rate of less than 10
,breaths per minute indicates drug induced respiratory
depression. the primary concern with monitored conscious
sedation is the effect of the medications on the CNS
The client with a history of a duodenal ulcer is hospitalized with
upper abdominal discomfort and projectile vomiting that has a
foul odor. The nurse immediately notifies the healthcare
provider, concluding that the client may have developed which
complication?
A. Gastric perforation
B. Gastrointestinal hemorrhage
C. Gastric outlet obstruction
D. Helicobacter pylori infection
c
symptoms of gastric outlet obstructions include abdominal pain
and projectile vomiting when the stomach fills enough to
stimulate the afferent nerve fibers relaying information to the
vomiting center of the brain. the emesis may have a foul odor or
contain food contents that have been dormant in the stomach for
a prolonged period of time. s/s of perforation include severe
abdominal pain without vomiting. s/s of GI hemorrhage would
be bright red or coffee ground emesis. H/ pylori is a cause of
peptic ulcers, not a complication of PUD
Five days after an exploratory laparotomy. The nurse assesses
that the client has a distended abdomen, abdominal pain,
absence of flatus, and diminished bowel sounds. The nurse
, notifies the health care provider concerned that the client could
be experiencing which typical complication?
A. Paralytic ileus
B. Silent peritonitis
C. Fluid volume excess
D. Malabsorption syndrome
a
paralytic ileus is a typical complication of abdominal surgery.
manifestation include distended abdomen, abdominal pain,
absence of flatus, diminished or absent bowel sounds, and
nausea/vomiting.
A nursing college student consults with the clinic nurse for
advice on managing lower back pain. Which instructions should
the nurse include? (select all that apply)
A. Continue routine activity within your pain tolerance while
paying attention to correct posture
B. Temporarily avoid lifting and other activities that increase
mechanical stress on your spine
C. When sleeping on your side, flex your hips and knees and
place a pillow between your knees
D. Stay at home for 2 weeks on bedrest to minimize physical
activity and straining your back
E. Stand intermittently during classes and sit with a soft support
at the small of your back
a, b, c, e
Solutions
The nurse understands which of the following statements are
correct concerning carpal tunnel syndrome (CTS)?
A. CTS is a complication of a wrist fracture
B. CTS is due to repetitive motion of the wrist
C. CTS is treated with immobilization in a cast
D. CTS cannot be corrected by surgery
b
CTS is due to repetitive motion of the wrist leading to
inflammation and compression of the median nerve. it can be
treated with anti inflammatories and carpal tunnel release
surgery. it is not a complication of a wrist fracture and is not
treated by immobilization with a cast
The nurse is caring for the client with diverticulitis. The nurse
should plan to instruct the client to avoid which food during an
episode of acute diverticulitis?
A. White bread
B. Ripe banana
C. Cooked oatmeal
D. Iceberg lettuce
c
cooked oatmeal contains 4g of fiber per serving. foods high in
fiber should be avoided during an episode of acute diverticulitis.
,foods instead should be restricted to low fiber foods or clear
liquids. once diverticulitis is resolved, the client should return to
a high fiber diet.
The nurse assesses for which clinical manifestation in the patient
with cholecystitis?
A. Murphy's sign
B. Trousseau's sign
C. Cullen's sign
D. Grey Turner's sign
a
murphys sign is a test conducted to determine disease of the
gallbladder. a positive cullens sign is bruising around the peri
umbilical area and may indicate pancreatitis, grey turners sign
occurs on the flank and may also indicate pancreatitis, and
trousseaus sign indicates hypocalcemia.
The nurse is caring for the client who received monitored
conscious sedation during a surgical procedure. Which
assessment is most important post-operatively?
A. Bilateral lung sounds
B. Amount of urine present
C. Ability to swallow liquids
D. Rate and depth of breathing
d
the rate and depth of breathing should be assessed to determine
the adequacy of air exchange. a respiratory rate of less than 10
,breaths per minute indicates drug induced respiratory
depression. the primary concern with monitored conscious
sedation is the effect of the medications on the CNS
The client with a history of a duodenal ulcer is hospitalized with
upper abdominal discomfort and projectile vomiting that has a
foul odor. The nurse immediately notifies the healthcare
provider, concluding that the client may have developed which
complication?
A. Gastric perforation
B. Gastrointestinal hemorrhage
C. Gastric outlet obstruction
D. Helicobacter pylori infection
c
symptoms of gastric outlet obstructions include abdominal pain
and projectile vomiting when the stomach fills enough to
stimulate the afferent nerve fibers relaying information to the
vomiting center of the brain. the emesis may have a foul odor or
contain food contents that have been dormant in the stomach for
a prolonged period of time. s/s of perforation include severe
abdominal pain without vomiting. s/s of GI hemorrhage would
be bright red or coffee ground emesis. H/ pylori is a cause of
peptic ulcers, not a complication of PUD
Five days after an exploratory laparotomy. The nurse assesses
that the client has a distended abdomen, abdominal pain,
absence of flatus, and diminished bowel sounds. The nurse
, notifies the health care provider concerned that the client could
be experiencing which typical complication?
A. Paralytic ileus
B. Silent peritonitis
C. Fluid volume excess
D. Malabsorption syndrome
a
paralytic ileus is a typical complication of abdominal surgery.
manifestation include distended abdomen, abdominal pain,
absence of flatus, diminished or absent bowel sounds, and
nausea/vomiting.
A nursing college student consults with the clinic nurse for
advice on managing lower back pain. Which instructions should
the nurse include? (select all that apply)
A. Continue routine activity within your pain tolerance while
paying attention to correct posture
B. Temporarily avoid lifting and other activities that increase
mechanical stress on your spine
C. When sleeping on your side, flex your hips and knees and
place a pillow between your knees
D. Stay at home for 2 weeks on bedrest to minimize physical
activity and straining your back
E. Stand intermittently during classes and sit with a soft support
at the small of your back
a, b, c, e
