NUR 514 EXAM 4 LATEST 2026-2027, COMPLETE
250 QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
QUESTION: A nurse is preparing dietary instructions for a client who has episodes of biliary colic
from chronic cholecystitis. Which of the following instructions should the nurse include in the
teaching plan?
A. Avoid foods high in fat.
B. Avoid foods high in sodium.
C. Include foods high in starch and proteins.
D. Include foods high in fiber. - ANSWER-A. Avoid foods high in fat.
QUESTION: A nurse is assessing a client who has an obstruction of the common bile duct
resulting from chronic cholecystitis. Which of the following findings should the nurse expect?
A. Fatty stools
B. Tenderness in the left upper abdomen
C. Straw-colored urine
D. Ecchymosis of the extremities - ANSWER-A. Fatty stools
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QUESTION: A nurse is teaching a client who has hepatitis A about preventing transmission of
the virus. Which of the following strategies should the nurse include in the teaching?
A. Practice effective hand hygiene.
B. Avoid eating at fast food restaurants.
C. Avoid serving raw foods.
D. Wear barrier protection during vaginal intercourse. - ANSWER-A. Practice effective hand
hygiene.
QUESTION: When teaching the patient with acute hepatitis C (HCV), which statement
demonstrates understanding of the disease process?
A."I will use care when kissing my wife to prevent giving it to her."
B. "I will need to take adefovir (Hepsera) to prevent chronic HCV."
C. "Now that I have had HCV, I will have immunity and not get it again."
D. "I will need to be monitored for chronic HCV and other liver problems." - ANSWER-D. "I will
need to be monitored for chronic HCV and other liver problems."
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QUESTION: The nurse is caring for a patient with acute pancreatitis resulting from gallstones.
Which clinical manifestation would the nurse expect? (Select all that apply.)
A.Hematochezia
B. Nausea and vomiting
C. Hyperactive bowel sounds
D. Left upper abdominal pain
E. Ascites and peripheral edema
F. Temperature 99.3° F (37.4° C) - ANSWER-B. Nausea and vomiting
C. Left upper abdominal pain
F. Temperature 99.3° F (37.4° C)
Q; A nurse is caring for a client who has type I diabetes mellitus and is not following the
guidelines for therapy. Which of the following should the nurse consider as contributing factors
to the client's nonadherence? (Select all that apply.)
A. Gender
B. Dexterity
C. Culture
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D. Motivation
E. Literacy - ANSWER-B.Dexterity
C.Culture
D. Motivation
E.Literacy
QUESTION: A nurse is assessing a client who has diabetes mellitus and reports foot pain. The
nurse should evaluate the client for which of the following alterations as indications that the
client has an infection? (Select all that apply.)
A. An increase in platelets
B. An increase in RBCs
C. Localized edema
D. Bradycardia
E. An increase in neutrophils - ANSWER-C. Localized edema
E. An increase in neutrophils