NUR 102 EXAM 1 WITH ALL ANSWERS v v v v v v
1.A nurse reinforces education that has been provided to an older adult about
v v v v v v v v v v v v
good bowel habits. Which statement indicates that the client understands the
v v v v v v v v v v v
information?
v
A. "I should eat a diet that is low in fiber-rich foods."
v v v v v v v v v v
B. "Using a laxative each day will help to prevent constipation."
v v v v v v v v v
C. "I need to drink two to three glasses of fluid every day."
v v v v v v v v v v v
D. "Fifteen minutes of exercise three times a week improves bowel habits.": D.
v v v v v v v v v v v
"Fifteen minutes of exercise three times a week improves bowel habits."
v v v v v v v v v v v
2.A client is being admitted to the hospital with abdominal pain, anemia, and
v v v v v v v v v v v v
bloody stools. The client complains of feeling weak and dizzy. The client has
v v v v v v v v v v v v v
rectal pressure and needs to urinate and move their bowels. The nurse should
v v v v v v v v v v v v v
help the client
v v v
A. to the bathroom.
v v
B. to the bedside commode.
v v v
C. onto the bedpan. v v
D. to a standing position so they can urinate.: C. onto the bedpan.
v v v v v v v v v v v
3.The nurse is performing an assessment on a client who has developed a
v v v v v v v v v v v v
paralytic ileus. The nurse expects the client's bowel sounds will be:
v v v v v v v v v v v
A. hyperactive.
B. hypoactive.
C. high-pitched.
D. blowing.: B. hypoactive. v v
4.A nurse has been asked to obtain a client's signature on an operative consent
v v v v v v v v v v v v v
form. When the nurse approaches the client, who is scheduled for a
v v v v v v v v v v v v
cholecystectomy later in the day, the client asks the nurse why the procedure is
v v v v v v v v v v v v v v
needed. Which response by the nurse is appropriate?
v v v v v v v v
A. "You have stones in your gallbladder and the treatment is to remove the
v v v v v v v v v v v v
gallbladder."
v
B. "This is a common procedure performed using a scope and will relieve your
v v v v v v v v v v v v
symptoms."
v
C. "The surgeon feels this is the best option for you at this time based on your
v v v v v v v v v v v v v v v
symptoms."
v
v v
,D. "I will ask the surgeon to come speak to you about the procedure.": D. "I will
v v v v v v v v v v v v v v v
ask the surgeon to come speak to you about the procedure."
v v v v v v v v v v v
5.A client with abdominal pain secondary to a malignant mass in the colon is
v v v v v v v v v v v v v
receiving fentanyl by transdermal patch. His current patch expires in 48 hours
v v v v v v v v v v v v
and he reports a pain level of 8 on a 1-to-10 scale. What should a nurse do?
v v v v v v v v v v v v v v v v v
A. Replace the patch with a new patch.
v v v v v v
B. Massage the patch. v v
v v
, C. Notify the client's physician. v v v
D. Apply a warm compress to the patch.: C. Notify the client's physician.
v v v v v v v v v v v
6.A client reports right lower quadrant pain, nausea, vomiting, and a low-grade
v v v v v v v v v v v
fever for the past 12 hours. The health care provider documents rebound
v v v v v v v v v v v v
tenderness, an elevated white blood cell count (WBC), and positive psoas sign.
v v v v v v v v v v v v
Based on these findings, what would the nurse suspect?
v v v v v v v v v
A. appendicitis
B. pancreatitis
C. cholecystitis
D. constipation: A. appendicitis v v
7.A nursing assistant is assisting a nurse with feeding clients. Which client
v v v v v v v v v v v
should the nurse assign to the nursing assistant?
v v v v v v v v
A. A newly admitted client with signs of a stroke
v v v v v v v v v
B. A client with an order for enteral feeding
v v v v v v v v
C. A client with nausea and abdominal pain
v v v v v v v
D. A client with bilateral blindness: D. A client with bilateral blindness
v v v v v v v v v v v
8.A preschooler is brought to the emergency department after ingesting a large
v v v v v v v v v v v
amount of liquid acetaminophen. Which finding should the nurse antic- ipate in
v v v v v v v v v v v v
this child?
v v
A. bradycardia
B. hypertension
C. tachypnea
D. tinnitus: A. bradycardia v v
9.The nurse is caring for a client that has taken an overdose of aceta- minophen.
v v v v v v v v v v v v v v
For which initial complication should the nurse closely monitor the client?
v v v v v v v v v v v
A. brain damage v
B. heart failure v
C. hepatic damage v
D. kidney stones: C. hepatic damage v v v v
10.A nurse is collecting data on a client with a history of constipation. Which
v v v v v v v v v v v v v
data, obtained by the nurse, would indicate a risk factor for constipation?
v v v v v v v v v v v v
A. a 66-year-old white male
v v v
B. daily fluid intake of 72 ounces (2.1 L) v v v v v v v
C. diet high in cheese, lean meats, and pasta
v v v v v v v
D. engages in walking 20 minutes every other day: C. diet high in cheese, lean v v v v v v v v v v v v v
meats, and pasta
v v v
11.The nurse reinforces home care instructions given to a client with a
v v v v v v v v v v v
diagnosis of hiatal hernia. Which statement made by the client indicates an
v v v v v v v v v v v v
v v
, understanding of the instructions? v v v
A. "I'll drink carbonated cola beverages with my meals."
v v v v v v v
B. "I'll be sure to lie down immediately after eating."
v v v v v v v v
C. "I should eat three large, high-carbohydrate meals each day."
v v v v v v v v
D. "I'll sleep with my head elevated about 3 to 4 inches.": D. "I'll sleep with my
v v v v v v v v v v v v v v v
head elevated about 3 to 4 inches."
v v v v v v v
12.The client with a peptic ulcer is prescribed an antacid. After administering the
v v v v v v v v v v v v
medication, the nurse assesses the pH of which organ contents to deter- mine
v v v v v v v v v v v v v
effectiveness?
v
A. Large intestine v
B. Esophagus
C. Small intestine v
D. Stomach: D. Stomach v v
13.When assisting with development of a postoperative care plan for a client
v v v v v v v v v v v
after gastric resection, which would be the priority?
v v v v v v v v
A. body image v
B. nutritional needs v
C. skin care v
D. spiritual needs: B. nutritional needs v v v v
14.A client admitted for treatment of a gastric ulcer is being prepared for
v v v v v v v v v v v v
discharge on antacid therapy. The nurse includes which instruction in the
v v v v v v v v v v v
discharge teaching?
v v
A. "Continue to take antacids, even if your symptoms subside." v v v v v v v v
B. "You may take antacids with other medications."
v v v v v v
C. "Avoid taking antacids containing magnesium if you develop a heart prob-
v v v v v v v v v v
lem."
v
D. "Take antacids with meals.": A. "Continue to take antacids, even if your
v v v v v v v v v v v
symp- toms subside."
v v v
15.A nurse is verifying orders from a health care provider. Which diet will the
v v v v v v v v v v v v v
nurse discuss with child and family related to a new diagnosis of celiac
v v v v v v v v v v v v v
disease?
v
A. low-fat diet v
B. no-gluten diet v
C. high-protein diet v
D. no-phenylalanine diet: B. no-gluten diet v v v v
16.Which nursing intervention is the best way to help reduce the occurrence of
v v v v v v v v v v v v
poisoning in children?
v v v
A. Place the number for poison control in the home.
v v v v v v v v
B. Provide education to those who care for children. v v v v v v v
v v
1.A nurse reinforces education that has been provided to an older adult about
v v v v v v v v v v v v
good bowel habits. Which statement indicates that the client understands the
v v v v v v v v v v v
information?
v
A. "I should eat a diet that is low in fiber-rich foods."
v v v v v v v v v v
B. "Using a laxative each day will help to prevent constipation."
v v v v v v v v v
C. "I need to drink two to three glasses of fluid every day."
v v v v v v v v v v v
D. "Fifteen minutes of exercise three times a week improves bowel habits.": D.
v v v v v v v v v v v
"Fifteen minutes of exercise three times a week improves bowel habits."
v v v v v v v v v v v
2.A client is being admitted to the hospital with abdominal pain, anemia, and
v v v v v v v v v v v v
bloody stools. The client complains of feeling weak and dizzy. The client has
v v v v v v v v v v v v v
rectal pressure and needs to urinate and move their bowels. The nurse should
v v v v v v v v v v v v v
help the client
v v v
A. to the bathroom.
v v
B. to the bedside commode.
v v v
C. onto the bedpan. v v
D. to a standing position so they can urinate.: C. onto the bedpan.
v v v v v v v v v v v
3.The nurse is performing an assessment on a client who has developed a
v v v v v v v v v v v v
paralytic ileus. The nurse expects the client's bowel sounds will be:
v v v v v v v v v v v
A. hyperactive.
B. hypoactive.
C. high-pitched.
D. blowing.: B. hypoactive. v v
4.A nurse has been asked to obtain a client's signature on an operative consent
v v v v v v v v v v v v v
form. When the nurse approaches the client, who is scheduled for a
v v v v v v v v v v v v
cholecystectomy later in the day, the client asks the nurse why the procedure is
v v v v v v v v v v v v v v
needed. Which response by the nurse is appropriate?
v v v v v v v v
A. "You have stones in your gallbladder and the treatment is to remove the
v v v v v v v v v v v v
gallbladder."
v
B. "This is a common procedure performed using a scope and will relieve your
v v v v v v v v v v v v
symptoms."
v
C. "The surgeon feels this is the best option for you at this time based on your
v v v v v v v v v v v v v v v
symptoms."
v
v v
,D. "I will ask the surgeon to come speak to you about the procedure.": D. "I will
v v v v v v v v v v v v v v v
ask the surgeon to come speak to you about the procedure."
v v v v v v v v v v v
5.A client with abdominal pain secondary to a malignant mass in the colon is
v v v v v v v v v v v v v
receiving fentanyl by transdermal patch. His current patch expires in 48 hours
v v v v v v v v v v v v
and he reports a pain level of 8 on a 1-to-10 scale. What should a nurse do?
v v v v v v v v v v v v v v v v v
A. Replace the patch with a new patch.
v v v v v v
B. Massage the patch. v v
v v
, C. Notify the client's physician. v v v
D. Apply a warm compress to the patch.: C. Notify the client's physician.
v v v v v v v v v v v
6.A client reports right lower quadrant pain, nausea, vomiting, and a low-grade
v v v v v v v v v v v
fever for the past 12 hours. The health care provider documents rebound
v v v v v v v v v v v v
tenderness, an elevated white blood cell count (WBC), and positive psoas sign.
v v v v v v v v v v v v
Based on these findings, what would the nurse suspect?
v v v v v v v v v
A. appendicitis
B. pancreatitis
C. cholecystitis
D. constipation: A. appendicitis v v
7.A nursing assistant is assisting a nurse with feeding clients. Which client
v v v v v v v v v v v
should the nurse assign to the nursing assistant?
v v v v v v v v
A. A newly admitted client with signs of a stroke
v v v v v v v v v
B. A client with an order for enteral feeding
v v v v v v v v
C. A client with nausea and abdominal pain
v v v v v v v
D. A client with bilateral blindness: D. A client with bilateral blindness
v v v v v v v v v v v
8.A preschooler is brought to the emergency department after ingesting a large
v v v v v v v v v v v
amount of liquid acetaminophen. Which finding should the nurse antic- ipate in
v v v v v v v v v v v v
this child?
v v
A. bradycardia
B. hypertension
C. tachypnea
D. tinnitus: A. bradycardia v v
9.The nurse is caring for a client that has taken an overdose of aceta- minophen.
v v v v v v v v v v v v v v
For which initial complication should the nurse closely monitor the client?
v v v v v v v v v v v
A. brain damage v
B. heart failure v
C. hepatic damage v
D. kidney stones: C. hepatic damage v v v v
10.A nurse is collecting data on a client with a history of constipation. Which
v v v v v v v v v v v v v
data, obtained by the nurse, would indicate a risk factor for constipation?
v v v v v v v v v v v v
A. a 66-year-old white male
v v v
B. daily fluid intake of 72 ounces (2.1 L) v v v v v v v
C. diet high in cheese, lean meats, and pasta
v v v v v v v
D. engages in walking 20 minutes every other day: C. diet high in cheese, lean v v v v v v v v v v v v v
meats, and pasta
v v v
11.The nurse reinforces home care instructions given to a client with a
v v v v v v v v v v v
diagnosis of hiatal hernia. Which statement made by the client indicates an
v v v v v v v v v v v v
v v
, understanding of the instructions? v v v
A. "I'll drink carbonated cola beverages with my meals."
v v v v v v v
B. "I'll be sure to lie down immediately after eating."
v v v v v v v v
C. "I should eat three large, high-carbohydrate meals each day."
v v v v v v v v
D. "I'll sleep with my head elevated about 3 to 4 inches.": D. "I'll sleep with my
v v v v v v v v v v v v v v v
head elevated about 3 to 4 inches."
v v v v v v v
12.The client with a peptic ulcer is prescribed an antacid. After administering the
v v v v v v v v v v v v
medication, the nurse assesses the pH of which organ contents to deter- mine
v v v v v v v v v v v v v
effectiveness?
v
A. Large intestine v
B. Esophagus
C. Small intestine v
D. Stomach: D. Stomach v v
13.When assisting with development of a postoperative care plan for a client
v v v v v v v v v v v
after gastric resection, which would be the priority?
v v v v v v v v
A. body image v
B. nutritional needs v
C. skin care v
D. spiritual needs: B. nutritional needs v v v v
14.A client admitted for treatment of a gastric ulcer is being prepared for
v v v v v v v v v v v v
discharge on antacid therapy. The nurse includes which instruction in the
v v v v v v v v v v v
discharge teaching?
v v
A. "Continue to take antacids, even if your symptoms subside." v v v v v v v v
B. "You may take antacids with other medications."
v v v v v v
C. "Avoid taking antacids containing magnesium if you develop a heart prob-
v v v v v v v v v v
lem."
v
D. "Take antacids with meals.": A. "Continue to take antacids, even if your
v v v v v v v v v v v
symp- toms subside."
v v v
15.A nurse is verifying orders from a health care provider. Which diet will the
v v v v v v v v v v v v v
nurse discuss with child and family related to a new diagnosis of celiac
v v v v v v v v v v v v v
disease?
v
A. low-fat diet v
B. no-gluten diet v
C. high-protein diet v
D. no-phenylalanine diet: B. no-gluten diet v v v v
16.Which nursing intervention is the best way to help reduce the occurrence of
v v v v v v v v v v v v
poisoning in children?
v v v
A. Place the number for poison control in the home.
v v v v v v v v
B. Provide education to those who care for children. v v v v v v v
v v
