NUR 170 Med Surg Exam 4 Practice Exam WITHVERRIFIED
ANSWERS 2027
1. A nurse is caring for a patient with a small bowel obstruction. Which
assessment finding would the nurse expect to see?
a. Lower abdominal cramping and constipation
b. Vomiting that may contain fecal matter
c. Absent bowel sounds from the onset
d. Intermittent pain in the lower quadrants
2. A patient with a large bowel obstruction is likely to present with which
symptom?
a. Projectile vomiting
b. Rapid onset of metabolic alkalosis
c. Intermittent lower abdominal cramping
d. Upper abdominal distention
3. The nurse is providing dietary teaching for a patient with Inflammatory Bowel
Disease (Crohn's disease and Ulcerative Colitis). Which diet is appropriate?
a. High fiber, low protein, no caffeine
b. High calorie, high protein, low fiber, no lactose
c. Low calorie, high fiber, and lactose-free
d. High residue, high fat, and no alcohol
4. A patient with gastroenteritis is being educated about home management.
Which statement by the patient indicates a need for further teaching?
a. "I will drink Gatorade or Pedialyte to stay hydrated."
b. "I need to wash my fruits and vegetables thoroughly."
c. "I should take Imodium to stop the diarrhea as soon as possible."
d. "This illness typically lasts about three days."
5. Which of the following is a major risk factor for developing GERD?
a. Hypotension
b. Obesity
c. Hypothyroidism
d. Lactose intolerance
, 6. A patient with GERD is prescribed a PPI. Which medication is an example of
this drug class?
a. Famotidine (Pepcid)
b. Calcium carbonate (Tums)
c. Omeprazole (Prilosec)
d. Metoclopramide (Reglan)
7. A patient is scheduled for a barium swallow. What is the most important
post-procedure instruction for the nurse to provide?
a. Remain NPO for 6 hours
b. Increase fluid intake to flush out the barium
c. Expect black, tarry stools for a few days
d. Lie flat for one hour to prevent aspiration
8. The nurse is teaching a patient with a hiatal hernia about lifestyle
modifications. Which instruction should be included?
a. Lie down immediately after eating to rest the stomach.
b. Consume large meals to provide a feeling of fullness.
c. Elevate the head of the bed 6 inches.
d. Wear a tight abdominal binder for support.
9. A patient undergoes a Nissen fundoplication for a hiatal hernia. Post-
operatively, the nurse should prioritize monitoring for which complication?
a. Dysphagia
b. Diarrhea
c. Hyperactive bowel sounds
d. The ability to belch
10. Which finding on a patient's new stoma would be most concerning and
require immediate notification of the healthcare provider?
a. A stoma that is black or purple
b. A stoma that is beefy red
c. A stoma with a small amount of oozing blood
d. A stoma that is pink and moist
11. Post-operative care for a patient following bariatric surgery includes which
of the following?
a. Administer enteric-coated medications as ordered.
ANSWERS 2027
1. A nurse is caring for a patient with a small bowel obstruction. Which
assessment finding would the nurse expect to see?
a. Lower abdominal cramping and constipation
b. Vomiting that may contain fecal matter
c. Absent bowel sounds from the onset
d. Intermittent pain in the lower quadrants
2. A patient with a large bowel obstruction is likely to present with which
symptom?
a. Projectile vomiting
b. Rapid onset of metabolic alkalosis
c. Intermittent lower abdominal cramping
d. Upper abdominal distention
3. The nurse is providing dietary teaching for a patient with Inflammatory Bowel
Disease (Crohn's disease and Ulcerative Colitis). Which diet is appropriate?
a. High fiber, low protein, no caffeine
b. High calorie, high protein, low fiber, no lactose
c. Low calorie, high fiber, and lactose-free
d. High residue, high fat, and no alcohol
4. A patient with gastroenteritis is being educated about home management.
Which statement by the patient indicates a need for further teaching?
a. "I will drink Gatorade or Pedialyte to stay hydrated."
b. "I need to wash my fruits and vegetables thoroughly."
c. "I should take Imodium to stop the diarrhea as soon as possible."
d. "This illness typically lasts about three days."
5. Which of the following is a major risk factor for developing GERD?
a. Hypotension
b. Obesity
c. Hypothyroidism
d. Lactose intolerance
, 6. A patient with GERD is prescribed a PPI. Which medication is an example of
this drug class?
a. Famotidine (Pepcid)
b. Calcium carbonate (Tums)
c. Omeprazole (Prilosec)
d. Metoclopramide (Reglan)
7. A patient is scheduled for a barium swallow. What is the most important
post-procedure instruction for the nurse to provide?
a. Remain NPO for 6 hours
b. Increase fluid intake to flush out the barium
c. Expect black, tarry stools for a few days
d. Lie flat for one hour to prevent aspiration
8. The nurse is teaching a patient with a hiatal hernia about lifestyle
modifications. Which instruction should be included?
a. Lie down immediately after eating to rest the stomach.
b. Consume large meals to provide a feeling of fullness.
c. Elevate the head of the bed 6 inches.
d. Wear a tight abdominal binder for support.
9. A patient undergoes a Nissen fundoplication for a hiatal hernia. Post-
operatively, the nurse should prioritize monitoring for which complication?
a. Dysphagia
b. Diarrhea
c. Hyperactive bowel sounds
d. The ability to belch
10. Which finding on a patient's new stoma would be most concerning and
require immediate notification of the healthcare provider?
a. A stoma that is black or purple
b. A stoma that is beefy red
c. A stoma with a small amount of oozing blood
d. A stoma that is pink and moist
11. Post-operative care for a patient following bariatric surgery includes which
of the following?
a. Administer enteric-coated medications as ordered.
