NUR 170 Med Surg Exam 4 FOR BEST RESULST
AND STUDY MATERIAL
1. A nurse is caring for a client with a small bowel obstruction. Which assessment finding
would the nurse expect to see?
a) Lower abdominal cramping and constipation
b) Profuse vomiting that may contain fecal material Correct Answer: ✔️✔️✔️💜💜 Answer:
✔️✔️✔️💜💜
c) Absent bowel sounds from the onset
d) Gradual onset of symptoms
2. A client with a large bowel obstruction is most likely to present with:
a) Upper abdominal distention
b) Vomiting of fecal matter
c) Intermittent lower abdominal cramping Correct
d) Metabolic alkalosis
3. The nurse is providing care to a client post-bariatric surgery. What is the priority
intervention?
a) Administering enteric-coated medications
b) Maintaining the nasogastric (NG) tube as ordered Correct
c) Positioning the client flat in bed
d) Encouraging large meals to promote satiety
4. Which dietary choice is most appropriate for a client experiencing an acute exacerbation of
inflammatory bowel disease (Crohn's disease)?
a) Whole-grain cereal with milk
b) Grilled chicken with white rice Correct
c) Fresh fruit salad with oranges and apples
d) Iced tea with lemon
5. A client with peptic ulcer disease (PUD) suddenly reports a sharp, severe epigastric pain
that radiates to the shoulder, followed by a rigid, board-like abdomen. What is the priority
nursing action?
a) Administer prescribed pain medication
b) Notify the healthcare provider immediately Correct
c) Reassure the client and re-assess in 15 minutes
d) Prepare to administer an antacid
6. A client is scheduled for a barium swallow. Which post-procedure instruction is most
important?
, a) Maintain NPO status for 24 hours
b) Increase fluid intake to flush out the barium Correct
c) Expect bright red blood in stool
d) Remain flat for 6 hours
7. The nurse is teaching a client with GERD about lifestyle modifications. Which statement
indicates a need for further teaching?
a) "I will avoid eating chocolate and drinking coffee."
b) "I plan to lie down for a nap right after lunch." Correct
c) "I will elevate the head of my bed on 6-inch blocks."
d) "I am going to try to lose some weight."
8. Which of the following is a known risk factor for developing GERD?
a) Hypotension
b) Underweight
c) Obesity Correct
d) Hypothyroidism
9. A client is diagnosed with a hiatal hernia. The nurse understands that this condition:
a) Has no relationship to GERD symptoms
b) Is best diagnosed by a CT scan
c) Involves the protrusion of the stomach through the diaphragm Correct
d) Is primarily treated with emergency surgery
10. Post-operative care for a client following a Nissen fundoplication includes monitoring for:
a) Increased ability to belch
b) Uncontrolled diarrhea
c) Dysphagia (difficulty swallowing) Correct
d) Hyperactive bowel sounds
11. The nurse is assessing a client's stoma on the first day post-ostomy surgery. Which finding
requires immediate notification of the healthcare provider?
a) Edema of the stoma
b) A small amount of bloody drainage
c) A purple-colored stoma Correct
d) Beefy red appearance
12. A client with gastroenteritis asks why the healthcare provider did not prescribe an anti-
diarrheal medication like Imodium. What is the best response by the nurse?
a) "That medication can cause constipation."
b) "It's important to allow the body to eliminate the causative organism." Correct
c) "You can only take that if you also take an antibiotic."
d) "That medication is only for chronic conditions."
AND STUDY MATERIAL
1. A nurse is caring for a client with a small bowel obstruction. Which assessment finding
would the nurse expect to see?
a) Lower abdominal cramping and constipation
b) Profuse vomiting that may contain fecal material Correct Answer: ✔️✔️✔️💜💜 Answer:
✔️✔️✔️💜💜
c) Absent bowel sounds from the onset
d) Gradual onset of symptoms
2. A client with a large bowel obstruction is most likely to present with:
a) Upper abdominal distention
b) Vomiting of fecal matter
c) Intermittent lower abdominal cramping Correct
d) Metabolic alkalosis
3. The nurse is providing care to a client post-bariatric surgery. What is the priority
intervention?
a) Administering enteric-coated medications
b) Maintaining the nasogastric (NG) tube as ordered Correct
c) Positioning the client flat in bed
d) Encouraging large meals to promote satiety
4. Which dietary choice is most appropriate for a client experiencing an acute exacerbation of
inflammatory bowel disease (Crohn's disease)?
a) Whole-grain cereal with milk
b) Grilled chicken with white rice Correct
c) Fresh fruit salad with oranges and apples
d) Iced tea with lemon
5. A client with peptic ulcer disease (PUD) suddenly reports a sharp, severe epigastric pain
that radiates to the shoulder, followed by a rigid, board-like abdomen. What is the priority
nursing action?
a) Administer prescribed pain medication
b) Notify the healthcare provider immediately Correct
c) Reassure the client and re-assess in 15 minutes
d) Prepare to administer an antacid
6. A client is scheduled for a barium swallow. Which post-procedure instruction is most
important?
, a) Maintain NPO status for 24 hours
b) Increase fluid intake to flush out the barium Correct
c) Expect bright red blood in stool
d) Remain flat for 6 hours
7. The nurse is teaching a client with GERD about lifestyle modifications. Which statement
indicates a need for further teaching?
a) "I will avoid eating chocolate and drinking coffee."
b) "I plan to lie down for a nap right after lunch." Correct
c) "I will elevate the head of my bed on 6-inch blocks."
d) "I am going to try to lose some weight."
8. Which of the following is a known risk factor for developing GERD?
a) Hypotension
b) Underweight
c) Obesity Correct
d) Hypothyroidism
9. A client is diagnosed with a hiatal hernia. The nurse understands that this condition:
a) Has no relationship to GERD symptoms
b) Is best diagnosed by a CT scan
c) Involves the protrusion of the stomach through the diaphragm Correct
d) Is primarily treated with emergency surgery
10. Post-operative care for a client following a Nissen fundoplication includes monitoring for:
a) Increased ability to belch
b) Uncontrolled diarrhea
c) Dysphagia (difficulty swallowing) Correct
d) Hyperactive bowel sounds
11. The nurse is assessing a client's stoma on the first day post-ostomy surgery. Which finding
requires immediate notification of the healthcare provider?
a) Edema of the stoma
b) A small amount of bloody drainage
c) A purple-colored stoma Correct
d) Beefy red appearance
12. A client with gastroenteritis asks why the healthcare provider did not prescribe an anti-
diarrheal medication like Imodium. What is the best response by the nurse?
a) "That medication can cause constipation."
b) "It's important to allow the body to eliminate the causative organism." Correct
c) "You can only take that if you also take an antibiotic."
d) "That medication is only for chronic conditions."
