NRSG 301 – Test 6 Study Guide and Practice Questions
"I will have only a light snack before I go to bed." - correct answer ✔✔ After educating a client
about life style changes to control gastroesophageal reflux (GERD), the nurse recognizes the
need for further teaching when the client says:
Hamburger, French fries and chocolate shake - correct answer ✔✔ The nurse should expect the
client with gastroesophageal reflux disease (GERD) to report discomfort following which of
these meals?
Keeping the patient on bed rest with bathroom privileges and monitoring his condition. - correct
answer ✔✔ A patient with a known peptic ulcer is admitted to the emergency room after
vomiting a large amount of coffee ground appearing emesis. His vital signs are: 100/60-100-24,
Temp 99.0°. The nurse anticipates the initial treatment plan for this patient will include:
One of these drugs will decrease acid production in your stomach and the other will enhance
the condition of the stomach lining - correct answer ✔✔ The nurse is instructing a patient with
a peptic ulcer about his medications. He is taking the following medications:
1 Protonix (pantoprazole) 40mg daily
2 Cytotec (misoprostol) 200mcg bid
What would be appropriate information for this client about these medications?
"You have a specific bacteria in your stomach that is frequently involved in ulcer development.
The antibiotics will kill that bacteria." - correct answer ✔✔ The nurse is administering
antibiotics to a patient with a duodenal ulcer. The patient asks why he is taking antibiotics for an
ulcer. He thought antibiotics were for infections. What would be an appropriate response?
Lie down for a short period of time after each meal - correct answer ✔✔ A patient who had
gastric surgery which involved removal of the pyloric sphincter has been experiencing "dumping
syndrome". To control the dumping syndrome the nurse suggests that the patient:
, 1. Eliminate coffee form diet
2. That because alcohol stimulates hydrochloric acid production in the stomach, it should be
consumed only occasionally
3. Control stress in life. - correct answer ✔✔ A male patient who is newly diagnosed with peptic
ulcer disease asks the nurse if there are any life style changes he can make to prevent an
exacerbation of his disease. The nurse correctly tells the patient: (select all that apply)
Decreased serum potassium level - correct answer ✔✔ In the post operative period an
abdominal surgical patient has developed an "ileus" ( non-mechanical intestinal obstruction).
Considering this diagnosis, the nurse reviews the patient's laboratory data and finds all of the
following abnormalities. Which would be contributing to his decreased peristalsis?
Is your abdomen bloated? - correct answer ✔✔ A client calls his medical clinic and tells the
nurse, "I think my bowels are blocked up". The nurse reviews the client's medical history which
reveals a recent diagnosis of a tumor in the sigmoid colon with plans for colon surgery in four
weeks. To determine if the client has developed an intestinal obstruction in the sigmoid colon
the priority question the nurse should ask the client would be:
Dizziness with movement and ambulation - correct answer ✔✔ A registered nurse (RN) and a
student nurse are caring for a client with a small bowel obstruction in the jejunum. The RN
reviews the plan of care for this client with the student and cautions the student to monitor this
client closely for:
"There is no specific medical treatment to fix the aneurysm now. The doctor will recommend
monitoring the aneurysm and keeping your B/P under control." - correct answer ✔✔ The nurse
is caring for a patient who has been diagnosed with a 3 cm abdominal aortic aneurysm. He
wants to know what medical treatment he can expect to "fix this thing in my belly". Which is the
nurse's best response?
Bilateral cool lower extremities with weak peripheral pulses. - correct answer ✔✔ A nurse is
admitting a patient to the surgical unit after a surgical repair of an abdominal aortic aneurysm.
"I will have only a light snack before I go to bed." - correct answer ✔✔ After educating a client
about life style changes to control gastroesophageal reflux (GERD), the nurse recognizes the
need for further teaching when the client says:
Hamburger, French fries and chocolate shake - correct answer ✔✔ The nurse should expect the
client with gastroesophageal reflux disease (GERD) to report discomfort following which of
these meals?
Keeping the patient on bed rest with bathroom privileges and monitoring his condition. - correct
answer ✔✔ A patient with a known peptic ulcer is admitted to the emergency room after
vomiting a large amount of coffee ground appearing emesis. His vital signs are: 100/60-100-24,
Temp 99.0°. The nurse anticipates the initial treatment plan for this patient will include:
One of these drugs will decrease acid production in your stomach and the other will enhance
the condition of the stomach lining - correct answer ✔✔ The nurse is instructing a patient with
a peptic ulcer about his medications. He is taking the following medications:
1 Protonix (pantoprazole) 40mg daily
2 Cytotec (misoprostol) 200mcg bid
What would be appropriate information for this client about these medications?
"You have a specific bacteria in your stomach that is frequently involved in ulcer development.
The antibiotics will kill that bacteria." - correct answer ✔✔ The nurse is administering
antibiotics to a patient with a duodenal ulcer. The patient asks why he is taking antibiotics for an
ulcer. He thought antibiotics were for infections. What would be an appropriate response?
Lie down for a short period of time after each meal - correct answer ✔✔ A patient who had
gastric surgery which involved removal of the pyloric sphincter has been experiencing "dumping
syndrome". To control the dumping syndrome the nurse suggests that the patient:
, 1. Eliminate coffee form diet
2. That because alcohol stimulates hydrochloric acid production in the stomach, it should be
consumed only occasionally
3. Control stress in life. - correct answer ✔✔ A male patient who is newly diagnosed with peptic
ulcer disease asks the nurse if there are any life style changes he can make to prevent an
exacerbation of his disease. The nurse correctly tells the patient: (select all that apply)
Decreased serum potassium level - correct answer ✔✔ In the post operative period an
abdominal surgical patient has developed an "ileus" ( non-mechanical intestinal obstruction).
Considering this diagnosis, the nurse reviews the patient's laboratory data and finds all of the
following abnormalities. Which would be contributing to his decreased peristalsis?
Is your abdomen bloated? - correct answer ✔✔ A client calls his medical clinic and tells the
nurse, "I think my bowels are blocked up". The nurse reviews the client's medical history which
reveals a recent diagnosis of a tumor in the sigmoid colon with plans for colon surgery in four
weeks. To determine if the client has developed an intestinal obstruction in the sigmoid colon
the priority question the nurse should ask the client would be:
Dizziness with movement and ambulation - correct answer ✔✔ A registered nurse (RN) and a
student nurse are caring for a client with a small bowel obstruction in the jejunum. The RN
reviews the plan of care for this client with the student and cautions the student to monitor this
client closely for:
"There is no specific medical treatment to fix the aneurysm now. The doctor will recommend
monitoring the aneurysm and keeping your B/P under control." - correct answer ✔✔ The nurse
is caring for a patient who has been diagnosed with a 3 cm abdominal aortic aneurysm. He
wants to know what medical treatment he can expect to "fix this thing in my belly". Which is the
nurse's best response?
Bilateral cool lower extremities with weak peripheral pulses. - correct answer ✔✔ A nurse is
admitting a patient to the surgical unit after a surgical repair of an abdominal aortic aneurysm.
