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Complete NSG 3800 Exam 1 study guide for 2026–2027 Includes exam-style questions, answers, and detailed rationales

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Complete NSG 3800 Exam 1 study guide for 2026–2027 Includes exam-style questions, answers, and detailed rationales The nurse is caring for a client who has heart failure (HF). The nurse understands that an increase inmyocardial oxygen demand is most likely the result of which of the following findings? a. Pulse of 80. b. Temperature of 99° F. c. Blood pressure of 154/98 mmHg. d. Respirations of 20. – NSG 3800 Exam A+ TEST BANK 2 Correct Answer :c. Blood pressure of 154/98 mmHg. The nurse is caring for a client who has atrial fibrillation (AF). Which of the following should the nursecorrelate to this dysrhythmia? a. The atrium beats rapidly at a rate around 200 beats per minute. b. An electrocardiogram (ECG) reading will show a sawtooth pattern. c. Atrial quivering occurs due to remodeling of the electrical circuit. d. The sinus node fails to depolarize the atrial impulse. – Correct Answer :c. Atrial quivering occurs due to remodeling of the electrical circuit. The nurse is caring for a client who is diagnosed with mitral stenosis. The nurse expects the client to exhibit which of the following clinical manifestations? a. A considerably widened pulse pressure with a characteristic water hammer (Corrigan's) pulse. b. High-pitched, blowing, and diastolic murmur at the third intercostal space, left sternal border. c. Dyspnea on exertion (DOE) due to pulmonary venous hypertension. d. Marked arterial pulsations visible and palpable at the carotid and temporal areas. – Correct Answer :c. Dyspnea on exertion (DOE) due to pulmonary venous hypertension. NSG 3800 Exam A+ TEST BANK 3 A nurse is providing care for a client who has a diagnosis of irritable bowel syndrome (IBS). When planning this client's care, the nurse should collaborate with the client and prioritize what goal? A) Client will accurately identify foods that trigger symptoms. B) Client will demonstrate appropriate care of his ileostomy. C) Client will demonstrate appropriate use of standard infection control precautions. Client will adhere to recommended guidelines for mobility and activity. – Correct Answer :A) Client will accurately identify foods that trigger symptoms. An older adult has a diagnosis of Alzheimer disease and has recently been experiencing fecal incontinence. However, the nurse has observed no recent change in the character of the client's stools. What is the nurse's most appropriate intervention? A) Keep a food diary to determine the foods that exacerbate the client's symptoms. B) Provide the client with a bland, low-residue diet. C) Toilet the client on a frequent, scheduled basis. D) Liaise with the primary provider to obtain an order for loperamide. – Correct Answer :C) Toilet the client on a frequent, scheduled basis. An adult client has been diagnosed with diverticular disease after ongoing challenges with constipation. The client will be treated on an outpatient basis. What components of treatment should the nurse anticipate? Select all that apply. A) Anticholinergic medications

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NSG 3800 Exam

Complete NSG 3800 Exam 1 study guide
for 2026–2027 Includes exam-style
questions, answers, and detailed
rationales




The nurse is caring for a client who has heart failure (HF). The nurse understands that an
increase inmyocardial oxygen demand is most likely the result of which of the following
findings?




a. Pulse of 80.
b. Temperature of 99° F.
c. Blood pressure of 154/98 mmHg.
d. Respirations of 20. –



A+ TEST BANK 1

, NSG 3800 Exam
Correct Answer :c. Blood pressure of 154/98 mmHg.


The nurse is caring for a client who has atrial fibrillation (AF). Which of the following should
the nursecorrelate to this dysrhythmia?




a. The atrium beats rapidly at a rate around 200 beats per minute.
b. An electrocardiogram (ECG) reading will show a sawtooth pattern.
c. Atrial quivering occurs due to remodeling of the electrical circuit.
d. The sinus node fails to depolarize the atrial impulse. –


Correct Answer :c. Atrial quivering occurs due to remodeling of the electrical circuit.


The nurse is caring for a client who is diagnosed with mitral stenosis. The nurse expects the
client to exhibit which of the following clinical manifestations?




a. A considerably widened pulse pressure with a characteristic water hammer (Corrigan's)
pulse.
b. High-pitched, blowing, and diastolic murmur at the third intercostal space, left sternal
border.
c. Dyspnea on exertion (DOE) due to pulmonary venous hypertension.
d. Marked arterial pulsations visible and palpable at the carotid and temporal areas. –




Correct Answer :c. Dyspnea on exertion (DOE) due to pulmonary venous hypertension.



A+ TEST BANK 2

, NSG 3800 Exam

A nurse is providing care for a client who has a diagnosis of irritable bowel syndrome (IBS).
When planning this client's care, the nurse should collaborate with the client and prioritize
what goal?


A) Client will accurately identify foods that trigger symptoms.
B) Client will demonstrate appropriate care of his ileostomy.
C) Client will demonstrate appropriate use of standard infection control precautions.
Client will adhere to recommended guidelines for mobility and activity. –


Correct Answer :A) Client will accurately identify foods that trigger symptoms.


An older adult has a diagnosis of Alzheimer disease and has recently been experiencing fecal
incontinence. However, the nurse has observed no recent change in the character of the
client's stools. What is the nurse's most appropriate intervention?
A) Keep a food diary to determine the foods that exacerbate the client's symptoms.
B) Provide the client with a bland, low-residue diet.
C) Toilet the client on a frequent, scheduled basis.
D)
Liaise with the primary provider to obtain an order for loperamide. –


Correct Answer :C) Toilet the client on a frequent, scheduled basis.


An adult client has been diagnosed with diverticular disease after ongoing challenges with
constipation. The client will be treated on an outpatient basis. What components of
treatment should the nurse anticipate? Select all that apply.


A) Anticholinergic medications
A+ TEST BANK 3

, NSG 3800 Exam
B) Increased fiber intake
C) Enemas on alternating days
D) Reduced fat intake
E) Fluid reduction - Correct Answer :B) Increased fiber intake
D) Reduced fat intake


A client's health history is suggestive of inflammatory bowel disease. Which of the following
would suggest Crohn's disease, rather than ulcerative colitis, as the cause of the client's signs
and symptoms?


A) A pattern of distinct exacerbations and remissions
B) Severe diarrhea
C) An absence of blood in stool
D) Involvement of the rectal mucosa –




Correct Answer :C) An absence of blood in stool


A nurse is caring for a client who has been admitted to the hospital with diverticulitis.
What would be appropriate nursing diagnoses for this client? Select all that apply.
A) Acute Pain Related to Increased Peristalsis and GI Inflammation
B) Activity Intolerance Related to Generalized Weakness
C) Bowel Incontinence Related to Increased Intestinal Peristalsis
D) Deficient Fluid Volume Related to Anorexia, Nausea, and Diarrhea
E) Impaired Urinary Elimination Related to GI Pressure on the Bladder –




A+ TEST BANK 4

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