NURS 321 EXAM 1 REVIEW QUESTIONS WITH
VERIFIED ANSWERS; 100% CORRECT; GRADE A
"The nurse is caring for an adult client diagnosed with
gastroesophageal reflux disease(GERD). Which condition is the
most common comorbid disease associated with GERD? 1.Adult-
onset asthma.2.Pancreatitis.3.Peptic ulcer disease.4.Increased
gastric emptying - correct answer- 1.Adult-onset asthma
"The nurse is teaching the patient a client with a peptic ulcer
discharge instructions. The client asks the nurse which type of
analgesic he may take. Which of the following responses by the
nurse would be most accurate?"
1. Aspirin
2. Acetaminophen
3. Naproxen
4. Ibuprofen - correct answer- 2.Acetaminophen is
recommended for pain relief because it does no promote
irritation of the mucosa. Aspirin, and nonsteroidal anti-
inflammatory drugs such as naproxen and ibuprofen, may cause
irritation of the mucosa and subsequent bleeding
,•The client with a BMI of 30 is attending a health promotion
program at a clinic. Which outcome is best for the nurse to
document in the client's plan of care?
•A. The client will lose 2 lb per week for the next 4 weeks.
•B. The client will gain 2 lb per week for the next 4 weeks.
•C. Teach the client to increase intake of fruits and vegetables.
D. Inform the client to call the clinic weekly with weight results
- correct answer- A. The client will lose 2 lb per week for
the next 4 weeks.
A client is being weaned off from parenteral nutrition (PN) and is
given a go-signal to take a regular diet. The ongoing solution rate
has been 120ml/hr. A nurse expects that which of the following
prescriptions regarding the PN solution will accompany the diet
order?
Decrease the PN rate to 60ml/hr.
Start 0.9% normal saline at 30 ml/hr.
Maintain the present infusion rate.
Discontinue the PN. - correct answer- Decrease the PN
rate to 60ml/hr.
,A client is discharged home with an enteral feeding tube. What
does the home health nurse do to determine the patency of the
client's enteral tube?
A. Arranges for the client to have an x-ray performed
periodically
B. Auscultates the client's abdomen for bowel sounds before
each feeding
C. Instills air into the tube to check for placement and patency
before each feeding
D. Tests aspirated tube contents for pH level before each feeding
- correct answer- D. Tests aspirated tube contents for pH
level before each feeding
A client is receiving nutritional supplements to restore
nutritional status. What does the nurse do to assess the
effectiveness of the supplements for the client?
A. Keeps an accurate and precise food and fluid intake record
daily
B. Makes certain the client is weighed daily at the same time
C. Monitors vital signs every 4 hours and as needed
D. Weekly assesses the client's skin for evidence(s) of
breakdown - correct answer- B. Makes certain the client
is weighed daily at the same time
, A client is receiving parenteral nutrition (PN) in the home setting
has a weight gain of 5 lb in 1 week. The nurse next assesses the
client to identify the presence of which of the following?
Hypotension.
Crackles upon auscultation of the lungs.
Thirst.
Polyuria - correct answer- Crackles upon auscultation of
the lungs.
Normally, the weight gain of a client receiving PN is about 1-2
pound a week. A weight gain of five (5) pounds over a week
indicates a client is experiencing fluid retention that can result to
hypervolemia. Signs of hypervolemia includes weight gain more
than desired, headache, jugular vein distention, bounding pulse,
and crackles on lung auscultation
A client is receiving parenteral nutrition (PN) suddenly is having
a fever. A nurse notifies the physician and the physician initially
prescribes that the solution and tubing be changed. The nurse
should do which of the following with the discontinued
materials?
Send them to the laboratory for culture.
Save them for a return to the manufacturer.
VERIFIED ANSWERS; 100% CORRECT; GRADE A
"The nurse is caring for an adult client diagnosed with
gastroesophageal reflux disease(GERD). Which condition is the
most common comorbid disease associated with GERD? 1.Adult-
onset asthma.2.Pancreatitis.3.Peptic ulcer disease.4.Increased
gastric emptying - correct answer- 1.Adult-onset asthma
"The nurse is teaching the patient a client with a peptic ulcer
discharge instructions. The client asks the nurse which type of
analgesic he may take. Which of the following responses by the
nurse would be most accurate?"
1. Aspirin
2. Acetaminophen
3. Naproxen
4. Ibuprofen - correct answer- 2.Acetaminophen is
recommended for pain relief because it does no promote
irritation of the mucosa. Aspirin, and nonsteroidal anti-
inflammatory drugs such as naproxen and ibuprofen, may cause
irritation of the mucosa and subsequent bleeding
,•The client with a BMI of 30 is attending a health promotion
program at a clinic. Which outcome is best for the nurse to
document in the client's plan of care?
•A. The client will lose 2 lb per week for the next 4 weeks.
•B. The client will gain 2 lb per week for the next 4 weeks.
•C. Teach the client to increase intake of fruits and vegetables.
D. Inform the client to call the clinic weekly with weight results
- correct answer- A. The client will lose 2 lb per week for
the next 4 weeks.
A client is being weaned off from parenteral nutrition (PN) and is
given a go-signal to take a regular diet. The ongoing solution rate
has been 120ml/hr. A nurse expects that which of the following
prescriptions regarding the PN solution will accompany the diet
order?
Decrease the PN rate to 60ml/hr.
Start 0.9% normal saline at 30 ml/hr.
Maintain the present infusion rate.
Discontinue the PN. - correct answer- Decrease the PN
rate to 60ml/hr.
,A client is discharged home with an enteral feeding tube. What
does the home health nurse do to determine the patency of the
client's enteral tube?
A. Arranges for the client to have an x-ray performed
periodically
B. Auscultates the client's abdomen for bowel sounds before
each feeding
C. Instills air into the tube to check for placement and patency
before each feeding
D. Tests aspirated tube contents for pH level before each feeding
- correct answer- D. Tests aspirated tube contents for pH
level before each feeding
A client is receiving nutritional supplements to restore
nutritional status. What does the nurse do to assess the
effectiveness of the supplements for the client?
A. Keeps an accurate and precise food and fluid intake record
daily
B. Makes certain the client is weighed daily at the same time
C. Monitors vital signs every 4 hours and as needed
D. Weekly assesses the client's skin for evidence(s) of
breakdown - correct answer- B. Makes certain the client
is weighed daily at the same time
, A client is receiving parenteral nutrition (PN) in the home setting
has a weight gain of 5 lb in 1 week. The nurse next assesses the
client to identify the presence of which of the following?
Hypotension.
Crackles upon auscultation of the lungs.
Thirst.
Polyuria - correct answer- Crackles upon auscultation of
the lungs.
Normally, the weight gain of a client receiving PN is about 1-2
pound a week. A weight gain of five (5) pounds over a week
indicates a client is experiencing fluid retention that can result to
hypervolemia. Signs of hypervolemia includes weight gain more
than desired, headache, jugular vein distention, bounding pulse,
and crackles on lung auscultation
A client is receiving parenteral nutrition (PN) suddenly is having
a fever. A nurse notifies the physician and the physician initially
prescribes that the solution and tubing be changed. The nurse
should do which of the following with the discontinued
materials?
Send them to the laboratory for culture.
Save them for a return to the manufacturer.
