NUR 417 EXAM 2 FINAL TEST PAPER 2026 FULL
QUESTIONS AND SOLUTIONS VERIFIED A+
◉ The nurse is assessing a patient who had a total gastrectomy 8
hours ago. Which information is most important to report to the
health care provider?
1. Hemoglobin (Hgb) 10.8 g/dL
2. Temperature 102.1 F (38.9 C)
3. Absent bowel sounds in all quadrants
4. Scant nasogastric (NG) tube drainage. Answer: 2. Temperature
102.1 F (38.9 C)
An elevation in temperature may indicate leakage at the
anastomosis, which may require return to surgery or keeping the
patient NPO. The other findings are expected in the immediate
postoperative period for patients who have this surgery and do not
require any urgent action.
◉ A patient has just been admitted to the emergency department
with nausea and vomiting. Which information requires the most
rapid intervention by the nurse?
1. The patient has been vomiting for 4 days.
,2. The patient takes antacids 8 to 10 times a day.
3. The patient is lethargic and difficult to arouse.
4. The patient had a small intestinal resection 2 years ago.. Answer:
3. The patient is lethargic and difficult to arouse.
A lethargic patient is at risk for aspiration, and the nurse will need to
position the patient to decrease aspiration risk. The other
information is also important to collect, but it does not require as
quick action as the risk for aspiration.
◉ Which patient would the nurse assess first after receiving change-
of-shift report?
1. A patient with esophageal varices who has a rapid heart rate
2. A patient with a history of gastrointestinal bleeding who has
melena
3. A patient with nausea who has a dose of metoclopramide (Reglan)
due
4. A patient who is crying after receiving a diagnosis of esophageal
cancer. Answer: 1. A patient with esophageal varices who has a rapid
heart rate
A patient with esophageal varices and a rapid heart rate indicate
possible hemodynamic instability caused by GI bleeding. The other
,patients require interventions, but their findings do not indicate
acutely life-threatening complications.
◉ Which assessment would the nurse perform first for a patient
who just vomited bright red blood?
1. Measuring the quantity of emesis
2. Palpating the abdomen for distention
3. Auscultating the chest for breath sounds
4. Taking the blood pressure (BP) and pulse. Answer: 4. Taking the
blood pressure (BP) and pulse
The nurse is concerned about blood loss and possible hypovolemic
shock in a patient with acute gastrointestinal bleeding. BP and pulse
are the best indicators of these complications. The other information
is important to obtain, but BP and pulse rate are the best indicators
for assessing intravascular volume.
◉ Which prescribed action will the nurse implement first for a
patient who has vomited 1100 mL of blood?
1. Give an IV H2 receptor antagonist.
2. Draw blood for type and crossmatch.
3. Administer 1 L of lactated Ringer's solution.
, 4. Insert a nasogastric (NG) tube and connect to suction.. Answer: 3.
Administer 1 L of lactated Ringer's solution.
Because the patient has vomited a large amount of blood, correction
of hypovolemia and prevention of hypovolemic shock are the
priorities. The other actions also are important to implement quickly
but are not the highest priorities.
◉ The nurse is administering IV fluid boluses and nasogastric
irrigation to a patient with acute gastrointestinal (GI) bleeding.
Which assessment finding is most important for the nurse to
communicate to the health care provider?
1. The bowel sounds are hyperactive in all four quadrants.
2. The patient's lungs have crackles audible to the midchest.
3. The nasogastric (NG) suction is returning coffee-ground material.
4. The patient's blood pressure (BP) has increased to 142/84 mm
Hg.. Answer: 2. The patient's lungs have crackles audible to the
midchest.
The patient's lung sounds indicate that pulmonary edema may be
developing because of the rapid infusion of IV fluid and that the fluid
infusion rate would be slowed. The return of coffee-ground material
in an NG tube is expected for a patient with upper GI bleeding. The
BP is slightly elevated but would not be an indication to contact the
QUESTIONS AND SOLUTIONS VERIFIED A+
◉ The nurse is assessing a patient who had a total gastrectomy 8
hours ago. Which information is most important to report to the
health care provider?
1. Hemoglobin (Hgb) 10.8 g/dL
2. Temperature 102.1 F (38.9 C)
3. Absent bowel sounds in all quadrants
4. Scant nasogastric (NG) tube drainage. Answer: 2. Temperature
102.1 F (38.9 C)
An elevation in temperature may indicate leakage at the
anastomosis, which may require return to surgery or keeping the
patient NPO. The other findings are expected in the immediate
postoperative period for patients who have this surgery and do not
require any urgent action.
◉ A patient has just been admitted to the emergency department
with nausea and vomiting. Which information requires the most
rapid intervention by the nurse?
1. The patient has been vomiting for 4 days.
,2. The patient takes antacids 8 to 10 times a day.
3. The patient is lethargic and difficult to arouse.
4. The patient had a small intestinal resection 2 years ago.. Answer:
3. The patient is lethargic and difficult to arouse.
A lethargic patient is at risk for aspiration, and the nurse will need to
position the patient to decrease aspiration risk. The other
information is also important to collect, but it does not require as
quick action as the risk for aspiration.
◉ Which patient would the nurse assess first after receiving change-
of-shift report?
1. A patient with esophageal varices who has a rapid heart rate
2. A patient with a history of gastrointestinal bleeding who has
melena
3. A patient with nausea who has a dose of metoclopramide (Reglan)
due
4. A patient who is crying after receiving a diagnosis of esophageal
cancer. Answer: 1. A patient with esophageal varices who has a rapid
heart rate
A patient with esophageal varices and a rapid heart rate indicate
possible hemodynamic instability caused by GI bleeding. The other
,patients require interventions, but their findings do not indicate
acutely life-threatening complications.
◉ Which assessment would the nurse perform first for a patient
who just vomited bright red blood?
1. Measuring the quantity of emesis
2. Palpating the abdomen for distention
3. Auscultating the chest for breath sounds
4. Taking the blood pressure (BP) and pulse. Answer: 4. Taking the
blood pressure (BP) and pulse
The nurse is concerned about blood loss and possible hypovolemic
shock in a patient with acute gastrointestinal bleeding. BP and pulse
are the best indicators of these complications. The other information
is important to obtain, but BP and pulse rate are the best indicators
for assessing intravascular volume.
◉ Which prescribed action will the nurse implement first for a
patient who has vomited 1100 mL of blood?
1. Give an IV H2 receptor antagonist.
2. Draw blood for type and crossmatch.
3. Administer 1 L of lactated Ringer's solution.
, 4. Insert a nasogastric (NG) tube and connect to suction.. Answer: 3.
Administer 1 L of lactated Ringer's solution.
Because the patient has vomited a large amount of blood, correction
of hypovolemia and prevention of hypovolemic shock are the
priorities. The other actions also are important to implement quickly
but are not the highest priorities.
◉ The nurse is administering IV fluid boluses and nasogastric
irrigation to a patient with acute gastrointestinal (GI) bleeding.
Which assessment finding is most important for the nurse to
communicate to the health care provider?
1. The bowel sounds are hyperactive in all four quadrants.
2. The patient's lungs have crackles audible to the midchest.
3. The nasogastric (NG) suction is returning coffee-ground material.
4. The patient's blood pressure (BP) has increased to 142/84 mm
Hg.. Answer: 2. The patient's lungs have crackles audible to the
midchest.
The patient's lung sounds indicate that pulmonary edema may be
developing because of the rapid infusion of IV fluid and that the fluid
infusion rate would be slowed. The return of coffee-ground material
in an NG tube is expected for a patient with upper GI bleeding. The
BP is slightly elevated but would not be an indication to contact the
