Nursing NUR408 Exam 1 – Practice Questions B Evidence-Based Practice Study
Guide
What are the types of inflammatory bowel disease? - ANS ✔✔Crohn's and Ulcerative Colitis,
Diverticulitis
What is not a complication of gastric bypass?
A) developing GERD
B) dumping syndrome
C) infection
D) weight loss - ANS ✔✔D) Weight loss - this is an expected result
What are symptoms of dumping syndrome? Select *5*
1) waking with pain during the night
2) weakness
3) abdominal cramping
4) diaphoresis
5) hypoxia
6) symptoms occur 15-30 min after eating
7) epigastric fullness - ANS ✔✔2) weakness
3) abdominal cramping
4) diaphoresis
6) symptoms occur 15-30 min after eating
7) epigastric fullness
,How can the nurse prevent aspiration pneumonia? Select two
A) Confirm tube placement before feedings
B) Elevate head of bed to 30*, for an hour after feeding
C) Monitor for confusion or seizures
D) Confer with a dietician - ANS ✔✔A) Confirm tube placement before feedings
B) Elevate head of bed to 30*, for an hour after feeding
Which is an indication for enteral feedings?
A) Long-term PPI use
B) Comatose/intubated
C) Barrett's esophagus
D) Hiatal hernia - ANS ✔✔B) Comatose/intubated
Indications for enteral feedings include conditions where a client has a functioning GI tract but
isn't able to swallow or take in adequate calories and protein orally. It can be partial or complete
replacement. Other indications are pathologies that cause difficulty swallowing or increase risk
of aspiration like stroke, inability to maintain adequate intake especially due to increased
metabolic demands (cancer therapy, burns, sepsis).
What should the nurse do if a client on enteral feedings gets diarrhea? - ANS ✔✔Slow rate of
feeding, notify provider, confer with dietitian, provide skin care, evaluate for c diff.
What is TPN? - ANS ✔✔a hypertonic IV bolus solution with dextrose, lipids, protein,
electrolytes, vitamins
Which patient might NOT be a candidate for TPN?
, A) Someone with diffuse peritonitis
B) a patient with a smol boo boo
C) Someone with short bowel syndrome
D) A person with severe burns - ANS ✔✔B) a patient with a smol boo boo
The nurse indicates understanding of TPN administration when she says...
A. I'm gonna increase the flow rate by 10% per hour
B. I can use the same line for other IV bolus solutions too
C. I can abruptly stop TPN if there's a complication
D. I'll use a regular dressing change; sterile isn't necessary
E. I don't need to monitor lungs for crackles or monitor weight/I&O - ANS ✔✔A. I'm gonna
increase the flow rate by 10% per hour
Abruptly changing TPN rates can alter blood glucose significantly and is contraindicated. Central
or PICC lines are going to be used in most cases so you need to reduce risk for infection. Sterile
dressing changes are mandatory, and the line needs to be used for TPN only as multiple
accesses increases risk of infection. Using a hypertonic solution like TPN poses a risk for fluid
shift, placing the client at increased risk of fluid volume excess.
Which patient is the best candidate for gastric bypass?
A. A woman with a BMI of 30 and asthma
B. A woman with a BMI of 35 and no complications
C. A male with a BMI of 40 who has not found success with medication or exercise programs
D. A male with a BMI of 40 who has a binge-eating disorder - ANS ✔✔C. A male with a BMI of
40 who has not found success with medication or exercise programs
Guide
What are the types of inflammatory bowel disease? - ANS ✔✔Crohn's and Ulcerative Colitis,
Diverticulitis
What is not a complication of gastric bypass?
A) developing GERD
B) dumping syndrome
C) infection
D) weight loss - ANS ✔✔D) Weight loss - this is an expected result
What are symptoms of dumping syndrome? Select *5*
1) waking with pain during the night
2) weakness
3) abdominal cramping
4) diaphoresis
5) hypoxia
6) symptoms occur 15-30 min after eating
7) epigastric fullness - ANS ✔✔2) weakness
3) abdominal cramping
4) diaphoresis
6) symptoms occur 15-30 min after eating
7) epigastric fullness
,How can the nurse prevent aspiration pneumonia? Select two
A) Confirm tube placement before feedings
B) Elevate head of bed to 30*, for an hour after feeding
C) Monitor for confusion or seizures
D) Confer with a dietician - ANS ✔✔A) Confirm tube placement before feedings
B) Elevate head of bed to 30*, for an hour after feeding
Which is an indication for enteral feedings?
A) Long-term PPI use
B) Comatose/intubated
C) Barrett's esophagus
D) Hiatal hernia - ANS ✔✔B) Comatose/intubated
Indications for enteral feedings include conditions where a client has a functioning GI tract but
isn't able to swallow or take in adequate calories and protein orally. It can be partial or complete
replacement. Other indications are pathologies that cause difficulty swallowing or increase risk
of aspiration like stroke, inability to maintain adequate intake especially due to increased
metabolic demands (cancer therapy, burns, sepsis).
What should the nurse do if a client on enteral feedings gets diarrhea? - ANS ✔✔Slow rate of
feeding, notify provider, confer with dietitian, provide skin care, evaluate for c diff.
What is TPN? - ANS ✔✔a hypertonic IV bolus solution with dextrose, lipids, protein,
electrolytes, vitamins
Which patient might NOT be a candidate for TPN?
, A) Someone with diffuse peritonitis
B) a patient with a smol boo boo
C) Someone with short bowel syndrome
D) A person with severe burns - ANS ✔✔B) a patient with a smol boo boo
The nurse indicates understanding of TPN administration when she says...
A. I'm gonna increase the flow rate by 10% per hour
B. I can use the same line for other IV bolus solutions too
C. I can abruptly stop TPN if there's a complication
D. I'll use a regular dressing change; sterile isn't necessary
E. I don't need to monitor lungs for crackles or monitor weight/I&O - ANS ✔✔A. I'm gonna
increase the flow rate by 10% per hour
Abruptly changing TPN rates can alter blood glucose significantly and is contraindicated. Central
or PICC lines are going to be used in most cases so you need to reduce risk for infection. Sterile
dressing changes are mandatory, and the line needs to be used for TPN only as multiple
accesses increases risk of infection. Using a hypertonic solution like TPN poses a risk for fluid
shift, placing the client at increased risk of fluid volume excess.
Which patient is the best candidate for gastric bypass?
A. A woman with a BMI of 30 and asthma
B. A woman with a BMI of 35 and no complications
C. A male with a BMI of 40 who has not found success with medication or exercise programs
D. A male with a BMI of 40 who has a binge-eating disorder - ANS ✔✔C. A male with a BMI of
40 who has not found success with medication or exercise programs
