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Nsg 3850 Exam 4 | Actual Questions And Answers Latest
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q Updated 2026/2027 (Graded A+)- Galen College Of Nursing 100%
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q Correct. q
Testbankscove
,1. Which part of the gastrointestinal (GI) tract is involved in the production of protective
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mucus?
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A. Goblet cells q
B. Mast cells
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C. Fibroblasts
D. Alveolar macrophagesq
Correct Answer: A
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Rationale: Goblet cells are specialized epithelial cells that secrete mucus to protect
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q and lubricate the GI tract lining.
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,2. The nurse is assessing a client who reports nausea, vomiting, abdominal pain, and
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q discomfort. The nurse finds that the abdomen is firm and peristalsis is visible. The
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q laboratory reports show electrolyte imbalances. Which condition does the nurse
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q anticipate?
A. Pyloric stenosis q
B. Volvulus
C. Cystic fibrosis q
D. Duodenal atresia q
Correct Answer: B
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Rationale: Visible peristalsis, firm abdomen, and electrolyte imbalances suggest a bowel
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obstruction such as volvulus, where the bowel twists on itself.
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3. The nurse is reviewing portal hypertension. Which statement indicates need for
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q further review?
q
A. "Portal hypertension increases the risk of hepatic encephalopathy."
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B. "Portal hypertension results in the development of ascites."
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C. "Portal hypertension causes coagulation abnormalities."
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D. "Portal hypertension leads to the formation of esophageal varices."
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Correct Answer: C
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Rationale: Coagulation abnormalities in liver disease are due to impaired synthesis of
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q clotting factors, not directly caused by portal hypertension.
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4. Older adult with abdominal cramping, distention, no bowel movement. X-ray shows
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distended colon with loops superior to obstruction. Which treatment?
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A. Immediate endotracheal intubation q q
B. Placement of a nasogastric tube q q q q
C. Administration of IV diuretic q q q
D. Administration of IV hydrocortisone q q q
Correct Answer: B
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Rationale: NG tube decompresses the bowel, relieving pressure and preventing further
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, distention/perforation in obstruction. q q
5. Client with depression and Parkinson's disease prescribed fluoxetine. Which
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q manifestation is most likely? q q q
A. Acute dystonia q
B. Serotonin syndrome q
C. Stevens-Johnson syndrome q
D. Neuroleptic malignant syndrome q q
Correct Answer: Bq q
Rationale: Combining fluoxetine (SSRI) with Parkinson's medications (e.g., MAO-B
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inhibitors, dopaminergics) increases risk of serotonin syndrome.
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6. Which are true about ion channel disorders (channelopathies)? Select all that apply.
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A. Mutations in ion channel genes q q q q
B. Manifestations tend to be intermittent q q q q
C. Autoantibodies formed against ion channel proteins q q q q q
D. Always fatal at birth q q q
Correct Answers: A, B, C
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Rationale: Channelopathies can be genetic (mutations), have intermittent symptoms
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(e.g., periodic paralysis), and can be autoimmune (e.g., Lambert-Eaton).
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7. Which statements about OCD indicate effective learning?
q q q q q q
A. "The client with OCD may wash his or her hands frequently."
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B. "The client with OCD may not touch objects that are used by others."
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C. "The client with OCD may check his or her phone repeatedly to make sure
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q it is locked."
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D. "OCD clients never repeat actions."
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Correct Answers: A, B, C
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Rationale: Handwashing, avoidance of shared objects, and repeated checking are
q q q q q q q q q
Nsg 3850 Exam 4 | Actual Questions And Answers Latest
q q q q q q q q q
q Updated 2026/2027 (Graded A+)- Galen College Of Nursing 100%
q q q q q q q q
q Correct. q
Testbankscove
,1. Which part of the gastrointestinal (GI) tract is involved in the production of protective
q q q q q q q q q q q q q
mucus?
q
A. Goblet cells q
B. Mast cells
q
C. Fibroblasts
D. Alveolar macrophagesq
Correct Answer: A
q q
Rationale: Goblet cells are specialized epithelial cells that secrete mucus to protect
q q q q q q q q q q q
q and lubricate the GI tract lining.
q q q q q
,2. The nurse is assessing a client who reports nausea, vomiting, abdominal pain, and
q q q q q q q q q q q q
q discomfort. The nurse finds that the abdomen is firm and peristalsis is visible. The
q q q q q q q q q q q q q
q laboratory reports show electrolyte imbalances. Which condition does the nurse
q q q q q q q q q
q anticipate?
A. Pyloric stenosis q
B. Volvulus
C. Cystic fibrosis q
D. Duodenal atresia q
Correct Answer: B
q q
Rationale: Visible peristalsis, firm abdomen, and electrolyte imbalances suggest a bowel
q q q q q q q q q q
obstruction such as volvulus, where the bowel twists on itself.
q q q q q q q q q q
3. The nurse is reviewing portal hypertension. Which statement indicates need for
q q q q q q q q q q
q further review?
q
A. "Portal hypertension increases the risk of hepatic encephalopathy."
q q q q q q q
B. "Portal hypertension results in the development of ascites."
q q q q q q q
C. "Portal hypertension causes coagulation abnormalities."
q q q q
D. "Portal hypertension leads to the formation of esophageal varices."
q q q q q q q q
Correct Answer: C
q q
Rationale: Coagulation abnormalities in liver disease are due to impaired synthesis of
q q q q q q q q q q q
q clotting factors, not directly caused by portal hypertension.
q q q q q q q
4. Older adult with abdominal cramping, distention, no bowel movement. X-ray shows
q q q q q q q q q q
distended colon with loops superior to obstruction. Which treatment?
q q q q q q q q q
A. Immediate endotracheal intubation q q
B. Placement of a nasogastric tube q q q q
C. Administration of IV diuretic q q q
D. Administration of IV hydrocortisone q q q
Correct Answer: B
q q
Rationale: NG tube decompresses the bowel, relieving pressure and preventing further
q q q q q q q q q q
, distention/perforation in obstruction. q q
5. Client with depression and Parkinson's disease prescribed fluoxetine. Which
q q q q q q q q
q manifestation is most likely? q q q
A. Acute dystonia q
B. Serotonin syndrome q
C. Stevens-Johnson syndrome q
D. Neuroleptic malignant syndrome q q
Correct Answer: Bq q
Rationale: Combining fluoxetine (SSRI) with Parkinson's medications (e.g., MAO-B
q q q q q q q q
inhibitors, dopaminergics) increases risk of serotonin syndrome.
q q q q q q q
6. Which are true about ion channel disorders (channelopathies)? Select all that apply.
q q q q q q q q q q q
A. Mutations in ion channel genes q q q q
B. Manifestations tend to be intermittent q q q q
C. Autoantibodies formed against ion channel proteins q q q q q
D. Always fatal at birth q q q
Correct Answers: A, B, C
q q q q
Rationale: Channelopathies can be genetic (mutations), have intermittent symptoms
q q q q q q q q
(e.g., periodic paralysis), and can be autoimmune (e.g., Lambert-Eaton).
q q q q q q q q q
7. Which statements about OCD indicate effective learning?
q q q q q q
A. "The client with OCD may wash his or her hands frequently."
q q q q q q q q q q
B. "The client with OCD may not touch objects that are used by others."
q q q q q q q q q q q q
C. "The client with OCD may check his or her phone repeatedly to make sure
q q q q q q q q q q q q q
q it is locked."
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D. "OCD clients never repeat actions."
q q q q
Correct Answers: A, B, C
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Rationale: Handwashing, avoidance of shared objects, and repeated checking are
q q q q q q q q q
