NURS 317 UNIT 2 EXAM
NURS 317 UNIT 2 EXAM QUESTIONS AND ANSWERS GRADED A+
1. When developing the plan of care for a client who is receiving an
antiemetic, what would the nurse include? Select all that apply.
a) Offering noncarbonated fluids
b) Encouraging slow, deep breaths
c) Ensuring a quiet environment
d) Ensuring ready access to bathroom facilities
e) Providing frequent mouth care
f) Offering warm liquids such as coffee: b) Encouraging slow, deep breaths
c) Ensuring a quietenvironment
d) Ensuring ready access to bathroom facilities
e) Providing frequent mouth care
Slow, deep breaths help to promote client comfort and relaxation. Frequent mouth care
promotes client comfort. A quiet environment promotes comfort and rest. Readily available
access to bathroom facilities promotes comfort and reassurance. Carbonated fluids most likely
would be better tolerated. Cool liquids or ice chips most likely would be better tolerated.
2. The patient had surgery 2 days ago and bowel motility has not
returned. What drug might the nurse administer to stimulate the
GI tract?
A. Dexpanthenol
B. Docusate
C. Psyllium (Metamucil)
,NURS 317 UNIT 2 EXAM
D. Senna: A. Dexpanthenol (58)
3. A client has been diagnosed with an incompetent pyloric
sphincter. This client is experiencing a lot of abdominal pain and
nausea. When this client vomits, the nurse should expect what
type of secretions in the basin?
A. Green, stringy emesis
B. Bright red, bloody emesis
C. Thick, brownish, foul-smelling emesis
D. Clear mucous-looking emesis: C. Thick, brownish, foul-smelling emesis (28
4. A client who has had his gallbladder removed asks the nurse, "Why do
I feel sick every time I go through a drive in fast food restaurant
and order burger and fries?" The nurse bases the response
knowing that:
A. The restaurant may have "bad" grease in their fryer
B. Without a gallbladder, the size of the pts stomach has been
decreased
C. Bile from the gallbladder is needed to break down lipids
D. When the gallbladder is removed, the pancreatic duct is also
removed.: C. Bile from the gallbladder is needed to break down lipids (28)
5. A client asks the nurse to explain the digestive tract layers because
the client is experiencing upper GI problems. When talking about the
mucosa layer, the nruse will emphasize that the roles/functions of this
layer consist of: Select all that apply.
A. Production of mucous to protect and lubricate the inner lining
B. Beginning of the digestive process by secreting enzymes to break
food down
C. Contracting of smooth muscles to propel food forward
,NURS 317 UNIT 2 EXAM
D. Supporting the abdominal viscera with its connective tissue.: A.
Production of mucous to protect and lubricate the inner lining
B. Beginning of the digestive process by secreting enzymes to break food down (28)
6. A client has been told he has abdominal adhesions due to an old
appendix infection. Knowing the structures of the abdominal cavity,
the nurse will explain which of the following structures can form
bands of fibrous scar tissue to wall off the infection, preventing it
from spreading to other parts of the body?
A. Mesentery
B. Omentum
C. Haustration
D. Peritoneum: B. Omentum (28)
7. Motility along the length of the GI tract, controlling the function
of each segment of the GI tract and integrating signals for
absorption of nutrients primarily, is innervated by which portion
of the enteric nervous system?
A) Submucosal plexus
B) Vasovagal
C) Sympathetic
D) Preganglionic: A) Submucosal plexus(28)
,NURS 317 UNIT 2 EXAM
8. When trying to explain to a newly diagnosed irritable bowel
syndrome (IBS) client how the nervous system affects GI disorders,
the nurse mentions which of the following in regard to IBS?
A. Increase in smooth muscle tone
B. Enhancement of sphincter function
C. Decrease in GI motility
D. Increase in enteric nervous system activity: D. Increase in enteric nervous
system activity (28)
9. The client chews an apple and starts the swallowing process. As
the food bolus enters the back of the mouth and swallowing is
initiated, the nurse knows that the client's motor impulses are being
carried out by which of the following cranial nerves? Select all that
apply.
A. Trigeminal (V)
B. Vagus (X)
C. Hypoglossal (XII)
D. Abducent (VI): A. Trigeminal (V)
B. Vagus (X)
C. Hypoglossal (XII) (28)
10. In the stomach, chyme is churned by peristalsis into the antrum,
which contracts, reverses the flow, and allows more churning.
Because the pylorus is contracted during antral contraction, gastric
content empties into the duo-denum:
A. During bile secretion
B. Between contractions
C. During opening of the pyloric sphincter
D. Under gaseous pressure: B. Between contractions (28)
11. While assessing a client who is experiencing diarrhea caused by C.
NURS 317 UNIT 2 EXAM QUESTIONS AND ANSWERS GRADED A+
1. When developing the plan of care for a client who is receiving an
antiemetic, what would the nurse include? Select all that apply.
a) Offering noncarbonated fluids
b) Encouraging slow, deep breaths
c) Ensuring a quiet environment
d) Ensuring ready access to bathroom facilities
e) Providing frequent mouth care
f) Offering warm liquids such as coffee: b) Encouraging slow, deep breaths
c) Ensuring a quietenvironment
d) Ensuring ready access to bathroom facilities
e) Providing frequent mouth care
Slow, deep breaths help to promote client comfort and relaxation. Frequent mouth care
promotes client comfort. A quiet environment promotes comfort and rest. Readily available
access to bathroom facilities promotes comfort and reassurance. Carbonated fluids most likely
would be better tolerated. Cool liquids or ice chips most likely would be better tolerated.
2. The patient had surgery 2 days ago and bowel motility has not
returned. What drug might the nurse administer to stimulate the
GI tract?
A. Dexpanthenol
B. Docusate
C. Psyllium (Metamucil)
,NURS 317 UNIT 2 EXAM
D. Senna: A. Dexpanthenol (58)
3. A client has been diagnosed with an incompetent pyloric
sphincter. This client is experiencing a lot of abdominal pain and
nausea. When this client vomits, the nurse should expect what
type of secretions in the basin?
A. Green, stringy emesis
B. Bright red, bloody emesis
C. Thick, brownish, foul-smelling emesis
D. Clear mucous-looking emesis: C. Thick, brownish, foul-smelling emesis (28
4. A client who has had his gallbladder removed asks the nurse, "Why do
I feel sick every time I go through a drive in fast food restaurant
and order burger and fries?" The nurse bases the response
knowing that:
A. The restaurant may have "bad" grease in their fryer
B. Without a gallbladder, the size of the pts stomach has been
decreased
C. Bile from the gallbladder is needed to break down lipids
D. When the gallbladder is removed, the pancreatic duct is also
removed.: C. Bile from the gallbladder is needed to break down lipids (28)
5. A client asks the nurse to explain the digestive tract layers because
the client is experiencing upper GI problems. When talking about the
mucosa layer, the nruse will emphasize that the roles/functions of this
layer consist of: Select all that apply.
A. Production of mucous to protect and lubricate the inner lining
B. Beginning of the digestive process by secreting enzymes to break
food down
C. Contracting of smooth muscles to propel food forward
,NURS 317 UNIT 2 EXAM
D. Supporting the abdominal viscera with its connective tissue.: A.
Production of mucous to protect and lubricate the inner lining
B. Beginning of the digestive process by secreting enzymes to break food down (28)
6. A client has been told he has abdominal adhesions due to an old
appendix infection. Knowing the structures of the abdominal cavity,
the nurse will explain which of the following structures can form
bands of fibrous scar tissue to wall off the infection, preventing it
from spreading to other parts of the body?
A. Mesentery
B. Omentum
C. Haustration
D. Peritoneum: B. Omentum (28)
7. Motility along the length of the GI tract, controlling the function
of each segment of the GI tract and integrating signals for
absorption of nutrients primarily, is innervated by which portion
of the enteric nervous system?
A) Submucosal plexus
B) Vasovagal
C) Sympathetic
D) Preganglionic: A) Submucosal plexus(28)
,NURS 317 UNIT 2 EXAM
8. When trying to explain to a newly diagnosed irritable bowel
syndrome (IBS) client how the nervous system affects GI disorders,
the nurse mentions which of the following in regard to IBS?
A. Increase in smooth muscle tone
B. Enhancement of sphincter function
C. Decrease in GI motility
D. Increase in enteric nervous system activity: D. Increase in enteric nervous
system activity (28)
9. The client chews an apple and starts the swallowing process. As
the food bolus enters the back of the mouth and swallowing is
initiated, the nurse knows that the client's motor impulses are being
carried out by which of the following cranial nerves? Select all that
apply.
A. Trigeminal (V)
B. Vagus (X)
C. Hypoglossal (XII)
D. Abducent (VI): A. Trigeminal (V)
B. Vagus (X)
C. Hypoglossal (XII) (28)
10. In the stomach, chyme is churned by peristalsis into the antrum,
which contracts, reverses the flow, and allows more churning.
Because the pylorus is contracted during antral contraction, gastric
content empties into the duo-denum:
A. During bile secretion
B. Between contractions
C. During opening of the pyloric sphincter
D. Under gaseous pressure: B. Between contractions (28)
11. While assessing a client who is experiencing diarrhea caused by C.
