2026 | Nursing Exam 3
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Updated 2026 Questions and Answers
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,Which education would the nurse provide the parent of an 2
infant with pyloric stenosis? rationale: in the absence of severe dehydration and malnutrition, the mortality rate is
1:it is unlikely that surgery will be necessary very low; immediate fluid and electrolyte replacement followed by surgery usually
results in full recovery
2:This is a condition with an excellent prognosis
-surgery is necessary and the success rate is high and has rapid recovery
3:This condition results form an error of metabolism -pyloric stenosis is a structural defect; hypertrophy of the circular muscle of the
pylorus causes obstruction at the pyloric sphincter; this is not caused by an inborn
4:special feedings will be needed for a few weeks after error of metabolism
surgery
Which information would the nurse reinforce when 4
teaching a client with gastroesophageal reflux disease rationale: they interfere with medications such as anticholinergics, barbiturates,
(GERD) about antacid therapy? tetracycline, and digoxin.
1:Antacids should be taken 1 hour before meals
-should be taken 1-2 hours after meals and at bedtime
2:these should be scheduled at 4 hour intervals
3:antacid tablets are just as fast and effective as the liquid
form
4:antacids commonly interfere with the absorption of other
medications
Which interventions would the nurse include in the plan of 1,2,3
care for a client with GERD? (select all) rationale:
1:encourage client to follow the prescribed treatment -clients should avoid food and activities that cause reflux such as eating late at night
regimen
-proton pump inhibitors should be taken before the first meal of the day and are
2:keep the HOB elevated to 30 degree more common in treating peptic ulcer disease
3:avoid placing the client in the supine position for 2-3
hours after a meal
4:instruct the client to eat 6 small meals a day with the last
just before bedtime
5:instruct the client to take a proton pump inhibitor before
the first meal of the day
Which parent teaching would the nurse provide to prevent 2
vomiting in an infant who had corrective surgery for rationale: elevating the infants head helps prevent vomiting through the use of
hypertrophic pyloric stenosis? gravity.
1:rock the infant
-Movement increase the chance of vomiting.
2:keep the infant's head elevated -Placing the infant on the side will not prevent vomiting and may result in aspiration.
3:place the infant flat on the right side
4:keep the infant awake with sensory stimulation
A client is diagnosed with a peptic ulcer. The nurse 4
instructs the client to contact the HCP immediately if the rationale: Dark black stools (melena) indicate GI bleeding and needs to be reported
clients stool has which appearance?
1:frothy
2:ribbon shaped
3:pale or clay-colored
4:dark brown or black
, A client with GERD needs to make dietary and lifestyle 1,5
changes. Which instructions would the nurse include in the rationale:
client's discharge teaching? (select all that apply) -the head not foot of bed should be elevated to prevent nighttime reflux; at night,
1:encourage the client to quit smoking infrequent swallowing and a recumbent position can impair esophageal clearance.
2:elevate the food of the bed
3:avoid milk and dairy products
4:eat three large, evenly spaced meals daily
5:avoid lying down for 2-3 hours after eating
Which condition is treated with a proton pump inhibitor 4
(PPI)? rationale: PPIs are effective in decreasing the secretions of gastric acid, helping
1:diarrhea alleviate the symptoms of GERD
2:vomiting
3:cardiac dysrhythmias
4:GERD
The RN is obtaining a health history from a client with a 2
diagnosis of peptic ulcer disease. The nurse identifies a rationale: smoking cigs increases the acidity of gastrointestinal secretions, which
possible contributory risk factors when the client makes damages the mucosal lining.
which statement?
1:my blood type is A positive
2:I smoke one pack of cigs a day
3:I have been overweight most of my life
4:my BP has been high lately
Which client would the nurse suspect as having peptic 2
ulcer disease after reviewing the morning lab reports? rationale: helicobacter pylori is a bacterium infecting the GI tract and causes peptic
1:haemophilus influenza ulcers and gastritis.
2:helicobacter pylori
3:pseduomonas aeruginosa
4:staphylococcus aureus
A pt presents with gastric pain, vomit, dehydration, 3
weakness, lethargy, and shallow respirations. Lab results rationale: the stomach produces about 3 L of secretions per day. Fluid lost through
indicate metabolic alkalosis. A diagnosis of gastric ulcer is vomit can produce inadequate fluid volume and electrolyte imbalance, which can
made. Which is the primary nursing concern? lead to dysrhythmias and death.
1:chronic pain
2:risk of injury
3:electrolyte imbalance
4:inadequate gas exchange
A RN is caring for a client with peptic ulcers and 4
dysphagia. Which task would not be delegated to a UAP
who is assisting in the care of a client with peptic ulcers
and dysphagia?
1:assisting the pt with feeding
2:assisting the pt with bathing
3:assisting the client in oral hygiene
4:assisting the pt in administration of meds